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HomeMy WebLinkAbout1337 OLD STAGE ROAD - Health 1337 Old Stage Road - - - Marstons Mills A= 150—010 I j•i S -(glo XP6 C/,v,) LO`CAT 10 133�d-���� J ASEWPELT N0. 67 ;,,VILLAGE INSTA LLER'S NAME & ADDRESS 7L BUILDER ORr OWNER DA.T E P4RMIT ISSUED DAT E COMPLIANCE ISSUED 77 -, ;,� c � � ��� --__ 4 � c�_. .�., . �� V/O No.----- ...... _�� Fe$....7..................... HE COMMONWEALTH OF MASSACHUSETTS `f . BOARD OF HE�T�J ,/ r .� Iirtt#gun fur �uuutti Turku (�urt� �triuYtrru�it Application is uct or Repair ( ) an Individual Sewage Disposal cyst -� .................. ..... ...• ------ - - C Location-Addr . or Lot No. y,. wner ddress _ Installer Address Type of Building Size Lot- _-®Z/4__L _Sq. feet U Dwelling—No. of Bedrooms-------�...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............._--------------- No. of persons_-----_-__-______________- Showers ( ) — Cafeteria ( ) Otherfixtures ..-- -_--------------• --. _-----------------------------_ ------------------------------------------------ -------------- W Design Flow............. .....................gallons per person per day. Total daily flow.......�� �"' _....................gallons. 9 Septic Tank—Liquid capacity,14 'gallons Length---------------- Width................ Diameter______.._._____- Depth.-.............. W Disposal Trench—No..................... th___..__...._..._._.. tal Length._..._...__.. al leaching area.._.._..____.._._._sq. ft. x - Seepage Pit No../ld� ' .. w et ........... ..... tal leaching area._ �P_sq. ft. Z Other Distribution box ( Dosing tank ( ) '—� Percolation Test Results Performed by-------------------------------------------------------------------------- Date--------------------------------------.. aTest Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water...----..-__--_.--.-.._. LL, Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water...................... ______________`_.._.._. ...__..._..9 -------- -- _ _ _.________....___.__--_u--��.......... --- ._....._. .... ---- ----- 1 .----... .-- J O ;escription of S V: 1-------- ----- W --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- UNature of Repairs or Alterations—Answer when applicable.._____________________________________________________________________________________________. -----------------------------------------------------------------------------------------------•------------------------------------------------------------------------------------------------------- A:greement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI 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. � Sign ----- -------- � >� Date Application Approved By..--- c -------- -----t ------ _ fed Application Disapproved for the following reasons----------------------- ----------------------------------------------------------------------------------------- ......-------•--------•-----------•-----•---------•--•-----•----------------------------------------•-•------•--•-------•---•---------------------------------------------------------------------------- Date PermitNo......................................................... Issued........................................................ Date No....... .... ......... Fizic ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TI-� Appliratintt far Dig wittl Works Towitrurtion Vrruift Application is hereby`made for r 't to Construct or Repair ( } 'an Individual Sewage Disposal System at: Gf kfe;G f `. Location-Add or Lot No. W / Owner _-----•----------•--___ ___--•--- � -•-----------•----__ fAddress �jd�j'� a - __ •'/......................... ...................