Loading...
HomeMy WebLinkAbout0045 CEDAR TREE NECK ROAD - Health 45 Cedar Tree Neck Road,Marstons Mills. t � �� c�� �� TOWN OF BARNSTABLE O*THE 1p OFFICE OF '��t,W711171� S DAR1f]TAHL BOARD OF HEALTH MANN. p, °o 039. gem 367 MAIN STREET HYANNIS, MASS.02601 February 20, 1997 Richard Charlton 45 Cedar Tree Neck Road Marstons Mills, MA 02648 Dear Mr. Charlton: The Board of Health has no objection to your proposal to construct two additional bedrooms at 45 Cedar Tree Neck Road. During a public meeting held on February 18, 1997, Board members reviewed the submitted engineered plans and septic system inspection report. The septic system appears to be adequately sized for six (6) bedrooms. I It is recommended however, that you remove the garbage disposal unit in order to reduce the amount of damage that could result at the soil absorption area. Sincerely yours, Susan G. Rask, .S. Chairman Board of Health Town of Barnstable SGR/bcs charlton / ^ r1^ A j Lnnering ept (3rd floor) Map (� Parcel 0 lG� Permit# House# Date Issued of H alt (3rd floor)(8:15 - 9:30/1:00- 4:30) Fee .S L4 i we 19 BARNSfABLE. TOWN OF BARNSTABLE Building Permit Application Project Street Address L�� � -�fC h Pt Rd Village Owner Address Telephone Permit R uest 4J � First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ S, JUc7 Zoning District Flood Plain Water Protection 1..ot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes S No On Old King's Highway ❑Yes @,No Basement Type: QFull ❑Crawl (&Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing S New Half: Existing — New No..of Bedrooms: Existing New 'total Room Count(not including baths): Existing_ -7 _New First Floor Room Count :lent Type and Fuel: ❑Gas a Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached (size) Other Detached Structures: ❑Pool(size) aAttached(size) G -7 e Sg , �� . ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information �/ l Name p Telephone NumberBSd- AddreA0 Cam. License# yt - - Home Improvement Contractor# Worker's Compensation# n01 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTIONN DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ,. pp 7.5 LOr 2 EW A G E PERMIT M0. LOCATION 15. VILLAGE \ INST A LLER'S NAME & ADDRESS M' Nv0- FAX OVA ems" s UILDER OR OWNER v f>;,✓ io T v L D f;✓G- GO O DATE PERMIT ISSUED lU I ' DATE COMPLIANCE ISSUED �, g LS 0 - 19 bl_K"? , p .� - ] TANKS], ]`l] FUEL STORAGE TANK RECORDS ] HELP [ ] FOR PARCEL NBR: ] 075] ] 016] ] ] ] ] MAIN ACTION ICI Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ 11 [ 5741 [0101861 [B ] Test ] 0823961 Rem ] ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - [ ] [ ] [ ] [ ] [ ] [1009961 [ ] [ ] Fuel Reason Capacity Constr Status Leak-Det Cath-Det [D ] [H ] [ 10001 [SS] [ ] [N] [N] Additional Details [ENVIRO-SAFE CORP. ] -------------------------------------------------------------------------------- Action Tank Nbr Tag Nbr Installed Location ----Notification Dates----- [ ] [ 2] [ ] [ ] [A ] Test ] ] Rem ] ] ---- Test --- --Abandoned-- -- Removed -- -- Variance - Fuel Reason Capacity Constr Status Leak-Det Cath-Det [FO] [H ] [ 3101 [ ] [ ] [ ] [ ] Additional Details [SOUTH SHORE HEATING & COOLING ] -------------------------------------------------------------------------------- Cancel [ ] END OF DATA NEXT SCREEN [HMENU] ACTION [ ] PARCEL NBR [ ] [ ] [ ] ] ] TANK NBR [ ] t V", Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection William F. Weld Governor Trudy Coxe Secretary,EOEA David B. Struhs Commissioner - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION Property Address: j �.�- r .� f,t.�� ` Address of Owner: Date of Inspection: 1_ i �, ��. �.P�\� c- (If different) Name of Inspector` _—� `r�y Company Name, Addre and e el hoonee 1?- � •{';,y�... -`f_fl„�L.t_� �`���Y3r-/�i,�--ot..