HomeMy WebLinkAbout0046 CIRCLE DRIVE - Health :.Hyannis
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TOWN OF BARNSTABLE
LOCATION 4/6 C irc le drive. SEWAGE # 84ba-130
VILLAGE ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. Rob tn5oi Sep41cr
SEPTIC TANK CAPACITY ISe
LEACHING FACILITY: (ty ) A� Ckorn�s�.�'S(size)S�Y \ Q3 by `��
NO.OF BEDROOMS
BUILDER OR OWNEIV
PERMIT DATE: O� COMPLIANCE DATE:
Iq
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and 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) J Feet
Furnished by
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No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Zippficaction for Migpoml bpgtem Congtruction Permit
Application for a Permit to Construct( . )Repair( )Upgrade( )Abandon( ) O Complete System O Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
46Ciwlg Dr. , H annisport Richard Sturges
Assessor's Map arce
Installer's Name,Address,and Tel N . Designer's Name,Address and Tel.No.
Wm. E. Robinson Septic Service Dan Johnson
P 0 Box 1089, Centerville 804 Main St. , Osterville
Type of Building:
Dwelling No.of Bedrooms 3 exist Lot Size sq.ft. Garbage Grinder( )
Other Type of Building,-she n t i a 1 No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 330 gallons per day. Calculated daily flow gallons.
Plan Date 3 20 02 Number of sheets 1 Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil coarse sand
Nature of Repairs or Alterations(Answer when applicable) replace failed c e s s pin 1 with
1 , 500 gala tank and 2 leaching dry wells at 251E '
o n?e- &t4xP4.r 414na 41,1V
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 thisDoarooKf Health. 3 ��
Signed V Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. z" / 6 Date Issued 3 7^6
- - - - -. -- - -• -- .� t. YA Tt ���r_+k�x.j-. .^..n..��-r+i;....,. -a.-. . ..r.w.. ,. _ .. - ..•r
2 k�
No. rCO U U Tire f Feed 0
THEC MONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZippYication for Mtgogar *pgtem Construction 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.
46Circle Dr. , Hyannisport Richard Sturges
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
;'Wm. E. Robinson Septic Service Dan Johnson
, _ P O Box 1089, Centerville 804 Main St. , Osterville
Type of Building:
Dwelling No.of Bedrooms 3 ex is t Lot Size sq.ft. Garbage Grinder( )
Other - Type of BuildinigP G i tj Pn t-i al No.of Persons Showers( ) Cafeteria( )
Other Fixtures
rDisign Flow 330 gallons per day. Calculated daily flow gallons.
f Pla\Date 3 2 n n 2 Number of sheets 1 Revision Date
Title
",'Size of Septic Tank Type of S.A.S. f,.
Description of Soil
coarse samd /f z
Nature of Repairs:or Alterations(Answer when applicable)—rep lace failed cesspool with
1 , 500 6-al. tank, and 2 leaching dry wells at 25'L X12'W X2 'H ,
UP A`P r- ,�"a J"C_! /I�H L h n /-��1 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- t
Cate of Compliance has been issued by this.Poar4A Health.
µ Signed V Date
Application Approved by Date.
t
Application Disapproved for the following reasons
Permit No. ;�od z — l?6 Date Issued 3' 7'U
---_— ——— ————— — ---
THE COMMONWEALTH OF MASSACHUSETTS
Sturges BARNSTABLE, MASSACHUSETTS
Certificate of Com# iance
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( X )Upgraded( )
Abandoned( )by Wm. E. Robinson Septic Service
at 46 Circle Dr. , Hyannisoort has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. Un?—/ o dated
Installer Wm. E Robinson Designerr1am Johnson
c The issuance of this e- it �h n� be construed as a guarantee that the s�ysfem will function as d f gnedl �0
Date, Inspector v/E V fi• _
No. � 0 Fee 5 0
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Sturges
lwigpogal *pgtem Congtruction Permit
Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( )
System located at 46 Circle Dr. ., Hy,anni sport
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: J'2 Approved by
1
5MI01
NOTICE: This Form Is To Be Used For the Repair Of Failed
Septic Systems Only.
PERCOLATION TEST AND SOIL EVALUATION EXEMPTION
FORM
*---I-Off , hereby certify that the engineered plan signed by me
dated , concerning the property located at ,
4 6 Gt a-c L e- i.2 i v.e NY,�.�,N�J v. T :
.. � meets all of the
_. following criteria:- --
k.
a
• 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 late 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)
B) G.W. Elevation 7. +adjustment for high G.W. /O, 6
DIFFERENCE BETWEEN A and B p,
SIGNED : DATE: �lo
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
' e
TOWN OF BARNSTABLE
LOCATION 416 Ci re IQ dri vg, SEWAGE # g9 -J 30
VII.LLAGE4Tn��aJr�� 1�' D ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. Rob 1nZ01 T,L — )5 i77
SEPTIC TANK CAPACITY i3 6y
LEACHING FACILITY: ( ) 01 J��r1 Ch*r/h 4, size)SD
NO,OF BEDROOMS
BUILDER OR OWNS
PERMITDATE: oai tiq� COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and 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
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SUBSURFACE SEWAGE DISPOSAL .6YSTEM
46 Circle Drive, Hyannisp+ort
DRAWN SCALE:
APPROVED BY
cc�add 9N
DATE' 3/26/02
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