HomeMy WebLinkAbout0111 GOOSEBERRY LANE - Health �� o�eberry Lane
102-064 Marstons Mills
6c
TOWN OF BARNSTABLE
L=OCATION /// �oos,,'l�,r`'y LqWg- SEWAGE # 0 G 3 yyy
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VILLAGE ASSESSOR'S gMAP & LOT
INSTALLER'S NAME&PHONE NO. .-T-08-e120-9738 ✓oScp� U�l��p��s
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) -SOUC(���J'i;/�f" (size)
NO.OFBEDROOMS 'eP 1V;.v0ll����►�OIv
BUILDER OR OWNER Ilea'A51-> ��fcvay
PERMITDATE: 2 116' -O5 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 of leaching facili ) ,/f Feet
Furnished by 1�l�Uri J
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No. Fee
j Y THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
0(ppYication for 30iopooal *?stem Cougtruction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) O Complete System El Individual Components
Location Address or Lot No. J® t Goo,.C, )XQ,"ZI Owner's Name,Address and Tel.No.
Assessor's Map/Parcel . D 1 ��1 `� \ e� /v����� /f �/►C��vJj�"C� �l!//✓ S
Installer's Name,Address,and Tel.No. j fj6-ee2,9 Designer's Name,Address and Tel.No.
t ti o r�
Type of Building:
Dwelling No.of Bedrooms ! Lot Size O 006 sq.ft. Garbage Grinder( )
Other 1 pe of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow 3 gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
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 Envi on a al Code and not to 1 e the system in operation until a Certifi-
cate of Compliance has been issue this Bo o _ .—
Signed - Date 3 ��
Application Approved by Date
Application Disapproved for the following reasons `
Permit No. 5 Date Issued 10, U
^1, � -t � Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS
Z(pplication fo'r Oilpo5al *pgtem Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) 13 Complete System ❑Individual Components
Location Address or Lot No. �6�y� ' r oc S p �?P i`� Owner's Name,Address and Tel.No. II y
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No.>rfj�_ cr2 p_�7��' Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size bG0 sq. ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow �"� d gallons per day. Calculated daily flow 3 d gallons.
Plan Date Number of sheets Revision Date
Title i
�Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) -^r'\
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 Envi onme tal Code and not to lace the system in operation until a Certifi-
cate of Compliance has been issued by this Bo 60 1
Signed ! t Date 4-
'Application Approved by Date 10
Application Disapproved for the following reasons
O
Permit No. �Ci " U(� Date Issued r r
THE COMMONWEALTH OF MASSACHUSETTS
= r. a BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( )
Abandoned( )by Z4`" ; a ,c
at ,,<. V has been constructed in accordance
with the provisions of Title 5 and the for Disposal-System Construction Permit No. —0 dated
Installer 6seal, 126,4��< Designer � v
The issuance of this permit shall not be construed as a guarantee that the system fu l ti n as designed.
Date '� � --- Inspector _.
Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE,, MASSACHUSETTS
li5po!6a[ 6petem Con!5tructiott ertuit
Permission is hereby granted to Construct(�Repair( )Upgrade( )Abandon( )
System located at `� <<->✓c�S p
i 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 t�ofhissppe,
Date:__W Approved
Bk 19504 Pa184 47751
02-04-2005 ar 02:53a
-- restriction document.
DEED RESTRICTION
WHEREAS, .T- l^-� of
(owners na e)
-tl3e/ hv/'�! 0,25 0,� 6 `/f MA .
