HomeMy WebLinkAbout0140 BRISTOL AVENUE - Health 140 BRISTOL AVE
HYANNIS
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qR � TOWN OF BAMSTABLE
LOCATION J6 P-1 3 a�' /� L.� SEWAGE #
VIl jLAGE ASSESSOR'S MAP & LOT �
IN&TALLER' NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) -�S"t'�/ `"off (size)
NO. OF BEDROOMS 3
BUILDER OR OWNER ii ��0 L ~
PERMTTDATE: �t"'.� ��� 'COMPLIANCE DATE:/-
Separation Distance Between the:
Maximum Adjusted Groundwater Tab/nggFacility
ottom of Leaching Facility Feet
Private Water Supply Well and Leac (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
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No. Fee $5 0 /
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓/
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
appitCdtton for Xmoonl *pgtem Con.5trurtton 3permtt
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.
140 Bristol Ave. , Hyannis Nancy D. Miller
Assessor's Map/Parcel 2G�f_ 6) �j O r
Installer's Name,Address,and Tel.No. ! Designer's Name,Address and Tel.No.
Wm. E. Robinson Septic Service
PO Box 1089, Centerville
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
Natyre of Reairs or Alterations(Answer when applicable) Title-5 septic system con s i s—
ting o a 1 , 500 gal, tank, D-box and 2 precast leach chambers
with stone all around. Lit "7 c— r x Z i �—
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 Date r
Application Approved by ! Date 7_
Application Disapproved for the following reas s
Permit No. Date Issued
WA "OF
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LOCAtIb Ai/ SEWAGE N._Z��,0 i ,5 10
V LAG ASSEJ,SOR'S MAP & LOT
JIN.STA LERS NAME&PHONE NO. 1e,
SEP`nE-TANK.CAPACITY
ilk
LEACENG FACILITY: (type) (size)
*N().OF'BEDROOMS
B UjL D E R OR 0 WNE R
PERMITDATE' COMPLIANCE DATE:16—16 —0
Separation Distance Between the:
Maximum'Aojuste.d Groundwater Tablet Bottom of Leaching Facility Feet
Private Water Supply Well and Leaq png Facility (If any wells exist
on s i ite 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
tj
41
No. `�—`'f Fee $50
Entered in computer:
THE COMMONWEALTH OF MASSACHUSETTS p
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS.
01ppYication for 0i.5po0al *p.5tem COttgtruction Permit
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.
140 Bristol Ave. , Hyannis Nancy D. Miller
Assessor'sMap/Parcel
Installer's Name,Address,and Tel.No. / o Designer's Name,Address and Tel.No.
Wm. E. Robinson Septic Service
PO Box 1089, Centerville
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 15IX06, l ZT)pe-o(5.A.S.
Description of Soil sand
NatuFnof Roer�air o Alterations(Answer when applicable) Title-5 septic system consis-
�t�s g 1 ,500 gal. tank, D=box and 2 precast leach chambers
with stone all around Cet 'Z V ? / �'—
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 Health.
Signed Date (f—9 G- el
-
" ApplicationApproved.byl 44,
Date Z
Application Disapproved,�for the following reaso s
Permit No. __Z�C 6\- 4`1 U Date Issued (A -2 c1 y �
THE COMMONWEALTH OF MASSACHUSETTS
Miller BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired ( X)Upgraded( )
Abandoned( )by Wm. E. Robinson Septic Service
at 140 Bristo —Ave. , Hyannis has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.7i0 A0/-tl9w dated
Installer Wm. E. Robinson Sr. Designer _
The issuance of this permit shall not be construed as a guarantee that the syste�m/will function as designed.
Date �� l O 1 Inspector K G.
No Fee $50
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
Miller =igp0$ar 60tem Conotruction Permit
Permission is hereby granted to Construct( )Repair(X )Upgrade( )Abandon( )
System located at 140 Bristol Ave. , Hyannis '
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/mu t be70 /
pleted within three years of the date of this pe t.
