The URL can be used to link to this page

Home My WebLink About0412 BISHOPS TERRACE - Health 412 BISHOPS TERR HYANNIS A= 250 071 e o rr TOWN OF BARNSTABLE LOCATION 4//2 ITIJ 4 ).6 ) pz SEWAGE# %—M it �� VILLAGE 4"lainj) / .C' f ASSESSOR'S MAP& LOT ®r INSTALLER'S NAME&PHONE NO. '7 M SEPTIC TANK CAPACITY LEACHING FACII.TTY: (type) a <folTk x s (size)NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: �/" G t COMPLIANCE DATE:_S--A Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom o eaching Facility Feet Private Water Supply Well and Leaching Facility any wells exist on site or within 200 feet of leaching facili Feet Edge of Wetland and Leaching Facility(If y wetlands exist within 300 feet of leaching facility) Feet Furnished by �� \� \. �/� �� ,� � I � � (J i 4 - ' . • w I'� J No. �/'` ✓ ri v *� Fee$5 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0(pphratton for Mtgponl *pgtem Com5tructton Vermtt c; J Application for a Permit to Construct( )Repair(x )Upgrade( )Abandon( ) O Complete System ❑Individual Components ocation Address or Lot No. Owner's Name,Address and Tel.No. 12 Bishops Terrace , Hyannis, MA Jennifer Hills Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm E. Robinson Septic Service P 0 Box 1089, Centerville , MA 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 Sand. Nature of Repairs or Alterations(Answer when applicable) new T it l e-5 leach system consisting of D-box ancL j leachchambers ji �L® �e r 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 and of H lth. Signed lv ' i Date ` '� Application Approved by Date _!j - 6 Application Disapproved for the yollow,ing reasons Permit No. - -7 .a Date Issued No. "" Fee , _ THE COMMONWEALTH OF MASSACHUSETTS y Entered in computer: .,' �,•� Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ' , Application for ig oml g `� � �p teat �ottgtructtort Permit --5 Application for a Pettit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components s t' ocation Address or Lot No. Owner's Name,Address and Tel.No. 4 412 Bishops-Terrace, Hyannis, MA Jennifer Hills Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wit E. Robinson Septic Service P O Box 1089, Centerville, MA 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 Sand. Nature of Repairs or Altergtions,(Answer when applicable) new Title-5 leach system consisting of D-box anCL j leachchambers 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 t 's ard of H lth. .-.-Signed,-- k-16 _ Datee-V—C_9 Application Approved by Date Application Disapproved for the ollowtng reasons _ F Permit No. C/ - -7 -1 Date Issued -� --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS Hills BARNSTABLE, MASSACHUSETTS �, "'(Certificate of (Compliance C THIS IS TO T F ,that "On site`Sews a pisposal System Constructed( )�teaiec (c )Upgraded( ) Ab nddq ea )by Wm. E. Robinson Septic Service 1 Bishops `errace, yann.>_s jvjA at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Designer / 1 , The issuance of this pe all not a an trued as a guarantee that the sy a W 1 unction,as e7."/led. � � Date 1 Inspector ———————————————————————————————————— 0 — No. r_ Fee $5 THE COMMONWEALTH OF MASSACHUSETTS f PUBLIC HEALTH DIVISION - BARNSTABLE MASSACHUSETTS / Hil� s f s gte�ig pogai *p trt �ottgtructtott Permit Permission is hereby r e,�,IgWn�t�uct(�,e e� ire(X ), gfi, ft( �)fa ndon( ) System located at 11�� ny 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 permit. Date: Approved by ,� 7r--) , t lE..- N NOTICE: This Form Is To Be Used For The Repair Of Failed Septic Systems Only. I 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 �f Q fi concerning the property located at 412 Bishops Terrace,Hyannis, MA 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) 3 ` B)Observed Groundwater Table Evaluation(according to Health Division well map) 6 SIGNED: Cu I DATE LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 60 (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). i w o1 r TOWN OF BARNSTABLE LOCATION /.Z 13I_s�a ;2�L I �fz- SEWAGE # VILLAGE_ ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. —gam.7 SEPTIC TANK CAPACITY /D Lys LEACHING FACILITY: (type) -- 77 S (size)/o NO.OF BEDROOMS_ BUILDER OR OWNER JI J,14 PERMTTDATE: /-- G—�l l COMPLIANCE DATE: ,� — Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom o eaching Facility Feet Private Water Supply Well and Leaching Facility any wells exist on site or within 200 feet of leaching facili Feet Edge of Wetland and Leaching Facility(If y wetlands exist within 300 feet of leaching facility) Feet Furnished by i � �91 TOWN OF BARNSTABLE : LOCATION__a A 5)5hop5 krVCtCLSEWAGE #.fZ�>,3< VILLAGE L//a ffi �oP� 'S Y�(,,_a2 ASSESSOR'S MAP & LOT q�JO "6 7/ ff 1 INSTALLER'S NAME ti PHONE NO. A & B C Q 775-6264 SEPTIC TANK CAPACITY Jd('U® LEACHING FACILITY:(type) SloyC- ,3 irp (size) on NO. OF BEDROOMS__I _PRIVATE WELL OR,PUBLIC WATER BUILDER OR OWNERS DATE PERMIT ISSUED: 3 I 1 o TT DATE COMPLIANCE ISSUED: I� VARIANCE GRANTED: Yes No 7 � --.,,\ s �i .. w - �� c u r; �� :s � II t+. ASSESSORS MAP NO: -24^0 — PARCEL NO.: D 7 2 — _ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -•-/owkL--------.