HomeMy WebLinkAbout0008 MANOR WAY - Health LOT 8
8 MANOR WAY, OSTERVILLE
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TOWN OF BARNSTABLE
LOCATION A4 v,or wait SEWAGE # 9S /G y'
VILI!AGE Q,s��y���f ASSESSOR'S MAP &LOT Z& Oa 7
INSTALLER'S NAME&PHONE NO. .) , /Vo �/ 'SS"9✓�
SEPTIC TANK CAPACITY
LEACHIIdG FACILITY: (type) 7Ye-,c 4 dJ (size) -2 S0 Xo7 WX a 0
NO.OF BEDROOMS
BUILDER O
PERMITDATE: COMPLIANCE DATE:
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
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LOCATION SEWAGE PERMIT NO.
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VILLAGE
INSTA LLER'S NAME t ADDRESS
A a-ra V r2 SC=-Ass �-s6 N's'
AokoM Roc< RV. E-A.sT DC'NNisi
S OWNER
DATE PERMIT ISSUED 13 -7-9
DATE COMPLIANCE ISSUED '2 -7%,
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l TOWN OF BARNSTABLE
L'OCAT-ION `� � _:� SEWAGE #
VILLAGE U ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY �sCy
LEACHING FACILITY: (type) I21� (size)
NO.OF BEDROOMS Z—
BUILDER OR OWNER
PERMIT DATE: COMPLIANCE DATE: s Z
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
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LOC TLON 5EW&C;E PERMIT UO.
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...OF....... � .. ..
Appliration -for i_q wial Works Towitrurtion Vrrmft :
Application is hereby made for a Permit to Construct ( ) or Repair .( C--) an n ividual Sewage Disposal
Syst at
Location.-Address or Lot No.
... �.......a..?-. �'�'`— ---------------------•----------
Owne ----rq- ---- V •- --•--_----•.......... ..............................
I.................................-••---
Inst ler Address
Q Type of Building Size Lot____________________________Sq. feet
U Dwelling—No. of Bedrooms______________________________ _ _ .Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ____________________________ No. of persons_.._--_-_-___-__-_-_-_--____ Showers ( ) — Cafeteria ( )
P4 Other fixtures --------k----------------------------------------
WDesign Flow-----------------------------------------___gallons per person per day. Total daily flow-------------------------------------------.gallons.
WSeptic Tank—Liquid capacity-_.________gallons Length---------------- Width........-------- Diameter---------------- Depth----------------
x Disposal Trench—No._______•--_..__-.___ Width-------------------- Total Length-------------------- Total leaching area........-_._.-----..sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area------------------sq. ft.
z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by-------------------------------------------------------------------------- Date--------------- -------------- --------
W
a Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water--------.____.___._..._.
�14 Test Pit No. 2----------------minutes per inch Depth of Test Pit.__________-_-___._. Depth to ground water...-_-_.__._________....
9 -------------------------- -------------------------------•-----•------------------------------------•-•-----------------------------------------------
ODescription of Soil-----••---------•----------------------------•-------------•----••------------------------------•--------------------•-•----•---I----------------------------------------
W
U Nature of Repairs or iterations—Answer wen applicable-----------
1....... .............. __....._._._.._
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article \I of the State Sanitary Cgde— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has en issued ' the board of h 1 1t. ) a
CJ
Signed -------'� . �--••�. .
Date
ApplicationApproved By---------------------------------------------------------•-------•-•----------_................•--
Date
Application Disapproved for the following reasons---------------------------------------------------------- •-----------------•---------•-------•----------
--•-•---------------------------•--•---•------------------------------•----•--------•-----•-----------------•-----•-------------------------------•-------------------------•--•-----------------.-----
Date
Permit No......................................................... Issued.... ..>. -t•
4+� Date
Ci
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
/ . ------OF....... ,.. .I..............................................
Applirtttion -for apwial ]Vorkii Towitrurtiott ; rrtttit
Application is hereby made for a Permit to Construct ( ) or Repair ( an f dlvidual Sewage Disposal
Syst at:
_------ --''___---- ----r --------------------- ----------------..._...---•----••-----------------•---•--.._...------
Location-Address or Lot No.
G: ..... ...................................----•----•--•------------•-- ------------------. ...------------------------------...------.
W ( /Own ,, (� Address
- ------------------------------------------------------------
Ins er Address
d Type of Building Size Lot............................Sq. feet
V Dwelling � No. of Bedrooms__ ___________________________ .-Ex ansion Attic`— _:_._.,_ p ( ) Garbage Grinder,( )
per,, Other—Type of Building ____________________________ No. of persons-._...____-___._____-____:__.Showers ( ) — Cafeteria ( )
dOther fixtures -------------------------------- ----------
W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons.
9 Septic Tank—Liquid capacity------------gallons Length------------_- Width....__.......... Diameter................ Depth`s.'-----_---_..
x Disposal Trench—No- --________ ___ Width ____________ ____ Total Length_.-_.- _--. Total leaching;area.'_ sq. tt.
.,;
Seepage Pit No..................... Diameter ----------------- Depth below inlet. ........... Total leaching area. -. ----------sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Pe-rforme&bY------------- ------------•----------------------------•---------------- Date---'-----------------:-------------
Test Pit No. 1----------------minutes per>n&. _Depth of "best Pit.................... Depth to ground water.___--.'_---------_..
Test Pit No. 2----------------minutes per inch' 'Depth':of Test"Pit.._.________________ Depth to ground water............------------
---------------------------------•._...-----------------------------------------------------...._._.............................................-----•-----
Descriptionof Soil ----------------•-•---•------------------------..... ....................... ......---------____--------------------------
U •-- ------•-----
W ----------- -------------- --- ....................•--•------•------------•------_---•- .-- ------ .r--- --•- ----_---- ----------
U Nature of Repairs o�lterations—Answer w en app icable ___�
•--------------.--------•- - a� ------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary de—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has ,ee s ed the boar h
Signed... ....... • 4 eS"t "' --------. '
• ---
• - Date
Application Approved B `
Date
Application Disapproved for the following reasons-.............................................................. = .....................................
Date
PermitNo......................................................... Iss'u_ed ----- - ----• ....---
Date
THE COMMONWEALTH OF MASSACHUSETTS
-BOARD HEALTH }
.., .....OF........ •e .. ............................................. .
�rr�ifrtt ��f f�lunt�litturr I
TH IS ER' That t I divi Sewage Disposal System constructed ( ),,or Repaired
1! )
by.. -
. Installer
---- r
.s!'�G i.-- --
has been installed in accordance with the provisions of Article o he State San ar Code s desert ed m the
application for Disposal Works Construction Permit No.___ ._..____ dated y _. ,. ' ....
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON R-UE® AS A GUARANTEE THAT THE
SYSTEM V+/ILL FUN N SAT 5FA TORY
� . t
DATE` Inspector ---•--• --••--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALT
._7-_ ram,,
No. __ FEE -••...................
i� u�tt k no ruri�tt r i -
- .,...
Permission is ereby grant ---`.. ... •---. ---
to Construct or Repair (4007 In 'dual Sewage D• o 1 ystem
at No.---------
Street---------6.)....................... ........
as shown on the application for Disposal Works Construction Per o.-____--___ *a d___ -._� ____....
---
Board of-Health
DATE... ......71A.._Y17.Y...................................
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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No.........91 Fizic....
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
to.LVO....................OF.....gml?1.66116 C.......................................
Appliration for Disposal 19,arks (foustrurtion rremit
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at:
............................ . .......... . .........40S
T....... .............................................. ...LIQ.....................
Location-,4ddress or Lot No.
...... 'A.....W.11A P.0 r�...................... .....................!................................................. .�VJAL ...............................................
Owner Address
............. ...............................................................................................
aInstaller Address
Type of Building Size Lot------ 7.40 .'Sq. f
U Grin Dwelling No. of Bedrooms________________ .........................Expansion Attic Garbage der
P4 Other—Type of Building ............................ No. of persons_._________________.________ Showers Cafeteria
Otherfixtures ......................................................................................................................................................
Design Flow............._55.....................gallons per person ppr day. Total daily flow---- .............*530..............g-allons.
1 1 r,1,4
Septic Tank—Liquid capacity./AVA_gallons Length.X_41... Width.47/0.. Diameter-------------- Depth.5-.—ir....
.1....... 0....... Total leaching area____Jk�.....sq. ft.
Disposal Trench—No..........Z......... Width.......2.. Total Length.___-__-.
Seepage Pit No_____________________ Diameter_.__...____..__._._. Depth below i*t..... Total leaching area..................sq. ft.
,0
Z 'Other Distribution box v17 DosnIg tank
Percolation Test Res ts Performed by_J5AA1W__+.d-yu......... Date._.____.__
Test Pit No. 1 _-_.minutes per inch Depth of Test Pit......JQ 6.... Depth to ground water____-Yes-----------
Test Pit No. 2..!!;MD..minutes per inch Depth of Test Pit____________________ Depth to ground water........................
................"-------------- ................. -----------*------
-----------------------------------------------------------*.......
0 Description of Soil.............A,4_&_D!_VLq.........5.4/4p......................................................................................................
W I
--------------- ......*------------- ---------------------------------------------------*------------------------------------------ *----------*......."----------------------------
..............................................................................................................................I....................I......................................................
U Nature 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 TITILZ 5 of the State Sam ar Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance as been issued by the board of health.
Si .. .............................................m.............................. ................................
Date
Application Approved BY_ --- - ------- -------- ----------A&L" 2................ ...........-....-
.IJ-_7-1.......
Date
Application Disapproved for the following reasons:..............................................................................................................
.........................................................................................................................................................................................................
Date
Permit No.._...................................................... Issued_.....&:1_Z2._ZP
..........................
Date
No.. ...(�...._....... r ,, •e► Fps... ..0..............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF.- HEALTH
. .I ....................OF.... A,!. -- ••• ........................................
