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HomeMy WebLinkAbout0006 LOCUST LANE - Health S e(A.;e.- 17X o'Locust Lane Barnstable g A= 318 - 023 No. . Fe J ` 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIpphratiou for Migw6al �&p5tem Cougtructiou Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) AbandonX< ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 3 6 2—6 8 16 6 Locust Ln, Barnstable Chester Wolfe Assessor'sMap/Parcel 6 Locust- Ln, Barnstable Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. Wm E Robinson Sr Septic PO Box Type of Building: 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) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Abandonment of old tank. 0 + G olor 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 ea h. Signe y Date G� /�`G Application Approved by Date. p y C- 'Application Disapproved by: Date ;for the following reasons Permit No. Doc — 3 Date Issued yz ,; ,r°:a=- -_' .:x-.-c.e-'•.e.-_a ---,w _:_s;�c,e•.i�_.-..-s a-^_w .-„�...rF'-..s.-:rY' `_<.y .. ..y:::"+ ..'ro v::..a .r- vrsa ; No. w� ' ! Fee Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS Yes .'� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIP'PYication for Zi5pozat *pgtem Cong4ruction 3dermit Application for a Permit to Construct( ): Repair( ) Upgrade( ) Abandon ❑ Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. 3 6 2—6 81 6 6 Locust Lni Barnstable Chester Wolfe AI Assessor'sMap/Parcel Ur-0,23 6 Locust Ln, Barnstable 1. � Y• Installer's Name,Address,and Tel.No. 7 7 5 8 7 7 6 Designer's Name,Address and Tel.No. Wm E Robinson Sr Septic PO Box 1089 . Centerville Type of Building: t Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder ( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures •, «. 1 Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. ` Description of Soil r Nature of Repairs or Alterations(Answer when applicable) Abandonment of old tank. I U11A *ice 7 0 + e_ ,rr7 41 t r 4. Date last inspected: V + - 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 1 Compliance has been issued by this Board of ea h. Signe Date G C Apl^_.�tiorApprc�edby C Date Y:(J.,� t Application Disapproved by: Date for the following reasons - Permit No. Gf) Date Issued y C� THE COMMONWEALTH OF MASSACHUSETTS Wolfe BARNSTABLE,MASSACHUSETTS CdnAv cled W^ ip we r Certificate of Comptiance THIS IS TO CERTIFY,that the On-site Se via•ge Disposal System Constructed ( ) Repaired ( ) Upgraded ( ) r Abandoned( X)by Wm E Robinson Sr Spot i r Service at 6 Locust Lane, Barnstable d has been constructed in accordance �► with the provisions of Title 5 and the for Disposal System Construction Permit No. Zo6 3 V dated Installer Designer #bedrooms N� Approved,design flow gpd The issuance of this permit shall no be construed as a guarantee that the(YS tem will function as,de igned. Date e- fit (ia Inspector-1A (_ No. Fee 500 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Wolfe Digont �6pgtem Construction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon (X ) System located at 6 Locust Lane, Barnstable 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'ofl_thiis permit. Date X " c) Approved by Certified Mail#7003 1680 0004 5458 3817 Town of Barnstable Regulatory Services suuvsra$t Thomas F. Geiler, Director FA'�r Public Health Division Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 July 10, 2006 Nancy W.Knox 2 (� 6 Locust Lane Barnstable, MA 02630 O� 7 0 d 7-- NOTICE TO ABATE VIOLATIONS OF 310 CMR: 15.000 THE STATE ENVIRONMENTAL CODE TITLE V: MINIMUM REOUIREMENTS FOR THE SUBSURFACE DISPOSAL OF SANITARY SEWAGE The property owned by you located at 6 Locust Lane, Barnstable (Assessors Map\Parcel 318- 023)is documented as being connected to the municipal sewer system, account number 1815. The following is a violation of the State Environmental