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HomeMy WebLinkAbout0025 WATERFIELD ROAD - Health 25 Waterfield Road Osterville F/R 118 125003 , b 1 1 1 TOWN OF EAR STABLF o'00 WA-"�6�D q7 6 :.A O' N l� SEWAGE # "�`T—J� V," LACE 6Lt 67 ASSESSOR'S MAP& LOT 4 INSTALLER'S NAME&PHONE NO. Sm 'o2-go SEPTIC TANK CAPACITY I DOO LEACHING FACILITY: (type) SOD r (size) NO.OF BEDROOMS UILDER OR OWNER e f NMA16- W1016 PERMITDATE:_ I `t COMPLIANCE DATE: '71 ZZ, 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 o leaching facility) Feet Furnished by PLA'A-f 2 2O - © {! S qo u-o k=e-DUM l No. � U o .' YJ . Fee� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for 0iopoof *pgtem Construction Permit Application for a Permit to Construct( )Repair(/)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 'a S w9re0i ZFLO Q yj Owner's Name,Address and Tel.No. as-ro 1/1 L[ d*T1't?L/A ,5_ kJ 1 C.KE Assessor's Map/Parcel 2,< wk-r fi Lap M 113 1'4ac�. /z�-oa 3 ��7��t(r"-4 5 Installer's ame,Address and Tel No. 5b 7TP1 67 ) Designer's Name,Address and Tel.No. �s',3171r, J tkrv►� [- ;ti� C4Z,&(6 5 I-fv TLT [`D. F.*)4 7©.'Z ZJ5- C.1Z&A`T A)E�TEXA/ M A"?mnl S U-S AIA 014 LbS 51 bCTv Al 1 S . 7`1 Type of Building: 'Z Dwelling No.of Bedrooms 3 Lot Size I ZT sq.ft. Garbage Grinder( ) Other TI pe of Building R11-3 1 D- No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 O gallons per day. Calculated daily flow 3 SZ gallons. Plan Date kku1 i 9 `¢ Number of sheets Revision Date Title Size of Septic Tank /®0� Type of S.A.S. 500 6ft ' Rfi�$�7tiS Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Envir r nmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss d by this Board of alth. r/ Signed Date Application Approved by Date d Application Disapproved for the following reasons Permit No. d o - Date Issued (J! a `'I No. U o F:.: . . .Fee *THE COMMONWEALTH OF MASSACHUSETTS metered in computer: ' Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ' Z(pprication for Migogar *pztem Construction Permit Application for a Permit to Construct( . )Repair(�pgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a s wtrr�t�t t=L� Owner's Name,Address and Tel.No. OS'fEtU/t u.� Gt A''r'�t•2r nl E kl�L KE Assessor's Map/Parcel 2_< w�T�Fj�� 2c M 18 649de . /zr-Oo 3 DYWAZO� Installer's ame-jArA,Addres�sgand Tel.No. o�� �� oZr'o Designer's Name,Address and Tel.No. 5_07-wool, F_�OX 70Z Z3S C-:, 7kT k0eSrEX.4/ /20 _ M S [ —S MA D S, D— IS M -r Type of Building: Dwelling No.of Bedrooms -3 Lot Size IM32 sq.ft. Garbage Grinder( ) Other Type of Building -RES t D- No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 35`Z gallons. Plan Date Au 04 Number of sheets � Revision Date Title -Size of Septic Tank 1000 Type of S.A.S. 5-00 Aft CAA-/!49/2-S Description of Soil q Mature of Repairs or Alterations(Answer when applicable) 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 Envir nmental Code and not to place the system,"in operation until a Certifi- cate of Compliance has been iss ed by this Board of alth. Signed Date T, / Application Approved by ; C Date V/u`~ y■y5 J � A Application Disapproved for the following reasons t e Permit No. d v t/-3 V Date Issued /3X THE COMMONWEALTH OF MASSACHUSETTS BA,RNSTABLE, MASSACHUSETTS ,f Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( ) Repaired ( )Upgraded( ) s Abandoned( )by has been constructed in ccordance at W r e C/, os r ? �t� with the provisions of Title 5 and the for Disposal System Construction Permit No. 00q dated '7/(S7 i L/ Installer Designer The issuance of this permit shall not be construed as a guarantee that the s ste w' 1 function s designed. Date 't -I ,,I Inspector A s,, t 1 --L—� Fee /UU ---------------------------- —No. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE, MASSACHUSETTS li5po5ar *p5tem Construction Permit Permission is hereby granted to�onstruct(, )Repair(� )Upgrade( )Abandon( ) System located at iiyc ✓ z�t �c+f �aIP-V?'/�- _ 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. Provided:Constsuctio must be completed within three years of the date of t ' e it ? . Date:_. / d t' Approved by I � - f TOWN OF BARrNSTABLE . LOCATION _ 4:9 5' lJAT67?-6 1�7 'D SEWAGE # VILLAGE ASSESSOR'S MAP&LOT t l�� ZS-03 � � ,�,� INSTALLER'S NAME&PHONE-gyp, � �Te'�- p2- • SEPTIC TANK CAPACITY /Or70 LEACHING FACILITY: (type) 5-00`6% (size) NO.OF BEDROOMS BUILDER OR OWNER CA`TC4�'1J 6 Gill Ll� PERMTTDATE: -7'I�� 7' COMPLIANCE DATE: 7r ZZ, c 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 o��jjleaching facility) Feet Furnished byAt Z 2� o q0--o 17 T SD - 2 U U 4 <<_. __ _U8— 20—0 280 HOLLER =. _a_ihl :O� i!' TR PAGE 02 Town of Barnstable Regulatory Services Thomas F. Geiler,Director MAW• �kKNiIK!'+�gLs, Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA,02601 ; Office: 509-8624644 Fax: 508.790-6304 Installer & Designer Certification Form Date: rl �a Designer: C /?, "511-7o,C Installer. es Address: ):-� o� / a4�¢ _ Address: F• o. 1p�ox_ I 0 Z Se�u7-,�,r ��•�nl�.s i9 0264 o MA1eS rb Js On _ �! P,r !`t_Ua0L was issued a permit to install a (date) (' (installer) septic system at ,! -rE F-, 1 :-based on a design drawn.by 66cr, �' '. dated by 0 I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system.) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. OF CRAIG G SHOW c' CIVIL (Installer's Signature) " No.27483 } (Des 's Signature) ` . (A - esigner's Stamp Isere) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL:,NOT RE-YSSUED. UNTIL BOTH ,THIS FORM &'ND AS BUILT.CARD ARE R.ECEIVED'RY Tom; RARNSTABLE P F1YC HEALTH,DIVISION. T ,kl<ANK YOU. Q:He*IWSeptic/Desi per Certification Form - PRO T- CT DESCRIPTION: 7-EA1 'A6 U s L r- " A r3 2.4 24 . 9* �}C 28'- 3" fC L7"- 7' IJ � 4 FG'A 9, g �5• 7"i.G 'N .,- 5__4.o] it CUT rI' 7 53, 73 i3 a •— o r ��r 9 1,73 . vs • gz. 33 S)-r 4 L G:03 A D wI' \ P TA 0K 13 X 2\r,( 2 G Zoe) cN . A)W4 Y � .C-ML - Member ASCE FOR: CAT �)AJ 1nti.0 CRAIG R. SHORT, P.E. '' r P.O. BOX 1044 �n LOCUS: Z 6-1�19 %2 /EL A R.D, SOUTH DENNIS, MA 02660 r. -Arra V/GG Ar -5 CIVIL U' TOWN: Professional Civil Engineer • Soil Evaluator No. 21483 Licensed Construction Supervisor • Septic Inspector Septic • Site • Piers • Structures • House Designs dr �rFCIST `��`� DATE: W 0b Ol FILE FSS1JNA j Office: (508) 398-8311 Fax: (508) 398-3063 S�f1LP / �< zb SHEET � OF � P Town of Barnstable Regulatory Services si Thomas F. Oeiler, Director •' f.IRJO���I-t. MABE Publie .lfealth Division eb �� Thomas McKean,Director 200 Main Street,Ryannis,NIA 02601 Office: 508-862-4644 Fax: 508.790-6304 Installer & Designer Certification Form Date: w i ner. C /�. �S �a C- installer: T""'Des g .y Address: P o� / a� Address: • ®� �OX I Q ._ Seu �,�r�t/s i4 oz6G o MA-"-r6AJS y14 I as . A&A D Z4 * On PvaOL---was issued a permit t� install a (date) 4 (installer) septic system at t& based on a design drawn by (address) <sCcDit,T dated 2. /. U (design r) ✓ I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I cel tify that the septic system referenced,above was installed with major changes (i.e. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Vocal Regulations. Plan revision or certified as-built by designer to follow. ,, C1V!L (Installer's Signature) U4 t '0�i o 0. 2740 (Des 's Signature) (Affixc esiper's Stamp Here) PLEASE RETURN TO BARNSTABLE PUBLIC IMA.LT14 DIVISION. CERTIFICATE OF COMPLL<;NC:E WILL NOT BE ISSLT-D UNTIL BOTH THIS FORM AND AS- B TII_T CARD ARE REC ET ED BY THE, BAMSTARLE PlIBLIC HEALTH DM 10N- Tl~t A�W YOU, Q: Health/Septic/Deaigner Cmtificaaon Ponr PIS JECT DESCRIPTION: 7—e^1 °ems q Q / L r- " Ara 2 ' � 24"= $, fC a.7'- 7 v a D 'q -- 4&-8 r ,C,6- Ck ToJ' a�Ouni,o rlo^1 SASUMg'n. ©uT ri 7 --- - --- --- --- - - - ..._.. -- o _---9q.3$ r puT-' rr 94,13 ,_- v s , 6� 53, 73 vs g3. 