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HomeMy WebLinkAbout0120 CONNEMARA CIRCLE - Health N-�, Hyannis a�N���,;�,a ,�• '�-,~_' .,;�-' .:�"'_>-�-•�" � o I v i I • 1 -TOWN OF BA.RNSTABLE LOCATION I CATION 110 Con6c.,nQr0. C,rcl L SEWAGE # POO G ao VMLAGE tAJgnni5 ASSESSOR'S MAP & LOT 290 - /39 INSTALLER'S NAME&PHONE NO. G t I-�'o (9 1�R EXCAV) !Z77- 0LS3 SEPTIC TANK CAPACITY l DOO !�a,I LEACHING FACILITY: (type) '=n�F:�l�lrw-�arS (size) / / x 33 it Z NO. OF BEDROOMS 3 r BUILDER OR OWNER gruc PERMITDATE:1/- 19- D SI COMPLIANCE DATE: ON 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) - T Feet Edge of Wetland and Leaching Facility(If any wetlands exist` " within 300 feet of leaching facility) Feet Furnished by Al KL • a y BZ - as ' ... ' A3 =51 � 83 ``3y r Rccx r .8 q ' yo' O3 y � S t No. lst C9c -r/ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplicatfon for Mi5p5al *potem Cott!5tructfort Permit Application for a Permit to Construct 61)Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 49l1rleMQC0 C 1 rGl_ Owner's Name,Address and Tel.No. a e 0 h T3 r ute-i-►.eslte. A0(Ae.(ron Assessor's Map/Parcel 2;9 O 3 ( V A�N U H 1�O20 Installer's Name,Address,and Tel.No. esigner's Name,A dress and Tel.No. R0 ert.(3, 6il o �a�td n. MWQ 1'1 teabesi y Lane. y 5d8 �l-D 53 E`5andc�t�h,JuiA O�537 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building e No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date t)�{ Number of sheets ` Revision Date Title Size of Septic Tank X 1000Type of S.A.S. - IyZO Zn4*) ra40r_S Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 t • oard of Health. Signed S Date �l Iff IO •- Application Approved Date Application Disapproved for the following reasons Permit No. CL-00 4 �o a—'� Date Issued � .� �, m 3 _ � +��"�w+�'"Rt".-,...1... '���'.."�. �--- 1.f.�...9 t�.-�js .`�,{i3.,.. X"Y s 7�'v.-� �►"t'�`!"�.w J` -'�--• '�,..i.r3•^..w+-':.`'"'.""4,,,,,�.�" s�, -`i:,,_'�vP`�.- No. C_ .z� _.SSA' ` � Fee /QQ 1 t THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC EALTH,DIVISION -TO.WN OF BARNSTABLE, MASSACHUSETTS es 01ppfication for ;Migpogar *pgtem Congtruction Permit Application for a Permit_to Construct( 6 Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components . Location Address or Lot No. 1 Zo tonnema rQ C i rGI e- Owner's Name,Address and Tel.No. "3�7 c-�tC- M a �3r uce �est1e Mo( ter ion Assessor's Map/Parcel zG'O 17J 1 H V A fVM 1l 2tf f 1 tow Q _5 cig 4 — t. y Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Robert 6. C,iifoy T�a•,ld 6, Mason � - ►'1 teab �rt-y Lf n _ i �•Sandu�t�h;AAA 02.537 ,A Type of Building: Y. dwelling', No.of Bedrooms _ Lot Size sq.ft. Garbage'Grinder( ) Other-- Ype of Building e r"l c2 i P No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design.Flow gallons per d'ay. Calculated daily flow gallons. Plan Date �A Number of sheets I Revision.,-Date Title b� f Size of Septic Tank k Imn �� Type of S.A.S. W`7 0 Description of Soil x s�, Nature of Repairs or Alterations(Answer when applicable) ' 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 Board of Health. N Si ed Date 11 lig lJ H. Application Approved y Date Application Disapproved for the following reasons Permit No. Q CEO —'(0 yV Date Iss`edam d THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CE TIF , that the O.-site Sewage Di posal System Constructed ( )Repaired ( ) Upgraded (-, Abandoned )by r� I /�� s� ' at I 1 , m r)^v n>` I I L� has been constructed in accordance with the provisions of T e 5 and the for Disposal System Constructi Ion It No. dated I 6 Installer Designer v 1 The issuance of this permit s all 'of bo/e construed a guarantee that the sy em wwilrl function as designed' M Date ��/� Inspector 1 -�//YI/� v a y� V k vry V y� � / u - o No. Ruaq,_La/� .