Code: 310 CMR 15.354: Abandonment of Systems: Property connected to municipal sewer system, and no septic system abandonment permit on file. Town of Barnstable Health Department records indicate the property had a septic system installed and compliance issued on 8/11/1977. No septic abandonment permit on file with the Town of Barnstable Health Department. You are directed to correct the violation listed above within thirty (30) days of your receipt of this notice by obtaining a septic abandonment permit from the Town of Barnstable Health Department and properly abandoning the septic system. 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. PER ORDER OF HE BOARD OF HEALTH Thomas A. McKean, R.S. Director of Public Health Town of Barnstable QAOrder letters\Sewage violations\6 Locust Lane.doc r=1 Iro �. .•. M ro Ln Postage $ d3q p Certified Fee O (A. p Retum Reolept Fee P aflk a(Endorsement Required) C CUDpRestricted DeliveryFee03 (Endorsement Required) rq Total Postage&Fees Fs . 6 �( -" M p Sent To p d�G Street Apt No.;' -- � --------------------------------- -/ or PO Box N-o. - / ---. ofv --4'`t---P-------------------------------- -- City,State, P+4 ] 02 3 Certified Mail Provides:o A mailing receipt (?sJeAeal zooaauAr°oossw,o=1sa o A unique identifier for your mailpiece a A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. a Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. a For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery'. e If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. SENDER: COWLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■'Complete items 1,2,and 3.Also complete A. Si ature item 4 if Restricted Delivery is desired. ❑ nt W Print your name and address on the reverse X ddressee so that we can return the card to you. Ve eived by--P-rinte Na ) ate of Delivery E"Attach this card to the back of the mailpiece, Eor on the front if space permits, •� D. Isfc¢!ve ery address differ�r%from item 1? 1. Article Addressed to: f YES,enter delivery address o JUL zm ` d �P �vt✓�-��" G.a�t� I� 3. Service ecA rnf 4✓/e-r M 4 0.26.?0 .Certified Mail ❑Express Mail ❑ Registered Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number :;:7Q03: 1680, ODON 5458 3817 (Transfer from service label) PS Form 3811,February 2004 Domestic ReturnReceipt 102595-02-M-1540 t UNITED STATES POSTAL SERVICE Fir - lass Mail EWd ermit No. ' -O'� I I • Sender: Please print your name, address, and ZIP+4 in this box• j j I i I I � Public Health Division Town of Bamstable 200 Main St. i Hyannis,Massachusetts 0260` I I .� _ , i �(����- t 1 ��� i a ���� ,� , �� � S, �' � � —�y�`,�a t c,_��� Ll Q aft J . ( I I (ww f C,�,, I � ti �r i i . `y ' , 1 1 � Y ' � L. .. � , � Tk � � � \� �, I t '� / A. FOR ATE TIMED M . ' •PHQNEQ. :'. DF RETURI..JEQ PHONE V ` (� (o YCJLIR,CALL AREA ODE N BER EXT PLEASE>CALL- MESS SEE E `f WILL CALL: AGAIN YQU �- !:WANTS TQ SEE YOU SI NED nivefSal 48003 FOR jME P.M.A.M. M OFss F• RETURN�L3" PHONE YQL1R CALLM AREA CO NUMBER EXTENSION ' F?L£AS£GULL:: MESSAGE WILL CALL: AGAIN CAME TO ' o��O, S GEE YOf1 _., WANTS . SEA YOU ' SIGNED �nivelSa/'48003 v r A r. S310N `R<< L { ? A �. . : C f4 E S-rE _ (tea LF AkA. zp� �. ,. L Ff I LOCATION SEWAGE PERMIT NO.. �tiw�1 � 10 10'--�3 / - Q VILLAGE o�s .rr INSTAL 'S ME DDRESS B U Yt D E OR OWN ER DATE PERMIT ISSUED r OAT E COMPLI ANCE ISSUED O A G 6 s G Iz +yam, THE COMMONWEAf_TH OF MASSACHUSETTS ' BOARD, OF HE L H �..........O F...,: ...:............. 1� Apphration for Diipniial Morks Tomitrnrtinn ramit J Application is hereby de for Perrn�W Constru t ( ) or Repair ( ) an Individual Sewage Disposal System at: L o T' f3 c� 40 cU 41V. TA13AIs TA 6 *oc.a1i,.o;.V.. dres Owner Address I a .,__-----•------- ----=----------- ------ S Installer A*ddress Type of Building Size Lot............................Sq.. feet Dwelling 2VNo. of Bedrooms......