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Home My WebLink About0140 LONG POND ROAD - Health 140 Long,,Pond,,Road. - A=029-001 60Z Marstons Mills I 1 1 I iiI w FORM'30 C&W HOBBSB WARREN TM THE COMMONWEALTH.OF MASSACHUSETTS BOARD OF HEALTH SAl2 N SZn.Cbi t, CITY/TOWN N b DEPARTMENT 2-® o MA,i \,3 A.�%,xiS ADDRESS d 4�M G` 4(.z— \ W U //� 'yp Syey`•W I�O�L/ V 1 o L� "\11"To� �oLLS TELEPHONE Address G �G�o 12� _ Occupant __ Floor l Apartment No. No. of Occupants Z No.of Habitable Rooms_._—No.Sleeping Rooms No.dwelling or rooming units_ No.Stories `t_ Name and address of Aner S �_�v ��- �'C-Al-( 9S;K3 S t10 4w1 tA V-C t-70 \i' • vv 1 \,3 &f. h*4 C, Remarks Reg. Vio. YARD Out Bld s.: Fences: ✓ Garbage and Rubbish Containers.- Drainage Infestation Rats or other: STRUCTURE EXT. Steps,Stairs, Porches: Dual Egress:and Obst'n.: ❑ B ❑ F ❑ M Doors,Windows: Roof Gutters, Drains: Walls: a , Foundation: G 0 A-T t O iJ Chimney: BASEMENT Gen.Sanitation: 0 yz V r IN Jv'C Dampness: Stairs: l/ Lighting: STRUCTURE INT. Hall,Stairway: Obst'n.: Hall, Floor,Wall,Ceiling: Hall Lighting: Hall Windows: HEATING Chimneys: Central ❑ Y ❑ Equip. Repair TYPE: Stacks, Flues,Vents: PLUMBING: Supply Line: ❑ MS ❑ ST TI P/ Waste Line: V H.W.Tanks Safety and Vent(s) ELECTRICAL Panels, Meters,Cir.: ❑ 110 ❑ 220 Fusing,Grnd.: AMP: Gen.Cond. Distrib. Box: Gen. Basement Wiring: DWELLING UNIT Ventil. L to . Outlets Walls Ceils. Wind. Doors Floors Locks Kitchen Bathroom Pantry Den Living Room Bedroom 1 Bedroom 2 I2 S' Bedroom 3 Bedroom 4 Hot Water Facil. Sup.Ten.,Gas,Oil, Elect.: Stacks, Flues,Vents,Safeties: Kitchen Facilities Sink Stove Bathing,Toilet Facil. Vent., Plumb.,Sanit'n.: Wash Basin,Shower or Tub: Infestation Rats, Mice, Roaches or Other: Egress Dual and Obst'n: General Building Posted Locks on Doors: ONE OR MORE OF THE VIOLATIONS CHECKED ABOVE IS A CONDITION WHICH MAY MATERIALLY IMPAIR THE HEALTH OR SAFETY AND WELL-BEING OF THE OCCUPANT AS DETERMINED BY 105CMR 410.750 OF THE CODE OR THE AUTHORIZED INSPECTOR.(See Over) "THIS INSPECTION REPORT IS SIGNED AND CERTIFIED UNDER THE PAINS AND PENALTIES F PER JU INSPECTOR TITLE frAL__rI-1 4,j Cg ou- O,- A.M. 'DATE J �- TIME II P.M. AA A.M. THE NEXT SCHEDULED REINSPECTION /V P.M. 410.750: Conditions Deemed to Endanger or Impair Health or Safety The following conditions, when found to exist in residential premises, shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety, and well-being of the occupants or the public. Because Chapter II, 105 CMR 410.100 through 410.620 state minimum requirements of fitness for human habitation, any other violation has the potential to fall within this category in any given specific situation but may not do so in every case and therefore is not included in this listing. Failure to include shall in no way be construed as a determination that other violations or conditions may not be found to fall within this category. Nor shall failure to include affect the duty of the local health official to order repair or correction of such violation(s) pursuant to 105 CMR 410.830 through 410.833 nor shall failure to include affect the legal obligation of the person to whom the order is issued to comply with such order. (A) Failure to provide a supply of water sufficient in quantity, pressure and temperature, both hot and cold, to meet the ordinary needs of the occupant in accordance with 105 CMR 410.180 and 410.190 for a period of 24 hours or longer. (B) Failure to provide heat as required by 105 CMR 410.201 or improper venting or use of a space heater