HomeMy WebLinkAbout0019 LAKESIDE DRIVE - Health 19 Lakeside Drive, Marstons Mills
CHb,
9�
j
r
t
TOWN OF BARNSTABLE ✓
LOCATION SEWAGE# aZ 009
VILLAGE 1f ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. If. E,j 0�����% 7 y S
SEPTIC TANK CAPACITY j ro�y
LEACHING FACILITY: (type) -7- 5'00,� `1:osm4eoS (size) .Yo?
NO.OF BEDROOMS oL
OWNER Ale fc r l
PERMIT DATE: jo-3 0" Ok COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the 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
•o
A
oho" R 3'
3 ay IVI'
� 22 r
Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2ppfitation for 6pBtrm Construction jhrm.t
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Com lete S stem p y El Individual Components
Location Address or Lot No. /j f � , �Owner.,S lame,Address,and Tel.No.
Assessor's Map/Parcel OoZ -
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
3. C, .4.1 /tu Ga•s7` yar►�rt Slit✓y C O - ,,c
0 �r do f �'�� /a Q�?li
Type of Building: ��, y?�
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 02.70 gpd Design flow provided 3`1 7 gpd
Plan Date OF Number of sheets Z Revision Date
Title
Size of Septic Tank /r00 y Type of S.A.S. Z-5-00.3
Description of Soil fee on
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 Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board ofxal
Signed Date
Application Approved by Date /O-:30—025
Application Disapproved by Date
for the following reasons
Permit No.2-ans Lf6s Date Issued \0 30 IY6-
.,. •_ :, .. *.�.«fir.;_ _ - .,. ... .. ..-, ..,� ._. .. _ .- _ -« _-„ .. "'`9""'�'•'� ,,..._ ..
� _ 11,ee
No.l�J0, (� �` 1
V l
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION'-TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Zippfication for 11 aY *pstem Construction Permit
Application for a Permit to Construct( ) Repair( Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 19,
,(Jr v Q Owner's,Name,Address,and Tel.No.
ID Assessor's Map/Parcel 64- Ci& A /7'
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
C /�a /f Ca- s f yv✓/• S�✓day p 1 y
,?0, ,,X 3 3 Z A .// �11f0a11,v� -
Type of 13ui diiig: (5:� ) `/.2 9 9;5 S ��u r 5��ti/ /y.'�If �/14
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers(. ) Cafeteria( )
Other Fixtures
Design.Flow(min.required) a O gpd Design flow provided 3-1 -7 gpd
3 Plan Date /y-,,5- ok Number of sheets ; Revision Date
Title
Size of Septic Tank /)00 2 Type of S.A.S. .? SJ y 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 Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of lth. _3
Signed Date
Application Approved by Date /0-30 Ob
Application Disapproved by `Date
for the following reasons
Permit NoZons Date Issued 10
----------- ---------- --- ------ --------------------------------------------------- ----
THE COMMONWEALTH OF MASSACHUSETTS
y BARNSTABLE,MASSACHUSETTS
(Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(/) Upgraded(L-/)
Abandoned( )by J.
f
at /% LG� t.JN /��',"�c has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit NoZ ( dated /O/3 0 16e,
Installer Designer ,
#bedrooms a Approved desi flow J v
gpd.
The issuance of this permi shall not be-construed as a guarantee that the system wi 1 functio�nn asrdesigned
Date / Inspector ! /��/� -}
/ ( v ✓✓ y y f l i;
. . ---------------------------- -- ------- --- - -
No. �0�5 `76 3 Fee 6 0
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS
MIsposal Opstem Construction 3permlt
Permission is hereby granted to Construct( ) Repair( ) Upgrade(t/) Abandon( )
System located at /S L a/f f"de /fir.
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction ust be ompleted within three years of the date of this permit.
Date l U �� E Approved by
Town of Barnstable
/Vlu
Regulatory Services ° ��
Thomas F. Geiler,Director
• �a�uvscnat�
9q,A 16j�9. `0�' Public Health Division
rfD"" A Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-8624644 Fax: 508-790-6304
Installer& Designer Certification Form
Date:
Designer: X., e y G,V Installer: „
Address: y0 W-13 tr-; Address: /U /3ov 379 �
/yl��S>���s /✓1,'/�s �I�O�GYB ./1/l�rS��Ns" .�'l�s �11� O?G`!�
On //' 0'-/- 0 C_ �qA //`o was issued a permit to install a
(date) (installer)
septic system at ile Side ,0�,'�c 1./0, based on a design drawn by
(address)
Leg dated /0 — a 1—Of
(designer)
t�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.