33 d - • L � r Sr.C4 4..03 Ao�� � r c Die EJS/ST � 1 'rA-P7/C C 1 13 X 2.fx 2 , --�-- 1 LZEge-H w�2 S°a G*94 Member ASCE FOR: CRAIG R. SHORT, P.E. OF ,r� s P.O. 80X 1044 Cr3AtG ti LOCUS: SOUTH DENNIS, MA 02660 ;*� SHORT ca S r--.A,ra W 4 4 0 Professional Civil Engineer • Soil Evaluator CIVIL TOWN: Licensed Construction Supervisor • Septic Inspector t No. 2793 Septic • Site • Piers • Structures • House Designs ° y£SISt GATE: FILE Office: (508) 398-8311 Fax: (508) 398-3063 SHEET OF • .ASSESSORS MAP N0i 0FJ.No: 2 COMMONWEAL WMM OMGB OF ENVMO N DaP I�? 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TWs� " 4LI7 Q ad Or VWft d* araod rbe �11 s d wamcdftirft ( atH ar DEP.The adgind shouMbe scot b the mm�t r�e,M t,tW' �&d_n fiw of jo 000 aufti mdc*asmbtheboNi odko arthe cj "M TW coedidoiu of doa nat nddrtsr bow sYetem Wdon W,,Perform ht the and der the emdh&ne of at tda� under Mg MUNI Or dilrav* .•a P8020(11 �.•' O��'��Z .'TION F0B11t_ 3089tT8FACs"WAGZ DPrOTFo�VOL ' tY AS3a.�11�117'S ST"ZM Dmpzcrf0ii POw PART A r CMMIRTU� pON ow.eR ►' V, rel, pd Daft at tea•sammwo Cbuk ar XI AMU °0O1*e wdsoc*n D 1 ar 3310CURI� �,�� Qipeeb not W'b*d as %&*d bdowahlda�ed b 310 Camftft On or aedintim andWood PAIO�° Pkttos a[the tar � bs xVbmd ar MPoveddeBmdatRaft"wpm aa;ptain�m°f� ���is tbe��do ftlowbg The enlrt It"bol .� , ueaormdMON oar was the sgdo ft* a� by notllkbg=dif M O me NO aoe bah MUW.r at ar NO�MW Lad In the AAmd dBowd o(FW&k mma dkkIMM boas ayaoem va Pw n it or cbatractioo**)3m fgbmd 40'�boas is 1ev*dor rID e,�piaio; Pmo bpecdns if(witi apprwm of the Board cf k> dhe to brat=at owftw*Ks), _ �a sYs�ar wig obgmc"i8 Is removed d �• Pa�3 dll OFBIQAL lHON ADM-NOT . �UWAd UWAGZ DMppgAL� vm'j'"Y Ag � rAftA � 'IGr1FORM as �atfsa� is a GI, / tlo.blIqAbVybs die aaaydgq . . Caodtdo�edit whk6 SRMWMaVardw M n@dm b b°Bow d js L sy,�e�wi•W,.,nl�a�to� °�` �r b�oeitt�� Cal aarmftfo' `soi6etats,m�, '' ►a.rdW � � �� s0lbetcta � 2. a W�aodaa atlt � mnah _ err �tD°Bm�ldBe��� a Buser�p�tie pew Watm Sqvjb4Yam � _ Tie��s�laotaod� fib'aal t� aQbae mar a 7 b. dw `VOM 7b snam OAS)ad Mo us it wain looibet s ayr1��a dot da Bent has a 3A3 bps aZons I daps °f' hta �us�� � �ibatatapr septic Wand meter l�w�r0�1'�M'!bletbed � ��1001bet SM but 30 a*at �Pau if M@ wen wMW atd �c perlbrmad*a�. the p °[a'=ou4 nbo it *- WftW,ibr c gkm rocrnfts*aMe tris�+ed API �� 1 iv ar]u� bland at�cbrd b Hai. tit.O air 3L Odherz • s IIRFA6 MV VO M N°T J%)jt vOM" �'Q4AL AJIY ]PART � nY A '1'I°11T FORM Ikk Y Sisson Fdb=. 0*0,i'apple is a Matko—/ s compote b rlo lo an H9md Ind In �t6°�mdare or sw*=ws � °r�es�poai bae above or oottet ° dod mvat,� � 6 is courad is �s B' b ss°waded w doWd sA8 v/ ifo,�q is mom tba 4 arsvai a _ pof�� � the last yst�dde�cl�og�d� d4 dow Naomi -- =�'vwdonds p�'1'k ns *or ►Dart�as ads � ��1 to s :! �►]W"afa crate ar i�'r JO abet ads A>�a'sep' s is km theWmftqoft loo 01 Plvaft WNW ntte,s� k p hajo we w,�,� anOSak d Amp '°s4,d m„e be �'1_4'aw ee.� comak diertalba ate* vieft�0)3u� gybed to tUgl � hs310 C�Ls.� �toasarmmti��above IL L • de6ermfne�wd f� �����em o"w ft d ai To be �. coaddgsvdsIVV systemthe system most scok7� s ('Die � �°r•�,to r,��� �now of10'Oa ad to 1s,0o0 � Y no 10 Stan to the�above) the sy*w is�40Ofeet afs mad sysoem la within 200�a fs Mbway to s meter the�is c*dinaai om 5 II als public wac soppy am lam WdMaW ]roe hiveasewerW )ore mapped abovv the bm�mhubkd Bemis 15�� Earih>�d oftaa tlbapprq*d cft,of the 31 da Ll Cla Pagtldll OFFICIAL Il3m ��'NOS FOR VO��QAQ�AQ D DA ltY PAB'r k II� FORM ,� c�ec!i[tbe 1bOra�,fn daft cY.m.,t �'�'aetoeac>td� oompei�D�ped aat�elep�e1�,�� — ��avola�att�bee. ._._ We"e��P�satfbe mooed io tse ,�araspnt d� obtatoedaada Wutb°a0 bvcckdkrs4psdted as wmasuqft= \ �upoeeols6 tbsSAlRb=edaas* °[fie b nm d e °�°�aodlba briar d i/ �dfi°°od°°q�atN� �k ibr�e mkt moe atWhoe - . �®° !aye<+emt °W�l�+�ded aritb�tfon a.