HomeMy WebLinkAbout0105 BERRY HOLLOW DRIVE - Health r
105:Bern Hollow Drive
.iMarstons Mills
A - 0,14- 019
A , 6 � �
YOU WISH TO OPEN A BUSINESS?
For Your Information: Business certificates.(cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which
you must d❑ by.M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1°` FL., 367
Main Street, Hyannis, MA 02601 (Town Hall)
DATE: oZ 6
Fill in please:
APPLICANT'S. YOUR NAME: C4 ! L�Z�S
aa?' , •.
BUSINESS YOUR HOME ADDRESS �_ o vw
e � a o
� .c � 7? pFT BPS Tow ♦4� t oa 6y�
ELEPHONE # Home Telephone Number ,f'D$_ rll�,8— ��
NAME OF NEW BUSINESS C Z/,f SON —TYP
E OF BUSINESS 01 e c �?A y�A -e A"A
IS THIS A HOME OCCUPATION? YES No . . �T
"rom t uild.ing division? Y
ADDRESS OF BUSINESS MAP/PARCEL Nt IMBER 1
When starting a new business there are several things you must do in order to be in compliance with.the rules and regulations of the Town of
Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth
Rd. & Main Street).to make sure you have the appropriate permits and licenses.required to legally operate your business in this town.
1. BUILDING COMM NER'S.OFF CE
This individua ha. in rrn f any permit requirements that pertain to this type of business.
Au ore ature**
COMMENTS ki f �
2. BOARD OF HEALTH
This individual has infor e o th r7nitrequ.irements that pertain to this type of business.
Authorize nature**
COMMENTS:
3. CONSUMER AFFAIRS (LIEE,hS§I,G AUTHORITY.1,
This individual has be n'..informed fhe/li`censjn ,re r, ments that pertain to this.type of business.
�._-- uth, rized Signature.*
COMMENTS:
ASSESSOR'S LP NO. PARCEL
LOCATION Lam SEWAGE PERMIT NO.
VILLAGE Awe-i'57V/--ts
�5 To��_L 1,/,en A-yd�i �
INSTALLER'S NAME A ADDRESS
B U I L D E R OR OWN ER
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED
✓`�"7-1
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15
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No .� � F>Ls � s-._
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
------....I.Q.W..►A_...---......OF.....
Applira#ion for Disposal Works Ton.strnrtion Prrutit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at
................ ......-I.L. � ........]�C:. ......--_... ..-........ .........-......_....._...______• P
anon- ddres or Lot No.
.ADD � z i ' S3« v �!L i_ 1 '
........... --------------------------------- .............------ _
_ Owner dre s
a �`..-C--•---•��-� �6i•- -----------•-----••--•--•--...... ----••.. ......-��.........--••-•-•--•---••-•-----------------
� Installer Address 4A,
t ��` S
d Type of Building Size Lot.................... L q. feet
U Dwelling—No. of Bedrooms................Z.......................Expansion Attic ( ) Garbage Grinder ( )
e of Building ............................ Showers
a Other—Type g ---•---------------------.._ No. of persons ( ) — Cafeteria ( )
Otherfixtures ----•--•-•----------------------------------------...------•--••---------------•-•-----...---••----------•----.......
W
Design Flow.................... .9..............._gallons per person per day. Total daily flow........................... -39?.....gallons.
WSeptic Tank—Liquid capacttyWPO.gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length...............o... Total leaching area-___-----..___------sq. ft.
Seepage Pit No.........I........... Diameter.....'. f-_..... Depth below inlet..._1:5._..... Total leaching area.....' 5..sq. ft.
z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1......7......minutes per inch Depth of Test Pit........1!2...... Depth to ground water---------.
GL, Test Pit No. 2......`1--.minutes per inch Depth of Test Pit.........H....... Depth to ground water........................
a •-----•-•••-•---------------•--------•--••-•-•--......•-•._.....----......-•------------......--............................................................
O Description of Soil...................................................
.••..•... •--------........
._..............
