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Home My WebLink About0034 MANOR WAY - Health 34 MANOR WAY,OSTERVILLE . A=116.127. �Go TOWN OFBARNSTABLE _ LOCATION 3 41 InA.,yoif L41,4V SEWAGE # Ze- 7 VILLAGE 05 7-&-94d L.l C ASSESSOR'S MAP&LOT 11� INSTALLER'S NAME&PHONE NO. 1"'127 C44 CC-i24i r SEPTIC TANK CAPACITY /g0 6 LEACHING FACULITY: (type) Ae-j (size) 114 x- _ NO.OF BEDROOMS BUILDER OR OWNER t� PERMITDATE: 0- 1_q-0/-19 COMPLIANCE DATE: 16 a2L - 91? 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 G� f 'J v No. Fee Ty V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes /Apphcati UBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 0 ZippYication for Migpoml *penm �Comaruction Vermit or a Permit to Construct( )Repair( )Upgrade(�jAbandon( ) IXComplete System ❑Individual Components Locatonress or Lot No. :?L f po 9- Owner's Name,Address and Tel.No. ` �Assessor's Map/Parcel 1cel � �" \400 �G7 Installer's Name,Address,and Tel.No. // Designer's Name,Address and Tel.No. C ` Laws Type of Building: Dwelling No.of Bedrooms _ Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures p� r Design Flow LA V gallons per day. Calculated daily flow 4( gallons. Plan Date 04�'_T_ 9M Number of sheets 1 Revision Date Title Size of Septic Tank 1�S07J8,(P w Type of S.A.S. �`� Description of Soil L � � SIAu� I iAiLoo �14K� Nature of Repairs or Alterations(Answer when applicable) 9462 �� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance h en Iss�ffbhis p Signed Date /0 , Application Approved by Date �l Application Disapproved for the fo lowing reasons Permit No. Date Issued i 0 r TOWN OF BARNSTABLE LOCATION 3IV /1,4zl/iG7 if Vf/iPU SEWAGE # — 7 VILLAGE hS ASSESSOR'S MAP& LOT /INSTALLER'S NAME&PHONE NO. IM 2J C I4 4 e C'c- 2 i SEPTIC TANK CAPACITY »0 0 LEACHING FACILITY: (type)i._� (size) i y x a NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: 1(j— (N-if COMPLIANCE DATE: 142 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 t , aL- i o � No. J(9 /- Fee ! r THE COMMONWEALTH OF MASSACHUSETTS THE in computer: UBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS Yes XCA�pplhicafion for bigo5ar *potem Construction Permit or a Permit to Construct( )Repair( )Upgrade(Abandon( ) Complete System ❑Individual Components oconress or Lot No. 3L.f V�,&N(j v l u\ Owner's Name,Address and Tel.No. Assessor's Map/Parcel I`r__ 11"� C�o 0 V w C7 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. C) s�, CA,— Type of guilding: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow LA%A0 gallons per day. Calculated daily flow "I( gallons. Plan Date 06-T?t" 4 Number of sheets Revision Date Title Size of Septic Tank 1- kM vy Type of S.A.S. Description of Soil /5 jA m � S IA tom Nature of Repairs or Alterations(Answer when applicable) IC>--V- 1D Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance h en issued by this G Signed - _ Date Application Approved by Date /e) Application Disapproved for the fo lowing reasons Permit No. / 4 1 k? Date Issued / G —/y` THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded Abandoned( )b tL\ �)—C\A S Z� �c at e 0' E v has been constructed in accordance with the provisions of Title 5 and the for Disposal System Co struction Permit No. 9 7 dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date 1 n - Inspector�"� { --------------------------------------- No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 1=i2;po!5a1 6potem Con5tructton Permit Permission is hereby granted to Construct( )Repair( )Upgrade 9---)Abandon( ) ,� System located at 0 2 u,A ®S`\ L.O o,, and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. x Provided:Construction must be completed within three years of the date of this emit. Date: ��`may �� Approved by _ ion No....Alipj...... F:cx. Ua.