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HomeMy WebLinkAbout0260 WIANNO AVENUE - Health 260 WIANNO AVEjvt(4e/ A=140 - 149' �� J ` / ` J r f f � TOWN OF BARNSTABLE - � BOARD OF HEALTH _ ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date b Time: In Out Owner �I%� T�� Tenant T L_ Address -S I ), -1'fCAL- S Address 1� Uv�' II � Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 0 4. Water Supply -� 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13. Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width N 3�OJ 2 o 200 75-0 19. Number of Tenants Observed ic PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehi owed (ma Number of Persons Allowed (max) Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here 00 t, FEE: /V 0 w as REC. BY IAR� Town of Barnstable,'- 9CHED. DATE: Board of Health 367 Main Street,.Hyannis MA 02601 Office: 508-862A644 -Susan G.Rask,R.S.- FAX: 508.790.6304 - Sumner Kaufman,M.S.P.H• Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION'' Property Address:_,-2 6 Q ..i(L i��'LD 1�� �Sf el' ✓, Assessor's Map and Parcel Number:' 4f 4 / _ Size of Lot: Wetlands Within 300 Ft. Yes 'Business Name: . No_ Subdivision Name: /�a�d�KC'rc�ckyl�/drs�QZ�= � 9®5" . i APPLICANT'S NAME: CD 1"S Phone Did the owner of the property authorize you to represent him or her? Yes V No PROPERTY OWNER'S NAME. CONTACT PERSON j �1 f�r Name: &M�1 Q. LJ t�/ L'L�/ Name: y 11 J'✓Zh 1F t14j'XU Address; %A J&77if4/C)k� S74- Address: J �O X L S q QSkj-V1 lye- Phone: Phone'.SDI' d�' 3 3 y� VARIANCE FROM REGULATION(i,sl Ret;.) REASON FOR VARIANCE(May attach if more space needed) TV Cheeklisl(to be completed by office staff-person receiving variance request application) _ Four(4)copies of engineered plan submitted(e.g. septic system plans) Four(4)copies of floor plan submitted(e.g.house plans or restaurant kitchen plans) Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected(nn fee forufWtard n,ndirtbtion renewals,sresw trap variance renewals(same mucFAcam only t outside dining variance rencwalr[same 0%Mr)leas0o only,and.ariances to repair failed row��ya disposal s)staas lanly irno expansion u+the building proposed I) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED. Susan G.Rask,R.S.,Chairman r Sumner Kaufman,M.S.P,H.. NOT APPROVED REASON FOR DISAPPROVAL _ Ralph A.Murphy,M.D.- Q:/WP/VARIREQ 00 deS//�'4 ` ,� ;�, y �4 r,a _ TONNr v OF BARNSTABLE o ° LOCATION Q90 eA//AVAf0 Abe SEWAGE 4660 3,'/ VILLAGE 0.57Crr-21/c ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) %reach (size) 1/02 efG X zf w X t NO.OF BEDROOMS BUILDER OR OWNER Art CA( Ace V.. PERMIIDA 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 Hof leaching facility) Feet Furnished by 63 i SEE . � r . No.Z 3 9_7Fee��-_ I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: �Z 11 1 PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Yes Zipplication for -Migpozal *p$tem Cowaruction Permit Application for a Permit to Construct(P TRepair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �C �/%�}Ja ti/V /4 V e-- Owner's Name,Address and Tel.No. S i e--v.?(c T a+ti L'A O-A Ce.1, Assessor's Map/Parcel /L/o /� yp dnstaller's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. -Z't.e ?e xc-S-z k k� j, 7"o A r4 Rub �t ti Type of Building: Dwelling No.of Bedrooms 6 Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures r Design Flow 6'C� gallons per day. Calculated daily flow gallons. Plan Date 76n ca —ao 00 Number of sheets Revision Date Title Size of Septic Tank 1.5Z1 oGa9/. Type of S._A.S. _1e4cY1_r�c,1eAej Description of Soil Nature of Reppairs or Alterations(Answer when applicable) /M0 yw X '59 1G A2 'J) 7—,-Clcsa lR.,�fi J'u STctl e 6!^AA s iic-r-t z h 14c c dr'_, x y,it A c-1 `.D 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 has been issued by this Bo d of Hea Signed Date_'u-A/c Application Approved by Date G s /7--Z47/D Application Disapproved for the following reasons Permit No. _ZC'&T 3"Y 7 Date Issued TOWN OF BARNSTABLE LOCATION Q,�Q 61L1/A VAf 0 A v?