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Home My WebLink About0105 BRACKEN FERN ROAD - Health D `fa-b� J1'��zs-ins ��l( t , , ' __---- __ � _ _ _ _- _ __ __- Y � ___________ _ _ _-- _ _ � - -- - � ;�� i' TOWN OF BARNSTABLE LOCA'I'i0I�7 /,�d/SEWAGE # l 'K�0 VILLAGE_ ASSESSOR'S MAP &. LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY Zooms i LEACHING FACILITY:(type) VeT (size) l Qcd NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: I !VARIANCE. GRANTED: Yes No F i Hems 33 3� I r� THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .........--..Tacvl4...............0F..........& .c9.Ct15.A.±(1V..----------......--••-----..__.........._........ Appliration for UWposa1 Works Tonstrnrtion ramit Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. !Z?C�tti7 E n._Je ..................................... .....,ls�►rt�n...3f...�xn_t ..............•----•----•------ . ._.. Own Address -------------------- -------------------�2y/%� ris. ............................................ Installer Address Type of Building Size Lot--------1.�j.! -----Sq. feet Dwelling—No. of Bedrooms........1..k c.......................Expansion Attic (4) Garbage Grinder ((�o) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ................... . . . W Design Flow...................................S.5..gallons per person pier day. Total daily flow............................3--W....gallons. WSeptic Tank—Liquid capacitylQoBgallons Lengths��`.... Width__-�._1.0' Diameter--------- x Disposal Trench—No. .................... Width.................... Total Length..............j_... Total leaching area....................sq. ft. Seepage Pit No......0r%.9 ...... Diameter......l.O Depth below inlet................ Total leaching area..p?_5.7....sq. ft. Z Other Distribution box ()() Dosing tank ( ) a Percolation Test Results Performed by._ cs -�Z�ac.................... .._._......._......... Date.._ Z. ./ 5 �------------ Test Pit No. 1_...a .......minutes per inch Depth of Test Pit.....�L`._....... Depth to ground water..... . f= Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water Of R+' •...••-•••--•---------•-••-••-•--••••----•--•--------------•••--••--••-.......................•-------•--•---------•--------... STEPHEN O Description of Soil--• -.Z-.., r 5st i.�----- x � •---•-'AtLYT1•-- ....................................2.-6:!....... la-t.-•••••-•--••••-••••----......••-••--•----•--•-•-•--•-------•••----•••-----....----••......----•-•-•._... .....�gON•-- ................................... CYNcc�lym._ �:htP ,��N"0216- �. U Nature of Repairs or Alterations—Answer when applicable.................................................................... p d " ----------------------•-----•---•----------•-------•-------...----------•--•--------........--•---...---•---•----------------------------------------------....-•-•••••••-••. D v� Agreement: at The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in actor ante 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 Compliance has been issued by the board of h alth. Signed ........ ----�/' Date Application Approved By ............C)C,�.'�. ....................... ... ........... ---- ....�. �.- �.-.. -- .gam �S-' a�{��i.��w�6-� Dace Application Disapproved for the following reasons: ................................................--- --- ----------- -----------------------...---- --- -- -- -- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------- Date Permit No. ......Ti.-'.... . ' ..0........................ Issued ........................................................ ------.---------------------------.......--- ..,.-..------- Date !' r` . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ApplirFa#ion for Dispoo al Works Tonotrurtinn thrmit Application is hereby made for a Permit to Construct (A) or Repair ( ) an Individual Sewage Disposal System at: 1..............................................� ' .LCs .....'........_ ......................................... ,• , Location-Address or Lot No. / ......................_........�t::a:::?.._ .. .t.1�_4_' ' .........................._.... ........ rGC�lfs'l_.. f(2- c(.... ...................... a Ow%ne z +"A• �., ..... Address/ c 1.e ' ...................... ---•............ ..........=.; - ----... •.......-•-- -----•............... ........... --- Installer Address Type of Building Size Lot.._..../ !f.....Sq. feet U ,., _. Dwelling—No. of Bedrooms--- ... 1_.4ir-.......................Expansion Attic (i!/o)• Garbage Grinder ) '_l Other—T e of Building ... No. of persons...-----------•---•-.•-•. Showers — Cafeteria 114 Other fixtures ................................. . W Design Flow................................, _.gallons per person per day. Total daily flow............................ .....gallons. W Septic Tank—Liquid capacityl.t.00.gallons Length&'_f_"..... Width: ',..E,ott.. Diameter._,.,,„,,,-..... Depth..(-- x l lhi Disposal Trench—No. .................... Width.................... Total Length___..........