%....._ THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEALTH d' ....................OF....... Applira#inn for Disposal Iforks Tomitruainn Vaunt Application is hereby made for a Permit to�Construct ( ` ) or Repair ( ) an Individual Sewage Disposal yste .. , . . .... .. .......................................... Loc ion-Add ss- -1 or t N ... . . ... .. ... .. ......._.. : Own AAa ��. .�� "'. — -------. Address 1 Installer Address UType of Build> Size Lot.. ..... _.. . feet Dwelling LNo. of Bedrooms................. .......................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria Other fixture ......... per person per day. Total daily flow........... WSeptic Tank—Liquid capacit/A!QA 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' -------------- . O . Description of Soil x So-il--------- ... ... .... e..............................� = • .. ....... ............... .. "............................_..0 ............ . W . ... � - .....---------------------------- V 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 Article kI of the State Sanitary Code— The and ned further agrees not to place the system in operation until a Certificate of ComplianceQej�,ly the d of health. Sig - •� ,�LR '✓ � ................................ Date Application Approved By....... - �� 7.17 `� Date Application Disapproved for the following reasons:.......................... ------------------------------------------------------------------------------------ ......----•-----•----•-----------------------------------------•------------------.......---------------------------------------------------------------...._._.._...--------------•--•---------------- Date PermitNo......................................................... Issued........................................................ Date . .. tea.............. ------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD CJF HEALTH OF Apli iralivu fin 11opooal aork,s Tonarudian Vm1fit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal system ...... s. P-r'� ;• - .. ................................................... "" { Location.7AId�A.;� ,/ or L t`N Owner Address :::5........ .�........ ...:........),`./ '+ :` .. �.................:,...... .... .. 't...v:a�.c.:" f:"c"�.�'. .. ................................ Fed �•- Installer Address Q Type of Building/ Size Lot..__._..:.�.....:.........Sq. feet U Dwelling L7No. of Bedrooms:..............."1.............._.........Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building .......:.:..............____ No. of persons.........•--................ Showers ( ) — Cafeteria ( ) Other fixtures Desi n Flow______________________ mow/_ ..._._gallons per person per day. Total daily flow____...._ � �3w____gallons. r� g . g. P P P- y Y 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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water—_.________________. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_-.--______-___-_._____- �' --- ..................................................................................... --------------- a.- Description of Soil "'+ - b --- ............ ; . sue _ ......0 x 'r W ., UNature-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 Article XI of the State Sanitary Code—The and r ned further agrees not to place the system in operation until a Certificate of Compliance ha e Iss'ede the r 44 of health. Sig �.'- /� ---- ........................ Y - Date I ' Application Approved By--*_. .. ,C�a.. _.. . �':J�c�: ._�� .,,................... ./V/ _7 f. Date Application Disapproved for the following reasons----------- -----------------------------------------------------•-----------------------------....._........... .............................................................. -•------.