• SEWAGE 4000 ^ 31f VILLAGE ©S/crrrr/�5' ASSESSOR'S MAP & LOT INSTALLER'S NAME&.PHONE NO. CvC ��C�� •sTc — E�Fs 5 ,�� { SEPTIC TANK CAPACITY -q/- FX t J% - r LEACHING FACILITY: (type) IT 262C (size) NO.OF BEDROOMS BUILDER OR OWNER TAM CAr`Ace l.. PERMITDATE: J �.'c l3-oG COMPLIANCE DATE: i 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 f i � i a t, S 4. 81-7 1 „h,�t i t Fee � . ?2' THE COMMONWEALTH OF MASSACHUSETTS Enterd in computer. Yew( PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYication for Miopoml *pgtem Construction Permit Application for a Permit to Construct(Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. a6 O f 6 Owner's Name,Address and Tel.No. UsTP/v.i/� rt-�vti CA2,:�ccr�. Assessor's Map/Parcel QSZC '�.t(C Installer's We,Address,and Tel.No. Designer's Nam,,Address and Tel.No. 17b��Ce V`t0.CGl�.g1�� \�esc.- CAS c „ t ha . �l� f3-SSdf' O. Type of Building: r i Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow - K6o gallons per day. Calculated daily flow gallons. Plan Date J Oa a 6—ao 00 Number of sheets Revision Date Title - 4} Size of Septic Tank Type oF8,'A.S. 1CAc,47_rc✓lCAP) Description of Soil Nature of Rep4,irs or Alterations(Answer when applicable) A/�� /G✓ X '�/.� G �( � T r'1 C fi �„ h ' 4-1�1 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 has been issu d by this d of He Signed %1 7 Application Approved by Date 1( Application Disapproved for the following reasons Permit No. Z C/&T ~3 y Date Issued (D THE COMMONWEALTH OF MASSACHUSETTS y%y BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY that the On-site Sewage Disposal System Constructed(Repaired( )Upgraded( ) Abandoned( )py Do%k\, �A r r)c c., at �60 lti1�44 D 6)cc has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.'s'3 7 dated Installer =5 c"c c �t c_c cM s'T(t Designer The issuance of this t h 11 t be construed as a guarantee that the V9,4 Pw 1�lill ffunc6ion> 4j"", dj°Date ! ' Inspector —v Il �v ` 3`7 7 --- No. ------------==---------Fee THE COMMONWEALTH OF MASSACHUSETTS //`0s/y� 7 PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS litpozal *proem Construction Permit Permission is hereby granted to Construct(%)Repair( )Upgrade( )Abandon( ) System located at s 6 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. Provided:Construction must be completed within three years of the date th• ermit. e �y Date: G �1 Z�C� Approved bof ✓,U r :. g' FEE: /N S wt�nu� • ��?' ruse REC. BY Town of Barnstable SCHM. DATE: Board of Health ,��� 367 Main Street, Hyannis MA 02601 Office: 508-862-3644 Susan G.Rask,R.S. FAX: 508.7%-6304 Sumner Kaufman,M.S.P.H. Ralph A.Murphy,M.D. VARIANCE REQUEST FORM LOCATION e- //,' Property Address:_o)is 0 W i u-n n n 19 V - V S f e_r✓) Assessor's Map and Parcel Number: /`f a / -- Size of Lot: fie - Wetlands Within 300 Ft. Yes Business Name: . No Subdivision Name: _ APPLICANT'S NAME: SCe # Cr6jk--4Phone Did the owner of the property authorize you to represent him or her? Yes V� No PROPERTY OWNER'S NAME CONTACT PERSON Name: G 16(eei Name: 50l/ ' hFL�)'XUr)' = C7 eja Address: /a_ )C-#ae le, SIL ' Address: P'D J90 A b 6j Qsler✓Pe Phone: /V C�'r /n 4 O/7b 0 SQd- Phone: VARIANCE FROM REGULATION pint Rert.) REASON FOR VARIANCE(May auach if more space needcd) Checklist(to be completed by office staff-person receiving variance request applieatio?0 _ Four(4)copics of cngineered plan submitted(e.b. septic system plans) _ Four(4)copies of floor plan submitted(e.g.house plans or restaurant kitchen plans) _ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense(for Title V and/or local sewage regulation variances only) Full menu submitted(for grease trap variance requests only) _ Variance request