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Home My WebLink About0070 CROCKER DRIVE - Health 70 Crocker Drive Hyannis A= 306—028 - 001 I a I 0 0 Town of Barnstable N Department of Public Works RnMsTnat�, 382 Falmouth Road , Hyannis MN 02601 � ..www.engineering@town.barnstable.ma.us Office : 508—790—6400 ext 4935 Fax : 508—790 6406 December 10 , 2015 Subject 70 Crocker Drive ; Hyannis Map & Parcel 306 - 028 001 Tie-in to Municipal Sewer Dear Sirs; This is to notify you that the property at 70 Crocker Drive ( Map & Parcel 306 - 028 001 ) in the village of Hyannis, was tied-in to municipal sewer on December 20th 2013. The tie-into municipal sewer was inspected & accepted by the Construction Projects Inspector from the Town of Barnstable DPW - Admin & Tech Support. The work included disconnecting from the existing. septic system and backfilling of the septic structure with clean fill. If you have any questions, or need additional information, please call Dave Anderson at 508 - 790 - 6244. Sincerely; David ] nderson Town of Barnstable DPW Admin & Tech Support Q, l No. O Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS /' Application for Bisposal 6pstem Construction Agermit Application for a Permit to Construct( ) Repair( ) Upgrade( Aband Complete System ❑Individual Components Location A(ddd essss or,Lot/No. ® 'p Owner's Name Address,and TT1.No. t�ss�is IGIap/`-"1 G F/t Installer's Name,Address,anal Tel.N Designer's Nam ,Address,and Tel No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Natuo 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 t nvir nmenta Code a not to place the system in operation until a Certificate of Compliance has been issued by this Board alth Signe �/ s Date J Application Approved by Date -� 1 Application Disapproved by Date for the following reasons Permit No. ,-�ZD l Date Issued T>Ei 7,COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Co tructed( ) Repaired( Upgraded ) bandoned( by 7 �% -5 at C''�G has been constructed in accordance J with the provisions of Title 5 and the for Disposal System Construction Permit N*')0) 3 dated Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. " PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 2ppYication for Misposal .6pstem Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( Abandon( ) Complete System ❑Individual Components Location Address or Lot No. r Owner's Name,Address,and Tel.No. A ssor's'Map/Parceel f/C � l,"/�' 4vl4r,� A Installer's Name,Address,and Tel.No, 7411- W_r_p17ka,0 Designer's Nam!(,Address,and Tel.No. a Grilr A-t'o /I Type of Building: Dwelling No.of Bedrooms - -' t t't Lot Size sq.ft. Garbage Grinder( ) Other Type of Building ;" No.of Persons Showers( ) Cafeteria( ) „ Other Fixtures .r t Design Flow(min.required) i. r't gpd Design flow provided gpd Plan Date Number of sheets Revision Date- Title \V' 1 E Size of Septic Tank ' Type of S.A.S. Description of Soil • �U t Nature of Rep airs or Alterations(Answer w�hye/n�appplicable)': r 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 th nvir nmenta Codeva not to place the system in operation until a Certificate of Compliance has been issued by this Board H alth. (. Signe �S Date IAI , J Application Approved by Date Application Disapproved by K - Date•- ' for the following reasons Permit No. �2c / 3 7 Date Issued _. _ TH E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS - (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Con tructed( ) Repaired( ) Upgraded ) Abandoned( by at vs"oC �l/ s has been constructed in accordance J WA the provisions of Title 5 and the for Disposal System Construction Permit N.o_!�)G) 3 y dated Installer Designer #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector ------- ------------------- ----:----------.--------- -- - --------- - _ --- �- No. 0/ -3 s�0 � Fee o�J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS ]Disposal .pstetn Constructio=bandon Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) )� System located at (72 and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must beI completed within three years of the date of this permit. Date / Approved by . t @x Town of Barnstable j,3 Department of Public Works t' s'rn 382 Falmouth Road , Hyannis MA 02601 °" W www.engineering@town.barnstable.ma.us ili�q. p� Office : 508 —790—6400 ext 4935 Fax : 508—790 - 6406 December 10 , 2015 Subject : 70 Crocker Drive ; Hyannis Map & Parcel 306 - 028 - 001 Tie-in to Municipal Sewer Dear Sirs; This is to notify you that the property at 70 Crocker Drive ( Map & Parcel 306 - 028 - 001 ) , in the village of Hyannis, was tied-in to municipal sewer on December 20th , 2013. The tie-in to municipal sewer was inspected & accepted by the Construction Projects Inspector from the Town of Barnstable DPW - Admin & Tech Support. The work included disconnecting from the existing septic system and backfilling of the septic structure with clean fill. If you have any questions, or need additional information, please call Dave Anderson at 508 - 790 - 6244. Sincerely; eDa4viJnderson Town of Barnstable DPW Admin & Tech Support No. =... 0 Fxs .Q�. ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Ally iration for Di-tipwial Wor1w Cnomilrurtinn ran it Application is hereby made for a Permit to Construct ( ) or Repair (om ) an Individual Sewage Disposal System at: // -•-•.......................................... ..o„-Addr------------------------------------- ?..4�.�� fie " ,40 ------ c!/ ! cr Add r ss Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.___-----4� -------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------- - - W Design Flow............................................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....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water.............. (i Test Pit No. 2................minutes per inch Depth of Test Pit._.-_-_--_______-- Depth to ground water........................ Gd .....-----••-------------------•--...-----..........._..........-•------------------......_...--............................................................. 0 Description of Soil....----------------------------------------------•----------------------------------------------------------------------------------------------_----- x V .