(address)
V, is the owner of 6tJ P��"". 61`' c located
at Lf (ad�!j�
MA(hereinafter referred to as
and being show on a Ian entitled "Subdivision of Land i
;l7j plan
Property of,�,d
,
et al, duly recorded in Barnstable County Registry
of
Deeds in Plan Book �, t 3 — , Page
Or on Land Court Plan Number
--q
WHEREAS, ,p_, li � 1` as the owner of said lot has
(ow er's name)
agreed with the Town of Barnstable Board of Health to a restriction as to the
number of bedrooms which can be included in any home.built on said lot as a
pre-condition to obtaining a disposal works construction permit in compliance..
with 310 CMR 15.000 State Environmental Code, Title V;•Minimum
Requirements for the Subsurface Disposal of Sanitary Sewage;
WHEREAS,the Town of Barnstable Board of Health, as a pre-condition to
granting a disposal works construction permit for a septic system in compliance
with 310 CMR 15.200, State Environmental Code, Title Va Minimum
Requirements for the Subsurface Disposal of Sanitary Sewage, and authorizing
the issuance of a building permit for the construction of-a single family home on
this property, is requiring that the agreement for the restriction on the number of
bedrooms in any house constructed on the lot be put on record with the
Barnstable County Registry of Deeds by recording this document,
aftdr
Bk 19504 Pg 185 #7751
NOW, THEREFORE, ���n-1 C.tX / does hereby place the.
' (owners name)
following restriction on his above-referenced land in accordance with his
agraftmenS.witbAbe.Towa.of Health, whieh restAetien-shalt
run with the land and be binding upon all.successors in title:
1. r) rI :. GS may have constructed
(a teas)
u t ` ontaining no more
than ) bedrooms.0
t agrees that this shall be-permanent deed . .
(owners name)
restriction affecting elf located on '<<-�7 fly 1141P-4'4Ji4 MA, and
being shown on the plan recorded in Plan Book ova. , Paged .;d,z_.
Or on Land Court Plan
For title of see the following deed: BookL 9 t5q—, Page
_ -110 _. Or Land Court Certificate of Title Number
Executed as a al d 1 str ment `l day of _ �"�
Owner's signature
I
Owner's signatu e
Owner's signature
COMMONWEALTH OF MASSACHUSETTS
. es
��6.euc,u•, ��_., 20 a Q5
Then personally appeared the above-named
known to me to be the person who executed the foregoing instrument and
acknowledged
the same to be h,4 free act and deed,
before me,
Notary
Public
My commission expires:
N 1.
4��:••• •QAy (BAH L. BRYANT
�01sctoy=.. NOTARY PUBLIC
FGNS � Y ,•� comm inveaNh of Massachusetts
✓o `1-
9�e�F � �A My commission Expires
O 0��+ }� January tz,2012
tywe
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Town of Barnstable
Regulatory Services
• sxrwsr►si.�, •
Thomas F. Geiler, Director
';n. ���' Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: JUI7 2�, ?,Od5
Designer: 4 ��' Co Installer:
Sly re�l9-�yvS
Address: C ( Address: /
cq4..c,�+ mA-
On q —/G O 5 �10.sr.eh 9_e, 5 was issued a permit to install a
(date) —T (installer)
septic system at (26!zSEb-et t Y L—t based on a design drawn by
(address)
(0uff C411Wwf k� dated_Dec 2. 2-00+
(designer)
V I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component
of the septic system) but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow.
��, ort4z sgcy
DAVID
D.
( staller's Signature)- COUGHANOWIR N
No. 1093
S T ERGO
(Designer's Signature) ) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL 'BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Health/Septic/Designer Certification Form
„,..,,,,.s- -'-'r -�. .r�..�'.:{Y�.Ml^^-rr'*.*-+•.nd^y,.r.,r.'}.ri�,`!ry!"T-r+�+)f.•S,� 7 i� '�-.. ,.",.^Sy „` �.,�
TOWN OF BARNSTABLE BAR—W 3999
Ordinance or Regulation /
WARNING NOTICE
l6
Name of Offender/Ma erger Al
ioti% U� r, � ,
Address of Offender 15 a7 Q_ �, i, MV/MB Reg.#
V,inlnlrag,--/St ate/Zip �_ ,
Business. Name '7”. am-/ rn,; on "�_ A 20t2t
Business Address � � ., _�
Signature of—tn- forcing` Offi` c r
Village
P
Location of Offense C ),)C)_4,,r%.4 Lyi 'm "
Enforcing Dept/Division
Offense t 1%, <0..ric-0 :r� QaQ It O'A c rcip-S cp1Fi
Facts '3i ' ."�" i _ t h �3f'1 <�)YN
Vw�xy\A- v clones U .
This will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
t
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
SOIL TEST LOG DESIGN CALCULATIONS.
DATE OF . TEST: NOVEMBER 8. 2004 `.
SOIL EVALUATOR: DAVID D. COUGHANOWR. RS DESIGN FLOW: I BEDROOM X 110 GPD 110 GPD
WITNESSED BY: DAVID STANTON. HEALTH AGENT
SEPTIC TANK: 110 GPD X 2 DAYS - 220 GALLONS
NO GROUNDWATER ENCOUNTERED
TEST PIT I PER PARENT
MA ERIA 2 PROGLACIAL
N C SOWASH INSTALL 1500 GALLON SEPTIC TANK (MINIMUM ALLOWED)
ELEVATION - 93.60 •- DISTRIBUTION BOX: USE 3 OUTLET D-BOX.
DDEEPPTTEHS)1.HORIZON USDATEXT SO ( OL CLLOR SOIL MOTTLING OTHER SOIL ABSORBTION SYSTEM: A 24 ft x 12.5 ft x 2 ft LEACHING GALLERY CAN LEACH
ONCHAbot - ( 24 x 12.5 ) - 300 sf
0-8 Ap SANDY LOAM 10 YR 3/2 NONE FRIABLE A s d w - ( 24 + 24 - 12.5 - 12.5 ) x 2 - 146 s f
Atot - 446 sf
8-36 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE V t 0.74 x 446 - 330.04 G P ID
36-138 C MEDIUM SAND 10 YR 6/3 NONE LOOSE USE A 24 ft x 12.5 ft x 2 ft GALLERY. Vt - 330.04 GPD > 110 GPD REQUIRED
'7O� 1 NO GROUNDWATER ENCOUNTERED
TEST PIT 2 2AR ENT N/ NCH IN MATERIAL
SOILS GLACIAL OUTWASH
ELEVATION - 93.90 r
PTH SOIL USDA SOIL SOIL COLOR SOIL OTHER
CHES) HORIZON TEXTURE "UNSELL) MOTTLINGLEACHING GALLERY
-9 Ap SANDY LOAM 10 YR 2/2 NONE FRIABLE GROUMWATER ADJVSTNENT CONSTRUCTION DETAIL
9-38 Bw LOAMY SAND 10 YR 5/6 NONE FRIABLE YWELL UNIT
EXISTING GROUNDWATER LEVEL a•-6-x W-10'x 2•-9- STONE
38-123 C MEDIUM SAND 10 YR 5/4 NONE LOOSE BASED ON TOWN OF BARBSTABLE 2 ti EFF. DEPTH
GIS DEPARTMENT RECORDS. 24.0 ft
INDICATED GW 42.00
INDEX WELL SDW-253
ZONE B
READING DATE OCT. 2004 ` F Ln
READING 51.5 N ,n c4
ADJUSTMENT 5.7 ni
ADJUSTED GW 47.7
ih
NO
T E
S 3.5 8.5' 8.5-I24.0 ft NOT TO
SCALE
1) GARBAGE GRINDER NOT ALLOWED WITH THIS DESIGN
2) ALL LINES TO BE SCH 40 PVC AND PITCH AT 1/8 INCH PER FOOT MINIMUM.
3) ALL COMPONENTS INSTALLED SHALL MEET THE MINIMUM REOUIREMENTS
OF MASSACHUSETTS TITLE 5 SEPTIC CODE (310 CMR 15)
4) INSTALLER TO VERIFY LOCATIONS OF ALL UNDERGROUND UTILITIES
BEFORE EXCAVATING FOR SYSTEM.
