The URL can be used to link to this page

Home My WebLink About0075 CHESTNUT STREET - Health 75 CHESTNUT ST HYANNIS A = 309 119 ' 0 ` TOWN OF BARNSTABLE LOCATION ;7j- CAIVS��/t SEWAGE # dMZ- 3 � VILLAGE %3 ASSESSOR'S MAP & LOT- i�� -1 ' INSTALLER'S NAME&PHONE NO. i "'SEPTIC TANK CAPACITY LEACHING FACILITY: (type) o `'VIWC IJ (size) Q� , NO.OF BEDROOMS BUILDER OR OWNER 7 !�I1•�! '� G� '� % PERMITDATE: COMPLIANCE DATE: -7" f Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Welland Leaching Facility (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 d eV � ck A 4--- a 0 c /6 0 1 i II' -� J � I I� � .. �- .� � f � � �� — � � -- � o off= ��, �—, � � `� � � � �� c'� � _ OWNER OF RECORD I HEREBY CERTIFY THAT THE EXISTING Brian W. Woods DWELLING SHOWN HEREON 15 LOCATED Deed Book 1 3588, Page 38 AS IT EXISTS ON��f ROUND. . Plan Book 571 Page 95 DATE r _ Assessors' Map 309, Parcel 1 19 P.L.5. a C REILLY ' NO.46733 /0- NOS CO CB(FND) Skv 3 6S ••. cv 9 6) CB(FND) 4 ��, S \ BENCHMARK: Top of Concrete Bound EL=50.4± (Assumed datum) N LOT 20 o� 1 /2 LOT 21 Area= 8,800 SF- • P e(8toc�deJ N CB(rND). •CB(FND) CER1ifIED PLOT.PLAN SHOWING EXISTING DWELLING 75 CHESTNUT STREET, HYANNIS, MA r. LEGEND I PREPARED FOR CB Concrete Bound wl L L A M �A I V z E FND- Found. SH Shed S Step 0 30 GO 90 SCALE 1"=30'' NOVEMBER 13, 2014 G:\AAJob5\Franze70l 5\dwg\7019cpp.6wg Drawn by: JFM JMO-7019 J.M. OREILLY & ASSOCIATES, INC. 1573 Main Street; P.O. Box 1773 Professional Engineering & Surveying Services Brewster, MA 02631 (508)896-6601 �¢ No. �"v l 7 (O �' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes . PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEs MASSACHUSETTS ZIppficatfon for 30fgpooal Opotem Conotructfon 3permit 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. -% Assessor s Map/Pazcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: 7111 ,� Dwelling No.of Bedrooms Lot Size ®� sq.ft. Garbage Grinder( I) 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 Nature of Repairs or Altera 'ons(Answer when applicable) 2 ,�O I , SY K z 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 b this Board of He lth. Signed e ��— Date Application Approved by Date Y Application Disapproved for the following reaAns Permit No. 5/6 Date Issued C� 0 ti No. fO � a o-��►� ' e��. �?;a, Fee ' V THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ' Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSE17,,TS 01ppYication for Migoe;al *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. �1� r Owner's Name,Address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. r ,Type of Building: /� Dwelling No.of Bedrooms 3 Lot Size •'L sq.ft. Garbage Grinder( !) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flwow gallons. 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) ZL 5-00 a `(�� W �` / G Tv�N C / 2-S" x 2- 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 b this Board of Hea th. Signed \�--y- Date Application Approved by SeM Date Application Disapproved for>.the following reasens PermitNo A � 3 y6 Date Issued + t THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at ?S ��- r' ��►e.,..�� has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.7#V ' 3 N� dated G 4 U Installer Designer The issuance of this ermit s_hall not be construed as a guarantee that the s to will function as desig ,d Date s" "' Inspector. !/ M . No. ��—�y / ------- ---------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS lwf6pooal *pgtem (Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at 7�� C�.os h jy, TIT- 4c�'7 n 1,� 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 mus be completed within three years of the date of this ermit. Date: G �/ DI Approved by !� ��Z) X Z —i 5/25/01 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. I PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, k) ova %ftL , hereby certify that the engineered plan signed.by me dated 0 1 ., concerning the property located at 2, meets all ofthe following criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. ` • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. The bottom of the proposed leaching facility will not be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] Please complete the following: � A) Top of Ground Surface Elevation (using GIS information) Z- B) G.W. Elevation + adjustment for high G.W. _ DIFFERENCE BETWEEN A and B 2Z SIGNED : Coo DATE: NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health folder:percexmp r C Q r 01 F. AB TOWN OFBARM A T " LE lbtATION -Ir SEWAGE W GE # VIL LAGE-L y h;.,s : ASSESSOR'S MAP LOT 7 ,WSZULER'S NAME&PHONE NO. SEPTIC TA N-K.CAPACITY... LEACHING C FENG, ACjL='-(tyj5p size B UlLbt bk " OWNER COMPLIANCE DATE '`77777777777*77 OWL� PERMIT separati n Distance Between tfi e. vAdjWted Groundwater tAbl Bo ttom qttqm bLeaching- i 4.pr -4pp y.�: e ac ng S.exist. site.. ,or.l.wi r 'illi ZIX feet.of facility) !0 Feet { Edgy of Wetland and ri Private Facility airy f U, we ap s exist Leaching L lu :Facilityany t Feet within 300 feet of 16 hi f p aq. ng,..aqi ""'Fee-,"�, .t��".,,,i�h 4� Furnished b. 7,, y. T ----—----- q 1.qY. _ rt': r vilq a ag a e cil -4 ihty