Of
BRUCr
(Installer's Signature) o. 9
x3 MURPHY ;!
No.749 �1
(Designer's ature) (Affix Desi _ tamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE.:IsSgEff"Uly'T 3B�7CH�THIS FORM AND AS
BUILT CARD ARE RECEIVED BY THE RNS.TABIE PiTBLIC HEALTH DIVISION.
THANK YOU.
Q:Health/Septic/Designer Certification Form
7 6,
SHE l�
Town of Barnstable
• B^ AS gam Mass. • Regulatory Services
� M �
1639. ♦0
.e�Fp►9,�p Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
March 29, 2017
Edward and Kathleen McDougal
19 Lakeside Drive
Marston Mills, MA 02648
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTH REGULATIONS, NUISANCE CONTROL REGULATION NO. 1
The property owned by you located at 19 Lakeside Drive, Marston Mills, MA was visited on
March 14, 2017 by Marybeth McKenzie, R.S., Health Inspector for the Town of Barnstable. This
inspection was conducted in response to a complaint filed with the Public Health Division.
The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54
Building and Premises Maintenance were observed:
04-3 (A) Outdoor Storage
Large amounts of items observed which were not screened from public view in accordance with
Chapter 54, Town of Barnstable Ordinance. The items included, but were not limited to old
pieces of wood, indoor furniture, fallen trees and limbs, and other assorted debris.
You are directed to correct the violations within sixty (60) days of receipt of this order
letter by disposing said items or storing all mentioned items from public view or in an
enclosed structure.
i
You may request a hearing before the Board of Health if written petition requesting same is
received within ten (10) days after the date the order is served Non-compliance will result in a
fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a
separate violation. Should you have any questions regarding the above violations, please contact
the Town Health Division and ask to speak with the inspector who performed the inspection.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S.
Director of Public Health
Town of Barnstable
Q:\Order letters\Refuse\19 Lakeside, MM refuse complaint letter.docx
- -^ 'i'~} a$K'� J •F�• 1,•+' U.S.POSTAGE>>PITNEY60
Town of Barnstable _ {•fit,,
.° Public Health Division
RAR"TARLE. • w • `, G'��
.MASS: .200 Main Street
Hyannis,MA 02601 �' 0ZIP 2 02601 $ 006.560
7015 1730 0001 4990 3400 P 0000336455MAR. 30, 2017.
RETURN TO SENDER �
UNCLAIMED
iiatiN+riL'c iii r"vrt"veAii'v
UNC! EC: 02601400200 *'3€ 2 2-002 83 -3 1-42
it t
Ii,11}yyi.�I.alsoll�y'st�l�i:1, 11i�y.l��y,i,lii
_ rr
-�
_ ■ Complete items 1,2,and 3. 7deli
_
I ■ Print your name and address on the reverse -
so that we can return the card to you. l7 Agent j
I ■ Attach this card to the back of the mailpiece, rinted Name Addressee I
or on the front if space permits. ) C.-Date of Delivery
I 1..Article Addressed
ess different from item 1? ❑Yes
yy Gelivery address below: No
uf1 l 1rl
IIIIIIIIIIIIIIIIIIIIIIIIIII Illllll IIIIIIIIi111 Adult ssgnture ❑Reg Priority Registered pr ss
9590 9402 2480 6306 7767 28 Signature Restricted Delivery ❑Registered Mail Restricted
_ ❑Certified Mail® Delivery
7 015 1730 0001 4990 3400 ❑Certified Mail Restricted Delivery O- Return Receipt for
Ilect on Delivery- Merchandise
I �llect on Delivery Restricted Delivery ❑Signature ConfimiationTm \
ured Mail ❑Signature Confirmation
]IJ uredMail Restricted Delivery Restricted Delivery
PS Form 4611 r u er$500
JUIy 2015 PSN-7530-02-000-9053
/ ---- `� — - Domestic Return {
� v
11ME rq�,
Town of Barnstable
MAS& Regulatory Services
1639. Public Health Division
Thomas McKean,Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
March 29, 2017
Edward and Kathleen McDougal
19 Lakeside Drive
Marston Mills, MA 02648
NOTICE TO ABATE VIOLATIONS OF TOWN OF BARNSTABLE BOARD OF
HEALTH REGULATIONS,NUISANCE CONTROL REGULATION NO. 1
The property owned by you located at 19 Lakeside Drive, Marston Mills, MA was visited on
March 14, 2017 by Marybeth McKenzie, R.S., Health Inspector for the Town of Barnstable. This
inspection was conducted in response to a complaint filed with the Public Health Division.
