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HomeMy WebLinkAbout0043 STURGIS LANE - Health 43 STURGIS LANE,BARNSTABLE A=278.043 2 ,17 o « a D , > _ 3 t : _ r f c , H 1 r is -. -- , ¢•.. • � � � � :e = w - c p tl .... , � � •r ,e :fix ,s n .. � c x F. , 1t :2. .. P ,. n ` , u .r 3 F � "Al r ' t L0.CA TAW 1 SEWAGE PERMI NO. - VILLAGE I N S T A LLER'S NAME & ADDRESS - ti Y G�s B U fl D E OR OWNER DA T E PERMIT ISSUED DAT E COMPLIANCE ISSUED � _ _ _ - a�' �� �� _.. . . o. lock No.......�?.�S�...... Fmc............... ....._ f, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............OF........8AR.N..S.TA., L6. ..------------------------------. Applira#ion for UWpo ial Worhi Tomitrurtion "trod# Application is hereby made for a Permit to Construct l ) or Repair ( ) an Individual Sewage Disposal System at: .SZ JIBCrl-S---..1..IV.t...--•-- tQ ST.��G. .......... .............. ........----------.........-----•---••------•--...............-- Location-Address or Lot No. James K. Smith Barnstable ....-•-•-----•-------------------------------------------------------------•..................... ..........•--•--•••-•••-•---------..........-•-•----............................................. Owner Address W Vetorino Brothersa &li�b��..... Installer Address Type of Buildin Size Lot__`jE-:(..,/.QL?._..Sq. feet U Dwelling No. of Bedrooms.__.._: _ ..__.Expansion Attic 00) Garbage Grinder (No) p`4 Other—Type of Building ----• / ---------- No. of persons............................ Showers ( ) Cafeteria ( ) Q' Other fixtures -.-_---_-__•--•-••-•----•_-----•_. W Design Flow.........../0......................gallons per AWperrday. Total daily flow........ _.F.0...................gallons. WSeptic Tank—Liquid capacity/490D._gallons LengthA9...4....... Width ./d.•--.. Diameter................ Depth...S•.&_.. x Disposal Trench—No. .......... ..... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........:/---____ iameter...49---`----- Depth below inlet....6.�........ Total leaching areao2,BGJ.....sq. ft. Z Other Distribution box ( Dosing tank ( ) '�' Percolation Test Results Performed by---RO,A)AZZ.....Ae-... ,I.F.Fl1d? _.��5.. Date..19P/ PA/a,...2.lff/019 Test Pit No. l 4._Z---_.minutes per inch Depth of Test Pit__/!?�.5...... Depth io ground water...;V_0_ettY_........ Test Pit No. 2__4�,..2.....minutes per inch Depth of Test Pit-_/' .......... Depth to ground water.--_1__4........... ---••-•• •••••-------------••-•••......•-•••--• ••••••••-••--•••--•-•-•--•---••--•-----•------•-•.........-•-----•-•--=--........••-•••........_..---._••-- O Description of Soil__.te_./-_...0--.2'__ __Z1dAJ1�.•.�U�3��,l�__4���.�P�'--y---�--�_-/�-=5- �Y��10�7.---�/9N� /..*.......... W r w.ri s°R-------A_ ------ 1q= ----------------------------- UNature of Repairs or Alterations—Answer when applicable................................................................................................ -----------=--------------------------------------•••-•••-•--•-•••...-•-•--•---•--••................•-•--•••-•••---•-•--•••---•-•-•••-•-............................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the T provisions of IME p 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. Sne . ----------•-••--•.•• Date Application Approved By- -• --- ��!/Lt I :-/>, '7�--� Date Application Disapproved for the following reasons------------------•----------•------------------------------------•--------..................................... ...........••••-••-•----••••-••••-----•-•••--......-••--•-•-••-••••-••••------•••--•------••------••-•-•-•••-••-••••----•••-•••--••-••••-•-••---•••••----•-•--......---•••-----••---••................•- Date PermitNo......................................................... Issued-....................................................... Date No........ ......--•-•• �' - tR 1' Fss....'� .."."........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH IOWV...............OF...... ,h?l.n.1.. ?" .................................. AV(pliration for Bi-qvnoal Workii Tomitrnrtinn Prrutit Application,,is`hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ........7".t�?�l�,.1.57A I-elt.-•---- .............C. ..> ................................ ..-•- 'Location-Address or Lot No. James Ke Smith Barnstable ...................... ------•--- ----•-------------.----- --------------.----...----------•--••-----..----------..-----------------.........