� � 1� y� � Ili CERTIFICATION STATEMENT J I certify that I have personally inspected the sewage disposal system at this address and that the information reported belov�, is true, accurate and complete as of the time of inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on-site sew e disposal systems. The system: Passes _ Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails Inspector's Si a ure: Date: >/ The System Inspector shall subma copy of this inspection report to the Approving Authority within thirty (30) days of completing this inspection. If the system is a shared system or has a design flogs of 10,000 gpd or greater, the inspector and.the system owner shall submit the repot to the appropriate regional office of the Department of Environmental Protection. The original should be sera; tL tr,u S\slem owner and copies sem to the buyer, if applicable and the appro�;ng au'hort). INSPECTION SUMMARY: Check A, B, C, or D. A) SYST PASSES: I have not found any information which indicates that the system violates any of the failure criteria as defined in 310 CMR 15.303. Any failure criteria not evaluated are indicated below. B) SYSTEM CONDITIONALLY PASSES: One or more system components need to be replaced or repaired. The system, upon completion of the replacement or repair, passes inspection. Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If"not determined", explain why not) The septic tank is metal, cracked, structurally unsound, shows substantial infiltration or exfiltration, or tank failure is imminent. The system will pass inspection if the existing septic tank is replaced with a conforming septic tank as approved by the Board of Health. (revised 8/i5/95) 1 One Winter Street • Boston, Massachusetts 02108 • FAX(617)556-1049 • Telephone(617)292-5500 ii Printed on Recycled Paper I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: C,,f Owner: \e Date of Inspection:. B] SYSTEM CONDITIONALLY PASSES (continued) Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. The system will pass inspection if(with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is levelled or,replaced _ The system required pumping more than four times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed C] FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health, safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: _ Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH (AND PUBLIC WATER SUPPLIER, IF APPROPRIATE) DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: 1 hP �\'�teni nay a septic tans: ana sou absorption System anu is withiii Gr tribuia ) tG a surface water suppl•' _ The systenri ha, a septic tank and soil absorption system and is within a Zone I of a public water supply well. _ The system has a septic tank and soil absorption system and is within 50 feet of a private water supply well. The s _ten has a septc p Y tan, and soil absorption system and is less than 100 feet but 50 feet or more from a private water supply well, unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm- D] SYSTEM FAILS: !/ I have determined that the system violates one or more of the following failure criteria as defined in 310 CMR 15.303. The basis for this determination is identified below. The Board of Health should be contacted to determine what will be necessary to correct the failure. Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. (revised 6/15/95) 2 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) ,,roperty Address: Owner: Date of Inspection: DJ SYSTEM FAILS (continued): Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. Liquid depth in cesspool is less than 6" below invert or available volume is less than 1/2 day flow. Required q pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped r� Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. Any portion of a cesspool or privy is within a Zone I of a public well. ,1 Any portion of a cesspool or privy is within 50 feet of a private water supply well. %I Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. E) LARGE SYSTEM FAILS: The following criteria apply to large systems in addition to the criteria above: .f AV The design flog•. of system is 10,000 gpd or greater (Large System) and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: the system is within 400 feet of a surface drinking water supply the system is v,ithin 