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HomeMy WebLinkAbout0008 HAMDEN CIRCLE - Health 8 HAMDEN CIRCLE HYANNIS A = 291 187 " TOWN OF BAR.NSTABLE :.t} jHTION Z 6( O- J� SEWAGE iLLAGE o`nn VS. ASSESSOR'S MAP & LOT 29IL42f LNS71ALLER'S NAME&PHONE NO. m?w rNt as e, SEPTIC TANK CAPACITY JSCI& CA C LEACIIING FACILITY: (type) as (size)` d'd® �t NO. OF BEDROOMS 3 a BUILDER OR OWNER PERMIT DATE: COMP LIANCE DATE: C� 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 In t �+ i+, No. �y /� e Fee 5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes �— lW' PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[pprtcattott for Mtqog;aY *pgterrt Cottotructtott Pe rmit Application for a Permit to Construct( . )Repair IKX)Upgrade( )Abandon( ) ❑Complete System EJ Individual Components Location Address or Lot No. Marge Me 1 an s on Owner's Name,Address and Tel.No?0 8—7 71 —1 3 5 8 8 Hamden Circle Hyannis,Mass.02601 Marge Melanson Assessor'sMap/Parcel -Z 1?/ —/,?7 8 Hamden Circle Hyannis,Mass.02601 Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8—7 7 5—3 3 3 8 J.P.Macomber & Son Inc. J.P.Macomber & Son Inc. Box 66 Centerville,Mass. 02632 Box 66 Centerville,Mass.02632 Type of Building: Dwelling X No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other I Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow �3� gallons per day. Calculated daily flow 33D gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Loamy sand to medium fine sand Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon leaching chambers to an existing septic system.Existing 1000 gallon tank and 1 -1 000 gallon precast leaching pit. 1 0 'X6 ' if J'j'ty Q 4 ; je 3 +4/C�r'47 Date last inspected: L4 is 2,5 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 o e tavironmental Co e d not to place the system in operation until a Certifi- cate of Compliance has been issue b thi ar f Ith. Signed Date 6/7/01 Application Approved by Date 4 Application Disapproved the following reasons Permit No. 300 —3 Date Issued � �r. " .jf?'Jvt�C%'F' BYh1�t`. �� �y ^.•j'^^ L - � � _s y`^7R�� �:':A'•� -...3's-ate,• � b' �a VE LAGE )5hg ASSESSOR S MAR &•LOT �j INSTALLER'S"NAME&PH.ONE NO.. VIAca du:as P�. SEPTIC TANK CAPAC1IY ),m6 c.4 LEACHING FACILITY (type) _ ®( (size) QR�S NO. OF BEDROOMS f BUILDER OR OWNER PERMITDATE I In COMPLIANCE DATE cl I I C� a t ..rr s' ; "f'S<oZ 5 SSi,lp + is :,.: S - :„ _ -. .!: il;,_ • r : 2T jai :. Separation Distance Between the. :,. Maximum Adjusted GroundwaterTable to the Bottom of Leaching Facility Feet Privat e'Water Supply We1Fand Leaching Facilfty"(If any wells exist" on site or'within 200 feet of leaching'faciLty) : Feet,, Edge of Wetland and Leaching Facility(If;any wetlands'eust w thin 3W feet of leaching facility) Feet Furninf sheday L S t 'a jf • Fee $ 50. 0 0 w ,. ...� ✓ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS _ ZippItcatton for Mt!6poor *pgtem Cone;tructton Permit Application for a Permit to Construct( )Repair*X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Marge Me Anson Owner's Name,Address and Tel.N . —7-11 —13 5 8 Hamden Circle Hyannis,Mass.02601 Marge Melanson AssessorsMap/Parcel 8 Hamden Circle Hyarinis,Mass.02601 Installer's Name,Address,4,d Tel.No. 5 0 8—7 7 5—3 3 3 8 Designer's Name,Address and Tel.No. 5 0 8—7 7 5—3 3 3 8 J.P.Macoinbe± & Son Inc. J.P.Macomber & Son Inc. Box 66 Cenierville-,Mass. 02632 Box 66 Centerville,Mass.02632 Type of Building: Dwelling X No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures r Design Flow3 gallons per day. Calculated daily flow >�� gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Loamy sand to mediwil fine sand Nature of Repairs or Alterations(Answer when applicable) Adding two 500 gallon leaching chambers to an existing septic system.Existing 1000 gallon ;_tank and ga on precas eac ing pi X6 ' ,,., ? Q S -a C,�04rV7 Date last inspected: ,S J1, 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� he Fnvironmental C90e,4nd not to place the system in operation until a Certifi- cate of Compliance has been issue b th' oar th. Signed Date 6 1/01 Application Approved by Q ,( C "L-.C� Date ((� U Application Disapproved r the following reasons Permit No. ,— ?' Date Issued , THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired�XX)Upgraded( ) Abandoned( )by J.P.Macomber & Son Inc. at 8 Hamden Circle Hyamnis,Mass. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. (` y8 dated —7-0 Installer J.P.Macomber & Son Inc. Designer J.P. acomber & Son Inc. The issuance of this permit shall not be construed as a guarantee that thT system will function as esigned. Date 411 I b�b\ G. No. 2Ur/-3yr __--_—�9,�,—��7 --------------Fee 50.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLE, MASSACHUSETTS lwigpooai Opotem Construction Permit Permission is hereby granted to Construct( )Repair{ X)Upgrade( )Abandon_ ( ) Systemlocatedat 8 Hamden Circle Hyannis,Mass. 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. K Provided:Construction777� sompleted within three years of the date of this p — i �. Date: G t JApproved by rt •J T l/6/99 � - •'•y.ii1 � NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. r CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUMON PERMTT (WITHOUT DESIGNED PLANS) I, Joseph P_M omb r Tr_, hereby certify that the application for disposal works construction permit signed by me dated 6/7/01 concerning the property located at 8 Hamden Circle Hyannis,Mass. meets all of the' Mowing criteria: The failed system is connected to a residendal dwelling only. There are no commercial or business uses associated with the dwelling. The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. There are no wetlands within'100 feet of the proposed scpdc system There are no private wells within 150 fat of the proposed scpdc system ere is no increase in Dow and/or change in use proposed There are no variances requested or needed. The bottom of the proposed leaching facility will not located less than five feet above the qm=um adjusted groundwater table clevadon. (Adjust the groundwater table using the Frimptor /ethod when applicable) If the S.A.S. will be located with 250 feet of any vegetated we the bonom of the proposed leaching facility will = be located less than fourteen(14) feet above the maximum adjusted groundwater table elevadon, Please complete the following: A) Top of Ground Surface Elevation(using GIs information) 3 B) G.W. Elevadon + the MAX. High G.W. Adjustment ,_ F DD-FERENCE BETWEEN A and B 7 R F SIGNED ; DATE: 6/7/01 (Skete posed plan of system on back). - Q:health folder.Bert r ���� � � � !� r �f r � � � � � $ice/ ' f LOfCAT 'ION SEWAGE PERMIT NO. Y3 VILLAGE x O 1� S INS.TA LLER'S NAME i ADDRESS I U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �i • I i 11f N I _ l t �t `'' ►'"" � ,moo No..•- .......... L .- Fim............ .......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ._ '.Ill.............OF.......... /u.a--u_l.t� _............_. Appliration for Dispniia1 Wurkg Tonotrnrtinn Vamit Application is hereby made for a Permit to Construct l><or Repair ( ) an Individual Sewage Disposal System at: fi'r�ruu is cation-Address or t Owne ress a '--.�.� c A! ------------------------------•-- -_C'� 7-HAM. ....-.....Se.. Installer Address UType of Building Size Lot...a.X3...A&... -f - Dwelling—No. of Bedrooms......... ....�...�.._. `...............Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria dOther fixture ------------------------•------•-----------•----------•------•-----------••-•-----•--•-----------•------••••--•---------••---....................-•-- W Design Flow_.•............. .._......._...._.gallons per person per day. Total daily flow..... .........gallons. 11 W Septic Tank—Liquid capacity 000..gallons Length---6.6...... Width......... _!Diameter................ Depth.....g..... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------..._. ....sq. ft. Seepage Pit No.........l---------- DiameterIZ -c�.-`.. Depth below inlet...... ............ Total leaching area._.______ 1 Z Other Distribution box (pQ Dosing tank ) '-' Percolation Test Results Performed by. _____.___W6-Ge-4+C_ .j�5- : �0.___.-- / W Date ------------------------ ,� Test Pit No. 1....:�_ .minutes per inch Depth of Test Pit__`` 1_..._.. Depth to ground waterer 77_ AF7LZ_. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water�q!4:767e&� -----------=----------------------- y Description of Soil --.....--1 .