--------- -•-------
W
UNature of Repairs or Alterations—Answer when applicable.............. ..Mjj&,__-�,--�i_,v,,�__-
------•------------------------------•--------------------------------•--•-•-•------•---------••-••-••-----•-•-----MSTALI-ATJ.0X.AND-.CE1R.I.Fy 1^s
Agreement: rHE SYSTEM WAS INSTALLED IN S T,;';
The undersigned agrees to install the aforedescribed Individual`SewageN13ispo's�lF&�sttlem in accordance with
I"14-�
the provisions of .f!ITi:E 5 of the State Sanitary Code— The undersign rther agrees not to place the system in
operation until a Certificate of Compliance has been ' u d by the b"o of alth., C�
s?5
/ ?ZW
Application Approved By....
Date
Application Disapproved for the following reasons-------------------------------------•-------•-•--- .............................................................
..-•-
. -•.-Date
Permit No....... ---------------- Issued........------�
f
1 �\
.fir ..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD . OF HEALTH
F
r g _.
it 7. f"".�i Y!i.r.
:..., OF....... -!........... ............... .........................................
Appliratilan for Dhipaatal Works Ton,strur#iOn Frrmit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at.:.,— I
........... :.. ff" U•� ......2.f- _s .f ..v. ?S°-�fi '-y t
D att6rEs �tI<'6rot"F�1 L l�j'f
"6/
• ......-.....!:y�.C.6.1__�?.............•-----------•---•. -••---....�-1,����� �
Owner Address
W
Installer Address
A'e �
Type of Building F Size Lot___._______�_______________Sq. feet
Dwelling—No. of Bedrooms_________________________._.____._____._Expansion Attic ( ) Garbage Grinder ( )
Other—Type T e of Building No. of ersons____________________________ Showers
1� YP g ------•-•-••--------•--•---- P ( ) — Cafeteria ( )
Q' Other fixtures -----•-----------------•---------•-••--••-•--•-••• - �•y---------------•--------
W Design Flow...................4?: ..._............gallons per person per day. Total daily flow__________________________, ' R__.__gallons.
WSeptic Tank—Liquid capacity!j2gQ_gallons Length................ Width---------------- Diameter__.-_-_.________ Depth..........
x Disposal Trench—No_____________________ Widths.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........_�........... Diameter.....�_._�'...... Depth below inlet....., s_____ Total leaching area..... ..sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
~' Percolation Test Results Performed by............................. .. __._.____ __. Date._.___________.._______________.____...-
,aaa Test Pit No. 1_._.!:._.__.minutes per inch Depth of Test Pit________1 ...... Depth to ground water_.-__:"" ____----
44 Test Pit No. 2...... ''__minutes per inch Depth of Test Pit.........fi....... Depth to ground water....-i—I...........
P+ -----------------------------------•----••--------••---......-----------._..._._...------•--•--••---..........................................
---------------
DDescription of Soil.......... _ ...................E---------------,-- ----- ---------------•-------•-----
V --•••••-•-•••••••••• ••--- �l•�'-` •-- 'w � �'8� r5-1 ..t ------.- ---- '�r1 8"a'$ _` v �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 TIT1L 5 of the State Sanitary Code— The undersigyle3`turtl er agrees not to place the system in
operation until a Certificate of Compliance has bee s d by the b a d o heal F
Signe • - ....... s:......... -••-•-•--=•- •- �� -
V Dat
Application Approved B "� '' , ./-:: �_
PP PP Y .. ------•---•••-•-••-•.............L---- -••••-
Applieation Disapproved for the following reasons:. -••...................................
................••-•••-•-•--•-•-••---••••------•----••••---••••-•••••••-••-•---••--••-----•••••----•••-•-•------•----•-----•••-••-•-•-•••-•-••--••-....................................................
Date
Permit No. �_ Issue -----•------------
/Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
i1 7;: ............................OF.}��%Yam.
--------------------------------------------
�rrtifirtttr Of TOntplittnrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( K) or Repaired ( )
bye ... a+ q3 b
Installer
at. 'fs �}s- �� 1 �= - &- ---_-- 1' �-/� ------------•---•--•------------------------
E •� :•-
has been installed in accordance with e provisions of •1'ff! 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit Y_4:>................. dated....._-_ .. . .
f ,��,-1................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RANTEE T14AT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE........... 4 ...^... ' Inspecto ,'::.�..4 __ - =--••-•-•--•----
V
/ THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH ,:jIUNINU t(VDII MI Nil�E�t SWILFc
Vic,I( C-7-TU11�n ire-� z2- � XTALLATION AND Uhfi�Y' N �^d_I17"
�r 2 ,,. ................OF... �.r -..._._.......... W-fft iNADOWN:
AL- €D i� T lic
ri�A r.- :r- rW9 ? i1•�•• - J
No _...
CC�i�6XNCEr TO N......................
'Ropmal Iforkii T-Camitruitialt prrmft
Permission is hereby granted........ --._. _ .':,c,--------------•-•-----•----•--••-•--------___--_----------_---•---_-_____-_----___
to Construct(,, ) or Repair ( an Individual Sew ge D Mal System
at No........L_C>.l•••- t,` /P k (ram •-••----••••••••---••--.....•-
reet
as shown on the application for Disposal �Ns Construction Permi N 2-_-2_,. Dated_._ ..................
��. Board of Health
DATE.......... 2= `=1
FORM, 1255 HOBBS & WARREN. INC., PUBLISHERS
BAXTER & NYE, INC.
Professional Land Surveyors and Civil Engineers
812 Main Street • Osterville, Massachusetts 02655 • Tel. (508) 428-9131
WILLIAM C. NYE, P.L.S. - President PETER SULLIVAN, P.E. -Vice President-Engineering
RICHARD A. BAXTER, P.L.S. -Vice President
February 1.0 , 1989
Town of Barnstable
Board of Health
P.O. Box 534
Hyannis , MA 02601
RE: Lot 8.0 - Berry H-oll.ow Drive
Marstons Mills
Dear Board :
As the design engineer of record , I have inspected the
installed septic system for Lot 80 . The system has been
installed as per the approved plan dated December 19 , 1988 .
I trust that this meets your present needs .
Very truly you.rs ,
Peter Sullivan , P. E.
Baxter & Nye, Inc .
PS/fmj
H Of llfq��
PI::TE_RR C� 3
7 SULLIVAN
�
No- 29733
a
G'rSTGF '���`�' fd
R pt,Qy
MEMBERS OF
CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING
LMASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS
10 w s, arc
ENVIR®TECI-I LABORATORIES
14 =_
Syr
449 Route 130 Sandwich, MA 02563 9 (508) 888-6460
Aqua Jet-Well Drilling Hollow Dr.} CLIENT: LOCATION: . Lot 80 Berry
ADDRESS: to Marstons Mills. _»
Mashpee, MA 02649
COLLECTED BY: Aqua Jet SAMPLE DATE: 12/29/88 TIME: 1 PM
Jeo DiMaggio DATE RECEIVED: 12/29/88 SAMPLE ID: M 615
. JOBNew Well WELL DEPTH:
80 ft
F RESULTS OF ANALYSIS: =,
Parameter Units Recommended limit Result =
` `Coliform bacteria 100_m M.: � -: - — -= - ---- -�
F-Method) —0 r =-0
� H .
p pH units 6.0 8.5Eli
{: 6.83 =
Conductance : umhos/cm - 500 105
Sodium mg/L 20.0
10.5
r ;.. Nitrate-N mg/L 10.0
.91
}Iron m /L
0.g 3
.12
r. Manganese mg/L.. 0.05 -
Hardness mg/L as CaCO 3 500 -
Sulfate 250
a Potassium mg/L 20.0
r Alkalinity g/ 200
m L
�Chloride �
_ L -
ETurbidity NTU 5.0
r
KM
3 n`Color APC units 15.0
'Background bacteria
COMMENT
e I
wXYES NO WATER IS SUITABLE FOR DRINKING PURPOSES FOR PARAMETERS STED.