application fee collected lno ree rQr 11AW.Iard n,ndirnti•n r"•wals,greaw traps miearx re.awaIs(same ownUr1gs«�Iri outside dining-risncc rcmewelr tsmtte o Acvlensoe only],and.ariencu to repuir 1'ji:ed tewsge di.pussl systems lonty if no expansion to the building proposed)) Variance request submitted at least 15 days prior to meeting date VARIANCE APPROVED Susan G.Rask,R.S.,Chairman NOT APPROVED Sumner Kaufman,M.S.P.H. REASON FOR DISAPPROVAL _ Ralph A.Murphy, M.D. Q:/WP/VARIREQ /(y/L �,nyl �J�f y a � 4 1' . ol rli11�, 7�M ImrB 1i## r# I aeiim.oa.aci�rmd��o 7i`\ mils' ��•�+:+.,..rw-� ��� ii - ,• I � aa.s sacs' 111�1 . ;ifill.. _ I �s �1' EE pp ! ' who sa■ x. Ma}: hkbe iAS�31 :�■■m #a#I�t. 0 sr ANION IN tt sew■ r .ace.ft)m i F I F �i�`��oii®i aid area&S1� Fv�ice■ Il. ..art+n®aa.ve .�r m1w tied ; �:�■ � � �■:,s 11.; amaw,7AM;� I' i mms T,"s Mai'.s�s hI 't r ■vim®�moai�o.�•`. ,' I• t ► r� y! S � 48 _ 'Al r L �^ )l j y 4 • I ;yF Ir � � :r I• r k IAA P� k C `{ �ldd w•.e rwr�... 'dwsir werner�y ., i .. ,.��y Y �], � \\r � . LEI ;ma.r..ovi.'t v g• tt OAIC `rm ELFWAMCPJzo UESiCl9 so" PANT CARAC II "." °"'��" M;• � �C.. wirr.w�w.,wrtr�uY�u�!0!K.:�:':.":..' i1L�•wr.�.�r�. .�mmorarsra pAl[ KNyp3 �� Li IDN r Ir Ila � r", /`'' � s 4 " I .p.c,�.+..: FI.G�DFZ f�.AJ.I�' '� OR'PHSIDE• w,.w� ,�� :•:-�� • �_' DESIGN "'"`��""'�.� • %� :. ...R�.w..... ww.w�.e.,o.-��Aue�.+a+w,. :.1'I.�^ ,,,;� .�•�'�' wu ac�+aaAs a� 1 - _ J G 4'1 z tz> co �� CO) I TOVY-,' F�B_�RNSTABI E ";�l' :~ LOCA TION ' { ��✓/.git� SEWAGE # _ — VTiL�AGE' ASSESSOR'S MAP&LOTJ 1�--f !, INSTALLER'S NAME&PHONE NO. ib �Se- SEPTIC,TANK CAPACITY `�37 � / .�' � '`M�.. y (LEXCHNGII FACII`ITY:(type)i� o i i� �i �` (size)' ,NO.OF BEDROOMS ` _ I '' # •. BUELDER'OR OWNER ERMIfDATE:a' OMPLIANCE-DATE: ,! Separation DistanceBetween they Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet=` � ,.. .. vate,Water Supply Welland Leaching Facility (If any wells exists`'',; + ; on site or within 200 feet of leaching facility.)' y° r'`" Feet +,Edge of Wetland and Leaching Facility(If any wetlands exist= witliins300 feet of leachin ility .'. ' Feet „ F `�� urnished by' O w a# 0 0� r vi C- i bk q t �] I 1 No._� � — l Fee. �D THE COMMONWEALTH OF MMSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Migool Opgtem Construction Permit Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. Installe r's Name,_Address,and Tel.No. m Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow � gallons. Plan Date Number of sheets Revision Date Title Description of Soil W} Nature of Repairs or Alterations(Answer when applicable) ISM S eM�am-� 1O`ao Q LI® Fr_ f int,f�n�C rQ�Yx !4o 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 has been iss this B ea Signed Date j UP Application Approved by Application Disapproved for the fo owing re ons Permit No. Date Issued ———————————————————————————————————— - - -- - J No. 17 ` Fee_ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNS-TABLE a MASSACHUSETTS 0(por cation for Zigpoga[,*pgtem Cottotruct-iou permit. Application is hereby made for a Permit to Construct( )or Repair(' )an.On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. G-K- Installe�r_'s�N`am_e,Address,and Tel.No. � Desiinei's Name,Address and Tel.No. `L Type of Building: f Dwelling No. of Bedrooms "'7 Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow t7 gallons per day. Calculated'daily flow f� gallons. Plan Date k Number of sheets Revision Date _ Title ` Description of Soil - r7 A44-'I J ` 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 Environmental Code and not to place the'system in operation until a Certifi- cate of Compliance has been�iss k this f Signed Date Application Approved by r Application Disapproved for the fo owing re ons f Permit No. ,7?i Date Issued �� --------_ ------------------ �---r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS , Certificate of Compliance THIS IS TO�C ,tat the,0. it Sewage Disposal System insta ( )or repaired/replaced(l on �3 Ct, by for +�4rIMC�`C.