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Home My WebLink About0943 WEST MAIN STREET - Health (2) 943 WEST MAIN ST Centerville .A. = 229 - 055 h Nop OR5'`� HASTINGS,MN No. �-u/v / ' Fee �U THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for �Dizponl *pgtem Cou5tructiou Permit Application for a Permit to Construct(ii)//,,Repair( Upgrade( ) Abandon 0j ❑ Complete System nd/ividual Components Location Address or Lot No. 3 WLST/t�t6[[� 5' Cen1r✓VCI Owner's Name,Address,and Tel.No. �Q ,1 f M�u�r<n T ¢ c 43 Lk)ISfA&I , Assessor's Map/Parcel- ZZq/ps5 Q Car(I'VI Installer's Name,Address,and Tel.No. .�-F1vp�fc y,i1 , Designer's Name,Address and Tel.No. So-t R rr tn�uu N1 1`�rs /A 02L35' Type of Building: Dwelling No.of Bedrooms Lot Size -41 flay sq. ft. Garbage Grinder ( ) Other Type of Building 4).6.e No.of Persons Showers Cafeteria( ) Other Fixtures Design Flow(min. equired) 350 gpd Design flow provided- 30 gpd Plan Date � q'R4- Number of sheets Revision Date Title Size of Septic Tank it 5oo G /tort Type of S.A.S. Description of Soil IJ Nature of Repairs or Alterations(Answer when applicable) liejl ,/!% v- Cn *A6ju^ 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 o Health. �( Signed I Date �✓ �2��l•a Application Approved by Date E—�Tics Application Disapproved by: Date for the following reasons Permit No. d .V 2 2 Date Issued -1 o ————— —————————————————————————————— No. U slU Fee w I THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: , PUBLIC HEALTH DIVISION — TOWN OF BARNSTABLE, MASSACHUSETTS Yes 'rq ZIPprication for � gpo!6AI *_ pgtem Congtruction Permit Application for 11 a Permit to Construct( ) Repair( Upgrade( ) Abandon 06 ❑ Complete System Individual Components:;. Location Address or Lot No. 3 W£ST))all 54. r (el)-f if Owner's� Name,Address,and Tel.No. (�G,,i -t /U C'u"wn r65 t q qq3 t)Psflu�,1 S41 Assessor's Map/Parcel �Z2 q(G�S ' l AC4 p2-U2 Installer's Name,Address,and Tel.No. CU�� frrrfe j / � J� � Designer's Name,Address and Tel.No. 4 50.j !Z F'U(^'ou r Cofv t'E', t44 Type of Building: Dwelling No. of Bedrooms Lot Size � 4 000 sq. ft. Garbage Grinder ( ) Other Type of Building �Iuv5e_ No.of Persons Showers Cafeteria( ) Other Fixtures l Design Flow(min. equired) 3?Jo gpd Design flow provided 330 gpd Plan Date 124 q4- Number of sheets Revision Date Title I Size of Septic Tank (' 06 C10/(Oh Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) /1� tt' Tom 5 n e- Su C-4,►) 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 B�rdoHealth. Signed Date 'Z tot 1 Application Approved by &rx Date �o Application Disapproved by: Date for the following reasons Permit No. U /U �� ? Date Issued cT�•Z —/C� i Ne t THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS C^ YN"c�urn^2n� , v7 Certificate of Compliance THIS IS TO CERTIFY,that the n-site Sewage Disposal System Constructed ( ) Repaired (L-� Upgraded ( ) Abandoned( )by W at 1 p t- In, J2,4 rP i p has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. L o/a —_2 4� dated -1 '-/a Installer Designer #bedrooms Approved design flow/� /1// ' gpd i The issuance of is permit shall not be construed as a'guardnree that h 'e stem wi func o ras d se ed. Date Inspector rg No. r o/(/ ' Fee i THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION — BARNSTABLE, MASSACHUSETTS TigpogMr *pgtem Congtruction Permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) System located at 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. i Provided: Cons ct'on must be completed within three years of the date of th' pe rt. r Date Approved byr f r v ,,� 6, 5 � New Page 1 Page 1 of 1 GT G TOWN OF BARNSTABLE LOCATION c1'�� /,A i n� Si SEWAGE #�i VILLAGE ASSESSOR'S MAP & LOT. ? C'" Ct s. INSTALLER'S NAME & PHONE NO.LOA kb o SEPTIC TANK CAPACITY 1 S 0 a Gw LEACHING FACILITY:(type) (size)'Zox NO. OF BEDROOMS ,_-, PRIVATE WELL OR PUBLIC WATERS-'�� BUTIOM OR OWNER l 5 f DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No t5S o -VN http://www.town.bamstable.ma.us/assessing/2010/HMdisplay.asp?mappar=229055&seq=1 7/28/2010 No.--- '...Y?/ Fps...3 0.0 0......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Divi-pooal Works Tonitrnrtion runfit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 943 W. Main St Hyannis -•...........................•-----••--•-....----------....------------------.................... ...•---••----•----••-•....-•-•-•--••-•••---•-•••-•----•-•--•••--•---•---•--•-----•----•--......•-- Paul Yasi Location-Address or Lot No. ......................-.......................................................................... •-•---•-----•-•------•--••-•-••---•••-•-•-•--•-----•-•----.....--•••-------............---•--..... Owner Address W.E. Robinson_.Septic.. Service................ P.-0•...Box...1.089...Centerville..................•....... Iustaller Address d Type of Building Size Lot............... ..........Sq. feet Dwelling—No. of Bedrooms........3---------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building --------------_----------- No. of persons............................ Showers ( ) — Cafeteria ( ) Q' 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 ( ) aPercolation Test Results Performed by.........................................................................- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water....-------------------- Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....--.................. -----------------------------------------------------------•----------------•-•-----------.........................---•---•-------........................... xDescription of Soil.......sand............................................................................. ---------------------------------------------------------------•...•--•- U ---------------------------•--------------------•-...----••••--••-•--••-••-•...-•-•--•--------•-----•--------•-------------•-------•----•---•---•-----------------------............................... W x _ install a 1 , 500 septic tank U Nc#a-box aer�cirs4o stlonepackec sgal�liespplicable. •--------•.................................•--------••--•-•....-•--•--- ------------•-•..............--------------.....-----•-----------------•.....