.:1
DATE / .3
!!1!!!!!!!!!1!1!!!!1!lIUUIIUII!!!!1!!!1!l1111!!l111111111
l J a 1
2 - Department of Environmental Management/DILISIOn of Water Resources
WATER WELL COMPLETION REPORT
WELL LOCATION
Address J, f G <,--t, -r do He to
j
V City/Town f)'1A25 A<aNS )-
-))
G.S.Quadrangle Map
Grid Location
Owner
Address
WELL USE CONSOLIDATED WELL
Domestic Q Public ❑ Industrial ❑
Type of Water-bearing Rock
Other Water-bearing Zones c-
Method Drilled cl t e_Uf /�_ 11 From - To rT
2).From To
Date Drilled 3) From To
4) From To
CASING p Depth to Bedrock
Length /7 D/iameter
V Type d,— UNCONSOLIDATED WELL
STATIC WATER LEVEL Water-bearing Materials
r
Feet below land surface Sand: fine❑ medium[2 coarse❑
Date measured / �~ Gravel: fine❑ medium❑ coarse❑
GRAVEL PACK WELL Screen:
Slot# /V length 2 from to /70,
Yes ❑ No Q
Split Screen (or 2nd screen)
WATER QUALITY TESTS MADE Slot# length from to
Chemical Q Biological ❑ Depth To Bedrock
PUMP TEST
Drawdown feet after pumping days hours at GPM.
How measured Recovery feet after hours.
LOG of FORMATIONS COMMENTS: (On well or water)
Materials From To
V �.
y DRILLERcb
y
Firm ,Ilan[ A T-(-- IA,Cp Ap, //5'//f o
V r Address 1
City V1?a.c Wi,7s:
t Registration No. `2 e•
�Jv J perator�Jgnature
Please pant irm y BOARD OF HEA4.TH COPY 25M 10:85.807101
UIZI/1)
•Department of.Environmental Management/Division of Water Resources
WATER WELL COMPLETION REPORT
WELL LOCATION
Address .r. f a o (ts ',-1 410//o[t 6,k',
City/Town
G.S._Quadrangle Map
Grid Location
Owner..
Address"
WELL USE CONSOLIDATED WELL
Domestic Q Public ❑ Industrial ❑ Type of Water-bearing Rock
Other Water-bearing Zones c _
1) From To r1
Method Drilled '�-
'c 2) From To
Date Drilled 3) From To
4) From To
CASING ! Depth to Bedrock
Length Q Diameter
Type 1, V UNCONSOLIDATED WELL
STATIC WATER LEVEL Water-bearing Materials
. r
Feet below land surface 1;2 Sand: fine❑ medium® .coarse❑
Date measured /,9 Gravel: fine❑ medium❑ coarse❑
Screen: Qq i
GRAVEL PACK WELL Slot# /U length from r% to Fit
Yes No
Split Screen (or 2nd,screen)
WATER QUALITY TESTS MADE Slot0' lenqth from-to-
Chemical ® Biological ❑ Depth To-Bedrock
*PUMP TEST
Drawdown feet after pumping days hours at GPM.
How measured Recovery.-feet after hours.
LOG of FORMATIONS COMMENTS: (On well or water)
Materials From To
0
`4� �}• L) \
y DRILLER
*- Firm 4,9 u. 14 VC`4- tOg C'r
Address—
City i= T� +
v
f Registration No.
r.•+fir+ " `j� 1� (J ///V�/� rj( / /
./lv / / %Operator 95,ignature
ease print firm y
• � 25M 10.85,807101r
NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES
BUSINESS REPLY. MAIL
FIRSTCLASS PER MIT NO..37716 130STON, MA
POSTAGE WILL BE PAID BY ADDRESSEE
DEPARTMENT OF ENVIRONMENTAL MANAGEMENT
DIVISION of WATER RESOURCES,
LEVERETT SALTONSTALL BUILDING,
100 CAM BRIDGE STREET, BOSTON, MASS. 02202
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--:. . DISPOSALRDANI
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-� TOTAL DESIGN 4. 43
TOTAL F,4OW�i7 LA
5f...._ ' '•k ,fir �3t, I..,.
F'ER,COLATION`RATE.,=a'°�N 2 MIN:`OR LESS a 'y
SCALE; I" 4O rDAT I -
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aL.�•AXTFR 8 NY E INC:
_
r
- REGISTERED LAND SURV
( o
s�
J RTIFY }THAT THE Uw ►?�. HOWN HERE
R EYORS
COMPLYS'WITH THE SIDELINE AND"SE., ` y CIVIL ENGINEERS
REQUIREMENTS CIF THE TOWN:OF• SNM.')TV3c.E 0STERV.ILLE, MASS. 7
_AND'1S:Wv"LOCATED ITHINL THE:FLOOD PLAIN,A
DATE:"DEC 1Q,1988= Q/ Q, G::1 �;> •
- REGISTERED LAND SURVEYOR
l :
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