The following violations of the Town of Barnstable Board of Health Regulations, Chapter 54
Building and Premises Maintenance were observed:
454-3 (A) Outdoor Storage
Large amounts of items observed which were not screened from public view in accordance with
Chapter 54, Town of Barnstable Ordinance. The items included, but were not limited to old
pieces of wood, indoor furniture, fallen trees and limbs, and other assorted debris.
You are directed to correct the violations within sixty (60) days of receipt of this order
letter by disposing said, items or storing all mentioned items from public view or in an
enclosed structure.
You may request a hearing before the Board of Health if written petition requesting same is
received within ten (10) days after the date the order is served Non-compliance will result in a
fine of $100.00 per violation. Each day's failure to comply with an order shall constitute a
separate violation. Should you have any questions regarding the above violations, please contact
the Town Health Division and ask to speak with the inspector who performed the inspection.
PER ORDER OF THE BOARD OF HEALTH
(:Z3s A. McKean, . __
Director of Public Health .
Town of Barnstable
Q:\Order letters\Refuse\19 Lakeside, MM refuse complaint letter.doex
k0 UEST. u m
NOTE: X = SPOT ELEVATIONSA .
3 :.... . .:
LAKESIDE DRIVEeaw. �r � NA
� 5
99.86 nq e,w y tro
X- - - - - -99.2 99.94- - - -
- - - - - - - - - - - - - - -
i N 88°18'30" W 74.45'
9�
X 100.4 99.5 X
0 36.5' 99.1 Y '
2�8h9a �ti Mp Data L 2000 NAVIto a Veknm6
R=25.00' i LOCUS MAP
L=39.84'
99.1 x=_ 9710a
- - - - - W PLAN REF 138-25
_ _ _ _ = G z DEED REF 11256-210
p MAP-GAS ASSESSOR'S MAP- 102-066
LOT 19 O ___—--—= MEfOR I Q ZONING: "RF"
_�' SETBACKS.• 30'-15'-15'
A.M. 102-046 ``' —=________= 1 w FLOOD ZONE: "C"
_ _ _ _ _ _ _ 100.1 N I w PANEL NUMBER.- 250001 0015 C
0 30.8'
o x 99 9 - - - - — 1 x 3 0' L I Q r DATED. 08-19-1985
o O m
f o 0 w I o W
z o 9 x 1 O I � m ,SITE PLAN OF LAND
o LOCATED AT-
0 o Iw
-M 2 SHED M ► O 19 LAKESIDE DRIVE'
9x 9 99.3 X z 0 MARSTONS MILLS
�
ti 9�5 o RESERVE' � LOT 44 I 0
10' ~ A.M. 102-066 I
TP 1 25.0' f 25.0' 91.68 PREPARED FOR.-
10'
X 99.1 10,590E S.F.
x 99.5 NEIL A METCALF
N 87°00'0o" w 100.00' '�t S�`� ° `�' { p� r OCTOBER 29 2008
O \S c
® G ?
P s� .�
® STEPH'EN - ® r
X 98.6 ® o �,.� BRUCE
I N ��- REV.
THE CESSPOOL a D0YLIE ao E.' 1
WAS LOCATED FROM THE ° �' ` ��'PN� 1 '
® c -3175 Vie
TITLE 5 INSP. REPORT 0 0 o� ALREV
LOT 20 11-14-1997 s 9,v Ey �FTE ;r.a
REV
A.M. 1 02-047 PUMP AND FILL CESSPOOL` YANKEE LAND SURVEY
GRAPHIC SCALE CO., INC.
LOT 43 z° 0 '° 20 40
40 INDUSTRY ROAD
MARSTONS MILLS, MA 02648
A.M. 1 02-0 65 1 inch 20 fi~
TEL• 508-428-0055 FAX 508-420-5553
=
SHEET 1 OF 1 JOB i 54370 JF
6
r
101. 0
e TOP OF FOUNDATION/BENCHMARK
r— 20' MIN -
10' MIN. � .