-.-._---OF...........�.. -�..sTlotG./e Appliration for Biipnaal Works Tonsfrnstiun rumit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: I--- 4.t P..=............... � cation Address QC_L,ot No. �f�c . 10 S _ !errors---- Owner ddress Installer Address d Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms_______................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures --------------------------------------------------------------- W Design Flow......................&. ............gallons per person per day. Total daily flow................./L.0................gallons. Septic Tank—Liquid capacityZ&"-gallons Length---------------- Width................ Diameter................ Depth................ Disposal Trench—No..................... Width ....... Total Length..................... Total leaching area....................sq. ft. Seepage Pit No-------/---------- Diameter----4 1?.-__.._. Depth below inlet.._........... Total leaching area.733.:Lsq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ ,.� Test 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........................ R' ...........................•---•--....._..-•--•-•------•-----•--•--•--•-•---•--••-----------.....---......................................................... O Description of Soil......................................... U -••--••--•••-•---•••--•--------••---••......•-••••--------•---•-••-••••----•---•-••---------------•....-•---------•-••------•••--••---•-•----•-•---•••••••••••-•-•--•-•••••--•----•••---•---••••------•- ----------------------------------------------------•-----------------------------------------.....-------------------------------•----- --------------------------•••••• •--•----------•-••--••-. i U Nature of Repairs or Alterations—Answer when applicable..______t6 - ,/� _ A ---- ---- ------ -------••--------------•-----....._...----••------•---•-•--•-•----•-----•--•-••••---------------------••-------------------------••-•---•-----••---•---••-••-----------------••-•-•-•--••---••-•---•-•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITt.. y g g P y �of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issukA.4 the boa d of health. g Date Application Approved By........................ :��_ -•-............... Date Application Disapproved for the following reasons:------------------•----------------------------------------•-------------------•------------------------------- ..-------•-----••----•----------•----•----•----------•••-•--•-------------•------•--•---•------•---•---•.••-----------•------•-•--•-•--•-••••••-•••---•---•-••-----••--- Date Permit No.....67 ---y-3..?--------------------- Issued--....... ................. Date r�. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r------..............OF.........!'.. Appfirittiou for Disposal Works Tonotrnrtion rrmff Application is hereby made for a Permit to Construct (' ) or Repair ( . ) anndividual Sewage Disposal System at ... ................. .......... .................... ........ .. ............ . '. J /pocation-Address Lot No. r ,�•--� Owner r .^:-Address " Instal➢er Address d Type of Building Size Lbt............................Sq. feet Dwelling—No. of Bedrooms....... . .....................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers a Other—Type g ---•----------------------•' P ( ) — Cafeteria ( ) 04 Other fixtures ---------------------------------------•---------------------•--•-•--•••--------------- ----------- ----------------------••---•----------------- W Design Flow......................&O.............gallons per person per day. Total daily flow................. /.0.................gallons. WSeptic Tank—Liquid capacity P.M..gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width...................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------./----------- Diameter...Z_�... .... Depth below inlet..-W........._. Total leaching area.73L.5.:_�--.sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date--------------------------------------- Test Pit No. 1----------------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........................ a .........................................................................................................•----.........'-"'•----------'-'•-•--'•-'•--------- 0 Description of Soil........................................................................................................................................................................ w __ --- ...................................................