�_ K��F�t C.(rC as 'aloo fJ-) A4 - Uk\,4-_- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Use of this system is conditioned on compliance with the provisions set Pqh below: No. — Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Digogal *pgtem Cow6truction Permit Permission is hereby granted to .5 to construct( )repair( On-site Sewage System located at " 8J40 GLA 144-� 14k�—e.. 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. All construction must be completed within two years of the date below. '� Date: � — �7 —�/ Approved by ,34 V"I jet� s �j ,�S X ���'��`r) �?�i'� ,i t•` ! s '`�� ��V� � •�xt .I,�`�s�.n�� ;: �I rkq`.�I"Y" CERMI ATION OF SKETCH AND AP PLI A AAL _WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) rrv,. hereby certi6 that the ap1c { construction permit signed by me dated La property located ate, 1 JU1 R,w► — f, following criteria: T '`� s 4,�,of°'� _�,.>.�•,4...,v't,-s;s ..g�3�'�r.,�;.�, h ri..t' • There are no wetlands within 300 feet of the proposed septic ayetem • There are no private wells within 150 feet of the proposed septic system Y • The observed groundwater table is 14 rector greater below the bottom of the tedching`lcility • There is no increase in flow and/or change in use proposed • 'There are no variances requested or needed. `'� tip ' i •�'' y °g'�'3,? `,y'a w�: s yi 'WM S •..{, r s' .�r'"t't rc`_Ir>f0. •`5�, +,�' SIGNED Y_ LICENSED SEPTI SYSTEM INSTALLER IN THE TOWN OF BARNSfABLB [f,a+3' +i'�� [Attach a'sketch plan of the proposed system.Also if the licensed instollep h �' this plan should be submitted]. t RN}�kR - .._�...•..-..-.._.._...-,----^�. � 12 � 1,1 a+i°tla ro'�I � t ) of r. #-O-vn' I q�.,,7 c y r••♦}�� tF�� �;.+�� "��.�+��t��s#Lh� � ro�tig.4, t ��r„r �'�� �'tf � •1r� Y,y�} F�� 43. ;�4F�'� a''�"4'f�i kl Y'I - .* f 0 0 ........... j �1Z 7 � t i 9NA1-I I LE if O�J UlIE1�E AU/Al( A.M. FOR _ DATE -,/STIME� Zd P.M. M 9 OF Q PHONED (� ��-- / YOL CALL PHONE AREA CO E NUMBER E E//���JJJ666 V � EASEGALL MESSAGE WILL CALL / Al GAME--TO SEE YOU %\A/ANT5,T0 SEE YOL! SIGNED TOPS FORM 4002 Y z 0 m to E f f y� � ` � � � I � I �,� � , � � � { I � _ � � I ; � � I � �� � � i � 1 � ► � I � M � I '�'' � ! _�-- � - i � � �' ! � I �� � � � • � i � � � ' �-� �, I ��`: � � I f i � I I � � i � , i � , � � i , � � I � � � � , � � � � { � I I � � � I f � + � � � � I . , r TOWN OF BnARNSTABLE LOCATION r��Q� L.1l,trin o N'4�! — SEWAGE # �4" VILLAGE VS PO��/I` ASSESSOR'S MAP&LOT14 &* ?. INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY r ' LEACHING FACILITY: (type)i�k)i r?('i?C it eJ (size) x �. y NO.OF BEDROOMS BUILDER OR OWNER PERMIIDATE: �^ ��'' ,COMPLIANCE DATE: Separation Distance Between the: 3 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 leachin iL22 Feet Fdrnished by T nit 57 �y O j i O .. e h f i C;2 } y f = t � October 16 , 1996 Town of Barnstable Board of Health 367 Main Street Hyannis, MA 02601 Attn: Donna Mior.andi Dear Donna, I am requesting a permit for a three bedroom, scond floor addition. This would give us a total of six betrooms . My home is located at 260 Wianno Avenue in Ostervi`.Ie. The homes in the area currently have between five and six bed- rooms. i In July of 1996 L updated my septic system to aiTitle Five four bedroom system. I understand that I reed to add onto this system when I add on the additional bearooriis. Please submit this request at your next meeting on November 5 , 1996 . -.a,T youu_have._ary: questions, please-a.c ontact-nie-aL-50ts"651= Sincerely, t ch Pamela Patrick 12 Shattuck Street Natick, MA 01760 PP:cz Enclosures . _. . ^.� FT•'"[;.!;; rye, ,• 'Yf ter• •. _ t _.ei w.F:ifi r.."