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
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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
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