�3�nper 13e�aeaad�,�gym°� � Yea ,b/ CgA+9)antbes�huboa deftmdwd bludow Parar�a����rod v=wccP� E��- °nth°Wm ai�a6ftlated to Pit C y 1 ��enea�pr ddlst� f ' �6d11 OFFICIAL INgpr AIRY 3QBMWAQ�ARM—i�OTFOR VOLIINT G=DI Ogg SysTu[II�g O11TFO SYST�PART p�� DM ftqWV a , ENSIGu Dale arm p n *► as 33110�Lrlb°°ber dbe&oom(air Does m V-b--ft P1ac 110 d:i d ) �laelasepera� b�arnok �S , arao-qp-lmduKl MPC!bd&aw")I:r dos nqob Waoar -Ild-dab daoaDpme;____G�^,6 comm URCULMMUSTRUL �� 310 Cll�1 •Bads ddedw a.Gmaw 3 zOCik a.,. hKbddd tvars�otpea� k W me 7gAe s aye Fmk Last dells d � -._. 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Kia*is meld H_at Mec_ [Sam Qomthmed by a Dimendoic SX� dam°°ties ar rk_f a mpl a[ Mbdp m0° top ft aiaadee im ar bWft o,2 �000�top d scwot to top doottet tee ar baitsec `f 'r Comuov*(an Diaraooe iiom bottam d ac®b bottom d 3 �� Domqft RIP oas ommeadad b0°d°i avldeaoe eftaod ar brd� 'ff°� H9ddlooft rec ,kL o Leq �s GRZUj TYAptDepa pocate as sire plan) b SrdcUmadd � oonst<octla�°°ncIVIs_mad_ —p°yOtJb _o scow akku��� aaC Diwsoeeoe rov swm b rap dc�ree ar b� �e dDbbm�6ottos dx®to batta,o,da�et tee ar b� CQ°f°�t�maou°e'eo laiet and as rdared to ootkt kwa%evidem a[kal &4 O0 tea ar 6reiDe bfh',AgWd levels e1G}; tea! .. '..: oMsa Ba crioxjoaM_xoT�osvoLUNTAn . . S9YAGZ DMWOSAL SYg Y PART C *FORM Slrs Tiox �alri l �{Yj Pi Y TIGHT ar DOLDII�a?A�L�L A�moat be pemped at throe d d am deg" Eftdp ,.. Aliml row oraok DWe d ! �L�S ie °rdw bad amok` Cammeol�(a000ldo�dal�raa and do�at bak DI9TltIBp1'�pB�bIL���/ �i �— pr�eotmIdbDGpwmdXk=moGslkql" Depth c[lisdd ikvd abode co"bva! Ccadmeab� dboo��� 10���,avldeooe arm"'hob droolcamy aweddmmot � .�1LQ0ealeaosbe In waddag ardor fee or A*Aia�me it aaddos order(�amok'"' h>o�odarHioe dpamp ,coedida�d A�saod ------------------ ..� PaSt 9 Dill OMQjL M3PZCTTON�+ORM—NOT Olt 9QB908BACZ SMAGE DUPOUL nVnM p Y PAST C 'Ci'TO1�T�Og� �SMR�� TIO1V(con�ooe� Owe IV/� , �d SOS ADSOItp�pp SYSTlm[��aeeabe a��pW, sot W SAS,Wlmatedc*ftvAr .bsdMBS^U=buc1 X ,� give dooms: cooducla Ile l/ ✓�!�� ^ L`�4►4POOI.4:�iesepod�t be � 1 d aax�ocate as sits pb Nua�beraodooass _Dwa at�som iwc��1at D n mim mallill d Can=*Oft cool hart: d �(YdarmX,_,_,_ . �ai�ot dby' bgm%feast PItIVY;��(Ioca�t ca sns Pura Dhammkm pepth also�tdir Cmnmc*(soot dsaa d h9drratYc fad kvd d &Mao of 9 pow 10dll c OFBIQAI.INSPF.t.TION FORM-NOT FOlt VOLUNTARY SDH9Qlt1ACi SZWAGZ DISPOSAL,SYff=IIN3PZiC'1'ION FORM • PART C SYSTZM NMRMATION(quad4 owmn Dmftd 1� o STMIti=OFS9WA6s BMWOULSYSTM `Psovtide a eloe�dt>ts �syeleo Uee le allea�ttaropen�oene�e�eoos ar bemch=dkL lrw*at wftwU t loofas Locale whmoepA tc=w svppb tomb dag Al -'as r /O pads 11 Gill ' OMCM INN lfFC'1TON FORM-NOT FOR VOLUNTARY A8.9s$$11�iq'T9 SOBSURFACZ 3ZWAGs DUpO3AL SYSTII1t INiSPPCI'IOI�T NORM PART C SYSI'FM DWORMATION(ooa*=4 rrgWiy Add� C2 OwUM (,mil l`yle SM sZAM Sjqp Sm Arm WIN cmakodbr S�eddl�ptlb�am�dwater ����at �hdcale(ches�a�method.ureato de�ae�iaetbehtgp�we�erdeHdosc . _a6laWed�y�dedp pteoe a��eond-ltcse�e�GIs ddeai�tpt'e nav�awaa s QhsvW dle III-trAhmvadmhole wbhis 130 6d of SAS) CZlecbed wttllaed BeeeddHea�t6aa�pViec mecfiedwbtLacat mocsaslon`ioemuat(�ttecl doavmmfadoa) To F _—AcioeaeedlPB You and deecd* yas the b mmma w da+rattomc R H I %°� 1 QorOO ` ( � odr1 ) 4 Certified Mail#7002 1000 0004 6683 1518 Town of Barnstable Regulatory Services * � Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 February 26, 2004 Katherine Wilkie 145 Summer St. Somerville, MA 02143 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000,STATE