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area (IWPA) or a mapped Zone II of a public water supply weli The owner or operator of any such system shall bring the system and facility into full compliance with the groundwater treatment program requirements of 314 CMR 5.00 and 6.00. Please consult the local regional office of the Department for further information. (revised 8/15/95) 3 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: i/� rl f /�/' 117. Owner: Date of Inspection: v r- Check if the following have been done: pumping information was requested of the owner, occupant, and Board of Health. None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates (during that period. Large vo umes of water have not been introduced into the system recently or as part of this inspection. y,s built plans have been obtained and examined. Note if they are not available with N/A. The facility or dwelling was inspected for signs of sewage back-up. fi The system does not receive non-sanitary or industrial waste flow (' The site was inspected for signs of breakout. ZIIT�e All system components, excluding the Soil Absorption System, have been located on the site. septic tank manholes were uncovered, opened, and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. r` /Theze and location of the Soil Absorption System on the site has been determined based on existing information or ximated by nun-intrusive methods. ov,ne-; were provided with information on the proper maintenance of Sub- Surface Disposal System. (revised 6/1-5/ES; 4 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: Owner: /t j�-,'✓b':iy Date of Inspection: FLOW CONDITIONS RESIDENTIAL:, Design flow: �_gallons Number of bedrooms: 00 Number of current residents: Garbage grinder (yes or no):�z Laundry connected to system (yes or no):� Seasonal use (yes or no):--7y "later meter readings, if available: Last date of occupancy: COMMERCIALIINDUSTRIAL: Type of establishment: Design flow: t allons/day Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)_ Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings, if available: Last date of occupancy: OTHER: (Describe) Last date of occupancy: GENERAL INFORMATION PUMPING RECORDS and source of information: ��f=��(rJ G System pumped as part o1 inspection: (yes or no)_ If yes, volume p0rrne; gallons Reason for pumping: TYPE OUX.STEM Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if.yes, attach previous inspection records, if any) Other (explain) APPROXIMATE AGE of all components, date installed (if known) and source of information: ��/ �%✓_� Sewage odors detected when arriving at the site: (yes or no)2 (revised 6/15/55) 5 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 'L ( i cc�) :e Tr Owner: Ove-\VJ�> Date of Inspection: SEPTIC TANK: (locate on site plan) Depth below grade:g Y T Material of construction: c5oncrete _metal_FRP _other(explain) Dimensions: il Sludge depth: ,+�` V Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness: /" Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: r� Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, etc.) ::-h GREASE TRAP: t�l (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP _othe-(explain) Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: D!st2nrc from bot!c­ to hnt!or`'' of ci t,!1Pt tpe or baliie Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakaee, etc.i (revised 8/_5/95) 6 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address Owner: f/ Date of Inspection: TIGHT OR HOLDING TANK:., / (locate on site plan) Depth below grade: Material of construction: _concrete _metal _FRP_other(explain) Dimensions Capacity: gallons Design flog,.: gallons/dav Alarm level: I Comments 'I (condition of inlet tee, condition of alarm and float switches, etc.) i DISTRIBUTION' BOX:V_ (locate on site plan` Depth of liquid level above outlet invert: Comments: (note li ievet and diSiriUUi.L,': c ru.�a , 2­UcnCc U: sv!,ii: Co,r�v'.e:, e�'idence of leakage Ir:;O Or out O, boy., etc.) C,��1,? 