-•----••---•-----------------------•-•••---•----•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersi ned f rther agree of to place the system in operation until a Certificate of Compliance has been iss by ar f health. Signed .... s/ - ..�....------ - - —- ------- � � l..-.- � t� ------------ Dace—' —' Application Approved By ------------ .................................................... D — — ................ ace-- ------'- --.. Application Disapproved for the following reasons: ................ . ' ' ' -- . . ........................................................................ -- . ................................................................................................................................ ' . ...................................... .. .......... ........................................ Permit No. ........... ...�-'�------------..e�... Issued - ' ' Dace q L� No---- -:...,�. Fps....30 00......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE n;� r, trttttolt for Uio oottd Works Tonlitrnrt"ton thrmit Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: 943 W. Main St Hyannis -----------------------------•-•-----....._..---------.......-•-------•--•----•......._--•-------- ................................................................................................. Paul Yadi Location-Address or Lot No. ......................_.......................................................................... ••••-----•-•-------••--••--------------•--------••------------•-••-----•--............---..._..--- Owner Address a W.E. Robinson Septic Service P.O. Box 1089 Centerville Installer Address pq d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms--------3---------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons-__--___.--___----_-_-.--- Showers ( ) — Cafeteria ( ) dOther 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 ( ) �_4 Percolation Test Results Performed by.......................................................................... Date........................................ 1_4 a Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 04 D Description of Soil. Sat'1 n ----------------- --------- ---- ---- -----.--------•-•-•---•-••------------------•---•---.........-----•------•-•----._... ......... x ----•--•..............•--...------------------•-----•---•-------•-•-••--------•••--•--•---------••---------•-•-•---••••-•--•---••--•-•--•-------------_.. U ..................................••--------•-----•••--•--•-•--••------•._.._.__...------------.....------•......-•--•-•----•-•---------•--•....----•---•----••••-•--•-•-----••----......._--•--•....... W ... -_" ............................................................................................................ . .. -----. .................... ....__. x _ insta]Tla T 500 septic tank v Nature oDox awairse Atnepacke�s er1AP_n applicable................................................................................................ les ------------------------------------------------•----...._..------•--------•------------.......----------------------------------------------------------------------------------------•--••----•-----•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned f rther agrees- of to place the system in operation until a Certificate of Compliance has been issu by ar f health. / l Signed ----- 'L .......... �..�/ Date Application Approved By �------------- ----------- < t.v� ,� -------------------------- ------------------- .----- ------------ .----Date.................. Application Disapproved for the following reafons- ----------------------------------------------------------------------------------------------- ------------------------------- .......................................................G------------------ ----------...........-------------------------------------------------................................................. . ................................ Permit No. .............1..---1-/.....'.......L ..�f 7 Issued ----_....................Date...... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�er#if ra e of Q-1-omylianre WT�HH11S IS TO,CERTIFY,,That the Individual Sewage Disposal System constructed ( ) or Repaired ( x ) E. Robin septic Service by ... - - -------- ----------------- -------------------------------------------------------------------- -------------------------------------------------- 9.4.3....W.�....Main StHyannis It„tauet at ---------------------------------------------------------------------- ---------------------------------------------------------------------------------...----------...--------------.............---------------------------- has been installed in accordance with the provisions of TITLE 5ppof The State Environmental Code as described in the application for Disposal Works Construction Permit No. _._1...�'/.-.....Y----7-7....._ dated ___ ..............._........_---------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ` ✓" DATE-------------�lF ...... ------ ------- .. —' -------- ---- Inspector:.._..- ................................. ------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH qq TOWN OF BARNSTABLE 3000 No....1..L'/..�..�.� � FEE...-......--•---......... Diop000l Workii Tonitru.ttton "rrrntt W E Robinson Se t�.c__.Sev-i>^A ................................................. Permission is hereby granted.-_...!.___-....................................I?._..._ to Constru t ( ) or Repair (x) an Individual Sewage Disposal System at No.....9....3 W.Main St Hyannis Street as shown on the application for Disposal Works Construction Permit No.. . -. 7 Dated...... .................•----------•----..�7' F -------------------------------------------.--•-- t_ v Board of Health DATE........ �'�--�G---�----------------------------------•-- - FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS ,(X'G TOWN OF BARNSTABLE , LOCATION 1�`� ��14A SEWAGE # 2 VILLAGE Ce`vTj'4' yi �/� ASSESSOR'S MAP & LOT,�';? INSTALLER'S NAME & PHONE NO.Cl A SEPTIC TANK CAPACITY f-5 o U G� LEACHING FACILITY:(type)41 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER fWJ t�D,E-R OR OWNER Px tf 4 /xS / DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No /J ,3 ax � � 5z