or water heater as prohibited by 105 CMR 410.200(B)and 410.202. (C) Shutoff and/or failure to restore electricity or gas. (D) Failure to provide the electrical facilities required by 105 CMR 410.250(B), 410.251(A), 410.253 and the lighting in com- mon area required by 105 CMR 410.254. (E) Failure to provide a safe supply of water. (F) Failure to provide a toilet and maintain a sewage disposal system in operable condition as required by 105 CMR 410.150(A)(1)and 410.300. (G) Failure to provide adequate exits, or the obstruction of any exit, passageway or common area caused by any object, including garbage or trash, which prevents egress in case of an emergency 105 CMR 410.450, 410.451 and 410.452. (H) Failure to comply with the security requirements of 105 CMR 410.480(D). (1) Failure to comply with any provisions of 105 CMR 410.600, 410.601 or 410.602 which results in any accumulation of gar- bage, rubbish, filth or other causes of sickness which may provide a food source or harborage for rodents, insects or other pests or otherwise contribute to accidents or to the creation or spread of disease. (J) The presence of leadbased paint on a dwelling or dwelling unit in violation of the Massachusetts Department of Public Health Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000. (See M.G.L. c. 111 @@ 190 through 199.) (K) Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns, shock, accident or other dangers or impairment to health or safety. (L) Failure to install electrical, plumbing, heating and gas-burning facilities in accordance with accepted plumbing, heating, gas-fitting and electrical wiring standards or failure to maintain such facilties as are required by 105 CMR 410.351 and 410.352, so as to expose the occupant or anyone else to fire, burns, shock, accident or other danger or impairment to health or safety. (M) Any defect in asbestos material used as insulation or covering on a pipe, boiler or furnace which may result in the release of asbestos dust or which may result in the release of powdered, crumbled or pulverized asbestos material in violation of 105 CMR 410.353. (N) Failure to provide a smoke detector required by 105 CMR 410.482. (0) Any of the following conditions which remain uncorrected for a period of five or more days following the notice to or knowledge of the owner of said condition or conditions: (1) Lack of a kitchen sink of sufficient size and capacity for washing dishes and kitchen utensils or lack of a stove and oven or any defect that renders either inoperable. (2) Failure to provide a washbasin and shower or bathtub as required in 105 CMR 410.150(A)(2)and 410.150(A)(3)or any defect which renders them inoperable. (3) Any defect in the electrical, plumbing or heating system which makes such system or any part thereof in violation of generally accepted plumbing, heating, gasfitting, or electrical wiring standards that do not.create an immediate hazard. (4) Failure to maintain a safe handrail or protective railing for every stairway, porch balcony, roof or similar place as required by 105 CMR 410.503(A)and 410.503(B). (5) Failure to eliminate rodents, cockroaches, insect infestations and other pests as required by 105 CMR 410.550. (P) Any other violation of 105 CMR 410.000 not enumerated in 105 CMR 410.750(A)through (0)shall be deemed to be a con- dition which may endanger or materially impair the health or safety and well-being of an occupant upon the failure of the owner to remedy said condition within the time so ordered by the Board of Health. � TOWN OF BARNSTABLE LOCATION Z � SEWAGE # 93`3 ? VILLAGE c i -IIZ-L S ASSESSOR'S MAP & LOT Do)!