Date: (o Z / Approved by ��t1 �`
U61"
G �N�6TkFF---This Form Is To Be Used For the Repair Of Failed
Septic Systems Only.
CENT MCAIMON OF SICKWO AND AP�1MON FOR A UL424DSAI
WORKS CONSI` UMON PERMIT(WrMODT DESIGNED PLANS)
L Will iain E. Robinson.S%u-eby certify tat the application fir disposal works
Prop"located at 140 Bristol Ave. , Hyannis meets all of the
following criteria:
• The&mkd system is omu wand to a a*Wkndd dv otdy. 'there art no cow=ercial or busiww
►ses associawd with the dwdb t&
• soil is cLus;fiod as CLASS I and the pecootatim rate is>z=Um or equal io 5 n►rpuues per inch
Thor are no wetlands within 100 feet of the proposed sgwc a}uem —
Theca ace no private widls wahin t 5o im of the prapowd 9*w system
There is no incaaw in Sow and/or in uw pmpnsed
• There am an variances nwpu!wM or oao&d
The of the ptapaeae '�g�will%de tocaoted fens than five fam above the
mat table eknfion=f A&pg W*gtote�ter table»sing the Frimptor
when ej
• IF S..I.S.will be located with 250 feat of coy v the boom of the proposed
l faa rgy►will 9M be locmod less than fourteen l 14)fed above the ma�artatm atl�d
vatcr table zlevatitln,
Phme cozWkw the
A) Top of Groosd Sulam Ekwadon(fig GlS i j
Bl G.w Elevation +lhe MAX tfiO G.w_ t
DIFFERENCE BETWEEN A attd S
SIGNED: /�i ���L-�;v:-y /-� DATE-
[Skewn pqpostd Pbn Of Va m on bat).
�t.eLh folder:cot
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LOCATION SEWAGE PERMIT NO.
VILLAGE
A &. B CESSPOOL SERVICE
. 128 BISHOPS TERRACE, HYANNIS, MA 02601
BUILDER OR OWNER
DATE PERMIT ISSUED e 3
T
DATE COMPLIANCE ISSUED `F� ;
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`5
No:!3-./1 ...... ........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF .HEALTH
.........................T.(Mn.......0 F.........Ba=Stabig.......................................................
Appliratimn for Bigpviial Works Tonstrurtinrt rrmft
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
....0....Q26 Q..-------•-•.. ..................................................................................................
Location-Address or Lot No.
G bQ ___________________________ 104 HillCrest Ave. Lon eadow, MA 01106
---- ------------•------- • •-•--••..........•---•-......-••-••• � -� -............
Owner Address
a A &.. 128 Bishops Terrace,...Hyannis, FA 02601
M Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms.........3.................. .. .....Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons........3................. Showers — Cafeteria
Q, Other fixtures ----------------------------••-- -
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
Septic 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 ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Gz, Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................
�+ •--•----•-----------------------------------------------------------------------•----• ..........
--•-•------------
.......
.-------
*...
.---
•------------------
ODescription of Soil....................Band..........................................................................................................................................
W
U •••••-•-•••-•-••--•----•••••-••••--•-••---••-•-••••••-•-••-•-•••••--•-••-•-••••••-•-••........-•---••••••••---••--•••••--••••••••-•••••••-•------•-•-•••••••-••-----•••••---•-•-••---••---•--•......•--
W
...------------------------------------------------•------------------••-•------------•--------
U Nature of Repairs or Alterations—Answer when applicable... nstallat ion of a ... 000 fall on, stone
}asked.-laach.-pit•--4 avexflQW.).....-•-••--•-•----•..........•-••-•-••••-•--•----------------••---•-----•••-••----...................................................
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 as een ssuea by the board of h �
igne •• - -----6/22/83..-•--
•. r
Application Approved By... ..... •••-- -•= ---•-••--•••-••-•67ft/83
......................•--•--•-•-----.................