•a.:F `i t".z $;" - cat i` '�L ri Cj:)T :f;t. tjr. . i'•'r�� Fas......... ... THE COMMONWEALTH OF MASSACHUSETTS \/ Barrnstablo fd c !Deparu tent BOARD OF HEALTH 3±S TOWN OF BARNSTABLE Date. ,�#�iratintt for Diripnsal Wnrk,3 TouBtrnr#inn Vamit Application is hereby made for a Permit to Construct ( ) or Repair (/<an Individual Sewage Disposal System at:. ' - .. ----------------------------------------------------- -----------------------------....---......--- J T Cat y/ < <ssJ7 r Lot No. � _ r ------- .---- ------ w ---- o,. �cl� .JYtS - C__ _. � dZc , . ---- ------- ---- - ----- Installer Address Type of Building 4 [ Size Lot............................Sq. feet Dwelling—No. of Bedrooms.......................-_-----___-____---.___Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________ ___ No. of persons______._-._.--_-___--__.-._. Showers ( ) — Cafeteria ( ) Other�xtures ----------------------•------- ( 0 W Design Flow...............10_-____.__....__.... gallons per person p day. Total y flow.......... q..........................gallons. WSeptic Tank—Liquid Td capacity_--__�.- allons Length_,- ------ Width_...___ Diameter................ Depth................ x Disposal Trench--No. .................... Width--------------...... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit o---- box . Diameter---Dosin t-- Depth below inlet.................... total leaching area..................sq. ft. z Other g ( ) �" Percolation Test Results Performed by.......................................................................... Date......................................... Test Pit No. I................mmutes per inch Depth of Test Pit.................... Depth to ground water........................ LT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ C --•------------------------------------------------------•-----------------------------.......------......................................................... 0 Description of Soil......................--................................................................................................................................................. U ...................................................................................K..............__...........------.._._....__............_._._........................:............._...................................... W U Natur17 e of Repairs or Alterations—Answer when li able__ _ _.: _...__________________ ____________ �e. ._.. ..:. .. . ' -.-. 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 Compl' ce s been issu d by the and of health. - �.: Dace ApplicationApproved By ------------ . ........................................................ .... ---------3........... Date Application Disapproved for the following reasons: ....... ... ... ................................... .. ...... ....................• .-- ...... ................ ............................... . ............... . . . ... ................................................................... ........................................ 7 Permit No. ....... .��1...-... ..........._................. Issued ............................:...................-- Dee...... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BAR��TTNSTABLE Certtftr�Ite of Tomplianre THIS IS TO CERTIFY, 6a the I�ivi ail Sewage Disposal System constructed ( ) or Repaired (/S by ........................................................... ..�...G�(...... ..� ..=f.." . ..11.......... ...... Imr at .. _............� � �� ................10 3: .-.......----------------------------------------------------------......... has been installed in accordance with the provisions of TITLE 5 o 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 SATISFACTORY. DATE ............................:......................................... ----------------------------- Inspector ........ ... .................._....:...