--- Date PermitNo.......................................................... Issued......................................................... �1y//))�)17/ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T IS TQ CERTI •.,.., That the Individual e�iag isi�osal"Sj� to constru ted (p ) or Repaired ( ) by ... r a .. ............................. 0 at -- -------- ------------------- -----•- ' has been installed in accordance wit; novisions of Article 1I of The State Sanitary-Code descr ed in the application for Disposal Works Construction Permit No...............A&y.. _.•-__.....__. dated �'... .e° _,d E _ ...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE -SYSTEM WILL FUNCTION SATISFACTORY. DATE............. ................. .............. Inspector........... THE COMMONWEALTH OF MASSACHUSETTS. BOARD Of HEALTH �- ` . ........... o 1 .............................................. . ................... t No ..... .... _ FEE..... .... Bioko or o Cnonorixr�in rri# Permission�is. reby granted. .._.` .-' �. .../ ... _.. c.. ........... to Construct or�iepair ( ) an Inc ual SF��age D> posal S tem j '-� at No: '' ""' s a"< "-F` .... � ..... 3 .... .......... b i ..G."4 Str /:: T as shown on the application for Disposal VJorl: IV s Construction t o Date d_._1 ........ � v � ,4 r d ,f `p .. ............. r ]ivard of Ilcaith DATE........................................................_....- ................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS- Town of Barnstable P tf Department of Health,Safety,and Environmental Services �t►+e► Public Health Division bate - qg- ' 367 Main Street,Hyannis MA 02601; w i enartaUBIA Date Scheduled Time I A M Fee Pd. Soil Suitability Assessment for Sewage Disposal Performed By: e. r q > /?. ��t 6,�- Z` �E Witnessed By:_�j F e 0— !—) Lq IOC CI'* tIZ;ALr i�VFOA, ' 91`fi.... Location Address 3¢ /Y!0 q en r (�a�/ Owners Name / C�..Hoop t :.. Y �e�3C'er tri//� �v.��• Mi4 G20S� Zsf�4n �-G. ' �' .4 a 7- 7 Address r•fJ V4 Assessor's Map/Parcel: // Z7 Engineer's Name �•r•a ,j��2. SharC� NEW CONSTRUCTION REPAIR X Telephone# C-5-0 &3// Land Use R e S sJ e,Z I a/ Slopes(%) 2�J.o Surface Stones Al'0 r � Distances from: Open Water Body R Possible Wet Area ft Drinking Water Well f1 Drainage Way_ !LV �► R Property Line Z a it R Other_ 44 • ft /Z Ca r• SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) ` 4 z l oT 7 z d's-:9 3, Parent material(geologic) C.A.- V P_r C< 13 Depth to Bedrock Depth to Groundwater: Standing Water in Hole: �'(, `t Weeping fromPit Face �✓�� _ Estimated Seasonal High Groundwater. 3,Z7 v. n . ' ATIlr1 Ft3It SE�SOrI�1 . H.'VYA� "E ::'Y'A:BLI :::;::>:«:<:<:<:;:;:.<:<:.:;::< Method Used: s....... .... ... . ... ..... Depth Observed standing in obs.hole: �L In.'Depth to soil mottles!' �✓��t r in. Depth to weeping from side of obs.dole: N��! in. Groundwater Adjustment !.44 ft. Index Well#A&ffJ.?"Reading Dale:&q Index Well levcl.•._Z_� AdJ.factor / Adj.Groundwater Level Aq ,� ] Zone :: ::::::.<..:::::::::::::.:....................:::.........R:...XXX OiT.ATI: 1'Y.:TE. :<: Ate:::: ...V; :..T. m t.i: .a:....:. :::::.:::::.::.:::::.::::::. :::.::::::::::::::...................:.::.::::.::::::::::::.:.:::::::::::.::::.:::::..::.. t... :.......3....::.::.. Observation Hole# Time at 9" Depth of Perc Z 2�-- .3 Time at 6' Start Pre-soak Time /e9 ® Time.(9"-6") End Pre-soak 10 4 G•3 C 7-4 fa,/s:�o•�,� Rate Min.Anch < A' hh Site Suitability Assessment: Site Passed V . Site Failed: Additional Testing Needed(YM) Original: Public Health Division Observation Hole Data To Be Completed on Back >. Copy: Applicant Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(inJ (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. a '0/A <0 Q-,% y 7. s: R ,mo s4.t d o 2 33 C I q d(.e% ..L o /4 'Iva M! ivy-+- .o y r /C C C os r ! A/, s DECP OBSICRVATIaN JH® E L® Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. 