SANITARY CODE II -MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 25 Waterfield Rd. Osterville, was inspected on February 20, 2004 by Donald Desmarais, RS, Health Inspector for the Town of Barnstable, because of a complaint. The following violation of the State Sanitary Code was observed: Section 410.500: Owner's Responsibility to Maintain Structural Elements Chronic dampness and mold in all rooms of the house and in the attic. YOU ARE REQUIRED TO CORRECT THE CHRONIC DAMPNESS PROBLEM BEFORE THE HOUSE IS REOCCUPIED AND/OR PRIOR TO RE-RENTING THE DWELLING TO ANY PERSONS. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance could result in a fine of up to $100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. PER ORDER OF T BOARD OF HEALTH Thomas A. McKean,R.S. Director of Public Health Town of Barnstable Q:Health/Order letters/Housing violations/103 Fawcett ln.doc t ni° lop 1. 0CATB N SEWAGE PERMIT NO. r VILLAGE INSTA LLER'S NAIVE A ADDRESS ),, BUILDER OR OW Eit DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �, �, �� �, . , }a��. ,b �k �� ^ • n'� ,I i'�`� ��_ KLi%F � � -r I / �� �� +� �� No.....8._0.-2 :¢ u. ..�...._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH QTif�YJ..._.".........0 F......CJC%tJ!!�'J ����(, s Apptiration for Uiipniia1 Workii Tnnitrnrtinn amit Application is her by made f r a Permit to Construct or Repair ( ) an Individual Sewage Disposal Systemt ? .�.f ... ......0�, , -cation-Address -..♦-or t N Owner Address ---------------------------- -----/-l[ .......................... C� _r..�I'G�---.............................. Installer Address UType of Building Size Lot__/-�f_ z ......Sq. feet ,., Dwelling—No. of Bedrooms___________ ____________________________Expansion Attic ( ) Garbage Grinder (1J� p-, Other—Type of Building ________..._ p 1 ( ) ( )................ No. of ersons__...�_.._.......__.__.. Showers — Cafeteria Q' Other fixtures ----------------------------•___. W Design Flow...............5.5...................gallons per person per day. Total daily flow............. . ............gallons. WSeptic Tank—Liquid capacity!@.0.0....gallons Length................ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width ....... Total Length.................... Total leaching area_-_--_---_--_�---sq. ft. Seepage Pit No....../........... Diameter_____ ___________ Depth below inlet___r............. Total leaching area...P.�..__...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by___ t-P!t.._°`......... .......1KC.,....___...._._ Date------ :. .v......._.. aTest Pit No. 1__ZJLk*ninutes 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 .............. ------•-------•--------------- ...........--•-- ...1 --------------... �.....__........ O Description of Soil ` 0-- 41' �-1 =.Gvl2l x U •----•--••-------•-•••------••--------••-•------•-----•--•----------------------•------------------•---•----------------••-----------•-----.._.. -----------------••--------•-•---••--------------- 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'T'Lip p of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be _ issu d by the board of health. ` Signed... - _: -t..z'.'$..1J..... �� Date Application Approved By,_j ��-A — . . ... -•-----------------•---•--••---•---•--:...---••-. ------ - - `�---------- Date Application Disapproved for the following re sons-- -----------------------•------------------------------------------------............................... ...................•--------------------•---------•--------•-•-•--------•---------------•-------•-------......------•-----• ---------------------•----•-• ...... -----------------------•----- r Date PermitNo......................................................... Issued_. 1-`---•--------•-------....--------.