----------------------------------------------------•-----------------------------------------------------------------------------------•------------------------------•---............----------.---•-- W ------------------------------------------------------------------------------ --------------------------------------------------------------------------------------------------------------------••--. U Nature of Repairs or Alterations—Answer when applicable ....................... �J ---------:19t-----.. av;-----------------------------------------------------------------------------•---- Agreement: The undersigned agrees to install the aforedescribed Ihdividual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 'ssued by the board of health. 9 �j Signed ... 1..... ........ .......... 4................................................. /...�.. � ..:/..... Date Application Approved By ... �U.11 .. �.. ------------------------------------------ �.,. �..'.6. Dace Application or the following reasons: ... ..... ........ ......................... . ............................................ PP Disapproved f owin g .................................................................................................-----------------------------------.........------------------------..............-------------------- ........................................ Date Permit No. .....C�. ---- .��.C3 .................. Issued Dace `---_---_—.—.— ———_— __.-- ._. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiun for Di-nVuuttl Works Tomitrnrtiun rrrntit Application is hereby made for a Permit to Corstruct ( ) or Repair (,-) an Individual Sewage Disposal System at: .Q.....RD..........41..,---- yA1'?l_K ----•------------------------•-•---••----- --------•-----------•-------•---------- ---•--. oc tion-Address or Lot o: ..r-•--.Y : -1?,. t .[- .................................................... _/ i f/ ` I O vner Address ....... e tc .... 1 --------- J ...... Installer Address UType of Building Size Lot............................Sq. feet �. Dwelling—No. of Bedrooms-------------------------------_..._.Expansion Attic ( ) Garbage Grinder ( ) p`4 Other—Type of Building ............................ No. of persons----------------.----.------ Showers ( ) — Cafeteria ( ) 04 Other fixtures ------------------------------------------------------ W Design Flow-------------------------------------------- per person per day. Total daily flow............................................gallons. W x Septic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter.-.------------ Depth................ Disposal Trench—No. .................... Width-------------------- Total Length-................... Total leachinarea....................s . ft. Seepage Pit No--------------------- Diameter.._............--.- Depth below inlet............---..... 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........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.--------_-------. Depth to ground water-........--..--.-..----- P4 ....-•----••---------------------------•-•------------------••---•••--------•----------.........----......................................................... DDescription of Soil..... 5,~-------------------------------------------------------------------------------------------------------------------------------------------------- x V W x ------------------------------------------------------------------------------------------------------------------ -------- ----------------------------------------------•- ------------ ---•--- U Nature of Repairs or Alterations—Answer when applicable../ �� -c.--�U .. f-..- 11 ...................... '------ 7'-....... .7/,p x�J �......rQ t .j`-----------------------------------------------------•--------------------...--•---. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been •ssued by the board of health. Signed ...vl/`.� /...-� e Dm Application Approved By ............ ,. .... ......... ................. ................... ..ram/.... VDae Application Disapproved for the following reasons- -------------------- ------------------------------------------------------------------------------------------------------------- Permit No. .....7L......... Date ------------------ ---------------,---------------------------- �. --------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Tertifi ate of Compliance THIS IS TTQ ERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (,J-") by Lr ..1.'�1. h'?.5/71. -- G�......ti ---el /C ---------- __ Installer at / -�...........�i/.-. IS �1 /Q... � .. - __........... - ------------- has been installed in accordance with the provisions of TITLE 5 The State Environmental Code as described in the application for Disposal Works Construction Permit No. .. ... ._.�(_----5_�.O._. dated ----------- 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 'TOWN OF BARNSTABLE 3 � No..... .�..'�_..�..s%2(� . FEES......64.:.............. �i��uutt1 ur � �un�trn,,r�tUan �rrtttit � ll Permission is hereby granted.1 J_.F.-_.... D 112s..A..... ..... - ('------., to Construct ( ) or Repair (,�%J an Individual SeNV, Disposal System at No.. ....�p�ti"4no------- 1. ............W ... �'/ ,� �" ... •----.--.-. Street as shown on the application for Disposal Works Construction Permit No.. .-.X� Dated........ 9«...... .................................•. ------------------------------------------------- / Board of Health DATE...................... - 6 f FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE -y6 LOCATION_® L %'SCWAGE- p��-_7 VILLAGE:'R � ___ ASSESSOR'S MAP & LOT INSTALLER'S NAMF & PHONE NO&\ ZR� SEPTIC TANK CAPACITY�`•'l��J� _ � LkACHING FAC;ILITY:(type)6CcC.A L ►O. OF BEDROOMS PRIVATE WELL O �- JC WATER BUILDER. O OWNER DATE. PERMIT ISSUED: -7 t DATE COMPLIANCE ISSUED_- VARIANCE GRANTED: Yes No—,---' _� Pw ct v a < Jp C,s-t U- J AsBuilt Page 1 of 1 (� TOWN OF BARNSTABLE LOCATION ZeeoA,-grGr AX SEWAGE VILLA.GEO AY93Y ✓iS 1 ar2 ASSESSOR'S MAP & LOTZ�5•-ClZG INSTALLER'S NAME ra PHONE NO." Q��sd-� �S �'7 7 SEPTIC TANK CAPACITY /0 06 6,4 LEACHING FACILITY:(tgpey�s 6le.4s7- /�i% (size) / NO. OF BEDROOMS OZ- R/PRIVATE WELL OR PUBLIC WATE yGlz BUILDER OR OWNER DATE PERMIT ISSUED: �� rir- DATE COMPLIANCE ISSUED: LI VARIANCE GRANTED: Yes No http://issgl2/intranet/propdata/prebuilt.aspx?mappar=268020&seq=1 10/17/2014