, ppliratilan for Dispaiiaal Works Tnnstrnrtinn Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
................_..... :.. .- -------- fir....... ................................... .......... -' ..... .......--
Location- ddress r or Lot No.
•-•----------------•.._._.....:: 6 .€�� P j ---------------------- . ..............................................._.r...------....-•------------.............---....
�• Owner � ess
:. .........................•---•..Addr
4
� Installer _ Address
U Type of Building/ Size Lot._... .. A ._Sq. f t
Dwelling No. of Bedrooms...............:...........................Expansion Attic ( ) Garbage Grinder J
Other—T e of Building ............ No. of persons...................... Showers — Cafeteria
a
d Other fixtures
�eS .................•-------------•-•--...........---•---.-----------------...._.._-------------•--__..........---•-•------------.........---------------
W Design Flow.................. gallons per person per day. Total daily flow..................3 .............gallons.
9 Septic Tank—Liquid*capacit /VQ:0..gallons Length.1 R .:._ Width_ ,/V... Diameter................ Depth. .."��...
Disposal Trench—No.........f._...... Width-4.. ....... Total Length.._.....$,6..-�....... Total leaching area----- ....sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet..... _ ..._ Total leaching area..................sq. ft.
Z Other Distribution box ( vo�_ Dosin tank ( ) °
. ,
a Percolation Test Res lts Performed by. +I d4er.....--.---_.:� �o _. Date.......7 F.......
Test Pit No. 1 -___.minutes per inch Depth of Test Pit......9_.5.... Depth to ground water...... .`. .-----•_-.
Test Pit No. 2-540S...minutes per inch Depth of Test Pit.................... Depth to ground water........................
O Description of Soil fiis 't----•----��--'•! f? r ......._...
U -------------------
--------------------------------
•------------
......-----------------
---------------------------------
----.-------------------
---------------
------------------------
---------
W ••-•-•----------------•-.....-----••-••••••••-•---•----••------•-•--•-•---•-•--•--------•••--••-•••--•••••-••••----:--------------•----•----••-•••-••-•--•••••-•••.......-•••••............••....._.....
U Nature of Repairs or Alterations—Answer when applicable.______-_.`......................................................................................
1.
--------------------------------------------------•---------.._......---------------...............---........----------------------------------------=------•---•-----------•••-•--............••......
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of T I':LE_ 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.
Si e _. ..
F � Date
Application Approved By...... =.-. -•-•-•• e ..•-�'7 _---------••---•----•--•-----• 2 3 � _------
Date
Application Disapproved for the following reasons------------------------------------------------------------------------------------------ --------------------
-------------------------------------------------------------•------.........------------.................---.---...----•---------...r......••••......._..................................................................
kDate
Permit No......................................................... Issued-.......................................................
_..
Date
- t
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O HEALTH
..................
Tntifiratr of Tr mptitanrr
THIS IS O CERTI , That the Individual Sewage Disposal System constructed or Repaired ( )
� I Eau
at V•r+. --- ---� _.'".... ,.... .*!
has en installed:.in accordance with the provisions of �' r of The State Sanitai ode as described in the
application for Disposal Works Construction Permit No.............!/-..........._........ da.ted_..._a ................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM 1NILL FUNCTION SATISFACTORY.
DATE...... Inspector------------------------------------•-•----::--------------.:-------•--•------•---
by
THE COMMONWEALTH OF MASSACHUSETTS
BOARD Of HEALTH
69' ........ .........-----•••••....................... . ..
......OF................................. .a-
N� ................ FEE........................
Biaplls l ikg T nstrnrtion permit
Permission isherebyl anted....._ k"
to Constru t it ) an Individual Se D sal S stems
at No....'
o. '?414 - !
Street
as shown on the application for Disposal Works Construction Per No....... ...... Dated...a..'..Jaa9...... .................
----••--•----•••-••......
Health R
DATE.......------•. _ �.,..
FORM •1255 HOBBS & WARREN. INC.. PUBLISHERS
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ASSESSORS MAP NO;_ _
No.. =� � PARCEL NO` t '7
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for 14,ripnittl Workii Towitrnrtiun runti#
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: D
......(...................r +j LbT �-
c ti Address or Lot No.
0 Te6W t'I 2 05�
............_.....................�.....-.---•--------------------------•-----•------ ----- - ...---.....
25 Owner� Q Address
..................... ...................................... ....................... -----1.)....--------------......••--•/•---Address...
Type of Building Size Lot............................Sq. feet
u Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons___-_____-.___--.._--__._-__ Showers ( ) — Cafeteria ( )
a' Other fixtures _______________________________ _ _
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity______-____gallons Length---------------- Width________________ Diameter...------------- Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No_____________________ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box,( );::.; Dosing tank ( )
aPercolation Test Results Performed by-------------------------------------------------------------------------- Date........................................
Test Pit No. I______ ________minutes per inch Depth of Test Pit-------------------- Depth to ground water_.______.-___-__-__-_.-.
Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
R+ ------------------------------------------------------------------------------------•--.................----•---•------•----•-------------......_...._....---
ODescription of Soil---------------------------------------------------------•---•--•-•--------------------------------------------....._ •-------------------------- ....................
---------. ----------------------
W --- ---------------------------------------------------------------------------- -
U Nature 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 as b en issued by the/board of health.
Signed --------------- ------ �'� �� ........ ........ .,..9 '....
ce
Application Approved B �: 6,��----- ------ -------- .. � .. ..- .�
Date
Application Disapproved for the following reasons: .......................................
... .............. ............................................................ . ... ...... ....... . . ... ..... -- . ..................... . ......
- --
Permit No. ',.........:.....:.......- i- .- Issued � 'Zz.�-`�... ............
Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliratiou for Ditjipo ial Wor1w Tomitrur#iuu Prrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: �1 A ti
.........-- GJ_------•• .ram --------... -1•----•-•--•------------•--------•----------�'J�T---•----•--•--•------•------••---------•-•
L call ,f Address or Lot No.
Owner Address
w •--•--••--- .. ........... ...PS............... =-r_ •'g N-7GW. ---- --...-----------...--•--•---•-------------..............---....-----
PQ l�a/�Gi /V,4 J,$7v ti 3 ��~��� Address
Type of Building Size Lot............................Sq. feet
4 Dwelling— No. of Bedrooms..........::................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ..................: ....... No. of persons............................ Showers ( ) — Cafeteria ( )
P I Other fixtures ------------------------------------- -
W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter---------------- Depth___-________----
x Disposal Trench—No. .................... Width_------------------ Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No---------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
1' Percolation Test Results Performed by............................................................... ----------- Date........................................
a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.........................
(T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 - ----•••••-----------••--••-•-•-•---•------•-------•--------•---•...•••••---••-•-••-•...........................•••••-•----••-••--•-•-•-•--•-•-•-•--••--..----
0 Description of Soil------------------------------------------------------------------•-------------------------------------------------- r••-•-••-•--••--•---•-••••--........_....---
w �� f `J �.J x.
x o�... . - ---Xr c�
U Nature of Repairs or Alterations—Answer when applicable...............__.__ __..___ ._..._... ^.
-
------------
....... r _ -- •. --•-- K�
Agreement: f
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 as b en issued by the board of health.
Signed ................. ...................�... .... .._...._.._................. ........ .......6... l.�'....
Dace _
Application Approved B_..........G` � �.�f......... ,�-..2.. .. -,�
rYare _
Application Disapproved for the following reasons: ..... .......... ...... .............................._................. . ......................--.........
....................................................................................... ....----------------------------------------------------------------------------------------------------------
L-✓ ���v/ Date.
Permit No. -//................... Issued ......... '"..'�'�'` l'.�..�-ram.......
Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
(ferttftctttr jof Tomplinurr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ��
by __ - /.... - --------------- ----------------
..-------------------
......------- ----- ----------
at ...........fl..../ !.. .. 6... d!V ) _....... . ...
----..
has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in _
the application for Disposal Works Construction Permit No. .. �- _ �. dated _ ... .��.�- ,�
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFCAy�CTORY. --��
DATE..... - � ... <-..... - ... Inspector ------------- ..._ .,. � -
------------------------------------------------- ------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No. TOWN OF BARNSTABLE
% FEE.�.�. -�
�rn��
Permission is hereby granted......_. V.^"±._._. __.fA v_-•-•---------------------------------
to Constr t ( ) rRepair (�) n nd•vidual Sevwge Diosal Syst /
at No..... /�/�f i�/lJ �' j� '✓.•�.�...".—"Street
as shown on the application for Disposal Works Construction Per it NoINf� ated..�� n_ .��. .
(� Board of Health
DATE........... ...e� '-f..................................
FORM 36508 HOBBS h WARREN.INC..PUBLISHERS
Town of Barnstable
• s�Rx�reet�,
Department of Health, Safety, and Environmental Services
1639. Public Health Division
�
367 Main Street, Hyannis MA 02601
office: 508-790-6265 Thomas A McKean
FAX: 508-775-3344 Director of Public Health
9/27/95
Edward Canzano
8 Manor Way
Osterville, MA 02645
ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL
CODE, TITLE 5.
The septic system owned by you located at 8 Manor Way, Osterville was inspected on
September 5, 1995 by John Aalto a Massachusetts licensed septic inspector.
The inspection of your septic system showed that your system has failed under the
guidelines of 1995 TITLE 5 (310 CMR 15.00) due to the following:
• Water in distribution box above the outlet invert
You are directed to hire a licensed Town of Barnstable septic system installer to submit a
sketch diagram of a proposed system to the Town of Barnstable Health Division Office
(Town Hall, 367 Main Street, Hyannis) that will bring the septic system into compliance
with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen
days of receipt of this notice. You are also directed to bring the septic system into
compliance within thirty (30) days of receipt of this order letter.
You are further directed to maintain the system by hiring a licensed septage hauler to
pump the septic system to prevent discharge of sewage or effluent into the buildings, onto
the surface of the ground, or in to surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to
any court of competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BOARD OF HEALTH
omas A. McKean, R.S., C.H.O.