�-00/-6QX INSTALLER'S NAME & PHONE NO. OY- SEPTIC TANK CAPACITY„ ' LEACHING FACILITY:(type) P/'' L J (size) 6A��-� NO. OF BEDROOMS PRIVATE WELL OR- UPS C WA ET R BUILDER OR`OWNNN ,® DATE PERMIT ISSUED: a�� DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No� 34 LA 2 � z� .5.1 o , 0 y5 , N oi CP ..................... HE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..TOW-0..................OF....S-PrRux..15.1.-� _t Alipliration for Disposal Works Tonstrurtion rumit Application is hereby made for a Permit to Construct (V-100) or Repair an Individual Sewage Disposal System at: %% to . .. .... ..R.........4nq!.,T ........I ._?............................ ....too.4 Ir...5......... 9.. ....... RZOT) .. .... .. .... Location-Address ho v. ...................... .........f... ....................................................... ........................... Por • ner Address ,�y� 1 oil, ....... ..... ... .... ......................... ...kt . . .....T', ... ... 1.4 M Installer Address < Type of Building Size Lot_A&_.1...8-0...Sq. feet U Dwelling—No. of Bedrooms.........3..............................Expansion Attic Garbage Grinder J� Other—Type of Building ............................ No. of persons............................ Showers Cafeteria 04 Other fixtures ............... ..................................................................................................................................... Design Flow.............5.5......................gallons per person per day. Total daily flow....33-0......................... dons." 1:4 Septic Tank—Liquid*capacitylODO.gallons Lengthc.!-A..... Width. Diameter................ Depth-F_—6. Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area_...._._.._. sq. ft ----- , Seepage Pit No--------I............ Diameter....1.2----- Depth below inlet... .... ........ Total leaching area.3.3--------s q. t i. Z Other Distribution box ( ) Dosin tank ( V L)Datec�� ___-.�.�}�QQZ Percolation Test Results Performed by. V L J,_j............... .... Test Pit No. 1......�Z-_minutes per inch Depth of Test it ...... Depth to ground water.. .... Depth to ground water-.-W.J. --bi_r24 Test Pit No. 2........Z...minutes per inch Depth of 'Test Pit._._rr 6' 94 ....................................................... --- ---- -- - --------------------------------------------- ..... . ....... . . ...... ...... ........... ...... 0 Description of Soil...�.r V I a ..................................................... ...... T M.... .... .....V L U ......... ......3JL 24V --------------------------------------------------------------------------------------------------..................................................................................................... Z 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'TTIE 5 of the State Sanitary Code—The under,' ed further agrees not to place the system in operation until a Certificate of Compliance has sued by o of heal Signed:.- ........ ... ....... . .... --- ............. .......... -- A ....2-. pplication Approved By....... ... ... ........................ ....I................... ...5� Date Application Disapproved for the following reasons:................................................................................... ........................- ...................................................................................................................................................................................................... Date Permit No_!.