6) ALL STONE TO BE DOUBLE WASHED AND FREE- OF- IRON. FINES AND DUST IN PLACE SEWAGE DISPOSAL SYSTEM PLAN
7) LINES EXITING D-BOX TO RUN LEVEL FOR 2'-0' BEFORE PITCHING DOWN -TO SERVE EXISTING DWELLING
8) E AND APPLIANCES• AND BIANNUAL M UMPIINGHOFINTHE- SEPTIC•TANK OF OW FLOW FIXTURES R O B E R T E D W A R D S
9) SYSTEM IS NOT DESIGNED TO WITHSTAND VEHICULAR 'LOADING. DO NOT III GOOSEBERRY LANE MARSTONS MILLS. MA
PARK OR DRIVE VEHICLES OVER SEPTIC,-SYSTEM. . ;, r
10) INSTALLER TO OBTAIN DISPOSAL WORKS PERMIT .BEFORE STARTING WORK. ECO-TECH ENVIRONMENTAL
II) SEPTIC TANKS SHALL BE INSTALLED LEVEL AND TRUE TO GRADE ON A LEVEL 43 TRIANGLE CIRCLE SANDWICH MA 02563
STABLE -BASE THAT HAS BEEN MECHANICALLY COMPACTED AND ON TO WHICH
SIX INCHES OF CRUSHED. STONE HAS BEEN PLACED TO MINIMIZE UNEVEN SETTLING
C I C-10`i-t IV zo LVV`f L'/ L
PLAN REFERENCE CONTOURS MARSTOt4S MILLS. MA
w
z = PLAN BOOK 138 PAGE 25 EXISTING - - - - - - - 70 N �
=w ASSESSOR'S MAP: 102 FINAL 70
IL wQ LOT: 64 Locus
oN
te
�zo QQ
OOWIX
<o o
�W OOY
m H H # RESERVE AREA 92 °J
M M �•
93 ' 2 LAKESIDE DRIVE
o 94 100.00 {t 91 m
Q
G) LOCUS—MAP
LOT 42 l Sn 0
woo 24ftx12.5ftx2ft ��
AREA - 10775 s +- IV NOT TO SCALE
r LEACHING GALLERY I O
Z
-
N N J = W W I 90
r 1
(� o 111.5 r
w
Z N
c� w LEGEND N
Z a
2 w x N -
1500 GALLON
w
SEPTIC TANK 1
V
J
� � 12-0
J V
0 OC D-BOX O TP-1 ATER LMJE T
Q o a L N TEST PIT ® 'Ti1 )
m —�
W LL o DRAIN w' O v
p LL u wIli l n-o Z
TREE O
U w z w Q '-I
_ 0 m -WNSER RB�ERS TO LYAMETER IB-P p I I If
Q o-0�An�rPLE P-PINE TYPE p � Q I)R/ W Y ® 1
a � 1
BENCH MARK I�
W _
J Z TOP OF SPIKE IN TREE —
z w � Z ELEVATION - 96.88 — {t 1 0 ft 91 90
LL zw m J � USGS DATUM ASSUMED 94 93 100
a J z SEWAGE DISPOSAL SYSTEM PLAN
o LL I,, — -TO SERVE EXISTING DW_ELLINGe
F— F
L_L_ Z cn Q 4ZH MASS x
O C
c Q
� _ w � ti ;:ROB�RT EDWARDS *
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VI DA D
Q tO
F
o _ PLAN
o D. - III. GOOSEBERRY LANE MARSTONS MILLS. MA
3-P LL No.COUG �093- ECO TECH ENVIRONMENTAL
LL 1
�_ SCALE: 1 in = 20 ft PFGi, TE 1�-S 43 TRIANGLE CIRCLE SANDWICH MA 0256
O N o'
H
o o _ _ 508 364-0894
u(s� ETE-1844 DEC 23. 2004 B I/2
THIS PLAN IS TO BE CONSIDERED A DRAFT PLAN UNLESS IT
BEARS THE STAMP AND SIGNATURE OF THE DESIGN ENGINEER
ORIGINAL PLANS INTENDED FOR SUBMITTAL TO.THE BOARD
OF HEALTH WLL BE SIGNED 'IN BLUE AND STAMPED IN RED.