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Home My WebLink About0153 CONCORD LANE - Health [53 Concord Lane Marstons Mills A=122-124 1 TOWN OF BARNSTABLE LOCATION / SEWAGE # �- VILLAGE a ASSESSOR'S MAP & LOT " INSTALLER'S NAME&PHONE NO. -1.a- ,eh— SEPTIC TANK CAPACITY -64-O LEACHING FACILITY: (type) o "�Y y.T (size)- NO.OF BEDROOMS c� 4 BUELDER OR OWNER PERMTTDATE: 2 COMPLIANCE DATE: $ 9 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 `_ �. � . J L' ? 'i ��r � ' � � i� ,, �s a ^� .� �, No. ` Fee$50 . 00 computer: THE COMMONWEALTH OF MASSACHUSETTS Entered in com p Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Migaai *paem Construction Permit Application for a Permit to Construct( )Repair(x)O Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1 5 3 Concord Ln Owner's Name,Address and Tel.No. 4 2 8—5 6 3 7 Assessor'sMap/Parcel Osterville, MA Kyle Manni 153 Concord Ln 'Z Z— ?,Y Osterville, MA Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. W E Robinson Septic Service P 0 Box 1089 , Centerville, MA Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder(no) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil sand Nature of Repairs`or Alterations(Answer when applicable) Title 5 Lea ch i n!g consisting of three stonepacked maximizers. 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 Envir nmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B �oea4h. Signed Date Application Approved by Date — Application Disapproved for the following reasons Permit No. Date Issued j { e �•� t-�iT rJ .rarer No. Fee$50.00 / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 'A w 01pprication for Mioont dip.5tem Construction Permit Application for a Permit to Construct( )Repair(XV)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components k' Location Address or Lot No. 153 Concord Ln Owner's Name,Address and Tel.No. 4 2 8—5 6 3 7 Assessor's Map/Parcel Osterville, MA Kyle Manni 3$3 Concord Ln 2 Z — Osterville, MA Installer's Name,Address,and Tel.No. 7 7 5_8 7 7 6 Designer's Name,Address and Tel.No. W E Robinson Septic Service P 0 Box 1089, Centerville, MA Type of Building: Dwelling No.of Bedrooms Q Lot Size sq.ft. Garbage Grinder(no) Other Type of Building No of Petso� Showers( ) Cafeteria( ) Other Fixtures " —Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of,Septic Tank Type of S.A.S. Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) Title a achi net consisting of three stonepacked maximizers. 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 Envir nmental Code and not to place the system in operation until a Certifi- cateof Compliance has been issued by this B o ealth. � ` L,. Signed Date / Application Approved by Date Application Disapproved for the following reasons Permit No. 97- 3 Date Issued --- ------.--.—.-- ---------------- Manni / TZt=�- LTH OF MASSACHUSETTS ""v f &SACHUSETTS Certificate of Compliance \� THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(XX)Upgraded( ) Abandoned( )by at 153 Concord Ln, Osterville has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 9 t-I'Y/ dated t/-/-2r , Installer W E Robinson Septic Service Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date- �9 1 (� Inspector No. - 3 Fee 5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Manni Miopont *pgtem Con5truction permit Permission is hereby granted to Construct( )Repair*x )Upgrade( )Abandon( ) System located at 153 Concord Lane Osterville, MA Installer W E Robinson Septic Service 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 of this ermit. G-/-9� i < Date: Approved by � ° I � L TOWN OF BARNSTABLE /�� ,4 SEWAGE # LOCATION VILLAGE 5 / ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. h' SEPTIC TANK CAPACITY LEACHING FACILITY: (type)�'�'7 a d k `.S (size) &�-Z9 S-0-� NO.OF BEDROOMS BUILDER OR OWNER,��.�lmei 4,- PERMrTDATE: —COMPLIANCE DATE: 3 / 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by a, NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) I, William E. Robinson, Sr. ,hereby certify that the application for disposal works construction permit signed by me dated "�� , concerning the property located at 153 Concord Lane, Osterville, meets all of the following criteria: * There are no wetlands within 100 feet of the proposed leaching facility. * There are no private wells within 150 feet of the proposed septic system. * There is no increase in flow and/or change in use proposed. * There are no variances requested or needed. * If the proposed leaching facility will be located with 250 feet of any wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S. map) B)Observed Groundwater Table Evaluation(according to Health Division well map) -3 D SIGNED: / DATE G LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 20-1998 (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). N6/0 I cl No.... .`k t3 ` F�a-S... ..Ca... .... F. THE COMMONWEALTH OF MASSACHUSETT S ,,d o- I•2�jq r Bob!R® OF HEALTH ` 1.o uJ nJ....-......OF......'43M N��,� �/- Appliratiou for M-spaga1 Works Tomitrurtiirt ramit Application is hereby/ymade for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Systm at: _# S 7j �,G�1 e/ j S OT 0 4 3 �� .............................. f .a 1.1 --...-----.--..----.---- ------------..........---•--------•--------. ....---------.....................b. A AL d ress p�a..No, -. ..... .°-- ......... j Av O z s -. 1 t ..1dress _ ......... ...... - , •............................. ......•••--•--•--•--- is Installe - Address i <� Type of Building Size Lot....��._� , ..Sq. feet U Dwelling—No. of Bedrooms......................................Expansion Attic ( ) Garbage Grinder ( ) Pk Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures -------------------------------------------------- w Design Flow.............Z~,'r.............---..gallons per person per day. Total daily flow.......... s10.....................gallons. WSeptic Tank—Liquid capacityj6.0.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width...._t.............. Total Length........... Total leaching area....................sq. ft. 3 Seepage Pit No----------I.--___,... Diameter.._...._._...... Depth below inlet...... Total leaching area. Q.®...sq. ft. Z Other Distribution box ( ) Dosina tank ) '-' Percolation Test Results Performed by [§-X f _ ,.&yx.9.......!7_....gO aC_...... aTest Pit No. 1_._..-.-----minutes per inch Depth of Test Pit.................... Depth to ground water--_____-_____-_-__---_-. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 94 -----------------------------------------------------------•---...........------•---......................................................................... O Description of Soil...................... x T .. .... -...z4................................................--------------•---------.........---- c., -------------------- •------------------------------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 TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss ed by the bo d o heal Signed a G - D e Application Approved By..............�. ,� �..14�_.. ---.--_ ��4.'............ Date Application Disapproved for the following reasons:................................................................................................................ -••--••--------------•----------------•-----•-----•----•------••••------•-•----------••......------.........---•-------------------------------------------------••-------------------------------•-•-•.. Date PermitNo......................................................... Issued-....................................................... Date No-----a..z...ct13 -i Frzsx-...3..5. ._ •THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. ........................O F.......................................--------------------........._--••--............._. Applira#ion for Dhipusal Workii Tomtrurtiun rrnti# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................_--......-....................................................................... ----......••-------•------•-••----••---•--•-•---..........._.......-------•---•--.........._------ Location-Address or Lot No. ......................-•.......................................................................... ---•---••._..__.....---•-•---------------------••--•••-----_..........------------•--•--.....---.. —Oj ................................Address Installer �f�rcke Address d Type of Building Size Lot____________________________Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '_j Other—T e of Building No. of persons____________________________ Showers — Cafeteria 04 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........................ 0%4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ lX •-•--•--••-------------------•--•--•-•--••-••-•-•••---...................................................................................................... 0 Description of Soil........................................................................................................................................................................ U ----•------••-•-••-----••-•--•-•-••--•----••-----•-•---•-•-----•-•---------••••--••---•-•----••----•--••••-•----------••-•----•----------•-----------------•••••••••-•-•-......-------•-•-------•------ 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 TITLZ 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 board of health. Signed...................................................................................... .......................... ApprovedBY - -----------•--------------- -.......�� __...__.... Date Application Disapproved for the following reasons---------------------------------------------------------------------------------•--------------------•-••------- .....................•---._..._._...-•-......-------•--••••-•...-•--•-----------•...--•-••-•--••-•-•--._..__....._....--••--••--------------•----•--•---•-----------------•-----•--------•----•-....•--•- Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....:.....................................OF.......... .......................................................................... Trdifiratr of Tantplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by................... .............................._........... Installer at_.......•....................................................•_Lo.-f_I b G-_v N.C_d-R--"b-- - l__....-•----------•-•-•---------------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._.____$_1----L.`-3----_------ dated-........................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.DATE................................................ .� �Q ......... Inspector............................... ('!--VZ�-----•---._...__. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........O F..................................................................................... Disposal Workii Tonotrnrtinn ramit Permission is hereby granted.._____---__•----------------------------------------•------- _____..........///CkCY -------------------••--------------- to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo.................................,.......-...........................-........-.............................................................. Street as shown on the application for Disposal Works Construction Permit No_____________________ Dated.......................................... - .�� .�../ ......_.._... � / and of Health DATE-----•------------•-----•-------•-•---- ---//-- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS- SIuGLc-. FAMILY - 3 BEORooM ►.IO GAagAGI= 69jmDEt2. - .7 v�s�L•� FI_ow .: Ilo`x 3 33oG.Pt? a� `� SEPTIG TAijK = 33ox15C>% ---495G.P. Q cd • USE- 1000 GAL. 0%5Po5AU P►'T uS6 1000 6Au. 51 or-WALL ArtSlb► a 150 S.F X �•5 395 G.Pq ZS $OTTOM AREA a 20 F, Sp 5.F Y. i• o �7 p G:P c? I -TOTAL DA 1 LY FLOW - 330 G PQ � (P rP m PE2GpI,-A't1ot4,V-A'TE= I''W 2MIN Paor ' A2 3_ f 74 idCHARD e o ALAN A. • ' W: BAxTER y . Jo H Na 24048 a �9 Q18T�►a�pQ' TE�� Top FNv.&2 M01.E 317481 F6 .. GD / `- I-oAM 4 1000 INV. S SwI. 016T. INS C,"-. 58.8 Bux $F,PTIC. 2�Is t0�0 INS �� TANK LEIaGN I PIT INV. INY. Moro, wtTu 5fr'L 54 Saar I�/3�g•�%L � `/ � WASNGD 6Tv NG i S2.u Gir2TIr-ICD PLoT P OPILG tC,- 1.o�4z_I o rJ n,YA(�•�TO�15 M I(..�5 12 AI O� S GAI-E 5 CA L E (IL �0 V AT a o wRTt"2. przcpoScn 1 ERT1t=Y THAT THE Noss 511ovYN REPEcZENGE C N6.REoN GOMPi..` !s WJTN TH6 s I CELIN E LoT 3z>. -foWN pF e"g (�,6,QVIREAN� �S o}�OT"µE _ .. STD Ltd I I LOCATED MITNIIJ T .E F oop A LIN DI►T it 1 Mt AA . i3AxTE1Ze IJ`(E INC. R.E6 I S'T f�Q6�'tA►J D S u iZ.Y EYoeS 7141S PLAN 1 g NOrr gnSEp o�d AN 0sTl=9-VIL1..E • MP S. IN51-RUMEN-V Su2vGY -r9E Dr-V5ET5 IS t 0 U Z> 140-t DC- V5C nTd pCTr-�'�lI►-IC Lc>�" 1. It�G�� APPx..IIA►JT DI ,n�1.,�•Las al. qr