Agent of the Board of Health
t�WfZ-
,fly
T
[Installer letter] Sl
TO: e,4AI ZAA11'5 (Date)
ORDER TO COMPLY WITH 310 CMR 15.00, THE STATE ENVIRONMENTAL
CODE, TITLE 5.
The septic system owned by you located at was
inspected on 9, `9,,.,�-bY .6r—,v A Aj � � ��� a Massachusetts licensed septic.
inspector.
The inspection of your septic system showed that your system has failed under the
guidelines�}o-f 1995 TIT/L�E 5 (310 CMR 115.00)due/to the following:
You are directed to hire a licensed Town of Barnstable septic system installer to submit a
sketch diagram of a proposed system to the Town of Barnstable Health Division Office
(Town Hall, 367 main Street, Hyannis) that will bring the septic system into compliance
with 310 CMR 15.00, The State Environmental Code, Title 5 within (14) fourteen days of
receipt of this notice.
You are also directed to bring the septic system into compliance within thirty (30) days of
receipt of this order letter.
You are further directed to maintain the system by hiring a licensed septage hauler to
pump the septic system to prevent discharge of sewage or effluent into the buildings, onto
the surface of the ground, or in to surface waters.
Any person aggrieved by any order issued by the local approval authority may appeal to
any court of competent jurisdiction as provided for by the laws of the Commonwealth.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S., C.H.O.
Agent of the Board of Health
Town of Barnstable
k
-� 22�
Ll �� �� .
-- r I o
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION' FORM
Address of property ✓ y � �y�P'"''' /4/4
Owner's name n z u�+
Date of Inspection
�1- 5 `1
PART A
CHECKLIST
Check if the following have been done:
Pumping information was requested of the owner, occupant, and Board of _.
Health.
-None of the system components have been pumped for at least two weeks
and the system has been receiving normal flow rates during that
period. Large volumes of water have not been introduced into the
system recently or as part of this inspection.
As built plans have been obtained and examined. Note if they are not
available with N/A.
The facility or dwelling was inspected for signs of sewage back-up.
The site was inspected for signs of breakout.
C__Z All system components, excluding the SAS, have been located on the
site.
_ L'The septic tank manholes were uncovered, opened, and the interior of
the septic tank was inspected for condition of baffles or tees,
material of construction, dimensions, depth of liquid, depth of
sludge, depth of scum.
The size and location of the SAS on the site has been determined based
on existing information or approximated by non-intrusive methods.
✓ The facility owner (and occupants, if different from owner) were
provided with information on the proper maintenance of SSDS.
��s�rE0
r ,. SEP 1 5 1996
4W a w
��
OLTHMR
I'
8.
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
SYSTEM INFORMATION
FLOW CONDITIONS
If residential
-_ number of bedrooms
number of current residents
- AIQ garbage grinder, yes or no
yes laundry connected to system, yes or no
�o seasonal use, yes or no -
If nonresidential , calculated flow: 4111
Water meter readings, if available• /9 i� - a/a� 0o0
• i 9 9y l S/y 400 ,9-/
oSP�T� OC�dp� P � p00 yk/ 9r.eAl[r rft�.
Last date of occupancy S3
GENERAL INFORMATION
Pumping records and source of information: I.
rif Mn � /i�rh hc.c»d[c� in L4Sf rP5 u[�y.cL �9 Ta �dhti'
System pumped as part of inspection, yes or no
if yes, volume pumped
Reason for pumping:
i
Type of system
_t;"� Septic tank/distribution box/soil absorption system
Single cesspool !
Overflow cesspool
Privy '
Shared system (yes or no) (if yes, attach previous inspection
records, if any)
-✓Other (explain)
iApproximate age of all components. Date installed, if known. Source of
' information:
U.+� /y1 S�a�/�Gf :r� �'? / y G�[o,ol.�cg f� sYS Dy �� �/a..✓..t 9f
r
tiVO Sewage odors detected when arriving at the site, yes or no
R
l
r. 9
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B
.SYSTEM INFORMATION continued
SEPTIC TANK:
✓ /000� gI i0
(locate on site plan)
depth below grade: /^1
material of construction: concrete metal FRP other(explain)
dimensions: 'il
sludge depth
9,G; distance from top of sludge to bottom of outlet tee or baffle
scum thickness
9 .- distance from top of scum to top of outlet tee or baffle
/Y-, distance from bottom of scum to bottom of outlet tee or baffle
Comments:
(recommendation for pumping, condition of inlet and outlet tees or baffles,
depth of liquid level in relation to outlet invert, structural integrity,
evidence of leakage, recommendations for repairs, etc. )
L)e t re e ;i he v+ T h To ?o r� o� T4�k �otoLw//� l7uc to sue: /••+�••r
r
74' T.4,� /P-f ;e;,o"�_ Gr1'...-W,"se y4- P Ale <frrl'AVtr ' So�•�G/
rig
ty.'d.i7CC o Lin I(�t4cit• '
( - /1Pc�vlvrfe...� :re LPVel i/7/et
DISTRIBUTION BOX: ✓
(locate on site plan)
/ depth of liquid level above outlet invert
Comments:
(note if level and distribution is equal, evidence of solids carryover,,
evidence of leakage into or out of box, recommendation for repairs, etc. )
80-X :S r►Ol I-evel ;- "A/ Level : S rx6v,e r/<t 0✓1A/- i..Yesf
i►,d""t-t ou e,lfsr a) 0' ., /err 74 1,4e Le-e,+,'. y 7rP-ta/, dr,
-QH/r••,��••``--•,��f e i TA- d-doX L✓eu t1 .,:e a ba.y ;n -TAe a4:r/ef e4�dt
L-04fe ✓i0.•/ t.t✓l"lr /u A.'S,4jre [rr./ o ,'g,4 ,' .'-, T l�Ae -RaX.