------------.--,---.----^—"—Fee.�Qa �J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS j. Migogal *pgtem QContruction permit Permission is hereby granted to Construct( )Repair(,�,4 Upgrade( )Abandon( ) System located at ) ,r'_,�„^-r�0 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 ate o:this e Date: Approve by i TOWN OF BARNSTABLE LOCATION /00 COn�c.r,Ora C11mi - SEWAGE # 100N- Las VILLAGE a JS ASSESSOR'S MAP & LOT e790 - 1a-9 INSTALLER'$NAME&PHONE,NO. G i i�oT�B f3 EXcAV y')'7- OG53 SEPTIC TANK CAPACITY . 10002-0,1 LEACHING FACILITY: (type) 2n��1-lr-w-)crS (size) NO. OF BEDROOMS 3 BUILDER OR OWNER gruc PERMIT DATE: I COMPLIANCE DATE: Separation Distance Between the: Niaximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 360 feet of leaching facility) Furnished by I Al AZL ' ay A3 'S1 83T- A q % Sl' .8q : yo, AS =s9 ' ,6 61 � � O 3 y S I '1 Town of Barnstable P,egao>ry Services norm s F Geller,DuvMr ld r pablrc Health DivisiO •' Iornas McKeai�DIor Mama Stred,Hyannis,MA 02601 I Fax: SO8-790-6304 i Office: 508462-4644 Installer&Designer Certiificattioa Form Date: r. Designer: �j�1YI �. �"t1� � InstaD�: C� �► � x�� ,a.�l�o� Address:Ea. Address: Alf T G Mll CfL� 31, t-ores�d�,.lc ¢2 QoSct( C�, !Ji,ems' was issued a permit tO install a on 11- sec system at �G D based on-a-d 'gin drawn-by - vt . lMIA�CW dated ify that the septic system referenced above was ' led snbsta> Vlaft��of to I cert minor, cIuoges such as lateral tetocation of the tlbe�w��► • dish baz aadle�r septic e�- I certify that gosepUc Systemrefer abon was inSWW with major dmgw. (i.e. gteater IW bDet'a1 rim of the SAS or any vertical s+eloeatioa of any COMP rent wilt State&Local Rapdafiom P1aa revision or o��fyt but in accordance �� ified srb a by 69W to k0ow. :.J 4 .ham __.: Desigder'`s:Stamp ) s Si ) FM AS- 1P AR1F: - �A1�IH YOUR . Q HMd69S6PUdAe3i8=C bfication Form N Fmc..... ...:..C..l� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ��V 1� ..............OF...! �l T.`"��� c............................................... ,Appiiration -for Biopoottl Works Toawtrurtioo prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: _ A, uiE/� L --------------------- -- ----- �./mac��-= l%w i� .................................. Location Addres or Lot No. ------".. .....-•----......--•--•.................................... Owner --•.........................................Address Installer Address � Type of Building Size Lot...... ..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ----- --------------------•---- --- <11 W Design Flow........... ..... ........ gallons per person per day. Total daily flow............................................gallons. 9 Septic T:Lnk—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. ....... .� . ___rNNI'dtli.................... Total Length-------------------- Total leaching area....................sq. ft. 3 Seepage. Pit No...f�Ul� _`�Diarr ter...:................ Depth below inlet.................... Total leaching area------------------sq. f1. z Other Distribution box C) Dosing tank ( ) aPercolation.Test Results Performed by-------------------------------------------------------------------------- Date............................._.......... Test Pit.-No. 1----------------minutes per inch Depth of "lest Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water__.__._..__.___-___--_ Pi ----•-•-•-•••••-------------••---------•-•••••-•-••-----•---•---•••--•••............-••---------•-•••-•--......----••--••-•••••••••.. O Description of Soil . Q_,0&4-v -._ / .._..... P -•-••• ---------•••••• •-- • ----------------------•--- U -•••••••••-•-•--•---------------------•-•-5 .....------� - ............................/b--�.�'---........--------------...--•--•-------------------------- W --------------------------•---------------•-----...---------•------. -.--------------------------------••••......-••-•-. ...------------------------.......---......__.._..••••••.._...-------•----. 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 \I of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b issued by the board of health. f Signed.. -•-----•---------------------------- ..............S'-7--��------ Date ApplicationApproved BY ----------------------------------------------------------••............•• -•-•-•--•--•....... Date Application Disapproved for PlIefollowing reasons:................................................................................................................. --•-•---••--•----•...•---•-••••••---•------•-•-•••-......•••-••-••••-••••••-••- D•-•-•-----------••-•-----•--------••-••--••••-----•.................... • •-••••••... • ••••-a--te•-------------- PermitNo......................................................... Issued..-----. � ---- Date No....' oZd F$�.... ...:. d.d ). THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............OF:. �fsf�'�s' ! �e-:c�_....................... ..................: Application -for Diopood Works Towi#rurtioo Prruti# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: C Location-Address or Lot No. .....................ti' •---•-------•.i'!c..fT......--............................... Owner Address a - -- -• Instal Ier Address Q Type of Building Size Lot....-? .:��J'..Sq. feet Dwelling—No. of Bedrooms__._ ........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Otf-ler;fixtures ..............:................ ... Design Flow------------ U........;/..:.............gallons per person per day. Total daily flow--------------------------------------------gallons. W WSeptic Tank—Liquid capacity___.._.._...gallons Length................ Width................. Diameter.................Depth................ x Disposal Trench—No- --F__-__--_:__..__ Width-------------------- Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No... ------------------_Depth below inlet-------------------- Total leaching area------------------sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by----------------------------------------------------------- ------ Date........................................ ,a Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__.__._.______.______... tA ........-•---••-•--•--•--•------•-----. ..................................•-=..._., O Description of Soil-------------------------------------------------- t' ... �G`°........._. k SS C 5;.,- ------------------------- ..........------------------------------------------5,.� f_--------�� -`-=c.G-=---------------------------=�'•�-= -- ......_........... w 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 b Issued by the board of health. Signed _. ................................. ------------------------------------------ ---------- ------------ --------------- . � . Date Application Approved By---.. .. ----------------------------------- _ - ..° �....` ...----•---------•`- ....... --------- Date Application Disapproved for t•!a following reasons:-----'------------------•='--___...._.-••---------___•.------.....-•----•-----.........---.....-•-----•--------- .............................•...-------------------------------•.........