- owner Address W Vetorino Brotersst�tabl�a. ..............................................Installer ....................... Address . feet U Type Size Lot_jDwelling No. of Bedrooms.__.....................................Expansion Attic 0) b gG Grinder (moo) Other—Type of Building .___ .f,e!........... No. of persons___.__:_____________________ Showers ( ) —,Cafeteria ( ) Q' Other fixtures .........................------ a!'os W Design Flow..........,�14.......................gallons per 9@Dn per day. Total daily flow-------- .:5.0 ...................!gallons. 1:4 Septic,Tank—Liquid capacit}—4.00..gallons I Length'....k i°... Width Cp"'.:Diameter................ Depth-.$'"R. ® Disposal Trench—No...................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No........./........ Diameter.___-''_...._ Depth below inlet...160..-�*......... Total leaching arm _00I.....sq. ft. Z Other Distribution box (1--r Dosing tank ( ) '" Percolation est Results Performed by._ f_)/-1#,!°1_Lz`a-----�!aA�...t' � ��--�_.L,, Date.r�?p�el '... i' Test Pit'\No. 1-em-._.._._.minutes per inch Depth of Test Pit 4!!..5_.._.. Depth to ground water---Ad_ojm4"--____. fs, Test Pit No. 2. _ .....minutes per inch Depth of Test Pit_.4�V............. Depth to ground water,__✓_4.,........... .... O Description of Soil..)e.--/---- ��r? ! ._.' �+ +�+ e' - -S --:`t`� .r"�.`-J _ .......iv ..... 41NJ� U ..:..----- '�'� ? v�%t._.. "•'tl"��fl W ------------------------ ----------lea ------- `` `; .... UNature of Repairs or Alterations—Answer when applicable........................................................................................... a:.--------•-----------------------------------------•--------------------------------------.-----.-----•-----.----------------------•-•----•-•--------------------------..__...................-•••---- Agreement- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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. S• n .---- -----••-----.._....-------•-----------•••--•-•-------••--•---------------•-- -----.......................... -n D to Application Approved By. - - / % ��'. . . •. ........................... "-/ --- ----•------ Date Application Disapproved for the following reasons:----•---------------------------------------------------------------------------------------------------------- ....................................•-------•--------------------•--------....---•------•---•-------•------•---•-------•••----••--------•-•---------•-----••---•-•---•------•---------------•----••••--- Date PermitNo.................................................----•--- Issued_...................................................... Date s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ..............................O F.................................................................................... Trr#ifirate of ''le Tuantplianrr THIS IS TO+C�TIFY That the Individual) Sewage Disposal System constructed ( X) or Repaired ( ) by.... ............... ....h --- �} Install r at_.......---•--••---`==---------Lot #8 Sturgis Lane, Barnstable._.... • has been installed in accordance with the provisions ofOTIR 5,of The State Sanitary Code as desc �eJd in the application for Disposal Works Construction Permit No - -------------- da.ted_._f['_*-.��"�/ ............. THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CASTrEI .AS A UARANTEE THAT THE SYSTEM W11. yC ION TI' FACTORY. - 1. DATE •-•........... ....••••.......�......-•-•--••••••-•.-••-.. Inspector........ ...--••--------............_......-••----............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ` Town Barnstable /,r- .................. ..OF...................---..........---.......-------••--.................... �— No,_.... F•,7•-•---... FEE _........� ... nr�� ��ri�n r�erani� Vetor no Brot ers Permission is hereby granted-----------------------••-- -------•--•-•••--------•---------------------------------------------------------...................---=-•--... to Construct ( or epair a Indivi ual Sew Disposal System. X--ll� RR (( ll Lot 8 St Lane,, arnsgta 6 \ atNo.. ......---•••...............••-•--•--•-••-••-•-------•--••-•-•............•--.-------• --------•--•-•----------------------------------------......-----------........... Street ,[� •�, as shown on the application for Disposal Works Construction Per 't No.... ated...... .'a........... ... f j G r Board of Health i DATE.......7 =a= !.............. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS „F •""'"'"" BARNSTABLE FIRE DEPARTMENT 3249 Main Street -P.O. Box 94 ydt .ye Barnstable,Massachusetts 02630 '•~+ �' 508-362-3312 'h ft4CMY1� " FAX: 508-362-8444 WILLIAM A.JONES III,CHIEF GLENN S.COFFIN,CAPTAIN FIRE PREVENTION UNDERGROUND STORAGE TANK REPORT Property Address: 43 Sturgis Lane Property Owner: James Griffin �y Removal Date: November 12, 1998 COMMENT: Witnessed the removal of a 1,000 gallon Underground Storage Tank from this.location. The tank appeared to be in good condition and there were no signs that it had been leaking. The excavation site appeared clean with no signs of discoloration or fuel odors. The contractor was advised to remove the tank from this location and backfill the site. William ones III Fire Chie r Make application to local Fire Department. Fire Department retains original application and issues duplicate.as Permit. iju APPLICATION and PERMIT Fee: r storage tank removal and transportation to approved tank disposal yard in accordance with the provisions M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: Tank Owner Name (please print) ,lamas rri £f i n X ,9naro7e i ap11yJng o/pennt Address P. Box 324 -sarnstabiv MA 02630 Street City State dip i Company Name Advanced Fnvi rnnmanta1 Co. or Individual Print , Address R Q ddress P/int rnr i Signature (if applyi g f r permit Signature (if applying for permit) C Vrt-1fied 6silthey ❑ IFCI Certified t. 0 LSP # Other i i Tank Location 43 S urcfisLane Barnstable, MA I. Stoat Address city i Tank Capacity(gallons) 1 000 Substance Last Stored #2 Tank Dimensions(diameter x length) `Remarks: Firm transporting wasteAdyanced Environmental State Lic. # MV5083856100 i i Hazardous waste manifest# E.P.A.# - Approved tank disposal yard James G Grant Go. , Inc Tank yard#_ 008 Type of inert gas Tank yard address wn i co't t c+ R o n dirt i 1 e-, MA - City or Town ` 4" Ors FDID# lam'/ r ` Permit# Date of issue Date of expiration �� i - Di Safe Toll Free Tel. Number. 800 322 4844 Dig safe approval number: 5 i 9 i Signature/Title of Officer granting permit fter removal(s)send'Form FP-29OR signed by Local Fire Dept. UST Regulatory Compliance Unit, One Ashburton Place,- oom 1310, Boston, MA 02108-1618. O trc vimri O/QF:1 - - {...y. ., nr..:•r_Kr,. .-n ^' .r......Awr'�ar..d'C, at "P'A».is^('�rr.'1 -t.ii�= �'.rt-.. .. s. TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION ADDRESS: S7 L,)/2 r./,s f,�/� MAP NO. a 7 PARCEL NO. �T OWNER NAME: .Ji9wyees 1 r� r.�� VILLAGE: INSTALLATION DATE: 1977 BY: l/10 K Inv ADDRESS: - CERT. NO. '55&o 4 TANK INFORMATION LOCATION OF TANK: CiA)7" y1wx ) cf� l CAPACITY *6t TYPE 1 ECL, AGE l ,lit FUEL/CHEMICAL/,# �L TESTING CERTIFdCATION E ] PASS C 7 FAIL DATE LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND �---�--�� ,ram ZONE OFF%,ONTRI U O C YES CV NO DATE TO BE REMOVED 4Dj FIRE DEPT. PERMIT ISSUED C 7 YES C ] NO DATE CUNSERVA i ION. C ] CHECK IF N/A BOARD OF HEALTH TAG NO. I ]C ]C ] DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD Lf3 s uKGr A4.��,+s lG� l F+'Oiu T n TAB /Poo LOT 7 T�- ST HOLES A PR 1 L 9-4, 19 78 LOT 8 PAUL- M(IRRA-1 -INSPECYUR 46/00 a• f • 'rc77tt � d�va,- 'W..yy,.. �'. I( Sr >ri + 6�%�ti y •M t ry a "�w1i�• 1 . "'^.-w.,�'""•--,�'. r ELEV. 14,5f '� MVZ. 1— I"! ,. L 7 L GSA 3 1 a j I ; SU850il- AND C6A7 70 a t� 3 `PROP �qR LIIyF 7 '/�. 5 /k'!EDIUM M O s }C No WATER SAND D/ST, BOX +—` _ � '`• �r .,w ENCOUNTERED RESERVE Q � ,� TEST� ,� � �'' r µ�,,� xr'�.`�` �-�;F' Q ► ELEV. a, 7 -.r 1 O..8.._LOAM, ... S y ,gy UBSGtL Ake v("A7' y • < hY} ��wj. P 71 �. iF•.•.}i �'c't h1U T/ w� '33 1�S k�4.'' '. ' W. - r `' � tip, b #,pe r �. ,�,< 1� � •'.y cf; ��`�2 r��.�'' l ry {{{ ` �/� /� M r 'R a. ,r k �a'�4 r ' 4°•F g-14j r "��f ,. t` k L w gr Y�I�, qt I C..,r j 1um '� I S AN it V 3 4 i 43. . 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INSTALLED /N A�--CORDANCc 2EF�2F--n/C� �f� oc ,�- 70 RECr. a,/7 �F T/TLE Q J i�PNA�,P\��d' a SEAT/G 7-AA-/K� 0/�TTZ/BUT/ON 8QX PLAN L30i�iCoZ. T© PAG __o9 SOUTLETS� .arvD LEACH/NG �/T PO•� xvwa ." ` GcFt1RD ` -TD �E OF ,�E/n/FO,eCED GO.�lC2ET�' stw I j �6tCT t�� i CONC2 7 E STeG tl0,7?-/ 0000 �/ _St ,r� , ' 3„.�!' �T' EEL 20000 L1r3_.1_ f_�_ .-� ��._�a + <� I'V .1L L ! Lt. T. 17 1 t�'E WAY NOTNOT 7-0 BEL oC.a T��? �' 4 /�/1 O 7'7- ,e'7`"� iQ d V E 2 5�'S T E M CJn/L 5 S H- 20 Z7E S/Gam/ LOAD/A/c� / USED. I CERTIFY THE E:XI ST/NG FOUNDATION LOCATION /5 CORRECT A5 5HOt )N ANQ IT D0E5 COMPLY WITH r#F 4301LO/NG 567,MCK lf� G`o�F �G REavJRE'MENT5 OF THE TOW/V OF ;C � .o"`. '�. } B A R N S TA$L F r �,�„ f G� Ea�'� _ y s� A F'P,42?0✓,4 L. �