•-----. Installer /� Address / d Type of Building f/ Size Lot__ _-7_____._6..._ _Sq. feet U g— ______________Expansion Attic ( ) Garbage Grinder ( ) Dwelling No. of Bedrooms-_-____ _________________ Other—Type of Building ____....:................. No. of persons Showers, Cafeteria QOther fixtures rl-- ---------- --------------------------------- ---------------- ---------------------------------- W Design Flow............. .....................gallons per person per day. Total daily flow-------A."/_0....................gallons. P� Septic T.;nk—Liquid capacity/1 ons Length______ ---------- Width---------------- Diameter-------------•-- Depth--------------- xDisposal Trench—No._'___________________ 1. idt11______________�____,.. -otal Length-------..____-------- T al leaching area-_.----------------sq. ft. Seepage Pit No._ _ �� -�i ______________ w ' t'5 L4- tal leachin trea..��_ "sc ft. 1---- ,O ` .. - g< 1 z Other Distribution box ( Dosing tank ( ) aPercolation Test Results Performed by.---------------- ------------------------------------------------------•- Date---------------------------------------- ,� Test Pit No. 1----------------minutes per inch Depth of "lest Pit-------------------- Depth to ground water---____--______-__-_---- !_, Test Pit No. 2............°._minutes per inch Depth of Test Pit____________________ Depth to ground water------------------- -••••-•------- ------- •-- . - ---•-•- 0 Description of Sy'I •"" ----��� le'j� � , W UNature of Repairs or Alterations—Answer when applicable-----------------------------------------------------------------------------_________________-- Agreement: ., The undersigned agrees to install the aforedescribektndividual Sewage Disposal System in accordance with the provisions of Article XI 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. ji Sign _ •��r/...t`^ - i�?X? ' '* Application Approved BY-.---- --- -- . =:... � df;- • D9te � Application Disapproved for the following reasons:. - - --- ------------ --------------------................................................. --••••••••-•-•-•--••-•-------•--•----------•----•-------------•-•---•------------•-••--•--------•-•-•------------------------------------------------------------------------------------------------- Date PermitNo.......................................... = Issued--------•------------ �\ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH' Trrtif irate of TI.Imphaure THIS IS TO CERTIFY Th t the I ividual Sewage Disposal System constructed �orRepaired ( ) by............ / �r'-.<! - Ins, lee i at �� _..._... � .✓J___-- " 'f/il ------- -------------------- has been installed in accordance with the provisions of : tic XI of The State Sanitary Coe as described in the application for Disposal Works Construction Permit No. .....l„`� !n.77............. _______________ ate --_- THE ISSUANCE OF THIS CERTIRCAT SHALL. NOT BE CONSTR ED A A GUARANTEE THAT TIME SYSTEM WIL FUNCTION SATISFACTORY DATE.............. . Inspector G_ns--�-- --------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE LTH - _ No. = FEE/..5................. Permissiini he granted ... ��- 1` "' _ - -�' to Construct' or Repair ( ) anIndiividual Sewag�._D'sp sal SV-_x€mat No.- �" . --- 7-----�- ----� r,- ;�,�r AV at ------------------ x-- Str - 77 as shown on the application for Disposal Works Construction P igNo. __tee' ____`_. ated_"__�_ / -_- „.....•-- --------- --- --- - - - _ ______________________ Boar of Health DATE.............................................................................. FORM 1255 H68BS & WARREN. INC., PUBLISHERS - f� .+• ,r r t v r.lKS PV r '! I •• C�2T1Fti~t7 pl..bT fi=�t.,..ls.�..3 • -� r 1 � = -4c A cG1Z'r%r.