-•-•---------•------------.........-----------------------.._...._....---..........--------------------------...---....._.----- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............... .:...O F.............. ..��.�r n-x Cl...l--c.Cd............................. Cnrdifiratr of Tilutp atur THIS-IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.............. n -)-- -f✓.._. .. . �t oj `�----------------------- .... �t� .f,2 (�..".......�io't�di.:G'✓ {6J�"f/.+�i'.l.'✓ler >..a�G.r� has been installed`in cbrdance with the provisions of Article ot'The State Sanitary Code as desctribed—in the application for Disposal Works Construction Permit No.___.=�� O................... dated_........ A�t�-Z, 7 ........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS.A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................................... Inspector-------------------------------------------------------------...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ....................t,GG."??f? .OF........ ........................................... .� No.................. •--••• FEE.A. Bisposttl Works cno x�tr t>�$t mutt# Permission is hereby granted x./ =:.. ? ' e to Con�tru�c,,t ( ), or Repair ( ) an Individualp Sewage Disposal System at No..- :�- : ., t�� �, �- <:^�t r,t � .," aa�- -ur../ -------•--------------------------••••--•----•-•--••�----- . ...-- Street as shown on the application for Disposal Works Construction Permit V_ ,pplication Dated.......................................... ------------------•--------..._._...-•--------•-------......------------......_•----....---.....---_..._ Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - o �L•/F T�2w1�1/477� eI. _ /Oft �dCa d rnirr- �' covers A -7 _v... iron o-4 s h -4o PVG ya2 rh ed pip& WIm%n. _ • p%fc/7 V4"per rnaX. peaStonG foot 4" sc%. �/o pvc pipe y i_ m%n. pitch /8"per f t f/o_w /inE --- / l clece.r� 5CL?7 / 3 1 t V. 1,55 •• \ ,p -//Z gashed• sfone. ••-• inv. e/. - ' . 3�4 '• • - - / 6 ,ushedstone;base;•;•; a(isbfo. y inv. e/. / ground Wafer I-Mble a/ev ROO Cg_> e _ 22!, �� SELA/AG� SYSTEM P,2oF/I..LGY _ �6 Ml not to s c a/e ib Gvwc5�rf7� •fZD /-f1 Y CM)t4 Er ZDE SIG /V 0ATJ9 3 2W67-71--/ TEST HOLE Lo G �/ /VUMBER OF BEDROOMS -� GAIeB�9GE o/SPosAL AIDUNIT ; / L1.�Je-�� ��ST DATE-: � TOTfjL E MFLOWST/ f�TD FLOW / G A L.1B R. DAY x / p o -3 BR. PEJ2GOLAT/ON le/9TLc :� 1'` IAJ /N4H o _ � GAL. oAY 1�'�"DRA7RY> . !AY/D / 4 Y � 12EQ• SEPTIC TANIt CAPAC/TY: Gnz-. Hoe-E HOLE P- AJ.Ar' N \ LEAGf-lI/VG ARE RE AM EAJTS : v N SioE wA L io, -� = lZ GAL. + 8 O T TO/+7 s�L y n dA - (� _ -tOTAL LEACHING CAPAG/ Y + / oT 1b p✓' RE SERVE L EACH/NG CAP /TY V ` GAL. zo � /VOTES G / j .. ALL LVO-ekMANSH/P AND MATER/ALS I y - SHALL CONFORM TO .E.R T/TL 5 AND THE TOWN OF RULES AND RE-GUL A T/ONS FOR 1, 1 Q ;SUBSURFACE DISPOSAL, OF ,�3 SPA 1TARP SELVAGE. I� Z� cOMPL/ANCE W/TH ZONING REGULATIONS SHALL j5E- DETERMINED Sly' jSUILDIA/G /NSPE CTo/2 f CoMM/SS /ONE/2. 3) E-X/STIA/G AND F/NAL GRADES SHALL I2EMA/lV ESSEA/TI A L.LY THE SAME. ° lb Z� / C�>� TC APPh0VCD : i T75iE �- �c../ dam" ,,�!-�G,: ,��-j B D. OF HE A L T H hl 7,3 IwVZ5 F �s�, 1jf f AGE"7- � ATE LEI of P -' OPOSE- D GO/VST)EUCTION i L O C A T-I O w : G 1 D A.IA-/�NI�21 / � EFEreEn✓OE : �� "� � S /TE F-1LA /V g N PR E PARE D FOP, - � S A E p A T EZCCLJ,4 , .--- - - _ _ �f` OF L_aCVi=- DavidB .' Mason, RS _�- . -fyp existingspot e/ev D.ot i0i�b i existing GOn*our = --— —— — -gyp. prop. f pot e%v. = o Septic U ade Repair Plans 5 - p per' p z _ zT prop. t;r►. contour o o— r r -Pest hole location f W Loc ATIo MAP - East Sandwich, Massachusetts WIt _ SCALE: /~