Date
Application Disapproved or a following reasons--------------------------------------------------------------------------------------------------••-••......----
--------------•------------------•---•--...----------------•-------------------------•--•-----------.....--••-••-•-•••••-•••••-••••••-••••-•-••--••-------•----••--••-••------••------••---••--•••...-•-
Date
Permit No.....8D,.............................................. Issued_...........6AVD3...........................
Date
ice'
f
., ;4m— _ .. FEs.......
w THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
--•.....................T.Wn.......O F.......... amsta.bl,e.........--------------...............................
Appliration for liopooal Works Tonotrnrtion Frrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
14n..Rristal_A.va,,-.Nya rmisr..MA-----02EL01............ .....................................................................•--••-----------.............
Location-Address or Lot No.
Gilbert..�3nti�nda.............................................................. 104..FM1C=jst..Amtu.,...laamnd .....01106
Owner Address
aA_.&_.B..Cesspaal__8esstiae ,. ..........-•-•----... 1'&..bl&JaQp ..'�exs���.. J(annis..._%---••02601•----
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms.........3................................Expansion Attic ( ) Garbage Grinder ( )
`04 4 Other—T e of Buildin No. of ersons........3................. Showers — Cafeteria
Q' Other fixtures .----••-••--•-•-••-••-•-•----•-. .
Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
Septic 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 ( )
1.4 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........................
P1 -•----••....--•----•-••--•-••--------•--••-•-•-•--••-•........-••-••-••................•----•-•-_............................................................
ODescription of Soil....................San&----------------••--------•-•----------------•-••------------------------•---------------------...--------------•-•-••-••••-•-•--•-•-••...
x
w
VNature of Repairs or Alterations—Answer when applicable..iMfl tall%tL!on..of One__..
packed-leach.-pit...(nverf1_=)...-----•--------------•-•--..........-•--•-••-----------------------------•------------------------------- - ----. -----
.---.
--
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 een 'ssued by the board of h
g 6 22/83
ine •-•........_.. ••-• -•-•- -••---•.....•--•-•-•-..`•�..-
Application Approved By----- _`.. ........--••-•--•--_---••• ..................OW
Application
Date
Application Disapprove or a following reasons:...........................................................................................0....................
....................•-••------•-•-----•------•-••----••-•--•-••--•--......-----•------...--•--------.......-------------------•------••-•------.....----•----------•----•----•••••---•••••-•-----••••-••-
Date
Permit No.....&3_-............................................. Issued...........6/22J$3...........................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
T own..:........0F.....Barastable
..................................0...........................
Cprrtif ira r of Tontpliatta
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X)
by........A..&..a..Casspo ol..Se=ri.ae...:i28.. ishops.. srra�s� F.ya1 18_...� � 41..
Installer
at........ 4II_.Bsistfzl..Au®..*..Hyan)3_JA.,._.XA---.02601--- 01i"bert__Rotunclo....................................•.......................
has been installed in accordance with the provisions of TITLE 5 9�JX e State Sanitary Cocie as described in the
application for Disposal Works Construction Permit No.__......53.. . .�... ..._....... dated__..._6 -.22I83.........................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FyNCTION SATISFACTORY.
DATE....640....../.0.3....................................................... Inspector....---- ... ..-------------------------•--------....----.......--------........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
8 ' Y .....................�... Town...........oF......Barns ................................table.................... 10.00
No... 3 FEE........................
Disposal Vorkv Tonotnulion rrmi#
Permission is hereby granted.......A & B Cesspool Service
---.._...._._....-•-•••-•----------•--------••-•---.•••-•.................•-----...0.............._-•••••
to Construct ( ) or Repair (X ) an Individual Sewage Disposal System
at No....-...140_.. _-HYanAgSa__MA_--__02601.-- Ulbez't Rotundo-
----------------------•---••••••--...
Street /
as shown on the application for Disposal Works Construction Permit Nob XB
. kted.*
._.....6/221.83.................
r �
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6 8 Health rY/'
.,
DATE........................7 • ---••-•--•--•-•-•--------•---•-•-•----•-_..
FORM 1255 A. M. SULKIN, INC., BOSTON -