0 Depth from Soil Horizon Soil Texture Soil Color Soil Other t Surface(h (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. % a " F t `i DEEP SE H B 01e Depth from Soil Horizon So Surface(i il Texture Soil Color Soil Other n.) (USDA) (Munsell) Mottling (Structure,Stones,Doulderes. % Flood Insurance Rate Man: ` Above 500 year flood boundary No ✓' Yes Within 500 year boundary. No Yes ✓' B Zd.l p /p Pr .0/p M 2SeO43/ Within i 00 year flood boundary No ✓ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? ye.s If not,what is the depth of naturally occurring pervious material? Certification I certify that on -- AJey } 4 (date)I have passed the soil evaluator examination approvers by the Department of Environmental Protection and that the above'analysis was performed by me consistent with the required training,expertise and experience described in 310 CMR 15.017. Signature Date i 8 0 .r ---------------- - -- - '------------ 11 II ' --------------------- I�--------------- ------ ------------- Al I i MM ° DX -- -- ---- --------- ----------70 _ p GO r 1 �6a1 II O Ii 3 II -----------------------"------------------ ------------------ 4 1------- 11 a ' ""' �1 --------'-------------' INFO fr usEn oveaMG O a '� $ AQ 11 Ox ------ -------.P ---• oq y O it n-i i ggs l i A6 O p , IM m s m 0 m rn __-----= i o o _-_-_- - -_- IL �� p °a 00. c � i � I --- y n i Z All ° m 15'-z• 0 02 }-k +A i r � A o0 , , tom ; F= =ter x _ peso ° o R - Xi ° 3 .. 1 J- r eravaro 2.AL `-10' •---5'- - la �s�a��- I e>-'�Leam Nn . a i /''''� e h I a 31 i -� . I 'I II 11 0 mo , 1 _�`ff - -�v--r,6--�1,--AIL--- 1- , Z{ 0 11 0 1 2. 9•x H' L �' D-1. 1� II7O0� r l='1 ii c ��I =� v ' N JYs7- - _ ------12.- -0 I y' A os° + k I D I ct c, 00 £ $m im r � rn oR m --------------- - ---- TIP ------- $ 2T-0• s�mm x o� C] OA P - 2Cr, 4 a O m D 0 00 N 8 r r m m D PROPOSED RENOVATIONS FOR i N KAREN B.KEMP' AIA n1 CATH E R I` -E KE LLEY ARCHITECTURE z co nz 1� 34 MANOR WAY 4a ANGELA WAY WEST BARNSTABLE, MA. 0266E - OSTERVIL:LE, MA (508) 362-3447 (508) 362-1236.FAX karenkempton®comcast,net 12/14/2009 12:1 O PM ❑ ❑ --________________ ____________ _______________�; ,1 '1 ,1 'I I, I, ,1 '1 ,I 'I 1. ,1 �1 1 . ; q -----------------_ ____ -------- ----------------------------- m a 1�--' _ - �. � ' x �I , 1 I 1 0 ----------------------- ---- f °9,I►1 Ong ----------=---- O - 6W ---------------------------------------------------- I , 1, Ii I I I, 11 II II 1' '1 � 1 II II •II II t '1 I, 1, I, II tl I, 11 II no 0z '1 31� , is ;� i l 1� 10 r -- ,1 I 2 � I i 0 e z 1 AZ m0. c0 r= m ,1 '1 1 , 1 ------------- ----- ----------------------; n O -Di D - 00 Z8 to `n D PROPOSED RENOVATIONS FOR m O;UI m KAREN'B_KEMPTON AIA N n CATH E R I N E KE LLEY ARCHITECTURE � Z I � p ao 43 ANGELA WAY — '0 Z u 34 MANOR WAY DZ� O � � WEST HARNSTABLE. 'MA. '02688 m � b 0 �7 OSTERVILLE, NIA (508) 362-3447 (508) 362-1236 FAX "^ karenkempton0comcast.net Li I 12/14/2009-12:10.PM e ego q 0 " v 0 NL3 $ gyp X o e 'T w $� C C a a= m w =2 a 0 1 1 _ 0 1 mx A i i u(j) M e m al 1 i O _ rn � � N Dn a O� _ CS :3 m B1 0 - B cu D B I Q m - -i . . z 1 1 l> B 1 1 1 1 t B 1 1 ®1■ 0 1 t 1 O1 z � - oos�m mn=o== b ----- =na 4d, ti � oa 0 kml O O ` " r L VLF. -T'z rn �rn x rn D70 Do rn MWZ w1.� Dalz . -4M X z! N` X �:�e x z70rn c)x -i N (p cn FT �p E. W �— n -� z Z' Iz -� -t N rvCn (�D m W 70 M _ rn Cl .-n(nx z—i rn-1oo_ �' c7� 70 � " TD rn n_ OHO c0 E me cDn �� p� Oz O� r(n Dn 3D x M M p— - � 7p�-n . ram- C)r — 70 3 c)z 07 rnT`'. � Cnn 0 o �> 0 r jnpoD � O g D NN y0 E n _ z0 N � (p �1 .m y PROPOSED RENOVATIONS FOR F m KAREN B.KEMPTON AIA CATHERINE KELLEY ARCHITECTURE ^m 'p ,8 Z ,1 if 43 ANGELA WAY 34 MANOR WAY' � Z" �� -+ - "��. .- � WEST BARNSTABLE, MA 02868L OSTERVILLE."MA (50e 362-3447 (508) 382-1238 FAX Z. karenkempton0comeast:net 1 2/14/2009 1 2:1 O PM " ' r