------------------------------------------- V FEB..........IL2.n.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH y � I— 3- x TOWN OF BARNSTABLE .Xppliration for Diiipwial Work,6 Tonfitrnrtion rrruttt Application is hereby made for a Permit to Construct ( ) or Repair (11` an Individual Sewage Disposal System at: Os vejCy 4 Location . or Lot'No. CLh l G.. f""1(�. k_ �Q /t J / _..... - ---------•--••-----------------•-----------.---- ' o cnea w � a<P��S, - X _Ll0& M Ji l f�Z Installer Address f UType of Building p / Size Lot............................Sq. feet �., Dwelling— No. of Bedrooms-----------------------------------.--------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ----------------------____ No. of persons----------.................. Showers ( ) — Cafeteria ( ) QOther fixtures --------------------------------------------------------------------------------------- ---------•-•.... -•--- W Design Flow............. .1h......................gallons per person per day. Total daily flow........ 0 .....................gallons. WSeptic Tank—Liquid capacity_� gallons Length----.------- Width_ .-------- Diameter________________ Depth................ x Disposal Trench--No. .................... Width•-_----------------- Total Length.................... Total leaching area....................sq. ft. 3 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. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G74 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --•--•-•-•---------------------•-•••---•--••-••-••-••-••--•••-••-•-•-•--••-•-•••••-•........._...•--.........---••••-•-.....•••..._............--------.--••- 0 Description of Soil........................................................................................................................................................................ V .....-----•-•-•-•-•--•--•••••••••--•._...-•-..........•-•••-•----••••-•••••--•-••-•-••••••••••--•---•••-•-•...-••--•••-•--•-••-•-•-•--•••-•••-----••-----••-•-----•-•---•-•....................••--...... W __ U Nature of Repairs or Alterations—Answer when applicable._ .`+'�c../ �LLi1 -{ /)— (�i ,dad.. ... r •/1� �. 1 t ------. . ram ............................ • •---•-• . 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 Compl(iancee/hAs been issued by the board of health. Signed ----`- ....`� .'� ......:...........................a......' !................... ............. .... .....---'------V Application Approved B ., � D �t�b.. .1--------- .^..... �- PP PP Y .............0 .. �.... .x..... �............................................. Date Application Disapproved for the foliowing reasons: .............. . ........................................................_............_.. ......................_..... ................ ............................................ . .. ................ . ..........................................................-. -----.------- .......... ........................................ � Dare PermitNo. ......., ..............-................................. Issued ..._.......... --...:............................._..._._.......... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE I Ter#ifirate of Tompliance THIS IS TO CERTIFY,-That, the Individual Sewage Disposal System constructed ( ) or Repaired (/f by ....:.................................................. f2. '/L{:/c• f----------------....._..-------- / J, i�r�kr) at .............................._.._.......'.14-a........&?1.l� Z*.j�_.......!` ��•� ....._i! .37, '*,**... - 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 SATISFACTORY. DATE-----------.........._....................................... ..---------------------....... Inspector .... .._._..........._...._...................:.........................._.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q TOWN OF BARNSTABLE No...;!.. .......... FEE...04: ......... Dispooal Warks Tomitrudion/ Frrntit Permission is herebyranted.....