j//oon Cxe4rN t/�„ st T 'ee,-d o?' ieot ree-41% •....Yer, wQ.$ fAvxe�
wo✓l�/ 1✓9ye''� Ti-e Seeo•.a aee �robcch/�
_. P CHAMBER: /�c'covrrr+,r^a/. - IQr/e✓�/ O-,f3v k►,d ex a3e
(loc n site plan) p
.r••d . c9,wn.'H, o� �eacL► TrP.,e� To
pumps in 'ng order, yes or 14,t ;s vrvile-n he-Core J.,st
Comments:
(note condition of pump er, con a' of pumps and appurtenances,
recommendations for intenance or repairs,
a a`
y10
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART B .
SYSTEM INFORMATION continued
SOIL ABSORPTION SYSTEM (SAS) : ✓
(locate on site plan, if possible; excavation not required, but ma "be
approximated b non-intrusive may
*be e methods) one Ti.•.,cA '
If not determined to be present, explain: �LDQ�-Y ry 4 s 6•.,/t P-.t�,.�gS "
Type
leaching pits and number `
leaching chambers and number
leaching galleries and number
✓leaching trenches, number, length
leaching fields, number, dimensions
overflow cesspool , number
Comments:
i
(note condition of soil , signs of hydraulic failure, level of ponding,
' condition of vegetation, recommendations for maintenance or re airs etc
P • )
r/Do�r ext'z✓4f1'1"1 7A I0�3>h e a/,Y�,er o f Phi/ of Leacti Trr.,oh ..o
Watt/ LVG S �edv or e""4 L Fc ✓✓r
L
CESSPOOLS (locate on site plan) : i
J
num d configuration
depth-top id to inlet invert
depth of solids
depth of scum layer
dimensions of cesspool 1
materials of construction
indication of ground r
inflow (cesspo ust be pumped as j
part of i ction)
Co nts:
note condition of soil, signs of hydraulic failure, level "of�poni ,
condition of vegetation, recommendations for maintenance or repairs,etc. )
IVY:
(lo �e on site plan)
materials of struction '
dimensions
depth of solids
Comments:
(note condition oil, signs of by is failure, - level of ponding,
;, condition egetation, recommendations fo aintenance or repairs,etc. )�
SUBSURFACE SEWAGE DISPOSAL, SYSTEM INSPECTION FORM
PART B
SYSTEM INFORMATION continued
SKETCH OF SEWAGE DISPOSAL SYSTEM:
include ties to at least two permanent references landmarks or benchmarks
locate all wells within 100'
. A
a3'
a ay -
- .0
94
z
' �... �e fxt«rw7'a"►
i
i
u��3 r dt,
d
DEPTH TO GROUNDWATER
depth to groundwater
7 ,
method ,of determination or approximation:
..[y►re�✓ykf �» co � �'u.t��� e» c�j��ii«a� � Eny.:+ etN/� s,'1'e ,0�4n
I
t
F
�♦ ,y12
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C y
FAILURE CRITERIA
Indicate yes, no, or not determined (Y, N, or ND) . Describe basis of
determination in all instances. If "not determined", explain why not)
Al Backup of sewage into facility?
Al Discharge or ponding of effluent to the surface of the ground or
surface waters?
Static liquid level in the distribution box above outlet invert?
1� Liquid depth in cesspool <6" below invert or available volume< 1/2 day
flow?
4/ Required pumping 4 times or more in the last year?
number of times pumped
Septic tank is metal? cracked? structurally unsound? substantial
infiltration? substantial exfiltration? tank failure imminent?
i
Is any portion of the SAS, cesspool or privy:
_ !/ below the high groundwater elevation?
within 50 feet of a surface water?
