HomeMy WebLinkAbout0053 CONNEMARA CIRCLE - Health �53 Connemara.Circle
Hyannis' �a a
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LOCATION 4 Ci,r<-Sff SEWAGE # q:Z
VILLAGE ASSESSOR'S MAP & LOTjDaA-a:
INSkPALLER'S NAME & PHONE NO, C�v�l✓)� L yq ��� �'
SEPTIC TANK CAPACITY e-,k,) c-"aA
I.EA.CIIING FACILITY:(type) j� C,IASV' O iT (size) w�a
NO. OF BEDROOMS PRIVATE WELL OR 'U------------
BL1C WAT
BUILDER OR OWNERS
I
DATE PERMIT ISSUED:
DATE COLLPLIANCE ISSUED:
VARIANCE GRANTED: Yes
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
i-C�.k., .......of �A.c'L �-4�1 ...................
Appliration for Disposal Works Tonotrur#ion Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair (L—y—,tn Individual Sewage Disposal
System at:
,.... ....................t:•?k*.k&V-v 5 ...... --........_...._.
-Location_Address - or Lot No.
Odner Addr ss .....••...
a ....._.... 1?�e...l...lf11e� .......... _�-=�---•-----•--------- ----------1 l O 1 YJ !4 wtcx�"��_..�..._....----
Installer Address
Type of Building Size Lot............................Sq. feet
. Dwelling—No. of Bedrooms.._..3..................................Expansion Attic ( ) Garbage Grinder ( )
a`4 Other—T e of Building No. of persons............................ Showers —
YP g --------•------------------- P -(•--->.... Cafeteria ( )
QOther fixtures .------•----------------------•--•-••----------.....--.--••---•••-••-•-•-•••--•-•-•••-----•............-•_.. . --------•-
W Design Flow........ -........................gallons per person per day. Total daily flow.......3.3_f1......................gallons.
WSeptic Tank—Liquid'capacity............gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 ....Seepage Pit No.__.../_....'....... Diameter..../ �------- Depth below inlet....62.�........ 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.........._._._.--------
rZ. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
9 ••-•----...•---•-•-•-•---•-•..................•--------•---.......-----.......-----••-----•-------.....------••--•...........•---..........- -------------
ODescription of Soil..................................................................................................................................................--. ..
x
M '-...-•-••••-••----------------------------------------------------- ---------------- ------•-------------------••-----------------------------••---------- -----------------
U Nature of Repairs or Alterations—Answer when applicable....4a.x(� _�.._1......uU..,. .
........ fit). `T Y L -------------------------------------------
1l _.....---•--•--•--•--
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITLZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued y the board of liealth.
Signed....... -•••--• •• --•---- L 10... ...
Date
Application Approved By...........
�. ..s:.- -'............................................. .......
Date
Application Disapproved for the following reasons:---•------------------------------------------------------------------------------------------••--•---•-•-_-----
......................................_..................................................................................................................................................................
Date
Permit No...-•-�_6......7--/--y?........................ Issued.......................................................
Date
--P3V-.4-1
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No._R=247... C?, I 1LC('7 FEB
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........OF........... ......... ....e. ....................
Application for Disposal Works Tonstrurtion Permit
Application is hereby made for a Permit to Construct or Repair (�-Mn Individual Sewage Disposal
System at:
..... ..................... ..................................................
....yhx. Location-Address or Lot No-
Owner................................. ..................�5 4 -.e)...y.4
............. ...........
..........................................
....................... ......... ;jdt....*...
............
% Installer Address
U Type of Building Size Lot............................Sq. feet
�--j Dwelling-No. of Bedrooms....2t,..................................Expansion Attic Garbage Grinder
yp Other-Te of Buildin
g ............................ No. of persons._.._..__._.__...______._... Showers sCafeteria
Other fixtures
WW Design Flow....... ........................gallons per person per day. Total daily flow_._.__2::9_0......................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.....J............. Diameter....1.4.f..... Depth below inlet....6_,�........ Total leaching area...................sq. f t.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by........ Date........................................
--------------*.........*---------**.........*----------------
Test Pit No. I................minutes per inch Depth of Test Pit_.__..___.__________ Depth to ground water_.___.._.__._._..___.__.
fif Test Pit No. 2................minutes per inch Depth of Test Pit__......_______..___ Depth to ground water.._.__..._..._..__......