___.___._.._. 6�C .__._.....C v�'._k, //C . g �------••• -•---•-------------------•----------•----••-•------..-.-.-.-. to Construct ( ) or Repair ) an Individual Sewage Disposal System y at No. ?;�O)_._...��1/l. ,t.r�.. d.....! -.t�-------------- �S•/ Street � as shown on the application for Disposal Works Construction Permit No,�-�'__ -_____ Dated....... _-.�.--•��......__ .................................. Board of Health DATE............/.�..�.�---- ---- ----- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS t DESIGN DATA NOTES .�.� a`• Single Family'-6 Bedroom F o••• : • a With no Garbage Grinder I.Water Supply ForThis Lot is Municipal Water. <,-° _ r Dail Flow GPD .�� • i 1 2 Location of Utilities Shown on This Plan Are Approx. Septic Tank:660 GPD x 200%=1320 GPD At Least 72 Hours Prior to Any Excavation For This p Q " / Use 1500 Gallon Septic Tank Project The Contractor Shall Make The Required �'•,'�% :4b -s T Eaat AB LEACHING AREA Notification to Dig Safe(1-800-322-4844) • �3� •o ° : 746 6.06 3 The Contractor is Required to Secure Appropriate' '�•' • J • '•• '' / 660 GPD/0.74=892'SF Required q PProQ c. 0. Sidewall = 2(12'+53')2=260 S.F. Permits From Town Agencies For Construction '. LOCUS Defined by This Plan. Area ' • Bottom Area=12 x53 =636 S.F, :��_' • ° � o'a.• Lot 896 SF.TotaLProvided 4. Install Risers as Requiredto Within 12! of �''n •�� •'�' "•' ° ( LEACHING CHAMBER DESIGN Finished Grade. - �E , ;..• g► �\ All Pipes to be Schedule 40. Use 5.All Structures Bdried Four Feet or More or Subject 6-500 Gat.Leaching Chambers ina a to Vehicular Traffic to be H-20 Loading. :Neck •• -- ' •, a 12'x 53' Washed Stone Field as Shown , 310tie System to be Installed in Accordance With � 6 CM 5.00'Latest Revision.And The Town ofse a cans table Board of He lth Regulati• $� \ • Barns _ .7. Al l Piping to be Sch_40 PVC. • \ s LOCUS PLAN K Scale: I -2 O 0 0 y ,.Assessors Map 140 r _ Parcel 149 53 , a Septic Sys' •• Remove Exist S c tem - ' _ s ,,F G. 31 O 2-4'x 42'Trenches,D-Box S nn PP•�1Mp'�''Y T Assocated Piping. 28.9 _l_- L k p 1 2 7.9 �, 28.7 Exist. 1500 Gal Top El.28.9 N ` _ i Mlty, Septic Tank 28.5 m _ Sot.E1.25.9 8.3 . . 2 SP•• o Bedding as 20 9'+ 28.1 . p_gpx ; N O Exist. 1500 Gal.Septic Tank t Title 5 ` 0 o a House Sewer to Remain r Per i in Place.a to be Reused. = . 10� 10� 10' ION i ° i µ Ground Wate a'EI.Less-'Than 5.0,As Per T.O.B. Ground Water Map PROFILE SYST EM DEVELOPED P F PROPOSED SEPT LL z ILE OF E IC . No t to Scale • p E X f Finish Grads OF Co Dw�ILIN/�' d N G :, Fill'. 0sn"cled Fin PETER I d sMUIM I N i' t/e-we 9M Co Ro sibm, 2.7/W �. IC t CML N • I.Aachinp, . .. N } G}a� s f h CROSS SECTION OF CHAMBER -' '•:NOT TO SCAM 1 0 SITE PLAN SEPTIC SYSTEM UPGRADE t t AT 260 WIANNO. AVENUE IV14iVjNp OSTERVFORE,MASS. Al Pe- SCOTT CROSBY PLAN VIEW SCALE AS SHOWN DATE: JAN.26, 2000 Scale: I"= 30' � SULLIVAN ENGINEERING INC. OSTERVILLE, MASS. 99086 M _ -- NOTES - --DESIGN —DATA � I.Water Supply hFor?his Lot It Municipal Water. ,• .1•Q �� �h r Single Family-6 Bedroom 2 Location of Utilttles Shown on This Plan Are AAorm � '• "' e ' With no Garbage Grinder At Least 72 Hours Prior to Any Excavation For This Project The Contractor Shol I Make The Required ;•r,,'� a / Doily Flow=110 x 6 =660GPD i i qq Notification to Dig Safe(1-800-322-4844) e' 116.0E Septic Tank 660 GPO x 20 1%-1320 . •�• � � b +i { � ,. Use a 1500 Gallon Septic Tank 3 The Contractor is Required to Secure Approprlote e •• '•. ••' y t`d Permits From Town Agencies For Construction a LOCUS ! LEACHING AREA Defined by This Plan N 1�b 4b Lot Area I. 660 GPD/0.74=892 s.f. Required 't 4 Install Risers as Requiredto Within d'of a •`'. °�•' - 0.46 Ac, I Existing System* Finished Grade. . '. ' •: ••. q. ' 2- 4•Wx42'Lx2•D Trenches= 704s.f. - ;.