----- Date No......:. ......... ., Fics............................. THE COMMONWEALTH OF MASSACHUSETTS =� BOARD OF .HEALTH -fed. _ Appliration for Diipuaal Works Tontitrurtion ramit :. Application is hereb 'made for a Permit to Construct or Re pair an Individual Sewage Disposal PP Y . �) P ( ) g P System at . •................................................................................................ ....................... ................. j ._............................................. -Location Address r I of Np. en? d �! ... :..�!�! it*f ...------•--•------ l��C.�1, t (_ I�CJ'C'...............................................- Owner Address Installer 1� `• Address ,�f d Type of Building . Size Lot.f ;e.3 -L---•---Sq. Dwelling—No. of Bedrooms....__:_:_................................... Expansion Attic ( ) Garbage Grinder ( ) Other—T e n a —Type of Building .....................t...... No. of persons....�-....___.._..__._-_. Showers ( ) — Cafeteria ( ) Other fi ---- ---------- = - - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.R. ..gallons Length................ Width................ Diameter_------------- Depth....----.--.. x Disposal Trench—No.-1................. Width ..I............. Total Length........ ..A......Total leaching area....... :a1_:sq. ft. y' Seepage Pit No--------/---------. Diameter.......8-....----. Depth below inlet.................... Total leaching area..-:.............sq. ft. Z Other Distribution box ( ) Dosing tank ( ) r: aPercolation Test Results . Performed by........gk ! *�....'.__..:.. -...___._.._�� ......... Date.......... .._..5 ...... Test Pit No. 1---. `I/�Vinutes per inch Depth of Test Pi ............... Depth to ground water----- rl<fy --.. Lr, Test Pit No. 2-------------•..minutes per inch Depth of Test Pit..............--.--. Depth to ground water....---..---. 1......-. OC2lu?'Y7 �.. ... ,„1 `...-tY1 LGG < Gvi-1 Description of.Soil--•-•-. --•-• ................................ --•-•-•... • •-••------------•---- -----.....-".--••--•---- x U ....................... ..........................................................................................................................r........................................................ UW -----------------------_....------....--.............................------......-----..................-----....-----..............---............----•-................................................ ; Nature of Repairs or Alterations—Answer when applicable-------------------------------------- ti -. -----------------------------------------•-----------...----------------------------•------------------------------................. Agreement: tThe undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of -T 1.;_. 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. /62 i9---•-- 1' ApplicationApproved By.................................. -••-.--•-•-•--•--•-••----•---••----•---.....---- • .. l ,Application Disapproved for the following reasons----------------------...................................................---- at Date 1 W. 'Permit No.............................. Issued ....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... .. . .. OF......... Twrrtifirair of Tuutphattrr T.FIIS IS TO CERTIFY, hat the Individual Sewage Disposal System constructed (; Or Repaired. ( ) by , i .-.....y ............... •----•-•-•--•-•-•-----••......•• -•_.... •••.--- •-•---•-•--•-• ••----....---...---••------•......--- x Install at -'�3 - t ........................................................ has been\iinstalled in accordance with the provisions of TI i IZ 5 of The State Sanitary Code as described in the applicationn for Disposal Works Construction Permit No..... : '_ _ .¢.......... da.ted................................................ THE, ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM "VILL FUNCTION SATISFACTORY. D�..........................•----•-•-------•-•----.................------.----.. Inspector.................................................................................... T6 E COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH { �, ?�.....OF........... •�+++.y r �` 3,o No...... ..0.t,2.4 V FEE........................ , Permission is hereby granted...........! .... ... = to Construct ( Kr Repair ( ) an Individual S .wage Disposal System � �1 at No... .. ' ......� ..................... .................... `• S eet as shown on the application for Disposal Works Construction Permit No............. Da�d..-__ - ,. t Boa Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS I St�JGI_� o^ntt_�! - 3 F3®erotic °� ► Ddl Lam{ �l.Aw _ t Ib •c 3 =•� 33o G•P•�. �C-F�1 G Tel IC = -SSc)-, tr7 O % • 4-9 5 6.P D. U Ste- t o00 r=A L-. .zISPoSAL PiT - USE loon C�aL, e( ? -'UZW4L.L AeEA = (50 S.P. t�wg�►w 4 IC,�O SF ,c 2.S • G.P.D. f, rC> 95'. x t .o _ 50 C�.R D. ��• t o c,u L A l Q TOTAL t'-'nf, TOT&L -C:)A-t L-( FLDW = 33D 6PD. . TANS t�E2GDl.�TlO►.l O&TE � IQ SM 10 olz LEY . �►"' ,��v1G1►.1 ' ice,,.,,•..,._..� � WILUAM Hre p NO 19334 '`4��� Sup•`"y`. ►; �• TEST To•- PLI O a Hoc. 3�12 O .. - o. It.1V^17. �-d M ��Rpe I o0o iuv •:� SA U 1 L 4'Rv& �rST iw. 'A �7.3 -Box �, p Senc o ; N C GAS. L6gcrt C(4 A t7 PIT 4 WAf1.1lD STow�� S IO� A _ - CEQTIFiED PLC) Pi-.A." } ± �J P9zoT='1 L.� �,. .b 5C.ALC- ` t_ 461- ]2•ATC- AMIL GGIZT11=Y T14AT TIaE: PQUP. I)Kh!U,ld,5Wo%u -J � RL-�'�2E►JC� NF.�'t_b►,l CCWkPL*-IS Wt-r" TWE: -SlVE.L(WC-- `...C)T V AUD SETOAC-4 V7c-QujvEAAcuTS o1= RAO R)lz nvom)k-5 �ICRI NKA-941% Taw Li Or-- Sql�B LE, DA-rc- �� .! C B,,�S,XTCtZ 4 4.1,(C t�G_ ReGtSrc�E� LA.t..tD 5u2v�Yos�. Tt-11S VLA►-J lS UOT 01,4 INN OSTEC�/►LI.0 v /�CASS. ltJSt'C'J.v�c=w< <�uc_�i�_� � Tlac: C�Fc�,�t-�, SI-icwl.a Ai�pt_1 GA►-�T_C���-��1..)� ��I,.,..�. rc) ter rcC!Mo4 Lar LtIJa - r f, BENCHMARK TOP OF FOUNDATION 20 FT MINIMUM FROM CELLAR SOIL TEST ELEV. 100.00 10 FT MINIMUM 10 FT. MINIMUM FROM SLAB OR CRAWL SPACE DATE OF SOIL TEST ValQi_ CLEAN SAND SOIL TEST DONE BY CRAlq_&__5HQRRT P (ASSUMED) CONCRETE WITNESSED BY COVERS 4" SCHEDULE 40 PVC PIPE LOAM AND SEED OBSERVATION HOLE 1 ELEY.-__97.7_ MIN PITCH 1/8" PER FT. 2" LAYER OF PERCOLATION RATE __!LA__ MIN./INCH AT -_ 4$760 INutAES 1 1/8" TO 1/2" DEPTH HORIZ TEXTURE COLOR MOTT. OTHER 4" CAST IRON PIPE J 8.08 MAX. WASHED STONE 7 N/A (OR EQUAL) MINIMUM 7.00 MIN. UNSUITABLE PITCH 1/4" PER FT a z 0-12 lFil1 N/A N A NO MATERIAL ZABEL FILTER-\ UNSUITABLE FLOW LINE ' , 1 - 1" LOAMY 10YR4 1 NO _t MATERIAL 95.08 -- PLUMBING TO BE RAISED ELEV. _ _NIA _ -7 M N. o ° o ❑ 12 13 O o o ❑ ❑ AND RE-PIPED BY A I o UNSUITABLE LICENSED PLUMBER AS ELEV. = 95_55_ LE L ° ° ° ° o MATERIAL NEEDED ELEV. = 9�•80t ADD GAS �Q ° ❑ ❑ ❑ ❑ ❑ ❑ O ❑ O ❑ ❑ ° 21-38 LOAMY SAND 10YR5/8 NO EL 94.7 ELEV. = 95 00 EL = g4• ° ° EX13T~ BAFFLE DISTRIBUTION MEDIUMS/ ° ° ° ° 0 36-60 COARSE_ AND'_10YR7 6_ _-_NO LIQUID OUTLET - BOX ELEV.94.33 0 ° ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ D ❑ ❑ ° ° ° ° ELEV = _92.33- i DEPTH TEE 4 FEET 14 INCHES TO BE WATER TESTED 160-144- C2 MEDIUM SAND___ 10YR8 1 _-_NO_!__. __- 5 FFEET EET 19 INCHES INCHES EXISTING 1000 GALLON IF MORE THAN ONE OUTLET 2- 500 GALLON DRYWFLLS WITH STONE 7 FEET 29 INCHES (TO BE PLACED ON FIRM BASE) IN AN 1 T' X 25 X 2' TRENCH FORMATION ? WELL N A_ NO WATER ENCOUNTERED AT _-__1.2__ ESE 8 FEET 34 INCHES SEPTIC TANK I6.63' ZONE 3/4" To 1 1/2" CLEAN SOIL AE'iSORPTION INDEX EXISTING PER 6110104 S£P77C DOUBLE WASHED STONE/ ADJUS DESIGN CALCULATIONS REPORT BY MARK PO ScSELLI FREE OF FINES SILT SYSTEM SAS \ ) ► NUMBER OF BEDROOMS -3_ _. USGS PROBABLE WATER TABLE ELEV. = _�i,/�_ GARBAGE DISPOSAL UNIT EXISTING TO BE REWO D. NOT ALLOWED \97.3 SEWAGE DISPOSAL SYSTEM PROFLE TOTAL ESTIMATED FLOW �y NOT TO SC..;_ OBSERVED WATER �OF TEST HOLE ELEV. = A_3= (110 GAL/BR./DAY X 3_ BR.) �31Z_ GAL./DAY / \\ REQUIRED 15M GAL. 99..0\ ��� ACTUAL SEPT CI TANK CAPACITY CAPACITY `.J, _Ifd&:_ GAL. SOIL CLASSIFICATION T DESIGN PERCOLATION RATE <5 - MIN./INCH 98 7 �� EFFLUENT LOADING RATE _02-4 - GAL./DAY/S.F. / \97.