�F......azf------------ Issued....... .... _-------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH j. tIRJ..p,,,J...................OF....�.F?I:.R.�S� ............................... Appliration for Bigpoiittl Worko Tontrurtion Prrutit Application is hereby made for a Permit to Construct ( '�) or Repair ( ) an Individual Sewage Disposal System at: ,+ _... ^ _ ....ion-Address �j� or Loyl �/f�,/ ner ddress Installer Address ��gg Type of Building ((// Size Lot..` __ _._ ...Sq. feet Dwelling—No. of Bedrooms.........�...............................Expansion Attic ( ) Garbage Grinder ( � Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ---------•------•-----•-------•---•----•-------•----.....-•---------•-•---•-----------------------•--------....----•--------••--•---••...-•••--•--_... w Design Flow.............55.......................gallons per person per day. Total daily flow.......33__6_•-----•••_ __ ------• Ions.. WSeptic Tank—Liquid capacityl.00 lgallons Length. n6,._._. Width_, . ___ Diameter................ Depth. ..._ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area............_._..._sq. ft. Seepage Pit No..._.._I------------ Diameter....1.2..`..... Depth below inlet.._C._'........ Total leaching area.-3 _.___sq. ft. Other Distribution box ( ) Dosiny.tank ( T '-7 A Q �I Percolation Test Results Performed by... .'S" lr'..�_...._ �( °. Dated . _ t,. �-7 f Test Pit No. 1_....? ...minutes per inch Depth of Test Pit.... �-- Depth to ground water_._ GL, Test Pit No. 2._._..._Z-..._minutes per inch Depth of Test Pit.-_.___6'1_......... Depth to ground water---)sel Qxj_ O Description of Soil...I-R-f.).......... �. 4� J _� -.l .� L ----------- - w UNature 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 TIT11 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has issu by e oa of 1 1 _ p Signed_ ---- ......... ... ........ . .•. ----• .......... ••• 1 .• % f r Date Application Approved By<-..,-. ......... 1?....................... /�_' !fir.. r---- / Date Application Disapproved for the following reasons:..................................................................................•---•---. ----....._._ ......................-................................................................................._..................................=............................................................ Date Permit No---- .r ...------ ..�--•��--------•--- Issued_-------'•e:.=--------� .-........................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF........................................................................ Trrtifirttte of Tontplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) ;,.. fj Installer C has been installed in 0ordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.4;7 7.. ..fir'.......... dated_.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................7._.. � I /�----•--•-•---•---------------•--- Inspector........- �• ----•----------------•--------------•-----•--•- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r �.... ...,. .. ............. i\TO; .l....._._.. FEEt-'.<<L �... l. �i��ro,��1 ork,� �on��riion �rlernti� Permission is hereby granted -------•....................••---------•--••-•----.....-•---............................ to Construct ( j4)or Repair ( ),,an Individual Sewage Disposal• Systemf Al ) ....... .:........... Street ,-- as shown on the application for Disposal Works Construction Permit No -�P"Dated........