__..... Totaeacng area....................sq. ft. Seepage Pit No.....in�------- Diameter....;-.0......... Depth below inlet.......r,.......... Total leaching area. .7......sq. ft. Z Other Distribution box ()( ) Dosing tank ( ) Percolation Test Results Performed by:�,__ _. a Se t r -----•- Date z14ee-------------- ,a Test Pit No. L..�)L._......minutes per inch Depth of Test Pit.._.�y!......... Depth to group ater._..._...... 114 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--------- 19 -----------------------------------••........---..,...............................................--•---•------•••---...-'•-"------ D Description of Soil... :-I_':1 V ..,.................•---.....-.•.. =; r. ---•--•-•------'-••--------...•-----•---•-•----------•------------------•--------'---••-•'------•-•-•-•.... .STEPHEN N �'_ + ALLYN en W .........---------------------- dZ,- ' Yt12�c�tt�.�t• RiW---------------.---------•----------------------------•---------------•---•-------- - .. .. VNature of Repairs or Alterations—Answer when applicable................................................................... .... .� 3�TN6� --------------------------'-•-..._....--•-•---•-•---------•----------------------•-----•---------•------•'•------------------------------------------•---••----•••-•--•-•'•. Agreement. Ia,�sGJ� 6��A The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in a AL the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees no to lace t e er's -• system in operation until a Certificate of Compliance has been issued by the board of h alth. ia��yf Signed . .. ,, .. - e .. - Da Application Approved By . _--......_-...:...... . -, -- -r. r-a.::-i°-w .E... .. ----.. ----- td Application Disapproved for the following reasons- -------------------------------------------------------------- ------------------------- --------------------------------- --------- - ------ ----- ---------------------------------------------- --- -------------------------------------------------------------- -- ----------------- -- ----------------------- -------------------------------------- Dace Permit No. .... .-.... .�� ----_--_................. Issued Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �-:...... ....... ....... . .: ................................ OF ..-.-. C�E>rttfirate of 01.11olcttylinuce THIS IS TO CERTIFY, That the Individual SewagerDispos Syste c ructed ( or Repaired ( ) .. =>, . f. .,:............. -gin•.... �"t �..... --------------------------- by -a re. . .... Installer «s► at G d ,� ` n� ' % kw ,1 .« ,... 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. ...-1�_-_�f..-_ .6_0............ dated ------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.' �".� eL .. DATE................................ .. .. .................... .. ... .............•......... Inspector _......--�.. ....-.-..... .� - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF :�,/":,/v '........................ No. .`7.-1 ..... FEE.J--z .w±m . ioo1 VorkvC�a1nrn rruti `.: Permission is hereby granted______ _ ... to Construct ( ""or Repair ( ) a"Individual Sewage Disposal Syst at .I<✓f� ` ' '� .- .fy'.7�j'�.',�,�e``-."Y ',�.' .sLy'r: C ...�'� ..�r`�/J' .f Sri s r.... �� .:............. ____.. A...` , ...... .. ... ....... ........................... Street as shown on the application for Disposal Works Construction P evflit Nf? ; ... D d_______ ____ __ __ . Board of Health DATE.............. "T - -- At_,•-•------"------..... FORM 1255 HOBBS & WARREN. IN�:.. PUBLISHERS I I LI i D4%c... .cZ-O�/ �, • //O X 3 = 3 3D 6.Ply..• ... s7-ice /-I = 3 x 6/5� /400 6.44 S. .l7 S/prW4u- dew¢ /78. S.F o��Al/ 1 zr ram ,oEsi�✓ = 57-y 4-.P D. 7b7-4L 1)4.14 �aW = 330 �. .p: P&l2C. ,04r•� pp. OF ? STEPHEN �'yG �o� �BCHG4 D ALLYN n+ o a WILSO,N y t' �4A}�TER No.30216,Q N.24048 9a �G��6`�� •�f�►STEaEO��•• . . �. . toy,%�. fA t1105 _ 'f�2 .TE„Sr fra�E P '3 iVSiE J,JACoa-,SVs EE2 I TD /v-27 Sy ,r FG 3O •1.� YO,:� a 5lJ35a� Z.p 4o o rAr �js��se) . /.i/✓. �4L-L ,, Z '• G.E.2T/F/EO PGDT pG:4iV Z•r.,.- eEMoVE-a LL. LOG,GT/O.si 51a�✓S �I/[ ' vN- igC iy .5cDL6 % 0.47,E E. 7T/,may 7,1 4T T//.E FoJA/o.4r�'a+✓SHaW.tV / /1- h�E,L�Eov CO.�lP�Y.S W�Tx/THE Sio��✓�E Bdxr�,e A.vA0 J'-'rr/AGE .Q�4V/ 'E��NrS d,4 Th'� ,eE6isr�ec'�.��uio,sver�Eyo�S TOWi1 df�S a 4E Am.27 /.S 4� 7— �' GDCdr,E,p fit//THIy Tf,/.E �LaovoLQ/�V.. j ._.: Tf/��L✓!�(/ /.S �/DT-I3.41�0 4N.4,Y -��lEi3/T.SU,2l/Ef-"22 T//E NOTES TO THE FILE October 13, 2011 Capeway Pools 105 Bracken Fern Road Marstons Mills, MA Cynthia Martin Donald Desmarais Capeway Pools was visited due the concern of the use, handling, and storage of hazardous materials (i.e. pool chemicals). Mr. Chip Dillard, business owner, stated that he performs pool maintenance and that all chemicals are stored at the customers' property. He does carry minimal chemicals in his truck. A look into the covered structure in the yard revealed that there were no pool chemicals being stored.