_�.......................Expansion Attic ( ) Garbage Grinder QVd . `Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ..------•-------•------------- - d ----------------------------------------------------------• ..._.. W Design Flow..............J-_ ................gallons per person per day. Total daily flow........ ..................gallons. WSeptic Tank-/-Liquid capacity/. .gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Wi h_ Total Length.................... Total leaching area....................Sq. ft. Seepage Pit No...... below inlet.......... .. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing t 26 - 77 a Percolation Test Results Performed by. . .-...�f�_..,.. ................. Date......................:................. Test Pit No. 1................minutes per inch epth of Test Pit.................... Depth to ground water-.--_-.______-_-_._.._-. Gr4 Test. Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •-•••-------•--------- ------------------------------------- 0 ... - c Description of Soil-------=.---- � �r �..-`-/-�. :.._ l.tl - % .• �- x 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 iITI U 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 board doff heal Date Application Approved By----.-- 7`'�lS - . --•----•------•--•------------------•--••-------•---...--•---....................Date Application Disapproved for the following reasons:_...._... ._...--._•_... ..................................•-•-----••----.....----•-------•---•---•-•-----•--------••-•---•--------•••----•---••--•-•-------------•--------•-•----••------------••----------•- -•-----•---------- 6 Date Permit No.............�_�........-••--•---••-.._..._•-_... Issued.......2-�- l Date ......... . Fps......�..................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® F HEALTH e,G.....�....a�.. ....... ,�urliratio�t for 11is*o5�al Works Town irtion ramit Application is�her by Tade for a Per a Construct ( ) or Repair (� ) an Individual Sewage Disposal System at: 1 j �`�- v G tJ i LA V 1_ A �I I S T,C}P� ...• __..._. . • ....-... ..... ------------------------ --------------------•--..----............--------------------------------7 _ Location}- 'ddress or Lot No. ......................».......................................- :y _ f . / 4! Owner �,/ { Address, •q a ----....'....--• -•-•••-- .... ...•.�.... .... .Pam................. . i.... / r( J Installer Address d Type of Building Size Lot............................Sq. fe t Ua ........ Garbage Garbage Grinder—No. of Bedrooms....... ...... ............._._....Ex ansion Attic p) aOther—Type of Building ------------:................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtui-e•a-...--------••-• -------------------••-••......--------•••••••----------••-•----.......--•-•----••••••••...... -------------------- ..... Design Flow..............��................_..._._gallons per person per day. Total daily flow.........w . WSeptic Tank L Liquid capacity�p�'__gallons Length................ Width................ Diameter------------.--- Depth................ x Disposal Trench—No....................... Wiath�;............... Total Length.................... Total leaching area....................sq. ft. See a e 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........................ 44 , Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........---............. a' -------------------------------•-----•••..:... ........----._.. ----f ............. t' F !- C O Description of Soil........... '� ! fz�: - / _ a , ofr �" = .Z U �� x -. 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 T ITI E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is ued by the board of health. Signed .''.' . f j/._... ' �_...... --_------- ._ Datey Application Approved By.._.....