42 PUMP CHAMBER: (locate on site plan) Pumps in working order:(yes or no) Comments: (note condition of pump chamber, condition of pumps and appurtenances, etc.) (revised 8/1-5/95) 7 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: � ec ti� "f Owner: Al Date of Inspection:,. ` C . SOIL ABSORPTION SYSTEM (SAS):_ (locate on site plan, if possible; excavation not required, but may be approximated by non-intrusive methods) If not determined to be present, explain: Type: leaching pits, number: leaching chambers, number:_ leaching galleries, number: leaching trenches, number,length: leaching fields, number, dimensions: overflow cesspool, number: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation,etc.) v o 'n LTG t�i—4� r' CESSPOOLS: (locate on site plan) Number and configuration. Depth-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: indication of ground�%aic�. inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.)) PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.) (revised 8/1595) 8 / SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: Owner: Date of Inspection: SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' s 1 r DEPTH TO GROUNDWATER �(*yo a' ' Depth to groundwater: feet _ method of determination or approximation: 'a i �,Z �t T + �, Ck (revised 6/15/95) 9 lv A ION Lor 2 SEWAGE PERMIT� C T NO. ac'u . I e g t A. VILLAGE i , fy� INSTA LLER'S NAME ADDRESS A f Sops - 6,&Na#s M)"S- s UILDER OR OWNER ®nmlg&/ DATE PERMIT ISSUED ] ,?5 DAT E COMPLIANCE ISSUED 15 ( R� - ..74:::: . apO a Gh i O N '� C. # �7 � lGo LC (' a� S 7 too �I THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..........................................O F.................... Appliratiun for Mipaiial Workii Tunutratrtiun rrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: LCT Z_ Cku ;�...1� .....M: ...11ap....A,rLl(-C.... a !------_�.0C�.1.��.. ..._M.4�.: L a on-Address / - or Lot rN qeQ---- ----- - W �w��� B " � Address 71 `hr................�.. 5...................................................... Installer Address Q Type of Building q� Size Lot............................ q. feet Dwelling—No. of Bedrooms.._._.:_„��.� ...........................Expansion Attic ( ) Garbage Grinder (L_, -- � Other—Type of Building No. of persons.._.r-Z.................. Showers (�) — Cafeteria ( ) QOther fixtures ------------------------- ----------------------------------------------------------------------- _ = w Design Flow...............33-a)........_...___gallons per person per day. Total daily flow .......... __......__..gallons. , R; Septic Tank—Liquid capacity� > ..gallons Length_ '. .. Widthl��.Y.__ Diameter __ Depth '+'.__. Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area............__...._.sq. ft. Seepage Pit No....... ......... Diameter..__ __ D6pth below inlet.._4.-c'....... Total leaching area./s�?.'�...sq. ft. Z Other Distribution box (i�� Dosing tank ( ) Percolation Test ult Performed by----------•--------------•-----------••--••-• Date...` :712-"--.'•'V..-------- /r - ,� Test Pit4-TW ................minutes per inch Depth of Test Pit__�1___'. %.... Depth to ground water________________________ 44 Test Pit No. 2.....�),......minutes per inch Depth of Test Pit..A............. Depth to ground water........................ Q+' •---r-.--- ------. ................. .....>-------..---- •. ... ._...-•-- --------------•------•-------------•-------•--......-•-------••---- O Description of Soil---------------- -a...._�l��0.1p.......�����1 � tl �r � x w U Nature-of Repairs or Alterations—Answer when applicable............................................................................................... --------------------------•---------•-------------------------------------.............................-............................................................................................... Agreement: t The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL% 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beenAi 1ssued by t o• d of health. n/ 'Dr Application Approved By............... ................��:. '? .