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HomeMy WebLinkAbout0080 CROCKER DRIVE - Health 80 CROCKER DRIVE`' Hyannis (? file# 2) ' A 36 =-028 — 002` Town of Barnstable Department of Public Works 382 Falmouth Road , Hyannis MA 02601 Ms' www.engineering@town.barnstable.ma.us 163 Office : 508—790—6400 ext 4935 'Fax : 508—790 - 6406 December 10 , 2015 - - Subject : 80 Crocker Drive ; Hyannis Map & Parcel 306 028 - 002 Tie-in to Municipal Sewer Dear Sirs; This is to notify you that the property at 80 Crocker Drive ( Map & Parcel 306 - 028 - 002 ) , in the village of Hyannis, was tied-in to municipal sewer on December 20t" , 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; David ) A erson Town of Barnstable DPW Admin & Tech Support _ y ¢ t No. 13 v g Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS application for Voposal. *pstrm Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Locat' Address or of No Owner's Name,Address,and Tel.No. V d Assessor's Map/Parcel 4 Iler,;�Ve, re s d Tj1;I t 64),j Designer's Name,,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 Nature of Repairs or A terations(Answe when applicable) 7'�2 Date last inspected: Agreement: The undersigned agrees to ensure t co truction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 o e Env bnmen d of to place the system in operation until a Certificate of Compliance has been issued by this B and f Heal y,�✓ `� Date 3 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. l t'!0 Date Issued l TIC T�COMMONWEALTH OF MASSACHUSETTS BARNSTABL,E,MASSACHUSETTS 'j Certificate of Compiiante drweA& THIS IS TO CERTIFY,that t e n-site ewage Pispos 1 system,eCristructed( ) Repaired pgraded( ) Abnone6ad )by at (� /C�Jl'� ��� has been constructed in accordance l with the provisions of Title 5 and_the for Disposal System Construction Permit No= -3 4�dated A�` / f 1� Installey%�/ h PX ! ZZi 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- 13 Fee y THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION . TOWN ¢OF BARNSTABLE, MASSACHUSETTS e 21pplication for Misposal *pstrm (Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. �� e�o� � Assessor s Map arcel I ler ,N� �egress, d Te.Np�� �� Designer's Name Address,and Tel.No. e. Type of Building: Dwelling. No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) a r Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd z Plan Date Number of sheets Revision Date Title '- ' Size of Septic.Tank Type of S.A.S. t Description of Soil Nature of Repairs or Alterations(Answer when applicable) d Date last inspected: Agreement: E - -- ',-The undersigned agrees to ensure t co truction and maintenance of the afore described on-site sewage disposal system in accordance:with the provisions of Title 5 o e Env onment C a of to•place the system in operation until a Certificate of Compliance has been issued by this B and f Heal y, ,. ,ign d- �/f� -S Date a �S Application Approved by C Date r Application Disapproved by j Date for the following reasons � a 2 - Permit No. �(�/ �/O Date Issued J TH F,COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS ` Certificate of Compliance ..... THIS IS TO CERTIFY,that the On-site Sewage isposal'sy`stem Co structed( ) Repaire graded( ) Abandoned( )by /mil/ J12/I�� �N 1/l��/T� �� ��J��•� at has been constructed in accordance with the provisions of Title 5 and the for Disposal.System Construction Permit Nn�/3 -y�dated Installe� �� Designer A/� . s� #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. G "7_g K Fee�— THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction Permt. Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( ) System located at cy 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 be completed within three years of the date of this permit. Date /�_/C'J� / Approved b G ` Town of.Barnstable Department of Public Works ' srneri 382 Falmouth Road , Hyannis MA 02601 www.engineering@town.barnstable.ma.us Office : 508—790—6400 ext 4935 Fax : 508 —790 - 6406 December 10 , 2015 Subject : 80 Crocker Drive ; Hyannis Map & Parcel 306 - 028 - 002 Tie-in to Municipal Sewer Dear Sirs; This is to notify you that the property at 80 Crocker Drive ( Map & Parcel. 306 - 028 - 002 ) , in the village of Hyannis, was tied-in to municipal sewer on December 20t" , 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; 4Daid J pnderson Town of Barnstable DPW Admin & Tech Support b'Jc°w-d Town of Barnstable Department of Public Works SAMSTAMA 382 Falmouth Road , Hyannis MA 02601 °A' www.engineering@town.barnstable.ma.us 1 Office : 508—790—6400 ext 4935 Fax 508 790 6406 December 10 , 2015 - Subject : 80 Crocker Drive ; Hyannis Map & Parcel 306 - 028 - 002 Tie-in to Municipal Sewer Dear Sirs; This is to notify you that the property at 80 Crocker Drive ( Map & Parcel 306 - 028 - 002 ) , in the village of Hyannis, was tied-in to municipal sewer on December 20t" , 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 septicsystem 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 J derson Town of Barnstable DPW Admin & Tech Support I TOWN OF BARNSTABLE'LOCATION gO Cro c ky -6(11/L SEWAGE# VILLAGE H YAAAd ASSESSOR'S MAP&PARCEL INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY.(type) ( 'i1(�� (size) 3�' NO.OF BEDROOMS 3 OWNER <<igQ1 Svc PERMIT DATE: COMPLIANCE DATE: 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) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY .L J ,q Q Froxr '> R � a A 3 0 , 133 1 S � 3 a 3g 13 I I 1 . To TOWN OF BARNSTABLE 11 LOCATION [,nt n1 C f UC-(C ! Sfi SEWAGE # �'ll VILLAGE ASSESSOR'S MAP & LOT�"',� -12-�2 INSTALLER'S NAME & PHONE NO.�ti ,7 Q � � �f eat, � rmattiPvt o.",bYFi SEPTIC TANK CAPACITY Q LEACHING FACILITY:(type) Coct, (size) NO. OF BEDROOMS -3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 1 mu -( Pick-tan DATE PERMIT ISSUED: 3 I��ISI DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No `� f� y .. � � �jI �J � '� �' ,� `'� v �' •q�� J r �� I