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HomeMy WebLinkAbout0008 MANOR WAY - Health LOT 8 8 MANOR WAY, OSTERVILLE A=1.16-027 f ti No. 4210 1/3 8GR ESSELTE 10% 0 o O b i w i 4 _ r O �J C 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 � o Ix �o a G h �C k.A w � a w r s4 k x n ' .r LOCATION SEWAGE PERMIT NO. ko'T 1 JL l0 MA►Qoa.(, jV 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%, .Coo a �IA �� 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 . c-' —� � � J y c� `�` � sje+� r w .� �' � ' F w /C%,� ��` -, ��.. 7 j� LOC TLON 5EW&C;E PERMIT UO. ', 1N_S _Q _ �5_1JL1►ME_- _A _ - SS �� O � e s � � � � , � � �� y � � \ � � t ��� . � No.---.. ... �'....... 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 t D do Ilia C-0 N (lb ni Vv �LCI � . 3 "IN ® (J C> cy � r i i i "C) f k-7 �• t w�l 3 No.........91 Fizic.... ...... ................. 7� 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 li J c /� A�N� J s C Goa aCJ7TU �p� �r r� G .sla i 9 PD 1_x14 r m W. , !> 9A � ' - �Z'-d�.#��'4h•T.�`%5 '►�l r LE'tZ`TiFr`t .i p;i.c�r ���•�S.ti-.►_- j,� 1-1AT T.I�L @ I�Og, DtPJC��C. 5 P -�►� R.Cr�CZcti.lC N. ?.0 cr-►. vA/1PL�(S W I Tk Ti-AG: 51 U'e 1`1" ntk Qt4u11zclvlc rs � ��� 'TCs.W:►J - - tZ1=G15'cL.�Z�a i.J�,No • 'Sv2v,cY�tzs a I % ASev L' /an.J U5'PE.fLV1Ll.G v /�rCA9S,: , 11.1�rvxnC�.�'T .: �v 'r7�a� c�i=�;c�5 51ac>wuD A.PPLIG�o.lv."T' r�trcena�u lcT �„11�t=5 .� r 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 QL QL tC � replace with single w _ double-hung r z �• 1 T-6" 3 , (o A 12'-011 r. � WR636 0 � . D a,v wee �.: ..__ •,:;,. _ _:..w�,,H:;.. .� CIS � N � M w saw��- �1 °. � O , 1 a , w — __. z N r—W4 0the surroundsate N I� D J _l to 1 3 12'-2 1/211 O N the surround AR31 O O� N 32'-1 1/211 (n Q L ° canrn X. co � o (zyo x ° �' � � x � � rtx cu � < fl1 (0 ,: �p �' O (0' W �' a (0 0 N ..—fir 3 N 0 � X �_ � Ox �� N N S � � 3 O N O S11 N' 3 .O ' (n' Q O fl1 Qj i1F (D gyp' li (D QL 3 Q 6 3 :3 N Q Q N N' 'fir N r O N 3 Q (0 �_ d0 z y O T < 7- Z < � (o (o coC � 3 �-- rtC M 'a N < 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/��