` �`? qq Le -< .... Date Application Disapproved for the following reasons---------------------•---------------------------------....---------------------------------------.............. ....................................................•-••••----------------•------------.....•-----•...---------•-----•••-••-----•-------•-•-----••-•------------•------••------------•-•-----•....-•--- Date PermitNo.______.........�.... -ram................................ Issued....................................................... QQ Date W�L L L.AMN FAT - .Y�� =INNS�i r4 L.L� — - THE COMMONWEALTH OP MASSACHUSETTS BOARD OF HEALTH ..................... .................._OF.......................................................................................... Appliratinn for Uiipmaal Work.6 Corm rnrtiou ami# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ......... ...- ... ............. ...•--... ---------- ..... ............ ---...... Location-Address or Lot No. ......................-........................................................................... .._.......--•........•-•...........••.........._.._........_.....................................- Owner Address -•-•-•-•----------------------------•----•^----••----------........_......•----•-•---.....-----.. ...•-•----•••-•-----------------•--------.._...............-•-•--••----........................... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.............................. .. .Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures -----------------------------•- . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length.............•.. Width---------------- Diameter_............. Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 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_--__---_-______---_---. Test Pit No. 2................minutes per inch Depth of Test Pit--------_........... Depth to ground water........................ �+ ---•--------------- ---------•--....--•--•-•----..............----------._..................._--•---........................................................ ODescription of Soil....................................................................................................................................................................... W U --------- •---------------------------- ----------- •----------------- •----------------------------------- •---------------------------------------------------------------- •------•------------------------ W U Nature 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'Iili LE 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. Signed...................................................................................... ................................ Date Application Approved By_____________� J:. '.-..........-- Y s �'��l-a..._.._............-•---.._... - &fl . Date Application Disapproved for the following reasons:-= = ----------------•--••-••......-•--•---••--•----••--•-•••-----••••••----••-•-•-•-----•---.......-•-•------I---...---••-•-••-••----•--•------------•-•------••--••-••-••••••-----••-----••......-••-•--•--- Date Permit No.----- '"�- „"=--------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... l! C�rrtifirtttr of Toutplittnre THI' IS X0 CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by............ .. .'........ --•------------•----...---•-••-----•-----------------------------•----••-•-----•--...-----•-----.........-•---•---......-----...•..----•------- _ Installer at has been installed in accordance with the provisions of T.1-T r 5 of The State Sanitary Code as described in the applicationfor Disp osai Works Construction Permit No_____________`�-`" ...S2-(I. d-ated........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTE THAT THE SYSTEMS WILL FrrUN TIO SATISFACTORY. DATE__..... l :_.� ... Inspector............ -. --••- .. THE COMMONWEALTH OF MASSACH ETTS Vv�� C � �� BOARD OF HEALTH 5`Url ...........................................OF..................................................................................... t No.