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Home My WebLink About0134 GOOSEBERRY LANE - Health 134 Gooseberry Lane Marstons Mills A = 102 067 T T - / �I TOWN OF BARNSTABLE EL LOCAYIC 1V' l 3 N ('y6 n irk A2- ,s2 V lA ln/C— SEWAGE # QQQ f' 7 4 c� VILLAGE tM 6 1`.,_ASSESSOR'S MAP & LOT t 0 a -06-7 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 21!44 y-c t S (size) /7 X A) 2J NO.OF BEDROOMS H - o BUILDER OR OWNER g D k 2 PERMIT DATE: W i i I A 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 facility) Feet Furnished by CYAIZ 6- c 94 a 0 ' 33' l 0 No. Fee 5 0 . THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pprication for ;0fgpoga1 Opgtem Congtruction Permit Application for a Permit to Construct( )Repair( )0 Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 134 Gooseberry t e,M r ons Mills Richard .Adler Assessor's Map/Parcel Installer's Name,Address,and el.No. I Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service Daniel Johnson P 0-box 108.9, - Centerville 804 Main St. , Osterville Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( ) Other TI pe of Buildingig P s i d en t i a 1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 440 gallons per day. Calculated daily flow gallons. Plan Date 1 2—5—01 Number of sheets 1 Revision Date Title a„bs - fa spawage disposal system Size of Septic Tank Type of S.A.S. Description of Soil gravely c-nargP aanrl Nature of Repairs or Alterations(Answer when applicable) r r 1 a c-A f a i 1 P 8 G a with 4 leaching drywells ( 40 'L X 12 ' W2' H ) 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this BQA of He Signed ` Date Application Approved by Date Application Disapproved for the following reas Permit No Date Issued No. _ FeeQ 5 0 r., L wdV// THE COMMONWEALTH OF MASSACHUSETTS i Entered in compute es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS , ZIpprication for Mioozaf bpgtem Conotruction Permit Application for a Permit to Construct( )Repair( Xj Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 134 Gooseberry ane,MMars ons Mills Richard Adler ' Assessor's Map/Parcel / C�UJ Installer's Name,Address,and el.No. Designer's Name,Address and Tel.No. Wm. E. Robins(ho Septic Service Daniel Johnson P O box 10899,C®nterville 804 Main St. , Ostervill@ Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building R es i dent i a l- No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 440 gallons per day. Calculated daily flow gallons. Plan Date 1 2—5—01 Numbei of sheets 1 Revision Date Title Subsurface sewage dii spnnal system Size of Septic Tank Type of S.A.S. Description of Soil gravely coarse sand Nature of Repairs or Alterations(Answer when applicable) replace failed sas with 4 leaching drywells ( 40'L X 12' W2'H ) 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Bo d of Signed Hea /l Date 1A Application Approved by a Date Application Disapproved for the following reas v Permit No. _..,Date Issued f THE COMMONWEALTH OF MASSACHUS ETTS ' BARNSTAQLI,aVIA;SSACCHUSETT�, 5 --> Adler Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired (X )Upgraded( ) Abandoned( )by Wm E Rohi nson Sent i r SArvi r•A at 134 Gooseberry Lane, Marstons Mills has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Wm. E. Robinson Sr. Designer Daniel Johnson The issuance of Is pe t shall not be construed as a guarantee that the system will nction as designed. Date 0 ()�/ 1 2 Inspector 1___li��r 4j No. �7 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Adler Migpo5al *psStem Construction Permit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) System located at 134 Gooseberry Lane, Marstons Mills 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:Constru Von ust a corn leted within three years of the date of th'_ pe t. r Date: Approved by _ N9 ! TOWN OF BARNSTABLE EL LOCATION J 3 q (!;� C5 6:—LC ' j d4 at/� SEWAGE # _ C1C� ' 7 4 a VII.LAGE ltil �► ,�!I 6/� ASSESSOR'S MAP &"LOT L2 -4 7 INSTALLER'S NAME&PHONE NO. I\C h it0 5 0 tJ 2'7 S-2 7 7 C SEPTIC TANK CAPACITY 4, o 00 LEACHING FACILITY: (type) 7�et/ ((s ---� (size) J7 k r�X'�`_ . NO.OF BEDROOMS BUILDER OR OWNER IgDIb� PERMIT DATE: 1'L_ / � COMPLIANCE DATE: i" ! a-�;- 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 facility) Feet Furnished by �At4A 3V 0 0 �j 5/Z5/0 t NOTICE: This Forms Is To Be Used For the Repair Of Failed Septic Systems Only. PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, 4>4iVIE certify that the engineered plan signed by me dated 4-2-ldo/ , concerning the property located at meets all of the - following criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. The bottom of the proposed leaching facility will not be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface elevation (using GIS information) 90 B) G.W. Elevation 4 t. +adjustment for high G.W. DIFFERENCE BETWEEN A and B SIGNED A-4 DATE: -/S"�r�/ NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. a q:heilth folder.percexmp el L-, #i� Ly0 CA'T 10Nf SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME & ADDRESS �y 1BU`ILDEIII OR OWNER A .L a l/� GATE PERMIT ISSUED DAT E COMPLIANCE ISSUED s AU196 �cmD drop y--TOTAL- ,�1 t I. Tit U y l J �3 L ate`"' No..82-... _ Fims............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town oF...........Barnstable ...............................................•--..........._•------- ApplirFation for Dhipaii al Works Tomitrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 1 Gooseberry_,Lanes Marstons Mills=_MA .. 02648 Location-Address or, o. Anthony-M. Cannsta----------------•--------------_------------------------ 134 Gooseberry Lane, rstons Mills, MA 02648 ....--... ----------------•-•--. ........... ._........... ................. W A & B Cesspool Servicener.......__ „„ 128 Bishops Terrace;d` yannis, MA 02601 Installer Address Type of Building Size Lot----------------------------Sq. feet aDwelling—No. of Bedrooms................... .......................Expansion Attic ( ) Garbage Grinder ( ) PLO Other—Type of Building ............................ No. of persons............................ Showers ( ) Cafeteria ( ) Other fixtures --------------------------------------- - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic'Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x 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 ( ) a' 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........................ a ------------------------------------- ...................................................................................................................... 0 Description of Soil...................-Sand......................................................................................................................................... x W ---•------------------------------------------•-•••---------------..................•..........J•--------•-••---------•------....---.....-----------------•-•----------.............................. UNature of Repairs or Alterations—Answer when appplicable...installation of a 1,000 gallon septic tank,_..distribution_.lax_and..a__1,00......allon..leac.. .it stone packed. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T ITL1E 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 bo d f 1 11/30/82 Signed- - --.. --- ---------- - ------•---.................-_..--- . ................................ Application Approved By..... '. '-- ....... . •................................. ..............I.IM/82 Date Application Disapproved for the following reasons------------------•---•------•-••------------------------------------------------------------------------------- ----------------------------•----•--•-------•-----------•••--••--•--•••---.....--•------------------...----------...........-•----•--•-•-------------•-•------•--------•----••--•---------•--.....------ Date it 0/8 2 Permit No. 82.- .. Issued ................. ----- Date z ...5_00......_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................Town----------------O F............Bar=ta'a.7te App iratiutt for Uiupuual Vorkii Towitruriiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal System at: ice.....02W...__._.: ---------------------•-•--...---...---........-----------............------------ Location-Address or Lot No. A,UthQnY_1i.....4Ann0tA:..•.-..-.•-•.................•------.------------.-..._ 13 .Goo ebe ry..Lane,_.riA rstons.Mi11sa.MA 02648 Owner Address a A.. ..R..apgg pooj-5g. �� 128.Fishops-Torsce,� Hyannis...MA_.._020 Installer Address UType of Building Size Lot............................Sq. feet �-, Dwelling—No. of Bedrooms....................9......................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons__...__.................___ Showers ( ) — Cafeteria ( ) dOther fixtures .........................................-------------••---•-----•------•---•---------...-----•••-•••------------------.....-•------...........--... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity............gallons Length................ Width_............. Diameter.........._..... Depth................ x 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -....................................................................................................................................... O Description of Soil--------------••---..Zs�.nd....-------------------•---.......-•----------------------------------•-----......--•---------------------------......--.....----------- x W U Nature of Repairs or Alterations—Answer when applicable.___install - pa - Agreement: ti on..--of_a 1,000 gal]on-septic \tank....distribution box and.a•-1�000 gallon loath pit sone . The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in i operation until a Certificate of Compliance has been issued by the boar.d f heatt- /'� �' 11 34 82 Signed • F!- ..._ :,: y<-c .............�q �..-- --•-•- r Application Approved By__.____ 'A .-�� / 11 Ve 82 Date �\ Application Disapproved for the following reasons-------------•-----------------------•-------------------------•------------------------------•-------....__...._ ....................•------...---..........--------••-----------..........-••---......-••---•--....-••-•- Date Permit No...............82_-......---•------....--------...... Issued----•--- 11`/30/82............. ate....... ! Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................'"own..........O F.........Barnstable................................................. (Irdif irtttr of Tumpliatta THIS IS TO CERTIFY;%NThat the Individual Sewage Disposal System constructed ( ) or Repaired ( X) by.......A-A...B-.. 12$-1 rhos.. erracoa... xannis,_•NfA....02601...................................... Installer at...134....Goosebex= .� T�tarstons_-1 illa ,--I '-----02b4.8--- Anthony--M. Cannota ... ---------- has been installed in accordance with the provisions of TITLE 5 T,he,State Sanitary Code a� de-cribed in the application for Disposal Works Construction Permit No...... a31� ated 11� 082 THE ISSUANCE OF THIS CERTIFICATESHALL NOT BE CONS ® A A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. % 11 4 82..................................... Inspector--=.--- -•- .. ".. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH >.own Barnstable .........................................OF..................................................................................... No.82-.--- FEE-_ .44 Rspoiia1 Work.5 �uttu#ritr#iutt prmi Permission is hereby granted................. ---•--•----••-------------------.....------.....---.......----.....---- to Const t )) o Re air ((x ) n I dividuaal1 sSewag Drsp st � odserb � LEI., Ana M111s, � 8��nthony M. Cannota atNo. ................................................................. Street as shown on the application for Disposal Works Construction Permit No..................... D tee/_11/30/82 o H DATE.................i1/3Q/82.-----------•----------- •-••-•- Bid f ealth FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS