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HomeMy WebLinkAbout0053 CONNEMARA CIRCLE - Health �53 Connemara.Circle Hyannis' �a a - -- A=291 297 - ° 0 I' ° o � ., o r TOWN OF BAR.NSTABLE K. 4 c 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 e i • I n �. � � , ®� � � �. -�-- ���s , �b � - _ �ay ayy ,�_, s � - 0 i -- .� Fzz 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 J­ 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 • _ I ........... VI �i. 7 ;i tlx: , I S i,t _ Nis �I ----------------- i YYUPrn f f : _Q .................-- - - - l M Y,11ii , 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 $. Thomas F.Geiler,Director 1:00—2:00 ; ' = Public Health Division Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Officer 508-862-4644 Fax: 508.790-6304 AMNESTY PROGRAM APPLICANT— SEPTIC QUESTIONNAIRE 1. General Information: Size of Property: ° Address: 53 Map 1 Parcel21 7 Name: Phone#: -7 ` 2a. How many,bedrooms exist at your property now? 1.2- 2b, Are you planning to add any bedrooms? If yes,how many? 2c, How many bedrooms total are proposed at this property(including the amnesty unit 2d. Please include a copy of the floor plans for the entire property-showing the existing rooms in the home plus the proposed amnesty apartment and/or addition. Please label each room clearly:on the plans. 3, Is the dwelling connected to public sewer? YES or If the dwelling is connected to public sewer,skip questions#4 through#9 below. rl P �P 4. Location of dvve&n6 is SIDE or 0UTME a Zone of Contribution to public supply wells? S. Is the dwelling connected to an ONSITE WF.0 or to P �YAT 7 6. Is a disposal works construction permit on file? YES or NO 6a. If yes,how many bedrooms were approved according to this permit? Bedrooms. 7. Were any building permits obtained for construction of additional bedrooms? YES or NO S. Is there an engineered septic system plan on file at the Health Division? YES or NO 9. Has the septic system been inspected by a DEP-certified inspector within the last two years? YES or NO FOR OFFICB USE ONLY The Public Health Division has no objection to bedrooms at this property. Special Conditions: Signed: 0 Date: Q;1hea11hAvpfl1es/amaestyapp r APR.24.2006 12:01PM BARNSTABLE COM/ECO.DEVELOPMENT- NO.130 °P.2i3 1 � _...sue•-�. ^�� 60 r _ ti APR.24.2006' 12:02PM BARNSTABLE COM/ECO.DEVELOPMENT •- NO.130 •.P.3/3. w 13 ._.. _ Z7d6; a Ise LOC.&TIOf-1 5EW&64E PERMIT MO. LW-5T_QL.L_E.R-S_IJ.�t�/l �.U_I_L.D_E:R_S-t�1_[�1.�_l E-�_l.�.D D R_E_SS �• D�►TE-P_E:R.tv�1T_I L I r � � i I� .I No. ................... Fla$..../.. ................... 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 •^ems-� ,� a F y� 4o7- 7�3Z.2B, »- r 87 �?4 077 ks'! RTI TIED PL- OT� 'PLAN C O:C A T 1 O N DA R E F E R-E/N C E: 7 As V_L Z Y. ATE 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. : I : GEORGE— JRo . .B:ARNSTABLE SU.R�VEY, C-O"NSU LTA NTS, fNC 1. r 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 .aG