- ............. r��....._..:v_.".. . isposal orkv �nntrnr�ian amit Permission is hereby granted........W__t__�,1, 5;.......................... ' to Construct ( ') or Repair ( ) an Individual Sew ge Disposal System , E at No.... t...cxl......?.-........ 3;zLa.L.. ri!e....... ......... ..._..-•------•--•---...-•---.._..:....... ............... Street ( f t! as shown on the application for pispos �%orks Construction Permit No� raSV Dated........____�__... _�.____............. ` a r 'k,., .................•.• ..................................... O Board of health DATE = l FORM 1255 HOBBS & WARREN; IN,C,:. PUBLISHES w.. t ^r. 4're sr, rm.Nr L' •. 'nay ing • a_ Carrier's {N9me Of CAr(iP l RECEIVED,subject to the classifications and tariffs in effect oft the t+err sna of the gill of Lading, at AVON, MASS. 02322 Q y 19 From USACHUSETTS ENGINEERING CO„ INC. the property described.below, vi apparent good order,except o•noted((content t ) s f :ootc.nts of ppackagges unknown),marked,consigned,and destined as indicated below, which said ter(the word carrier being understood throughout this contract As meaning and P of - C r ton in pnssesslon u(,the Property under the cnntrac t)ag a to c airy to its usual place of dehvrn a rtestination,if on its own route,otherwise to del f t i ,thr•r carrier -n th. n I t ,Ii J s i ,i it is mutually agreed,as to each carrier of ill er any of sn rd property over all or any portion ui nute to destinations and as to each party at any time i tterested in It T aI- �t [ th.r. : ice to Ae prrf t -1 hire n{r .halt r+• uhrrr.t I t terms. and conditions f the t o t Domestic Straight Bill f Lading set forth(I)in.Official,Southern,West and tl r. r ii[t 2,Ie i..Cahnn in effeet on the date thereof,if.his i. r:.+I or rail water shipnienl,or(2)in the appli ahlc carrier classification Or tariff if this is a motor carrier shipment. - Shipper hereby certifies that he is familiar with all the terms and conditions of If,said bill of lading, including those on the hack thereof, vet forth m the classification pr tariff.which goyero , transportation of this shipment,and the said terms and conditions are hereby agreed to by the shipper and accepted for himself and his ar.s,ge,. Consigned to South Shore Heating & Cooling, c/o Mr. Meinken {Matt or street address at consignee--For purposes of notification o­yv) Destination Marstons Mills MA Delivery ' -------___—_- ------- State _ _. �_! .___ _--.._.County -__----Address �t *To be filled in only when shipper desires and governing tariffs provide for delivery thnreci ' Route_ ,Cedar Tree Neck ' Road *Attn: Daven ort Bld9' -- - -- - --- p - --- Prince Cove Delivering Carrier_ _--_Car or '„ehicle Initials____. No. - - Kind of Package.Description of Articles,Sp.. al WEIGt+7 9Class Check Subject to Section 7 of Conditions of tSuD act to ) PA es - ` - Marks:and Exceptions Correerionl or Rate Column applicable bill oflading,ifthis shipment is to be delivered to the consignee without rermirac 1000 gallon UG tank on the consignor,the consignor shall sign the 9 following state ent 48 rite., The carrier shmall not.make delivery of thin — shipment without payment of freight and nil -- "— other lawful charges. ----l (Signature of Consignor)-G a e Stick ____ - I(charRe!n are to be Prepaid,write nr v!nmp here:"To be Prepaid.. STI - P3 Protective s stem -- ---.---.-------. 1 Set Installation Instructions to apply in prepayment of the charges nr. ,. - ---_ - - �� -- --- ---------- property described heron. ' FO taps one 5': & three 2%" l � u Agent or Cashier Per (T,c signature nature here ack—n—owld h _ 8318 amount prepaid.) *If the shipment moves between two ports by a carrier.by water,the law requires thot th. hill of lading shall state whether it is carrier's or shippers Charges Advim ed. weight. -c - NOTE—Where the rate in dependent on value shippers are requited to state spe66cn!ly in writing the agreed or declared value of the pr.,pf•rty ' The agreed or declared value of the property is hereby specifically stated,by the shipper to he not ekeeeding —r'nr ys 4 x_ air ...,...