• •~• ;. �° �� 5.All Structures 8u�ied Four Feet or More or Subject Proposed Additional Trench: to Vehicular Traffic to be H 20 Loading. • '• • \ 4 W x 42 L x 2'D= 352 s.f. l 6 Se System-to be Installed in Accordance With \ \ 1,056 s.f. Total Provided, 310 CMR 15.00 Latest Revision.And The Town ofBarnstable Board of \ = 7. Al Piping to be S h 401PVC th Regulations � LOCUS PLAN "`i ----- Scale: 1 =2000 L Assessors Map 140 \ Finish Grade Parcel 149 30- _' ,�Compacted Fil l--I Filter � Fabric - .._., / r Pea Stone / 4'0 Perforated cbwowc r NSW P1Pr'froR t 120, PVC Pipe •• •� QROP,-caatacH(ID sut�ST.t)-Sox O 3/4-11/2 Double Washed j Stone O / k 4'-0• ' Ex►ST, SaPTIG SYSTQM / I TO ReMk%H 1N 0PERA110t4 " bEICK TYPICAL TRENCH SECTION / Not to Scale rn Dw�r. -- — I— ----;-- :._ -- - - --- H OF N P-LL I N li TI F.G.30.1 F.G. 31.0, PETER N I P� �r"9 Connect New Pipe to SULLIVAN � iv I 1= Exist.D-Box IMO.29733 I 1 28.9 _ 27.5 Top E1.28.0 CIVIL N 28.7 IlExist. 1500 Gall Septic Tank I I ^B 5 eot El.25 ! g '� II II . 28.3 It-. �-i' 28.1 Exist.Septic System to Ground WateqiWEI.LessThan5.0 Remain as Per T.O.B.Ground Water Map I DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM SITE PLAN 1 0 Not to Scale \ ►` SEPTIC SYSTEM UPGRADE 4 AT e! s 260 WIANNO. AVENUE 9! I 32 \ � OSTERVLLLE MASS. - FO R 41le SCOTT CROSBY PLAN VIEW SCALE: AS SHOWN DATE: JAN.26, 2000 Scale= I"= 30` - SULLIVAN ENGINEERING INC. s1L7T1C;5VS-rRM pes��ty j _ �) OSTERVILLE, MASS. RaV1StON S 19�OC AS PdR OWNERS "taapussT l / 99086 o E DESIGN DATA NOTES Single Family'-6 Bedroom S - With no Garbage Grinder I.Water Supply ForThis Lot is Municipal Water. Daily Flow=110x6=660 GPD 2 Location of Utilities Shown on This Plan AmApprox. Septic Tank:660 GPD x 200%=1320 GPD At Least 72 Hours Prior to Any Excavation For This Use 1500 Gallon Septic Tank project The Contractor Shall Make The Required '•',:wi • o k Si / Notification to Dig Safe(1.800-322-4844) _ _ LEACHING AREA I '3• ••° •ti ' 9 : ` 116,06 3 The Contractor is Required to Secure Appropriate CU S •• ' • • 9: / 660 GPD/0.74=892'SF Required q 1�P• Sidewall =2(12'+53�)2=260 S.F. Permits From Town Agencies For Construcfton �' a �..0 -__ ��•� ��"' =12 x53 = =2 S.F., Defined byThis Plan. Lot Area I Bottom Areas '�' ' I•.:' • I•.' 896 S.F.Total Provided 4i Install Risers as Requiredto Within 12''of ;; • 0.46 Ac. ( I LEACHING CHAMBER DESIGN Finished Grade. ' ;c All Pipes to be Schedule 40. Use 5.All Structures Bdried Four Feet or More or Subject' •'?e� J Neck •• • `••. ' 6-500 Gal.Leaching Chambers Ina to Vehicular Traffic lobe H-20 Loading. 6.., '• rjja �. 12'x 53' Washed Stone Field as Shown 6 Septic System to be Installed in Accordance With o • , ,' \ I ► 310 CMR 15.00 Latest Revision And The Townof sew • \ Barnstable Board of Health Regulations \ tt 7. All Piping to beSch._40 PVC. } LOCUS PLAN Scale: I��=2000 f _ Assessors Parcel4149 o . 31.0 to'Ivy try .. =--_ — — — — _ — - FG.30.1 �• F G _ — Remove-Exist.Septic System. 4'x 42'Trenches,D-Box l3i Assocated Piping. l � 28.9 27.9 _ 1 tp' i 28.7 Exist. 1500 Gal. Top El.28.9 -�-. E 28.5 �, �_ -� -� _ t Mint. _ - . Septic Tank. 28.3 28.1 Bot.E1.25.9 _— Bedding as 20.9, j- — — o Exist.1500 Gal.Septic Tank , Per T R3a 5 - .BOX N p- 0 Ik House Sewer to Remain 10 j0' rt t 1O 1 Z in Place.a to be Reused. $'/ - �� Ground Wate a El.Less Than 5.0,As 3 Per T.O.B. Ground Water Map DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM - - ale Not toSc MIL ` > —Fri"craft y Filter RIII — 0 Go Fxisr r tA� N Ll t N w a+ l�d 1 - Fabric N - glltLW �• Leading Double —I I/e N a ename.r s0i"o:•w�.a • 3< I CROSS SECTION OF CHAMBER ' '•'NOT TO$CALF - 4 SITE PLAN SEPTIC SYSTEM UPGRADE \ ` _ ► o AT I. 260 WIANNO. AVENUE OSTERVILLE,MASS. FOR - SCOTT CROSBY A/iLc- PLAN VIEW SCALE: AS SHOWN DATE: JAN.26, 2000 SULLIVAN ENGINEERING INC. Scale: l"= 30' OSTERVILLE, MASS. 99086