0 04 . .......................................................................................................... ......................."......*............* 7
Description of Soil......................................................................................................................... ...........................................
................................................................................................................ ........................................................................................
........................................................................................................................................................................................................
U Nature of Repairs or Alterations-Answer when applicable....rv- _(V------- ---------�.
...... ......
.......... ............................... ............................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of T I T 1Z- 5 of the State Sanitary Code-The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
T
Signed...... ............... e��e I-------- ............................ ................................
Date
Application Approved By..........
.............................................. ........
Date
Application Disapproved for the following reasons:.............................................................................................................
........................................................................................................................................................................................................
Date
Permit No.......i_6........zq_-2...................... Issued L.......................................................
Date
------------------------------------------*i---------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
0F......1 A. . ...............................
(Intifiratr of Tampliattre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired
by................................................ ........ ............................................................................
at..................-� --2- , Cc) I Installer
......................���X.c.............. ...............................................f:...................................
has been installed in accordance with the provisions of 11TiZ 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit ........... dated.................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATIS-iiCTORY.
DATE.................. ......a................................. Inspector.............. ----------------------------------------------
------- ---------------------------------- - -----------------—
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
......OF. ............ ...
No...Fj�---7to... FEE.... .........
Dispsal lVarkii Tonstrurtion Permit
Permission is hereby granted........6f�.YIY- .-e....�=A: - ---------...............................................
to Construct -)-or Repair (L I I.
an Individual Sewage Disposal System
at No.......... .fir...."_....------: . ................
L_ ' v jStreet
as shown on the application for Disposal Works Construction Permit. No.R-2 .'.Z..... Dated..........................................
.......................................................
Board of U[calth
DATE........y.... ..........................................
Town of Barnstable Health Inspector
oFt rp� Office Hours
do Regulatory Services 8:30-9:30
Thomas F.Geiler,Director 1:00—2:00
BUMMBLE,
9� MASS, per Public Health Division
019.
ArEp �A Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
AMNESTY PROGRAM APPLICANT - SEPTIC QUESTIONNAIRE
1. General Information: Size of Property:
e °
p, P -7
Address: 53 ( � Map I/ Parcel2,9 /
Name: Phone #: ` 7 n
2a. How many bedrooms exist at your property now?
l
2b. Are you planning to add any bedrooms? If yes, how many?
2c. How many bedrooms total are proposed at this property (including the amnesty uniir,,3
2d. Please include a copy of the floor plans for the entire property - showing the existing
rooms in the home plus the proposed amnesty apartment and/or addition. Please label
each room clearly-,on the'plans.
r 3. Is the dwelling connected to public sewer? YES or O;
If the dwelling is con ected to public sewer,skip questions#4 through#9 below.
P' G-P
4. Location of dwellin is NSIDE or OUTSIDE a Zone of Contribution to public supply wells?
5. Is the dwelling connected to an ONSITE WELL or to PLEB �WAT ?
6. Is a disposal works construction permit on file? YES or NO
6a. If yes,how many bedrooms were approved according to this permit? Bedrooms.
7. .Were any building permits obtained for construction of additional bedrooms? YES or NO
8. Is there an engineered septic system plan on file at the Health Division? YES or NO
9. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO
-------------------------------------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
98 7.y 7
The Public Health Division has no objection to bedrooms at this property. 75 - /96
Special Conditions: N. u S.i im "s/ -h i MOM
Signed: Date:
Q;/healthLwpfiles/amnestyapp
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Message Page 1 of 1
McKean, Thomas
From: McKean, Thomas
Sent: Monday, April 24, 2006 2:01 PM
To: Taylor, Madeline
Subject: RE: 53 Connemara Circle
Hi Madeline
1) We can't find any records of a septic system in our files. Please have the owner hire a DEP certified inspector
to complete a 15 page inspection report regarding the existing septic system.
2)Also, do you have any more floor plans? The assessor's has it listed as a 7 room house. These floor plans
show olnly 5 rooms.
3) Does the sitting room have a 4 or 5 feet wide opening?
-----Original Message----
From: Taylor, Madeline
Sent: Monday, April 24, 2006 12:53 PM
To: McKean, Thomas
Subject: 53 Connemara Circle
Hi Tom
I am faxing over a septic questionnaire to you for 53 Connemara Circle. Can you please review it when you
get a chance. I would really appreciate if you could do it asap as I have a hearing notice to go out in this
weeks Patriot.