�'- TNAT` 'CND FtyuNriA^CfG'rl�t5t.k �.I Pt_4�.1 R �'cC� J TOW c� VC—Quirzem of µ �L -' 1271 SATE , tZEGiS tC-.� zip LA WO 5t3ZVe'(OZS ' "I'S FLAW t5 LJOT BaSeV 0i4 As.i tt4,9M4U AF-WT 502VM'I( 4'ti4E OPC::5er; Sl4OtJU© AAPt.t GAF.t'T" Ear Us(Ba •ro t)err--ZMIui LO-r Llua5 L O i CATION SEWAGE PERMIT NO. GE INSTALLER'S NAME & ADDRESS B UI'LD OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �� i 1 �l O � •t .YiSTItf i `i oXo �/ pp Nay 1...- -.. Fina.. ��.............._ 9 I/ THE COMMONWEALTH OF MASSACHUSETTS ` OARD OF HEALTH �... ........... . ....4�.......OF........ .... . �zz ..................... V Appliration -for 43iopoottl Works Tattstrurtion Vrrtnit Application is hereby made for a Permit to Construct ( "�/or Repair ( ) an Individual age Disposal System at: --•--------------------------------•-- -••-•---- G% r Location-•Addre.es. -•- s / or Lot No. 4�- r ------•-•-------------------•----... -_- -l-- r� Owner Address Installer Address UType of Building Size Lot... ...Sq. feet Dwelling—No. of Bedrooms------,...................................Expansion Attic ( ) Garbage Grinder (No) per, Other—Type of Building ____________________________ No. of persons.....c;.L................. Showers ( ) — Cafeteria ( ) Q' Other fixtures ...................................................... W Design Flow__ _________-Vl.7_________________________gallons per person per day. Total daily flow..........ZQd..........................gallons. WSeptic Tank I Liquid capacity_ 000-_gallons Length________________ Width................ Diameter.......... Depth..-__._.__-.._. x Disposal Trench—No. .................... Widtlia-______________ Total Length._...!�F o._._..... Total leaching area....41oo--------sq. ft. Seepage Pit No_____________________ Diameter.................... Depth below in t-----______....._ _ Total le/aching area.___..- ---------sq. ft. z Other Distribution box ( ) Dosing tank ( ) — o - 10 Ci` -7'7,j-- Percolation Test Results Performed by------- ------------•--...--•---•--••----••--•_....--•••--------...--•_. Date----•----------------- j----------- a Test Pit No. 1----------------minutes per inch Depth of "lest Pit.................... Depth to ground water....__ s.__._---. f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__.._.____.___._____--. •-----•••--------------------- - --- .. O Description of Soil.--------® ` `3� ' t�: . _..:—sS�:_. � x _ - -!�._--..7 - � `� �,3 2 L���� -----------'�`-E-- -=- 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 Article \I 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 halt g ed... •- -. --- --------------------------- ------------------------------- Date Application Approved By- ---- ----- • . .-••--- •--- •• • ------4( 4 ... 7 Date Application Disapproved for the following reasons:____.____ ._ —...........................•- •---......_._..-•-••-------..........__._._----.. ......-----•-- --------------------------------------------------------------------------------------------------------.-----------------------------------------------------_....-----------------.._....•-----•-•--•. Date PermitNo......................................................... Issued..................... ................................. Date Nco•-•--- .... . Fimic... �............... THE COMMONWEALTH OF MASSACHUSETTS OARD OF HEALTH .. .... 1......OF.......... ..................... , pplirtttiou -fur Uiiy ott1 Works Cnutt�tr�trtiuYi , ermtit Application is hereby made for a Permit to Construct ( or Repair ( ) an IndividualCS� ge Disposal f System at: G3- l -----••-----...•-- .......................................................... --------- . Location-Address or Lot No. `�....` � � �.....�� �---•-••--------•--..•........................ r---•-•----•------......-----------••--•--------............... ^, Owner "V� Address Installer Address Q Type of Building Size Lot.... feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder aOther—Type of Building ____________________________ No. of persons....... Showers ( ) — Cafeteria ( ) Q' Other fixtures -----------------------------------------------.......------------------------- ------------------•----------- W Design Flow.............:~d..............-.........gallons per person per day. Total daily flow............_0v.........................gallons. WSeptic Tank Liquid capacitvJ_Anv__gallons Length---------------- Width................ Diameter................ Depth_-._----.-..... x Disposal Trench—No- -------------------- Widtli.-'O............. 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 ( ) - - /��c o.�J't L` / -7' 7S— aPercolation Test Results Performed by.................................................. ..................... Date.........................}_.- -----// --• -�l Test Pit No. 1................minutes per inch Depth of "Pest Pit.................... Depth to -round water....__ a .. (� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-----.---_---_-..___..-. --------------------- -------- r p _ f Description of Soil---------Q -' � s�r ° �" = �� '------ - .�).- h% f /32 . --------------------------------------------I----------------------------------------------------------------------------------------------------------------------------------------------------------- V 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 Article YI 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 ged.... ...•• Application Approved By--- --------- ----- - --- - --•... ..... .` .. < . ... .. Dame- Date Application Disapproved for the following reasons:--•----••------------------------•--------------••------•-----•-------------------_------------------._.--------- .............•------------•-•-----•---------------...------------------....------------•-•-•---------------------------•------------------------------------------------------------------------------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... -- .....----OF.............. .. .... . .. .............................. Qlertif irate of f"uutpliaurr �. - HIS S T RTIFY, T a th de t al Sewage Disposal System constructed ( ) or Repaired ( ) ` /} - /9 y...7' Ll-----has Veen installed in accordance with the provisions of Art' e he State Sanitary Code as described in the application for Disposal Works Construction Permit No----'-.___ __.___ ------ dated.......14)_-__-�J..--...7_11.. THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ot DATE_.. � ----------•--••------•-------- Inspector- -^-. ........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH N �{ f :. ...C ......OF........ '° .......................................... FEE.. I1..... =rjrtio.. . Permissio ereby granted___ ___!..._'_ G�-`1 to Cons uc�( ) o}'� ep�} (- ) an Ind/ivi1d�j1 e a/ e Dispos S stem - a ` _ 7 as shown on the application for Disposal Works Construction Perm' ate _ _. �� 4 Boar of Heal d DATE -- ......77 Boar FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS w QJ v� �_ �+,�s;�.r,s r)� ✓f �, z a }r t s< �d 9 j, +I r c�s�.�q :P'Ss � r �,} t : - t 7 •° ,. t r}<,b�r-._;�,E '�t � � Y' tt i�� u � �,ry I �r`�t 1}slug 4,5 j �' s' ' i- A- -t: r� P ! •,ti''�'�.�'y>fn}.tiefl,�rk ;,Y�' �,•,� �° y +srl +.,,s4r � (?p� � = �r e > L4 p� ,Y4.4..e ` , r } ;4.?� < �m� 1� �'�a'�� i ,�h: y :' , x�.;:e ! y } ' ,s., � • �� �r.��� c�� u kl •. � i5' ; t; 1{� s t ��it Yt k sr � 1�1 J +y,7 u � ). �. � t .•- f ��„ -¢ ,1 t# ,�■ �` ,._X i f i! ! � s ,u� s '� t ! s t`.4 h,r .� '� •• + <r'.