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 TIT LEE j of the State Sanitary Code—The undersigned further agrees not to place the system in <, operation until a Certificate of Compliance has been iss e� a by the board of health. Signeche .�7 £/- Date Application Approved By................... `_. �• ------_----•-- a- . ' --'-�------------------•---------- ...................... .................. Application Disapproved for the following reasons--------------------------------------------------------•--------------------------------•-•-•-•-•----=--------- =_?- -------- Date Permit No..-162 . 1?...................... Issued....... -2................. Date \� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q r 1 �\.. I\j ....�f� .. Trrtffiratr of Tontplionrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( } by...A...=?....a_...r''''�-_2:�..C2............................................................................................................................................. Installer at__3' L -. �� • a lml"--- --- ---.-'-`----�---- �-............................................................ p - .....----•----- has been installed in accordance with the provisions of TIT E+ j/of The State Sanitary Code as described in the application for Disposal Works Construction Permit N o....��__".__1341._.__._.... dated___'_______________________._._____.__._______.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. � � DATE.--•-----�-------r .......... ......................'------....----._ Inspector--"---...----------------�-------..............r.----._....----'------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 13� 4 �y Z��, No......................... FEE.....f.. .-...... Diopooa1 Works Tonotrttrtion amit Permissionis hereby granted--------------------------------------'-"'--------------....---•-------•'-•-------•........................................................ to Construct ( ) or Repair ( ) an, Individual Sewage Disposal System_ t r , -.f c (,.C, C- fin_'•......._.._�/ c� ?l�r I ' �� Street J as shown on the application for Disposal Works Construction Permit hNo..................�ated.......................................... -- --•'-'---'...... ------- Board of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS i llll LO,C`L'TION ' SEW— , &CkE PERMIT UP;` tO VILLA A4 IWST&LeLER S W&KAE ADDRESS u is BUILDER 5, QJ ME ADDRE SS DNTE PERNA T '15SUED —49— — — ,. DATE COK/IPLI &MCE ISSUED : -- � r ,f J x I 70 No.... ........ THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH .........0F.. ........................................................ Ajfpftrafion -for Uhipoiiat 10orkg Tatuitrurtion Vrruift Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal Syst a,: - V_ 1, .............................................. o A ...... . ..........._H a on- e or Lot No. ... . . .... .. ......... .................. .................................................................................................. Owne Address .. .. ....................... ................................................................................................ Insta" r Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder Other Type of Building ............................ No. of persons.....-:..................... Showers Cafeteria Otherfixtures ---------------------------------------------------------------------------------------------------------------------------------------------------- Design Flow............................................gallons per person per day. Total daily flow---------------------------------------- ...gallons. Septic Tank—Liquid capacity..... ------gallons Length---------------- Width................ Diameter................ Depth................ Disposal Trench—No..................... Width-------------------- Total Length..:..-.--..._.------ Total leaching area--------------------sq. f t. Seepage Pit No..................... Diameter.................... Depth below inlet.......---.......... Total leaching area------------------s(j. f t. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by------------- ------------------------------------------------------------ Date.------.------------------------------ Test Pit No. I----------------minutes per inch Depth of Test Pit.........---..------ Depth to -round water-----------------------. f� Test Pit No. 2................minutes per inch Depth of Test Pit.......------------- Depth to ground water..........--..---------. ---•----------------•--------•--.........-•-•--•............................................................................................................ 0 Description of Soil------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ---------------------------------------------------------------------------------------------------------------------- ................................................................................. - --------- - - --------------------------------------------------*------------------------------------------------- Natu of Repairs or AlterajiQns—_ .. _.t. -0 0 q 4 -------------- Answer when a pliciab - ------------------------------- ..........