Thanks
Madeline
I
A/24/2006
APR.24.2006 12:01PM BARNSTABLE COM/ECO.DEVELOPMENT NO.130 P.1/3
Town of Barnstable Health Inspector
Office Hours
Regulatory Services 8:30—9:30
$. Thomas F.Geiler,Director 1:00—2:00
; ' = Public Health Division
Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Officer 508-862-4644 Fax: 508.790-6304
AMNESTY PROGRAM APPLICANT— SEPTIC QUESTIONNAIRE
1. General Information: Size of Property: °
Address: 53 Map 1 Parcel21 7
Name: Phone#: -7 `
2a. How many,bedrooms exist at your property now?
1.2-
2b, Are you planning to add any bedrooms? If yes,how many?
2c, How many bedrooms total are proposed at this property(including the amnesty unit
2d. Please include a copy of the floor plans for the entire property-showing the existing
rooms in the home plus the proposed amnesty apartment and/or addition. Please label
each room clearly:on the plans.
3, Is the dwelling connected to public sewer? YES or
If the dwelling is connected to public sewer,skip questions#4 through#9 below.
rl P �P
4. Location of dvve&n6 is SIDE or 0UTME a Zone of Contribution to public supply wells?
S. Is the dwelling connected to an ONSITE WF.0 or to P �YAT 7
6. Is a disposal works construction permit on file? YES or NO
6a. If yes,how many bedrooms were approved according to this permit? Bedrooms.
7. Were any building permits obtained for construction of additional bedrooms? YES or NO
S. Is there an engineered septic system plan on file at the Health Division? YES or NO
9. Has the septic system been inspected by a DEP-certified inspector within the last two years? YES or NO
FOR OFFICB USE ONLY
The Public Health Division has no objection to bedrooms at this property.
Special Conditions:
Signed: 0 Date:
Q;1hea11hAvpfl1es/amaestyapp
r
APR.24.2006 12:01PM BARNSTABLE COM/ECO.DEVELOPMENT- NO.130 °P.2i3
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APR.24.2006' 12:02PM BARNSTABLE COM/ECO.DEVELOPMENT •- NO.130 •.P.3/3.
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LOC.&TIOf-1 5EW&64E PERMIT MO.
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No. ................... Fla$..../.. ...................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
.................. ... ..................OF...................t............-.........................-..-.-...-.-.......-.-....
Appliration -for IN-4pufitt1 Workii Tonfitrurtton Prrniit
Application is hereby made for a Permit to Construct (/S or Repair ( ) an Individual Sewage Disposal
System at:
= ------•-•-• .............................. ---•----•-••-.•--.._..-••--••-• ......................
Location_Address or Lot No.
-f' -------• ---•----.....--•--•-------•---••-- -•--------•-- -"... .._---...--•----•--••-•----•----------------------•-
^ Wrier) -AdreO
Installer Address
d Type of Building Size Lot....�oY -_._.Sq. feet
U Dwellin No. of Bedrooms___________________________________________Expansion Attic ( Garbage Grinder ( )
A4 Other—Type of Building ____________________________ No. of persons---------------------------- Showers Cafeteria ( )
a Other fixtures ------------------------------------------------------
W Design Flow_______---�O-------------------------gallons per person per day. Total daily flow..........Z....-•.-.----..-_-_-_gallons.
W Septic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter---------------- De ------------
x Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area..... r _.__sq. ft.
3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area-.__-_____-_-_____sq. fl.
Z Other Distribution box ( ) Dosing tank ( ) ' - dc` - 2 J
Percolation Test Results . Performed by.......................................................................... Date----_------------:...
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_...r-_____-_�_-_----.
(14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water----:/4---_........
O ...----- /-----------n•_.... �:
._.__..._.
Description of Soil-----=�•-�'----•._...__........"��°'`' �"-------k -^----1 /"-"--='�---/D-!1 !- ' n�'�".` ..
W ...............r I............ �. � ............�------•--•---•------------•••----•----•--_..------------------------
UNature 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place thC1e system in
operation until a Certificate of Compliance has been i sued by the board of health.
..