°� \ �Q LEACHING AREA -AZ2._ SQ. FT. • \ (13'x25')+(78'x2')\ • ��q 98. LEACHING CAPACITY _yy GAL./DAY O / RESERVE LEACHING CAPACITY N�A GAL./DAY \ 98.4 \ 96.9 � / _�` / �' /\ N ALL OT WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. TITLE 5 AND R \ DR/VFWAY \ g7'7 THE TOWN RULES AND REGULATIONS FOR THE SUBSURFACE DISPOSAL OF 98.3 98.3 98.0 81 SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 6" OF FINISHED GRADE. / k 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF 99 2 / A� \ WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10 F-T. OF 2 / \ 95.3 DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR NTHI^y \ a? 9 10 FT OF DRIVES OR PARKING AREAS. / 4 4. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARF'; / 98.7/ \\ IN PLACE. / .2 4 5. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING REGULATIONS. OWNER / APPLICANT IS TO OBTAIN SUCH EXISTING DETERMINATION FROM APPROPRIATE AUTHORITY OWFLL/NG 6. UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRAC IS TO \ CALL "DIG-SAFE" AT 1-bbB-344-7233 AND WATER DEPT. AT LL. ,T 72 99.0 100.0 \ c , HOURS PRIOR TO COMMENCING WORK ON SITE / \ 7. CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS SITE BH. CONDITIONS PRIOR TO COMMENCING WORK ON SITE. ANY VARIATION IS TO BE BROUGHT TO THE ATTENTION OF THE DESIGN ENGINEER IMMEDIATELY • 91 \�� S. PARCEL IS IN FLOOD ZONE Q . ExIs 97. 98.8 \ 9. LOT IS SHOWN ON ASSESSORS MAP llfl AS PARCEL 125-� SEPr1N DECK \ 10. ALL UNSUITABLE MATERIAL SHALL BE REMOVED FROM UNDER, AND FOR A TANK/C L \� MINIMUM OF 5 FEET FROM AROUND THE SOIL ABSORPTION SYSTEM, AND BE 98 7 \ REPLACED WITH SAND AS SPECIFIED IN 310 CMR 15.255 (3) (LE TITLE 5) IF 98.3 �' `� ENCOUNTERED BELOW S.A.S. PIPE INVERT \ EXISTING LEACH PIT TO BE PUMPED AND FILLED * Hl SAND OR REMOVED. J6 TREE I f 2. A ZABEL A1800 FILTER IS TO BE INSTALLED IN EXIST. 1000 GAL. SEPTIC TANK. a 1 . CONTRACTOR TO PROVIDE SHORING AS NEEDED TO PROTECT BUILDING AND ib I 96.9 PROPERTY LINE. 14. CONTRACTOR TO UNCOVER TANK OUTLET TO CONFIRM ELEVATION BEFORE '4 S �.,98.3s �" - INSTALLING S.A.S. PROPOSEQ .: ( DIST. BOX ORAIG yG.r r f 97 c� r ,' ,,F,ORT 36 TR APPROVED: BOARD OF HEALTH ' E1< ;�8.1 -t��a ,a:�` Ippo'-Osto I Ne.127433 N . ,. VIL 5A.S. J#2645 DATE AGENT 971 a LEGEND: TOWN WATER- w - - w -w - - - --- -- - --- WATER SHUT-OFF PROPOSED SEPTIC DESIGN r WATER VALVUE ;., 95.9 GAS LINE-GAS-GAS--GAS- � � �� GAS METER, CA THERINE WILKIE GAS VALVE d ELECTRIC LINE E c - -- - - ---- --- ELECTRIC METER © - ELECTRIC 80X ® o o Loc. 25 WATERFIELD RD. ELECTRIC MANHOLE ® BARNS TABLE, MASS. � D S T� 1 ' CATCH BASIN �®) � Sj � �� V l(L L_C yC, 1 95.8 CESSPOOL Q . . �� P PINE - -- ---- CLEANOUT •�C.O: _ _ EXISTING CONTOUR ELEVATION- O x 0.0 CRAIG R. SHORT, P. E" j LOT 3 FINAL SPOT ELEVATION ( ® 2.35 GREA T WESTERN ROAD 18,324 t _s.� 9 P. 0. BOX Sl7E PLAN cINAL CONTOUR tsE- Z off. to,. i FLAGPOLE . . . . SOUm soa.J9a.aJ1�_ SOUTH, DENNiS, MASS 02660 �oa. 398..34 I �v a ro 20 r c 0� t- -- -�� - HYDRANT . .. ... . ... . BLOBS --- --- IGHTposT DATE- DULY 1, ,2004� SCALE 1 "- - 20� SCALE 1 INCH = 20 FEET j MANHOLE O `\\\ SEW WELL - - o - --- SEWER LINE-s - s - � SOIL TEST MANHOLE OCATION uTp ------- AIN ST REV. -� JOB N0. - --- - I � Ol-1023 I TELEPHONE BOX m il,� D -�--_�- UTILITY POLE `� LOCATION 1�131-__-� R V. HEET 1 OF 1 I ------ -- ----- --- -- -- ----- - i 01-1023 WilkieRl.aW9 V2004 CRAIG R. SHORT, P.E.