CONCRETE COVERS 4" SCHEDULE 40 P.VC. 2"LAYER OF
MBV PITCH 118 PER FT
WASHED STONE
CONCRETE CO VER 99.5 OR FILTER FABRIC
B 3lAX99.5
4" CAST IRON PIPE 8'1fAX / • / / 8 MAX / / / / / /
(OR EQUAL) MINIMUM
PITCH 114 PER FT. RISER CLEAN �y
EXISTING FLOW LINE SAND o W
1�TO 10 1 14"1 ° °
z0' ° °° o 0 0 0 0 0 0 °° 2
EL. __-- _ 94.30 I-- BAFFLE 97.50 INVERT s" SUMP ° ° o 0 0 0 0 0 0 0 0 °°o EL.—
INVERT EL.---- INVERT ° o
EL.= 97. 75 EL.= 97 00 EL.=96_85 ART 4' 4'
DISTRIBUTION EL.=9_6.30'
1500 __GALLONS BOX
PROPOSED SEPTIC TANK
INSTALL ON FIRM BASE r TO BE WATER TESTED 25' X 12.8' TRENCH FORMATION
IF MORE THAN ONE OUTLET O
PLACE ON s" STONE SOIL ABSORPTION
PROFILE OF DoUBLEWASHED STONE SYSTEM (SAS)
SEWAGE DISPOSAL SYSTEM BOTTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE ELEV.= 99 5'
NOT TO SCALE NO OBSERVED WATER TABLE (06106108) ELEV.= 99.5'
OBSERVATION HOLE 2 ELEV.=_99.5'
OBSERVATION HOLE 1 ELEV.= 99.5_ PERCOLATION RATE _< 2 MIN./ INCH AT 42 INCHES
DEPTH HORIZ TEXTURE COLOR MOTT. OTHER DEPTH HORIZ TEXTURE COLOR MOTT. OTHER
0'-8" A SANDY LOAM 10YR 3-2 0'8" A SANDY LOAM IOYR 3-2
8"-24" B LOAMY SAND lOYR 5-6 8"-24" B LOAMY SAND 10YR 5-6
24"-126" Cl MEDIUM SAND 10YR 7-8 24'-126" Cl MEDIUM SAND IOYR 7-8 PERC.
GENERAL NOTES NO WATER NO WATER
1) ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.P. SOIL TEST
TITLE 5 AND THE TOWN OF BARNST,dE E__—_ RULES AND
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE.
2) ONE COVER ON SEPTIC TANK SHALL BE BROUGHT TO DATE OF SOIL TEST 06106108 SOIL TEST DONE BY BRUCE MURPHY RS.
WITHIN 6" OF FINISHED GRADE, OTHERS WITHIN 12" --
3) ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF WITNESSED BY: DONNA MIORANDI
WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN „ DESIGN CALCULA TIONS.
10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE 0 VERLA Y DISTRICT GP
USED UNDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. TWO BEDROOM MAXIMUM NUMBER OF BEDROOMS . . . . . . . (2 EXIST)
4) ANY MASONARY UNITS USED TO BRING COVERS TO GRADE SHALL GARBAGE DISPOSAL NOT ALLOWED NO
BE MORTERED IN PLACE. TOTAL ESTIMATED FLOW
5) NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH0 INSTALL GALLONA CHING CHAMBERS ( 110__GAL/BR/DA Y x —2 — BR) 220 GAL/DA Y
DEEDED OR ZONING REGULATIONS. OWNER/APPLICANT IS TO 50
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. WITH FOUR FEET OF DOUBLE PROPOSED SEPTIC TANK CAPACITY 1500 GAL
6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCAVATION CONTRACTOR WASHED STONE SIDES AND ENDS
IS TO CALL "DIG— SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS SOIL CLASSIFICATION . . . . . . . . 1
PRIOR TO COMMENCING WORK ON SITE. 25 X 12.B' DESIGN PERCOLATION RATE . . . . . < 2 MIN./IN.
7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS EFFLUENT LOADING RATE . . . . . . • 74 GAL S F.
/ /DA Y
SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. PUMP AND FILL CESSPOOL
8) PARCEL IS IN FLOOD ZONE___C"_____. LEACHING CAPACITY (AREA X RATE) 347 GAL/DAY
9) LOT IS SHOWN ON ASSESSORS MAP _loz AS PARCEL _086 . RESERVE LEACHING CAPACITY . . . 347 GALIDAY
(25 X 12.8 X . 74)f(25 f 25 f12.8f12.8 X . 74 X 2)
SHEET 2 OF 2 JOB NUMBER_._ 54370