`_'' _ _'_�.."I......_-'��'6'(-GZ✓1il... _.•..-- _ --/S t/ --- Date Application Disapproved for the following reasons:................................................................................. ........... ............................................•------••----••-•------------....---------.......------------•--••••••-•--•----•-••-••--------•-----•--•----•-••-----------•-•-•---•--------•------...__ �. I - Permit No.._...-•-------�-�----•---•-----------•-•-•--------• Issued-.----�---5--••-�--�-••-----------a�------ Date THE COMMONWEALTH OF MASSACHUSETTS I BOARD OF HEALTH L - .......................O F....................................................._............................... CPrrtifiratr of TontpliFana b VH1 0 Y .T at �or Repaired ( ) by ... IF the Individual Sewage Disposal System constructed--t-------•--•----•------------------------------------------------•----- ------ ------ Installer / - —� '✓ / /L t ' GCAST <u` �`13/i �; ;1�c — e, ,erA atv----------------------•----------- ---------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described m the application for Disposal nWorksConstruction Permit No........ -------------------------------- dated. .-.-7.....lS~: I _ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THfr, SYSTEM WILL FUNCTION SATISFACTORY. 11 / DATE...�� 6 �•1.••f ...................................... Inspector-- = THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �Glc. 'r` r No......................... FEE.......................O . rkv ntritrtion anti# Permission is hereby granted_ ......•. .......................................................:........�7---�`t-_-.--.----.---- to Construct (' ) or Repair ( ) an Individual Sewage Disposal System Gr! ----•.....................................T ................vy r Street 6 as shown on the application for Disposal.Works Construct o mit N :._.� �_... __ Dated.._.__....�-_-/�S_..:__•�._�-.... r .... ............... !`Gi' _--- •----•............---•-•---. 77 Board of Health J DATE....................................... 4'•''-.................................. FORM 1255 HOBBS &.WARREN, INC., PUBLISHERS .. . <tiu . e e .may✓.-~ . z l . _ � .c.. tik97��•RtLI's,'.r�YZ1I�k�� E Ft�r� tj/iekl/l�,Cirtirt .—,A ' s/0..+...—w`�.. ♦ ' .n ` ' � Y,,t£RStONfr �, i,pi.j�i ��Ii.r. tg bAx. C'�► /O//,s, /� .�' Dp1ST., r99'.L zs ` p©X R i; y �. ' 'I 0 ♦� R y x tatty t1�3t? i ` a, °y 1000�-^ .j - PRECOT OR SEPTIC a •'TAiK 3�*,c,. .I SEE�'it6E Pii. p R4 z y _,; ,�,YtS` x•. f „ 20 MINIMUM. r { s ;c I ->pOUNOA71flN r �;.' ) t`1t�1 r Y �.c� � .i.} .��+ r� �.. , ,s,•• A F '. _ r�.s:y.3 -...� Arr!'�� /N`�/r sa 's l� AT106 r. i _T C#fi Ptl00.,;Ct�iQ"cl,a SCALE. 'rT .4' '_, • ." r r •- _ • " TEST si i �'_/��(.�-1- T/r3.�•�' -• ., /' ,�.w..,�„-.,,. `�r Y �,. TO I1vsPECt flij1- of�.tC'�ZG�1 T BACKHOC OPERA T'C+� • ��.«-.»I4 �., TEST MADE c 1AS Cr ray �ctiaai. r=�latct • t '. /7' ` t� !Z(�a9t��jeSQ6G� t~aND-5t.,cUtsyWyEy >r s • ,r _?7 - yM V- �' ! t nr' "' ; ,y" J�.ES rvy t7� r / ti a/ J '4 �♦ `$ a j,3 ~f4 •C 4w i O" 4L .iY'� h tl• •' a WISWELL No 'non � 4 +r•srs .y....,.�.. .:1,a..wn..--. •ai....+...+.sri'•ar .T.iM1 _ .y "^G t _ .,fr.�hy-..d.,L+-J."�`, ",.,�.r Y.[•^s•...r+.�,ri'+�+.... �^t d � `.. . f p0 Ql >c/� ilfA,CC n )OD i APPROVED BY BOARD OF HEALTH DATE 19_ /car f Ss9 RENWICK sGi� B. o CHAPMtAN .o Q No. 27654 n PQrrFG/STEF� � QNWE\ ` qt ' ELEVATION SCHEDULE PROPOsep SITE FLAW 1. INV. AT FOUNDATION �. 2. INV. INTO SEPTIC TANK = 99.'9' IN 3. I NV. OUT OF SEPTIC TANK ;SeS � � 1p,T5 />'2 Cvr•+Irt�'�Ctr�LG►G�BT /tn®y'0� 4. (NV. INTO DISTRIBUTION BOX _ S SCALE- 1"=3o' "a�GiG1977 C=spy I 5. 1 NV. OUT OF DISTRIBUTION BOX 6. .,INV INTO SEEPAGE P17 �i9•/S CAPE= COD SURVEY CONSULTANTS ROUTE 152 Z tttt-BOTTOM OF PIT = 9 HYANNIS,MASS. ' 7 ' A DIVISION 001TON SURVEY CQNSUCTANTS, INC. 8. BOTTOM. OF STONE LAYER = 93`E