+ ��� � S.y, t i. i qc. 1 ><;i I't }•4 Y e s �.YPI 1 �t �, t vi r+tk. ' � u�ja.s. .r. - v •sx �"' tF r � .r' cc &t,. f k���'."�'t?" t"�J ', �,; '4,�'�. ;�-...F r � ' e 'v rt � * �"�. 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Y�'-3" '�H "-- t L - i • . r Hs N # y ¢i. ,t rf. ) , • ,'�. v�j,��1 .Rz7 f-' 9.C6•NSTRUCT10N ONLY : -•'T INs }'R t "TOP O I=OUNDATION IS S,~FEET Apa �F A®OVE-'' LOW POINT OF ADJACENT A A im V r �, w LpR�l�E EN�INR/NC3�CC�:°/IV I CERTIFY THAT THE ' dR o. Y�1���l �� b, CLOENT SHOWN- ON THIS PLAN IS._..-LO A�'EPA, t' 18t3YERED REGISTERED �. J0� 0•�}k;0,fs SON'• THE GROUND A9 INQ.ICATED'�o LAND . QI CONFOI�( S `.$®., THE ZONI�G_:1.A�I� me.. LEER SURVEYOR DR.Px= ®F ®ARNSTA®. E �1A83: iR CH P = N0: AAAIN ST 712 MAIN ST. x`► ;� 1' UTH, tA5S. HYANNiS,°�IIASS. gHEET OF * „ DATE RE®. ,LAND SUR ' 777. 4 29 ,F,,T MIN.' x, 7P Z, v- FT..i.MjN"' PIP 4 CONCRETE MIN PVC PITCH E 4 DOUBLE COVE 1/8 PER FT 7 COVERS —,PERFORATE PVC PIPE A 10 LIQUID LEVEL/ CLEAN SAND 4 CAST IRON PIPE 9 d S MIN PITCH- - op I I SEPTIC ' TANK DIST 1/4' PER F T. (SEE BOX C TABULATION) LEACHING FIELD B SECT/ON OF GROUND WATER TABLE SEWAGE DISPOSAL .5 Y.5 TEM 3 F T . 6 FT O.C. x SOIL. LOG* . SCALE 114 it= /I Off, , 2 LAYIFR [4" DOUBLE ELEVATION `OF 1/8' -3/8 PERFORATED SOIL TEST �WASHED STONE PVC PIPE DATE OF SOIL TEST CLEAN RESULTS, WITNESSED BY /3 SAND PERCOLATION RATE A 5p MINJINCH 41 .*.-p;n�__ DESIGN CRITERIA /141 a.&:w 4"DOUBLE Z314"-,l 1/2" • PERFORATED WASHED STONE X-WOOD STAKES NUMBER - OF BEDROOMS PVC PIPE SET 8 FT ON CENTER GARBAGE DISPOSAL UNIT A 7171 ESTIMATED FLOW GAL DAY LEACHING AREA SQ. ,FT. 1AECTION X- X SALE : 114"= 0 " RESERVE - AREA ty e'0 SQ.,F T TABULATION DIMENSION A � FT INVERT ELEVATIONS DIMENSION B F F * T • I DIMENSION Ci' T 4E�`sa-offV INVERT AT BUILDING FT INLET' SEPTIC TANK 99,57 FT Mot 5�a_ P IP HIL OUTLET * SEPTIC TANK 91,3 FT' ORUC l...4 . WEI ERG.' INLET- DISTRIBUTION iBOX­-_lL­_/- FT -Q10N BOX ELDREDGE -.ENG! OUTLET DISTRIBUTION" ;33,Nt 1 . 0 ENO` 12 m"A D' Of LEACHING , RgL 99,gl F_D i. MA19- -04AS C ISO, YARMOUTH, HYANNI N OF :7 SHEETJ.- e 7 i Health Complaints 17-Jan-03 Time: 2:00:00 AM Date: 1/9/2003 Complaint Number: 3889 Referred To: THOMAS MCKEAN Taken By: JOAN AGOSTINELLI Complaint Type: GENERAL Article X Detail: UNSANITARY CONDITIONS Business Name: GREER PROPERTY Number: Street: OLD STAGE ROAD Village: WEST BARNSTABLE Assessors Map_Parcel: Telephone Number: Complaint Description: YARD IF FULL OF JUNK. A BLIGHT TO NEIGHBORHOOD. WANTS IT CLEANED UP AND PLANTED TO HIDE MESS. HAS ENGLISH 2 DECK BUS WITHOUT TIRES. A TERRIBLE DISTRACTION" FIND WAY TO ELIMINATE "GRAN DFATHERED" STATUS OF MESS. Actions Taken/Results: TM and Tom Perry inspected the site on 1/15/03 at 4:20 p.m.. Twelve vehicles, including a double-decker bus, RV, camping trailer, tractors, and other vehicles, were observed on the site which were not registered. No trash or garbage observed. Also, no violations observed in regards to disposal hazardous wastes. Three plastic planters, containing soil, observed on the ground at the front left sidewalk entrance to the home. The home did not have any shingling or siding present. Multiple materials observed throughout the property (including for example cinder blocks on the ground, piles of boards on the ground, and metal parts kept inside a bus). The multiple materials appeared to be organized and piled in an orderly fashion. Police Department to be notified reqadrinq 1 Health Complaints 17-Jan-03 unregistered vehicles. No health violations observed. Unregistered vehicles reported to Dispatcher White of the Police Department on 1/17/03. Investigation Date: V15/1903 Investigation Time: 4:20:00 PM 2