%J --- --------------------- ----- Ag ement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accosdance with the provisions of Article XI of the State Sanitary Code— The undersigned fur agrees not to place the system in operation until a Certificate of Compliance has ee issued the boAd h Sig e ... ------ Date Application Approved BY----- -11 ............... Date ----7' ------- --------- .-�ot Rep; when pi Rb - emen Application Disapproved for the following reasons:....................... ............................................................................... --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Date PermitNo.......................................................... Issued........................................................ Date ---------------------------------------------------------I----------- ---------- - - ------- 07k No.-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . 1 .......-.oF..7)!'?.: �.. ........................................................ Appliratiuu -fur Diapuuaf Works (onstrurtiuu Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst at: t / Lo t n-Ad es or Lot No. Owner, Address ,a -------------- = = Instal}` ' Address UType of Building Size Lot____________________________Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons..-______--_____---_-_-.-- Showers ( ) — Cafeteria ( ) 44 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 "Pest Pit-------------------- Depth to ground water...._--_.--.--.--.-.___. (1 Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water-----------.------------ 9 ------------------------------------------------------------------------------------------------------------------------------------------------------------ ODescription of SoiL----------------------------------------------------------------------------------------------------------------------------------------------------------------------- x U ......................................................................................................................Y_____....____....._...___._......._............_....... -_. ------------------------------------------------------------------------------------------------------ _ _ ._...____...__... W ______________________________________________________________________________________________________________ __________ f ....-__-_--- -----... p V Nat ur of P.epairs or Altera 'can Answer when ap li 1: �./`' . - f.0 0 `" €� j ------------------------------- m p = Agr eent: Y The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article NI of the State Sanitary Code— The undersigned furthier agrees not to place the system in operation until a Certificate of Compliance has een issued the bo o"h /"h. ?�' Signe - �._ '.f-'------- . ._ .. 1 ?'7" _ _'.• �� 'f� ... Application Approved By------�t''�,-` �kL -. ��. ../ ........................ ale 7 Date Application Disapproved for the following reasons:........ ....................................................................................................... -----•--------------------------------------------------------------------------•------•----------------- Date PermitNo--------------------------------------------------------- Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `..........OF.............. . . .....1 .0 ...... 01;rrtifiratr of f NImp iaurr THIS-' S TO ER"'IFY, That the ftdividual Sewage Disposal System constructed ( ) or Repaired ( ) by._.._._.... _•%�__ -- -:� ..--- :�--�-••'--•--------- ....... --------- ------ i---- .... .... .......................... Insta IV � at.---'`---------�`'l..e!_.-:=✓.... -- P._ s a/.'t/..._........ .-' --'� -'-.. ...'.--•-_•---....-'---' has been installed in accordance with the provisions of ArticlOX' of The State Sanitary Cod 'describ d in the application for Disposal Works Construction Permit No.---_�-------------2.S__F7____----_ dated_..".. --------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM , l4,l. FUNCTIONSATISFACTORY. DATE..-- ....... •-- •. .... P__------•-• Inspector----- .. .... ------ - -- ------ --z-•------- THE COMMONWEALTH OF MASSACHU ETT BOARD OF/ EALTJH No. -•--'--•--•••--•- FEE•-------------•--•••---- �ia�u�air ' urk. �� aatrurtiugt- rruttt Permission is hereby granted-_ '.-- -- ... °�-��'� r y to Cons ,et,( ) ReAr ( a �Tndivi al SewageDi�posalj�ysteat No.-�'-- -•--- •--�..---......��- -'��-��----`-- -- •:1 ----= - - Stree � y as shown on the application for Disposal Works Construction Permit- --------- ed 7 a/ -------- - - � /J / Board of Health DATE Z- ,,:7 ..---------- / ------------------------------ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS