HomeMy WebLinkAbout0078 HUCKLEBERRY LANE - Health 78 HUCKLEBERRY LANE, M. MILLS
A=102-139
/ TOWN OF BARNSTABLE
LOCATION ZE Y4/G(cl/��GN`'�1 �l�r�� SEWAGE#
VILLAGE Wdk,,;rah s M,?/s ASSESSOR'S MAP&LOT/02�/3 9
INSTALLER'S NAME&PHONE NO. e177—03y9 ✓Ose,04 d., 3.,90Ho5
SEPTIC TANK CAPACITY
LEACHING FACELITY: (type) (size) 30 X //
NO.OF BEDROOMS 3
BUILDER OR OWNER
PERMITDATE: 7- 9— 98 COMPLIANCE DATE: 3
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
N��kl�,b�r�►y Gam,
I
®: 3s-
No. / U '� 7 l Fee �" t
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpphration for Migw5ar *p5tem Construction Permit
Application for a Permit to Construct(!-'If epair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 18 Huck F rrHy 44h� Owner's Name,Address and Tel.No. /
mgp,tvo i!/S �'�ro� I�IGOdNl9fG(
Assessor's Map/Parcel 16P2 /J 9
Installer's Name,Addre s,and Tel.No. �/7 rf O3�� Designer's Name,Address and el.No.
JBS-,PA 12-e— /,�,*1Ws
,c Koff
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder( )
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 xna/
Nature of gepairs or Alterations(Answer when a licable) / / T /= 0�
; .5 / DO /a 1 S
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 Board of Health.
Signed oAtgg / Date 7�9" 95'
Application Approved by Date
Application Disapproved for the following reasons
Permit No. L/ Date Issued — clep
fhiGK��, r=r,'/
ro may.
"c
�p v
TOWN OF BARNSTABLE
LOCATION ,7UGk% {`''';� �ta�� SEWAGE#
VILLAGE {?�1�rS roh S ���l� ASSESSOR'S MAP &LOTI02
INSTALLER'S NAME&PHONE NO. y77 o��q ✓oS�/°� U� L3 ✓%o5
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) ' h�IK.x'�'r'�ti (size)
NO.OF BEDROOMS 3
BUILDER OR OWNER
PERMITDATE: 7- 9— 9'J COMPLIANCE DATE:
Separation Distance Between the:
Feet
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility
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 ''f
No.\ / U " 33 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpplication for Dioaar *pgtem/C,.,on!5truct �Ow.3Permit
Application for a Permit to Construct(L Repair( )Upgrade( )Abandon( ) ❑Complete System El Individual Components
Location Address or Lot No. .18 vC rZbF'1'04' �th-e- Owner's�ame,Address and Te No. /
�,�rSTvNS /YY1I�//S !'yIG�GHI'!IG/
Assessor'sMap/Pazcel �OZ , •"-' '
78 f1v�15_ _ _ F_fr' LpH 40,52 0;0//
Installer's Name Addre s,and Tel.No. /'J''J7 0 3 ti9 Designer's Name,Address and el.No.
JCS-�pti 1�� �, �n�vs
L�Wnf_e rr
Type of Building:
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
A
i 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 J/¢
Nature of epairs or Alterations(Answer when applicable)�ll /=lt/5T
� �/ /Ni��/noiir/^s w�th 3 '3rbh-c �rvvh
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 thisBoard of Health.
Signed Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. 5�7 6(7 3 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of (Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( 4-- Repaired ( ) Upgraded( )
Abandoned( )by
at t 115 MV6,15-114—A!=/r' Ae has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.U j-f dated_7
Installer Jp s e�o1i Q-G /�.�orv�oS Designer ✓9j e,ely a-e �3arHaS
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date - 7--! ? Inspector
— �d y/ �� ---------------------------
Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Digpoga[ *pgtem Congtruction 3permit
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( )
System located at vG� fryer Fa v e-
�1k+rsro�s �yt % s
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and theiollowing local provisions or special conditions.
Provided:Construction musts be completed within three years of the date of thi
� /
Date: `"f' _ Approved by
10l9/97
NOTICE: This For>in Is To Be Used For the Repair Of Failed
Septie Systems Only:
CERTIFICATION OF SKETCH AND APPLICATION FOR A
DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT
ENGINEERED PLANS)
I, se ggh de, 9&nioa ; hereby certify that the application for disposal works
construction permit signed by me dated -q-rid ; concerning the
property located at 78 /w�lc����ry��l ���i� meets all of the
following criteria:
i
+There are no wetlands located within 100 feet of the proposed leaching facility
t
"ere are no private wells within 150 feet of the proposed septic system
+There is no increase in flow and/or change in use proposed
�erere no variances requested or needed. i
• If the proposed leaching facility will be located within 250 feet of any wetlands,the bottom of the
proposed leaching facility will n9i be located less than fourteen(14)feet above the maximum adjusted
groundwater table elevation.
Please complete the following!
I
A)Top of Ground Elevation(according to the Engineering Division G.T.S.map) (1 8
B)Observed Groundwater Table Elevation(according to Health Division well map) 42
SIGNED: ,se2 r DATE: ' — —Q8
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER
[Attach a sketch plan of the proposed system.Also if the licerised Installer posesses a certified plot plan,
this plan should be submitted].
i
q:health folder:cert
'I
lSao
G�.� S
Health Complaints
04-Nov-97
Time: 1:20:00 PM Date: 7/25/97 Complaint Number: 932
Referred To: JEROME DUNNING Taken By: EDWARD BARRY
Complaint Type: TITLE V SEWAGE
Article X Detail: UNSANITARY CONDITIONS
Business Name: Martin MacDonald
Number: 78 Street: Huckleberry Lane
Village: MARSTONS MILLS Assessors Map-Parcel:
I
Complaint Description: overflowing sewerage Strong odor. Thinks it is
a cesspool
Actions Taken/Results: gh inspected 10-31-97. evidence of breakout
and standing effluent over cesspool. A trail of
black effluent adjacent to cesspool runs down
slope into leave piles. Warning Notice
issued:Pump cesspool within 24 hours to
eliminate overflowing & hire contractor to
replace failed system within 7 days. Orders
were given to Carol Macdonald at time of
inspection . She requested information on
loans and funding available through town or
state.
Investigation Date: 10/31/97 Investigation Time: 2:45:00 PM
1
TOWN OF BARNSTABLE BAR-W 1600
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager AP-6, /Mae- -/w4i j ,•/
Address of Offender MV/MB Reg.#
Village/State/Zip M a rs kj...j 44 ;11j A4.-f yZ&fib'
Business Name / m- on // 19 f
Business Address
ignature .of Enfo cin 0 ficer
Village/State/Zip
Location of Offense :z� vCd�(� <oGrrr La.c,� , /(/l./ , �� 7-Al
Enforcing Dept/Division
Offense /(/yi ra or-e w Ac v OL, "ela Z
Facts Y 7sfzz d&J4r a lll�'�oar 1 i' !Dare �o�,cr• �/c�l@vS
ULM.d CPflf�� G/iLt ire Z y�r rS. %r� c2 �'v v��Y�tcsr !^Pa4Q � .N� l r! Q4kl,
Thid will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate.. legal action by the Town.
i TOWN OF BARNSTABLE AR-W,1600
Ordinance or Regulation
WARNING NOTICE
Name of Off ender/Manager Aa r
Address of Offender '7 ,6 . ( k i•e(aevr � Ltr ,.p MV/MB Reg.#
Village/State/Zip A4d. rr,j j .,/f4 ;IJJ 1W o-r&a j9
Business Name -Z '30 am 10 on 7 192-7
Business Address f, 4
Signature of Enfor'cin Officer
Village/State/Zip
Location of Offense -729 AUC&it 4,4 r r y 1-o t t A4,10 W152 '/. 7-H }
Enforcing Dept/Division
Offense C,/C Vi 04-, '41
Facts I ISAfZC (010r1� .OV 0v?r rd't { tfi ,w:?ec+,� �' �f� pY � otdev-s .
r
iv Lida rtvI 1 t ro? �r f re a. t'c ar*c*.,- � r g+r f��'S /►� � C�G �.
'Th.i will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town r .
1 TOWN OF BARNSTABLE BAR-W 1600
-� Ordinance or Regulation
WARNING NOTICE fi
Name of Offender/Manager ,00 `
Address of OffenderJt s.r'61° r y i. �, MV/MB Reg.#
Village/State/Zip 6 , 3 k,-.s A4 f 1s ,r'W 0-eev>d N'
Business Name ' .V am/pm- on A , 1997
Business Address
' °""' .
Signature .of Enforcing Off .icer
Village/State/Zip
Location of Offense "7,9 14,rI. ( Ge P.,r.,t AX. 7A/
Enforcing Dept/Division
Offense /,r 4 t t� .
Facts75 � ' `Y Cj.P�� � .P� t ,a� fr r3a" �'+ rrL *`�z.,► �Cv3
1 q 7
This' will serve only as a warning. At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
f - -
Health Complaints
31-Oct-97
Time: 1:20:00 PM Date: 7/25/97 Complaint Number: 932
Referred To: JEROME DUNNING Taken By: EDWARD BARRY
Complaint Type: TITLE V SEWAGE
Article X Detail: UNSANITARY CONDITIONS
Business Name: Martin MacDonald
Number: 78 Street: Huckleberry Lane
Village: MARSTONS MILLS Assessors Map_Parcel:
Complaint Description: overflowing sewerage ,strong odor. Thinks it is
a cesspool
Actions Taken/Results:
Investigation Date: Investigation Time:
1
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