Al within ,100 feet of a surface water supply or tributary to a surface
water supply? e
within a Zone I of a public well?
within 50 feet of a bordering vegetated wetland or salt marsh
(cesspools and privies only, not the SAS) ?
within 50 feet of a private water supply well?
less than 100 feet but. greater than 50 feet from a private water
supply well with no acceptable water quality analysis? If the well
„�, ..._ has been analyzed to be acceptable, attach copy of well water analys'
for coliform bacteria volatile organic compounds, ammonia nitrogen
and nitrate nitrogen. �V
TOWN OF BOARD OF HEALTH
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM - PART D - CERTIFICATION
-TYPE OR PRINT CLEARLY-
I s- PROPERTY INSPECTED
c
STREET ADDRESS ar l/���,_ _ 05 ter ✓;/le 111,4)
ASSESSORS MAP, BLOCK AND PARCEL #
OWNER' s NAME
PART D - CERTIFICATION
NAME OF INSPECTOR Yo 11 //-o .
COMPANY NAME To n /9. I-Julfa &.,1,-X+oe
COMPANY ADDRESS 0,7. 7'�
Street Town or City State Z
COMPANY TELEPHONE ( S0� ) y�,z - y�S FAX
CERTIFICATION STATEMENT
I certify that I have personally inspected the sewage disposal system
this address and that the information reported is true , accurate , and
complete as of the time of inspection . The inspection was performed and an-
recommendations regarding upgrade , maintenance , and repair are consistent
with my training and experience in the proper function and maintenance of c
site sewage disposal systems.
Check one:
System PASSED
.The inspection which I have conducted has not found any information
which indicates that the system fails to adequately protect public
health or the environment as defined in 310 CMR 15 . 303 . Any failure
criteria not evaluated are as stated in the FAILURE CRITERIA section c
this form.
I/ System FAILED*
The inspection which I have conducted has found that the system fails
protect the public health and the environment in accordance with Title
5 , 310 CMR 15 . 303 , and as specifically noted on PART C - FAILURE
CRITERIA of this inspection form.
Inspector Signature Date �/' 3-- 9S
One copy of this certification must be provided to the OWNER, the BUYER
(where applicable ) and the BOARD OF HEALTH.
* If -the inspection FAILED-, the owner or operator shall upgrade the system
within one year of the date of the inspection, ,unless allowed or required
otherwise as provided in 310 CMR 15 . 305 ..
partd.d
r
fl t G�
97
LOCATION SEWAGE PERMIT NO.
n,
AJOIX
VILLAGE
�r�f2rl�LCG-� I'
INSTAI:LER'S NAMES & ADDRESS
..._..C�LCS•lqSLL._._ ARs„ _SQNs
oI<y M 12oc.K RO. •— 545 r VG'-NAJ l S �'lA
tltl t 441—,, tAII~ 0 W N EIE
DATE PERMIT ISSUED - 13 -79
DAT E COMPLIANCE ISSUEO
' �o� lOoo gAL �N.ic
413
41 dfA
31
a . �
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M ^C&L
DATA
UA 6PD � 1
►ram' ^'. `�
�1
lea
v�J7 Ter,r-'1
14101
his; • r . ..�, � '' � �'! � / J� -
�7._..7... _ __ ...... ::;T-..._..__�• :,���. �• MAV /g,fj.JG
1 u i
III iw
?.��•' �rL ��'�,' ri�i�:ti If?d1 ihM�y_ ��D �. SC:1"
AI
CECTIF IEp Pl.b'T:"!.,-. L"QN
SG/aLt�� A J w TM, ATE
T"A 7' T14C.. P!�!�Y, G I/.1 QL S t.lvw U PL A Ir E QL►J G e
uE1Z�c�� CLNVlPLYS W I TN Tk-tG 51 vle Lt+-tC L.G 1 n
Ak'C> SETO-AGK Rc4ut(ZCMc► r,; oi= THe
-TowU cc C� UV. f.-iS tAI'. jet_ F�1L ' 49 P 7 :>
�aXTEW, 4 ►.iYrm-- lwa.
LZLGlS tL ZQO "W o SUeVtiaY�tZS
f 1-4t5 VL-AW is LAUT RSASElo vr.1 Aal OS'TEQV%LL& tj IuASS•
I�JSt•t�J.t�t�Ni' SU.Z�/1:�{ T�/C. UaC���`S yllowLa APPIL-I
2�12 Rlon¢
.— NOTES AND MATERIAL SPECIFICATIONS
8• G/), ZED 1_I-.c cPT1'F�Kb ,P,12if 10 NATLH(b� GENERAL
1. THE PROPOSED STRUCTURE IS NOT LOCATED IN A FLOOD ZONE,
AS DETERMINED BY THE SITE PLAN ENGINEER. FOR SITE.LOCATION
AND GRADING ELEVATIONS,SEE THE SITE PLAN BY OTHERS.
- 2, ALL WORKMANSHIP TO CONFORM TO THE REQUIREMENTS OF THE
MASSACHUSETTS STATE BUILDING CODE, LATEST EDITION.
3. CONTRACTOR FIELD VERIFY ALL DIMENSIONS PRIOR TO
'•f1 CONSTRUCTION. DISCREPANCIES CRREPANCIES BETWEEN THE PLAN DIMENSIONS
ARE TO BE BROUGHT TO THE ATTENTION OF THE ENGINEER, PRIOR ,
TO CONSTRUCTION.
f - 4. PROVIDE SUFFICIENT TEMPORARY BRACING AND SHORING OF ALL
1 I 1 EXISTING ANO NEW STRUCTURAL COMPONENTS TO PERMIT THE SAFE
INSTALLATION AND COMPLETION OF ALL WITHOUT DAMAGE TO
PROPERTY AND WITHOUT JEOPARDIZING THE SAFETY OF ANY
�1(nQV PERSON(S).
5. ASSUMED SOIL TYPE FOR DETERMININGSOIL STRENGTH IS
MEDIUM SAND WITH ALLOWABLE SOIL BEARING CAPACITY OF 3500
/ I PSF.
7. DESIGN WIND SPEED IS /10 M.P.N EXPOSURE B FOR THE 100
YEAR STORM. SNOW LOAD: 30.PSF.
- -Itri o33 2=xyt �yj,k
�1(OT3 8. TIMBER FRAMING:
_— — — - A. PRESSURE TREATED,.P.T.,YELLOW PINE, FB=1300 PSI, .
_ - E=1,600,000 P51, OR BETTER-.,
B. NEW BEAMS (NOTED PS*PARALLAM BEAMS,AS '
MANUFACTURED BY ILEVEL,WITH FB=2925 PSI. E=2,000,000)
——— —— MICROLAM LAMINATED VENEER LUBBER(LVL). BY ILLVEU,WITH
.. _— r .. FB=2600 PSHEADERS:64'PENING8�2RX 6 MW
--- - ALL OTHERS PER MASS BUILDING.CODE, LATEST EDITION.
. .. S. CONNECTORS AND FASTENERS:GALVINIZED STEEL(OPTIONAL .
ST_ AINLE55 STEEL)
1.. A. JOIST ANCHORS AT PIER FOUNDATION: SIMPSON
STRONG-TIE CO. H4 OR BETTER, SHALL.BE INSTALLED EACH
'JOIST TO BEAN CONNECTIONS WITH 8d NAILS.
B:. INSTALL ALL METAL CONNECTORS SHO
WN IN ACCORDANC
E
-
� WITH MANUFACTURER'SSPECIFICATIONS.WTTHALL NAIL HOLES
FILLED.
C. HURRICANE TIES:
RAFTER CONNECTION TO TOP PLATE:.H2.5A O 18';O.C.SINPSON
- STRONG-TIE.CONNECTORS, U.N.O.
J 1
toFa2--pry.► ... -
�\ E MASS,
z GVp� uRP� N
TJp n� 0 W 00 INITIAL ISSUE
10/3/14
NO. DESCRIPTION
E '
v N
A R G IS'( C>
DATE
CA
SIO�P•� TITLE1 PROPOSED GARAGE ADDITION
PROJECT: CANZANO RESIDENCE GARAGE
8 MANOR WAY, OSTERVILLE, MA
FOR, PCB 1144E OSTERVILLE ARA
MA" 02655
--_... --' f --' r O, P.E.
----
.MICHELE CUDIL
I Consulting Structural Engineer
ENNUUMH R 2p�1416U7�gW2N6 BY 19M9C (50 -76 DRAWING NUMBER- .
8)77I
• SCALES AS NOTED DATEi OCT. 03,2014 S
n n
n n .
N
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tC �
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w _ double-hung
r
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3 ,
(o A 12'-011
r.
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w
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z
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0the surroundsate N I� D
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1
3 12'-2 1/211 O N
the surround
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32'-1 1/211
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< Scale: as noted Gapizzi Home Improvement
Edward and Lucille Ganzano (when printed on 11x1'I sheets) 1645 Newtown Road
° -' -' 8 Manor Way Gotuit, Massachusetts 02645
v _ MBR/Bath Renovation
• (n "' Osterville, Massachusetts wuw.capizzihome.com
Garage Addition: Second Floor -
� mara2 �.(- �-39`r�nA-r
� � �-oaf - o6�4eeuilk�
7 ---
- - - f -- - - _._ --�C
. TOWN Or BARNSTABLE , 0.
UNDERGROUND FUEL AN CHEMICAL STORAGE SYSTEMS � / tom K
ASSESSORS MAP NO. , ,C� PARCEL NO.o� � V
ADDRESS: VILLAGE
L-�/W�1 _ r._...._.. _. �m. l_.J�IV' /4J-Y..�:-.- 17 Ls �id! 6g.Z
14AME i..... 2f/.A ... L V�O
rr✓ork f i 7-- L — 7/�d
CONTACT PERSON S PHONE NUMBER
LOCATION OF TANKS: . CAPACITY: TYPE OF- FUEL. AGE: TYPE: LEAK
OR CHEMICAL: DETECTION
OIL SYSTEM' ,+
DATE: OF PURCHASE OF EACH: 1. 2. 3. 4. 5.
DATE OF FIRE DEPARTMENT PERMIT:-- r
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLErASE. PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
e of RE-RrILILIM RAF
�qT St�,QFy4t� r
4 ► f/N�L/1�+EGf/��