Signed... - -• ------- c� ``
6
A/J �v / Date
Application Approved By.....�I/b�i.4.:� ��r��r_�.�
Date
Application Disapproved for the following reasons_______________________________________________________________________________________•------___.-------------
-------•••••-•-------•---•----•------••---••------------------•----...---•--••-•------•--•-•-------
Date
Permit No......................................................... Issued.... �'s� 7►r ..•-•_--•---
Date
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RTI TIED PL- OT� 'PLAN
C O:C A T 1 O N
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R E F E R-E/N C E: 7 As
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1 HEWE.BY CE,RT.1 -FY THAT THE BUt LOING REG. . 0 ND SURV:E'YOR>. �
H'O. W N. O N T H-t S PLAN IS E O C A'T' E D O.N .
THE: GROU. ND• : A'S SHOWN H'E'REON A .ND
' :T HAT t T Oates 'C: O N F_.O R M T O .T H E
Z.Qtv' ltV G BY;.- LAWS OF. THE - TOWN OF O ,y���q :.
BA TABG�. W H-E .N -CONSTRUCTED.
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: GEORGE—
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. .B:ARNSTABLE SU.R�VEY, C-O"NSU LTA NTS, fNC 1.
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W E-S T Y A R M O U T H�:.KA.A S.S
No...... 7....... Fss....�v.. .......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.................. .....................OF..................................................................................
Appliratiun -fur DhivAiittl' orks Tomitria.tion Prrmit
Application is hereby made for a Permit to Construct 44_�or Repair ( ) an Individual Sewage Disposal
System at:
Location:Address r Lot No.
C? a-�C• IC� 0 �.r -
• •------
S ----------------••---•-- -------------��`..... ' -------------------------------------------------
Owne /� ,/� --Addre�s,�j
Installer Address
UType of Buil 'ng Size Lot....lo.t Sq: feet
Dwellin No. of Bedrooms--------------------------------------------Expansion Attic ( y Garbage Grinder ( )
Q, Other—Type of Building ---------------------------- No. of persons---------------------------- Showers Cafeteria ( )
a Other fixtures ......................................................
W Design Flow..........SO-------------------------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...... ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area......_........_..sq. ft.
z Other Distribution box ( ) Dosing tank ( ) 7 dP' - 2 I_
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water...............
f4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...../ -......_......
O Description of Soil----..-� ._ 1r9 „...-- ..' Za— 1 .. .. . ° ...W
x -----------•----------------•-------------------•••-•-••-••-...-••••-•-•-•-•••-••-•••-••-•---------------------........-••---. •------•-•-••••--•----------•••••....•••------------•---•••••......•....
U 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been i sued by the board of health.
�� ��
Signed. U ......-.. --••• DaCe
Application Approved B �� �r
Date..
Date
Application Disapproved for the following reasons______________________________ ...._..__..... ...................•..------...•--•--... ---------•----
..........•••.........._•---•---...-•-•...................•-.--•---_.._...••••----.............--••••••-•----------••••••.............-•-.....-••-------••---•.......------...............---.....•....
Date
PermitNo........................................................ Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
........OF................ ........................ .
(9rdifiratr of OQUImpliaurr
TT-1— IS TO CERTI , Than the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by ••. ------. 1 •---•---•................. ------- -------------------------------------------------------------------•--•---------------
ry
nstallar
. .. -- •--•-•-•---•-----••---•--
has been installed in accordance with the provisions of tit XI of The State Sanitary Code s described in the
application for Disposal Works Construction Permit No._.�5�__..._..L9_ °7............ `...............
THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT TIME
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.........•••--••••••••••••-------------•••••------ --------------- ---........ Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD IF HEALTH
................OF....... .....�c 2 .. /O
No...........
1 .••••9 FEE
Bi-spofid Norkii r,tr, r i t rrrmit
Permission is hereby granted-.-.-!�. t'!2�-:2:----• ...
to Constr t ( /)yor 7Dnatr ( an Individual 'ew4ge isposal stem
at No.. .rT F-....1-••r��'!�l1lrRL1 .!�_..._ ?S�1 ..._.... .......
as shown on the application for Disposal Works Construction Pp✓ryt No/ .. Dated.... . � .T / �.. _ .: ........
--L ....................••.•--
DATE. 7— Board of Health
..._....--•••----•--••• -----•--------••-••-•••....--•••-•--•--•--
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
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