HomeMy WebLinkAbout0120 CONNEMARA CIRCLE - Health N-�,
Hyannis a�N���,;�,a ,�• '�-,~_' .,;�-' .:�"'_>-�-•�"
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-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
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83 ``3y r Rccx r
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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
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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
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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.
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4
.ham __.:
Desigder'`s:Stamp )
s Si )
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AS-
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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: /~