• F 1 �.. _. - f pe p� tln lieu ep, nle ,ail t77iefibrelroareetuedfarthis4hipmeattegahformbt&especifita4aaut tloYfhintheboxmakera'certiR er Otherregturementeofthe -- fBil ofLadinnaprovedbythelntorm(rite neolidated AYeighLCGssifioatlon. Commerce Commission. { MASSACNOS(TTS—ENCINEEUNI CO., INC_�_.Shipper, Pef._ Agent. Per ----.----- � AVON MASS 02322 Permanent post-offtee address of shipper„_._�_ ----"_�_____.._ y WilsonJones ip ia•a•Oe1NrEa iN V.:.N.ev 1 - cPPvuNe roe,.was rro+ar - �— - --_ - .•,.v.:•ww.+g,9n. '-,•..a:rm,. -...•r-.,,_....:-•+>u®+m•..ewc�'s.,.m..z:.as_^.+nc+xr.:ax---.....,...-•:.,..,. �,.,...._..�frtxiahnz,-.. TOWN OF BARNSTABLE• - UNDERGROUND FUEL ANDCHEMICAL STORAGE REGISdRATION OWNER AND INSTALLER INFORMATION j ADDRESS: FIB?r 41 �n �1 MAP NO. (2 PARCEL NO. OWNER NAME: A VILLAGE: I Ae_:�'ra)_ MILL(_. INSTALLATION DATE: \TPV BY: f1 R'' ADDRESS: 6- Gcrf f X,s °6+ 16 ,/s' w�l r t CERT. NO ~ � TANK INFORMATION LOCATION OF TANK: &Crx �� G t CAPACITY )C) f) TYPE S T I"' �P3 AGE ` <5FUEL/CHEMICAL TESTING CERTIFICA-T/ION C I PASS C I FAIL DATE LEAK DETECTION Cy] CHECK IF N/A TYPE/BRAND ! ZONE .OF CONTRIBUTION:. C ],YES C7 NO DATE, TO BE REMOVED. ?g * v�'rNFIRE DEPT. PERMIT ISSUED C ]� YES C I NO DATE +� r 7- ' 6 ' LUNSERVAiION ICHECK-:LF N/A DATE BOARD OF HEALTH TAG NO. ]C ]C ]C ] DATE ,/ 16*1 7 PLEASE PROVIDE A. SKETCH SHOWING THE TANK LOCATION ON T E BACK OF THIS CARD CENTERVILLE - OSTERVILLE FIRE DEPARTMENT PERMIT FOR 'STORAGE OF FUEL OIL In accordance with provisions of Chapter 148, G. L., and Regulations made under authority thereof. Name .........Meinken......................... Name ... He.ating........ (owner or occupant) (Installer) Address 45..Cedar„Tree..Ne.ck.,R4ddress ....5.7....WhI e,s..Path.,, Burner Storage Make Beckett....................... Type of Tank .......ST.l..-P3 .................... Manufacturer .......BP.Qktt............... Capacity ... Q.Q gals. (or) Size............ Model No. or Size AT Location ....Underground .............................................. Type.......C?L121......... Mass. Approval No. ................. 1- Chief J.M.Farrin ton Permit Issued .....`. ... -i.................... ............................................g...:............... (He of Firee Department .............................................................. By ..f , C ............. (THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES) TOWN OF BARNSTABLE 1 UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS ASSESSORS MAP N0. 1�) PARCEL N0. I� c3 ADDRESS. f.(✓ / �� crsuk , ljcc/< )W VILLAGE' I�' OZ CONTACT PERSON PHONE NUMBER LOCATION OF -�'r�n . Ale- CAPACITY: .TYPE OF FUEL. AGE: TYPE: LEAK f� OR CHEMICAL: DETECTION PoMie J'r c)� /DDT a ' ;� v4s , L SYSTEM — a! Z_ DATE OF PURCHASE OF. EACH: 1. 2. 3. 4. 5. DATE OF FIRE DEPARTMENT PERMIT: ips TESTING CERTIFICATION SUBMITTED: i- PASSED� DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING TIIE LOCATION OF TANKS ON THE BACK OF THIS CARD. n� vil 7 a . _ � fp01..4 —,etd— U1 G' ,` .. Y _._ ' ` - �; � i � ♦ 1 !� 1 ' �I , � S '` TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME � F//1l /.:/V a ADDRESS Afd&2 rfi .g A10CIA A& VILLAGE M�Toh� LOCATION OF TANKS: CAPACITY: TYPE-OF FUEL AGE: TYPE: OR CHEMICAL U� AA glow A101 li/ SZ-1 -f3 ®,vT 4 y 19Z y.ticT elo 0 2 (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 1 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS APPROVED a D+arastable Conservation Commm Bel a c/ Sim Dato APPROVED BOARD OF HEALTH TOWN OF BA STABLE ®ate f/ �5 � f � A 1319 B&c an Succs SYitc 3 BwoU=,AU 02116 T&p1muc 617-122-0952 F-mitmlc 617-1224)962 Y H ;-e 4=ej I Ir-cr 4 d 4=6)• Ostmille,XIA Celepha¢ 0-06 F1:AWU 508-1229 I I —Acmduclluu,.cam II I j1 O s p ------------- --------- ————— ———————— ————— I ' + PERMIT SET -- I------ ---------- 1 I TUB I 1 O Ig CD Y y I I b I L © I B17Y 6DIC1 I I __ 1 rFr town Q.7777 w I - V TI lotl I , ® OSTOhl, ?/` al Z Y b M*sa- rumor OQ +4 DWDDu ' / \ •� — — — I — '' 0_ cam` RULI OF I — — — — I 11 . xs6r ne}a ® I 1 P ET CD I u 0 I I I/YNorr! I 1La8v Oae ➢Q.�ivs 8-r 4,w I *-ar ' 4'BT 4''V 4!C o 1 I 1 I e S Y-V 4=C 7•It C3 I , I 1 Dtt5T. ��� I I I - IYs.ebs:Ea�sB�aoda - 1 I 4 Chariton Residence 45 Cedar Tree Neck Rd Marstons Mills,MA , i r-- ��+ I PROPOSM SEOOND FLOOR PLAN I L--- 1 D-�±RQPOSEDj SECOND FLOOR PLAN 1 u+�rr .- m11170D0 � It 7-„F r-,T �. ,�sl' �' �y*'1` X ac 83>. ����n�� ,s•^� r Is 1319 Dcean Swz1 Sui,c 3 Brook li,u,AN 02.1.16 ——— Tcicplmm 617-122-0952 —� ——, Fmito3e 617-1224M Tclep1m k t CD 50812i1S29G " ]IrHaCM. o Sul ,m1 �, b, PERMIT S E T 119 , &VI ® ' L fl', ' CID _ -O N/RMWR,lfiAT to r su ON 6 11 PRBPLL:FD 0 s ww . Dam, ED ARC a uTwc AREA I I 5 %.� PRBPo E �r ROOu RDIY.1, 1 I t1 I I } �10, 0�1. D(JC'. a' 1-', " I IIIacI I y G --------- I I _J L_---_ f— Ir--------1 i------- II 'R" Y o N aE O BURNER RIDCK I I OF td` s" � rr=a rAa I 1 i t 1 I ><Bau I RtOR'Rwu IFR MALLS k>' V. C U_-_ a ON _ I I µ�N 1 I ' CEaaIB 0 -- - _ A u �2z --— ---- --—- --- �4 R—"s�_—_I ----+a-- _ 1 1 cArtut g B II rs S 1 I I I I PROPOSED M Dimou FOLCH 1I II � � II +, it CD _ .n '--�L---jL_-j,—_-jL__j N O F-" p IQI'�1 Ots,�e rrtar nmN I I I i ; 1B O I Ss E STBIE Tut W/RMWIT NEAT I I ,O tld b 14 T 1 � — -- — 1 N BUZT BI K PST l� mm — ' ---- -ZC- ---- >r rim I , v6nRu� (A) — — — ——— Rere+�+++• NEWON >a 1 TT.0 17 REM MOOD � _Haty Iht wou D. rRD. ro ,= R 7•C s� its' \PROPOSED F'TRST FLOOR PLAN �� SQALU V4' — T-7 Charlton Residence ' 45 Cedar Tree.Neck Rd , — — — — Marston.Mills,MA I I - ; I I � — �IEW TRAY cT]IB,6 I I MJL PROPOS® j ' I I HUTFLOORPLAN 0 1 I ~ 1 I FAUZY I I I - . - 1 1 III Brra L------------------1 mlmnm f • f a 1 Of 3 J c W Q ;••C m Ln-T cr � 13,E Zs t1 vj j N 00, S 3:1 h NLI ir 1 i � t nt j Z jfaT� :A35of-7 lo7- 4 R �� t T 6,E E. Tv ry —3 y/A •t.7 r 1 1 1 r; Lo S ,_ CERTIFIED PLOT PLAN Z /G "G �..-- a % Z �q- 6 �,.,,. ^,�-:;'TUB✓ Nii��s �. 1N is " G�e7i s D/t Or Gonry naN S ff SE 3- 6 6 Z. SCALE, "=40 ' DATE -71 1,�s �.tDa! Dk E ENGINgKVYa cO.�N BE2fzy 1N OF I CEFY THAT T T'nci,�� 77a,J RTI HE E®l3TERED k i E Cl.{Ek6'T F$ O ST SHOWN ON THIS PLAN IS LOCATED` RED -�7 ROBERT CIVIL LAND J011 NO' g• QN THE GROUND AS INDICATED AND �f -0 ELDRF'DGE CONFORMS TO THE ZONING . LAWS i ENGINEER SURVEYOR DR.®Y,'—..,�.,,.... No. 19367 . o o OF $�r1Ns7�34 MASS. 712 �1 A 1 N 9 Tfl E ET C:K oY� .,�, f�lsTtR`�°� ,s ` HYANRIS, MASS,. SHEET.LOF A E EO. .LAND SURVEYOR .� _ ,�' 1 4 i � .. � - � r I ' i � i ¢ � . - - -' r h c .. A�,',, .' :..:.. ., � , ,t„�....s..v::.,_,......,::n.+w.u..e.'r•rs.?,..-..«,.;.,::a�.....x Y.'' `q' --�.-;;r• . . ... _ ..�. - Y + r W V t ,fit•, 3 ,� L�L1 fF � /Irt 1�/'.�• i , _ .. .. ._._ s..r�,t� � o••<� 'I rr. r''�..., ... _ Ar'.- ». e,. k s .. .. i.. , pun n rr t i, •, 4 � ,r ' _- : .�..�'i a' y�'L� .' � r, ..�,. i "X'...f',4,+"t_' ,i � x.r . n•V '/, `7 - a y .. - .e.".i`'^} •'-`. .. -S. yam.. __ «- _ - .,-eW `.i � r � �y,M � ..x'q'ti� �', f r€, l�^ '�"' �y • ��r � �p J.. .,,. - , -.. a TIQ A •' 1.. C't'7A.Jr4 ,f{���_il'^� , _,...« _.....«, ..I �.p� ,r 4 _ im r .y I,� .' 1 ,... �! !�yf'fGfi '4y`•R" `15•f:'. -v , } FrT'�f r ,f•; k:. ri n 7.`� I w •'.:... .y ,{.• i:. tft _.,P. `A` La, < PAD r t . 7 r. -fi' t ,,r , 113 „ . z ' - � f r•'• .dad/ J`'f�j'T`,�p� ',.:.'t.. . ;�. i,.W'. �'� ."'«'T`�. ` r .; K %�s r,''':,'t f � ; J3"• ,r'.r• _ C.'.., -- �, i ^ > �a�.;:...s��i....�•�.'a`{,,,,'' i.•:f`/. :air'.. { �,t !G:"�`/ d' - U ` ,. . a 4 - ' MAC-:r -Wm: .r,r.� 4- - -m7a an LL � tn`.r.,i� T°`r3ti. .• '. ',i t j-#. Z,.,.� �t�•E^� ''�'p`"^i �'7 r ! 7...., r _ . i I j. �T:.1 ,-.:t G. ,z -;.-;^j •,,Y �:.-�".:C'o-y .:..,.�.•-^` :�<�v �....I,.. � � _ .. . ;:f:� _. h'� p� .. h r - r t ` � f '�g�r �-�T- 110 '" "r'#/ Ct} ': � � �• 4.� =:- �. . ••.ram'„-_ ., ;`..-' /.' -. -, _.. _._.. - � t ..-,.. r s ��QG..' /�L�a fJtvf , z , _ - J s' .. j to , qj : r � ^ �a 49 • Y r-.. _.. �'-' -r s ".....� -. ,�' t ..��•� � .., F' 1�C:r!: !' <...w'...z'c'•'r.. �,.+ -- a��_yw_ r t �....- ,* �.,�•- Ira ±,�,�...-.--• � v , i. :. _:' � ., � .. , I_,. � :.., v .A � ....,...T^-^"'. �,�,.�,.,� .. r � mil; •,w"-".5,.:�•^«' _ '. , r r r i r^ y e ^ 1 r' , , r .. T " s T w , rTf r t rr' . , . n 4 r 1 ' -• , y S.r:. E � t = _ + yjam e ; Ism r ; •dot""�..°z",,. 'f�` .-,.. . ,