____.........................., ..................................... ' ................................................ �O �� Board of Health DATE................ -•---•- -- •--•-....................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS GENERAL NOTES.' To 7 ov SOIL TEST PIT DA TA P INVERT EL EVA TIONS.' VZOU�VAT;aN T.P. -a T.P. -2 1. THIS PLAN IS FOR THE DESIGN AND SL 103.0O GRND. ELEY. 1OZ�� GRND. ELEV. 10 2.gO CONSTRUCTION OF THE SEWAGE DISPOSAL INVERT AT BUILDING 1Q,02 / G. W. ELEV. G.W. ELEV. No tv FACILITY ONL Y. INVERT IN A T SEPTIC TANK Q � 2 2. ALL CONSTRUCTION METHODS AND MATERIALS 02•fl0 ACCESS COVERS MUST BE WI THIN 12' OF FINISH GRADE. -ra c�so►L -�pPSo 1 L FO.A THE SEPTIC SYSTEM SHALL CONFORM INVERT OUT A T SEPTIC TANK q 16•SI S V 1 O)L ASS. D.E. O.E. TITLE 5 AND LOCAL INVERT IN AT DIST. BOX 8,3� INDICATES 3 TO M ` S•� �L BOARD OF HEAL TH REGUL A TIONS. PERC. TEST ' INVERT OUT AT DIST. BOX Q •� O{�,'.ZO S17Arf1f)1; S�T1fiEa7 3. ALL SEPTIC SYSTEM COMPONENTS SUBJECT TO INVERT IN AT LEACH PIT •Od MIN. 2 OF pd VEHICLE LOADING (I.E. UNDER DRIVEWA YS, ETC.) . 2 . �b 1/8 -1/2 DIA. SHALL BE DESIGNED TO WITHSTAND H-20 L OAOING. BOTTOM OF L EACH PI T q 2.0 t°� 4' MIN. WASHED STONE INDICA TES OBSERVED GROUNDWA TER _ DEPTH q 57 , OBSERVED G �ti L 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 OR ADJUSTED GROUNOh'A TER 10 DIST. '� 3/4'-1 1/2` DIA. 6RUUNDWA TER APPROVED EQUAL. (Q �a p mi . � �0O 0 GAL. BOX W 0 WASHED STONE 5. BEFORE STARTING CONSTRUCTION CALL DIG SAFE SEPTIC TANK g2,00 INDICATES 1-800-322-4844 FOR LOCATION OF TEST PIT UNDERGROUND UTIL I TIES. H - 3 6 131 (H-20 IF BURIED DEEPER , 6. . DATUM IS �5`�uk1 V � THAN 3 FEET.) 12' 16 7. THE CLIENT SHALL REMAIN RESPONSIBLE FOR LEGEND ►.10 WATV N 0 VW4A-t OBTAINING ALL PERMITS, SPECIAL PERMITS, VARIANCES, ETC. FOR THIS PROJECT. DATE.' --Se 4�''±• IS T+i 15 Lo-t �5 t..aCA-r�� {� -►�� 50-- = EXISTING CON TOUR 8• TEST BY.' -b'rf.yE W)LSON GP GROu{-A-VwA�SR. vmg0-rz&rl0)-" = PROPOSED CON.rOUR ,. WITNESSED B Y' J'E RRV oV eR LACY 15'�R. G"�. �-50 = PROPOSED SPO r GRADE PERC. RATE 2 MIN./ IN. = DIRECTION OF 5TOWYATER RUNOFF DESIGN CRI MRIA: IIESIGN FL Oh!' -_ BEDAOO,,.: DWEL L ING A9 110 GALIDA Y PER BEDROOM EQUALS '33 F/.'_S. PER DAY. • W o GR I mvER SEPTIC TANK REWIRED, EXISTING 3 3 o GPD X _'50.'' = 4 q 5 GAL. IeEL L TRO905 V V SEPTIC TANK Pg0;1.'DE17' = _JOLLO_ GAL. " LLs SIZE OF LEACHINc7, FACILITY RECUIRED t I )s�' OW SRU DESIGN PERC. RATE = 2 MINUTES/INCH 1 `\� 33 o GAL L ONS PER RA Y oRvB��u� YFc�ti`f.�`SED SIZE OF LEACHING FACILITY PROVIDED.' `�` ?RoPo9QZ7 gR/4�l7FOR� L . HALL GO PIT(S) WITH 3 ' STONE LlWNjY op {Z. &1 ;�J:oLY. A\Jf. SIDEWALL- 22. S.F. X 2.5 = SG5 GPD To itr. w {`t>a W. '(AF NMol�*I MA OW 3 BOTTOM 1 1 3 S.F. X 1 .0 = }1 3 GPD s A`a r FP:�fc, 33°I S.F. SILT Go7 9� GPD �sG� TOTALS o (® BASIN g b BREAKOUT CALCULATIONS.' RIM = 99. 80IZ Q EL . SLOPE y 4'/ { X 150 ' = y 2•3 41�C r' ti J fo r CQ vv set REVISIONS., 41 PROP. T.P. Of 1 t. Z NO. DATE REVISION O WAT$R EL . - 102. Pao Y n n v skpw icy Qj 5°;h x•; . y L T B t lu 46f8O7 F. .361 AA 440fEXIS ' ELL T. e N ro 10 A L-OT 5s>zvi6 e' LA`t . Sev%vNaE- - B.M. OPOF CONCRETE mmum w T -c" EL. = 99. 55 tA OF % PaUL PLAN SHOWING THE DESIGN OF A PROPOSED R. SUBSURFACE SEPTIC DISPOSAL SYSTEM +or RYLL ROGER 9G AU No. 32443 . LOT B, LONG POND ROAD, BARNSTABL E, MA oMICHN EYVICZ No.30420 • �°�. £''"`-;�s�Q°� SCALE 1 " = 40 ' JUL Y 15, 1993 ,e CIVIL �Q 7� q3 �,� 93 - EAGLE SURVEYING G ENGINEERING, INC. DATE FESSI AL EN CIVIL DATE OFESSTONAL" L A SU VEYOR 441 ROUTE 130, SANDWICH, MA PROJECT NUMBER 93-085 MRP 2q Low 2