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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 lr 15 a �. f 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 �,. r r-.e,N .a'•fry;,s� .r .,,."s•� `�.r.�,.. -u•„-;,.'. :;:,.., s r: �srr..x�t a - :.1 ',:. -. ..:.. f „.' ':n4 ..,..'.; S .. ...,:.: 1 �::I M., a'.,; .>. <]: Ia h-z- iw-,. ..wr«-k ::� 'J .-�t"': •F 1 1..-..,,R' .. u•...+I;��I� w+J;'s ..-fi 4" t .. ,.;.*^ zr. :I.'y y;;� I 1 '-" I :N:r-w*. y S _ _ _ k 1 H '{ may✓ ,,,, <:::A,a � t 4r: y+a,.:,L ,a sil, 5• ;k. - ,k%.' 4. 4. �, f � :. f: ' 'k . �,2Y, ,��d -Ib axe. � k a•-.s _- t -,€- t ! a t \ t 9 , ,,- '�,: ;sx:.. \:r t. •.�. J 3r a- a:- \GY t f, ra'_ 77 '..6 y '^.y.,0_.� QI'"�V`�'� (J_• • �•Y:. '— . - 1 inf r '�? >�'A< Ste. >, �� r `�.� � 't '`► $EUCa- M/�Y� i ''a, YS a' _ � 9 p •� i ; t: of G3 r1. 86.l3G p gyp/ � - '* �a ° ��t �,_, �`,� Q: .'.w ^ ..,:1^ a se., .r, ay}f N '4, �. st•: a ,'l � .•Il-gU* -\ • .. : } r....y.-•. .,,. .,. r,r u:._" v:P:+rr .,_-,-,9='. ,�1... F. .. .": r re h ::�r �•b' U � I,11 ' s , : iw I :. . :- :r..+,..w yZ� .� .,.;.'pl ..rJ,xe ..-, ,.o..tom. . '�, ,:,..,a- .. ,.:� ..,-..tla•: _ : ty..t. x-�. � x.� .i / �`� � S. 'd -y �i� T ,:fA`_,:. P r/.,�. :h:^5r/ M>•1'�Z Z .:'/' ' E y/ ,I '— _ `:, \Y' L i � ', .ifs: Sp' � .� � i :� `-1� ,/ ( �:.,.. a� }. - .✓�,�I ,., '� Ti� r? '�.�: :xa s'w �,}t' ..t `}yar•;• r ::k:_ r i w ,. rF � J? 5.y N r. 0 F r w t 1 A / t , , TEST HOLE 5� 1 A. t J , GA' n • 3 13 G` rNv SEPTIC r;.. q� 702 i*Jrc�o - + TAN a K ,d 4 �• M 5 � tl- d 4.Y-- t. i - 1 FIT _(ld • - d -`..` ''e , ,} , ,f^F3 9 I cr,t O-f•:.� 'a;Y �d a a DEVELOPED-"PR:OFI c ALONG Yw PROR05ED. SEPTIC SY TEMiA - a a + k i;,. � - - .,`•� rR ,. gg � D '�a �,::. �- ,V:'I =�:�-r , _•s=' r - �,�• _ o� , A, . ,,: ...., A -',i%. is...y ,4:.t.. x,i Y ,•Yct ^, yy �4 9 ; t +r � e.3:: X• C' ^a� 4 4 .r >`..ek:.::. .+4 a :'.'. rh. �1 .- 4 kM''.::•4 t _ 1 , ,_ � ,,: y' .y+.., .- .... :. ... � v hlL•.x ✓ ,e,'... 1.. ... S I -'n „. {'P Ll—;e,d!! ,i. h ,.� ,�, a.`. f � •1- {1 -, y � N�•r .• .a },. �-,� ,t, a �.�,;, G�_t\►J�3L-�2.1,f -�' '/ �, y r J; '' r. y ,y h .N• :.i' � z a c� ! -_#" ,•,-r 't � _ ` i •�'; � �4°' ��. < :.t s, :.. =4.,r tP ti ;•. � r ,� r,,.... t.s..1 M.. ,... k.�'zt, a,: i`Y ,. ;�::.` �^ i `4. ,1,' -..... ,:.,a-, •� -.... a. >�_,,.,.;,,,t:5,e.. y r. .+su..,r...,.r fix..,... �.. ,^. •,. _-1, ,, >�t r::a a - ,.. , r. AND CER�'IIrvV IN h _ LE FAMILY. 13E ,R :: , E; Y DOOM ,.,,.. .,. ,.• ,"., ,. �. �• :. , . ,;� H ':S STEM;WA --:. . DISPOSALRDANI 9�1N ALLEC1�! . t.. _. t.:..,: .. : .-,- y .. .. .;e-_. :. .r:. .:.... .7 f !( l•. .%1 i`--, aL>:f. - ..7; '3 - ,. DESIGPI . r , , I t, ro rr S=- r'� :;,.,.:' -s :' -�•:1cO01:�;sGl+kl.. W a k �' ,I��.k a �x'✓ 1 r •' r _�PT�� TANK �USE� �•, w, PLAN `0F -L,AND , rSPOSAtN, .1 ,�ao G,ac�� s�ff 3,.+��`:� , :;,• � -� ,� t ! �-' ``+,i, �: :h. -a --Y o -�r �.-J.., f5•i y:� --n. - a.- _ } r � s - : SIDEWALL,--AREA -13Z' SF EAio ,,,. r.,,. .$OTTOM •AREA- } ll3 SF...;,� , � I�l, 11 a 1, t ! i x, I I�j x I C+— I I ?5 Ga4'�? q • A .>• .- D -� 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 - .. 1 ,,,Y.'q `• ._I �_to- �1 G s 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 : .y •