----•-•---•-••--•--------•-•----------•------------•----•-------•-------------------------- x 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 TITL%. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been-ied by the board of health. Da ApplicationApproved By-------- ---------------••-•-• --------•---•--•-••....•-•-- --------- --------Da----t-e--------------- Application Disapproved for the following reasons------------------------•----•-••----•-----------....---•------------------------•----•--------••---•-•---••-••- •--••------•------••---•-•----------------------•---------••-•-•=--•----•-•----•-•-••••----•---•••--....:..----•-----•-----•-----••-----•-----•--....................................................... Date Permit No.------ y.:-y'3, --------------------------- Issued_..................................................... - Date -------------------------- ------------ - No....................... Fini.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HitALTH --------------OF.........�..dzg/j.s7mg4ne A pfira#ilan for Uhiposal Works Tomitrurtion ramit Application is hereby made for a Permit to Construct � or Repair an Individual Sewage Disposal System at: r /�/&.v A cfzopgE 1> PO Z/j .............................................. ..... .....PAZ�9c....... ................................................ ........ Location Address-r 0r 1A,—la.-ALZ.................. 9.......> j Own- <42................................. 0�'. Installer Address Type of Building Size Lot._t.;Z.3 U ...A&.... Dwelling—No. of Bedrooms.....................A................Expansion Attic Grinder P-4 Other—Type of Building ____________________________ No. of persons._ ................... Showers Cafeteria A4Other fixtu�s ...................................................................................................................................................... Design Flow...............55.....................gallons per person per day. Total daily flow___________ *....................gallons. 9 Septic Tank—Liquid capacit/QOO...gallons Length-.6......... Width........I..4 Diameter________________ Depth.____!._-. Disposal Trench—No..................... Width_______.______.:.___ Total Length_._.__.__________.__ Total leaching area.................sq. ft. Seepage Pit No--------/........... Diameten/2-S...... Depth below inlet___.!______.___ Total leaching area��7./...S.,5-SIr ft.6 Z Other Distribution box (p() Dosing tank Percolation Test Results Performed by ......I.AJ tic._____. Date... 3................. .............. ........... ...... ..... ........ Test Pit No. I...�__Z_.minutes per inch Depth of Test Pit.14.1_11... Depth to ground water'_0_077_9�.6rL— Test Pit No. 2................minutes per inch Depth of Test Pit______.__._________. Depth to ground water .................................. ....... 0 Description of Soil....................:5 cf-,5......... PWL'.110 ........................................................................................1-1.......I........................ W U ......................................................................................................................................................................................................... W ---------------------------------------------------------------------------------- ..................................................................................................................... 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 TIT11 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. . .. ............ ...... fa D Application Approved By........ ILI-:Z ......... -- -------------------7-------- ........ .............................. Date Application Disapproved for the following reasons:--------------------------------------------------------------------------------•--------------*--------------- ........................................................................................................................................................................................................ Date PermitNo------7!� ............................ Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ .......................0F...... .............................................. &rti 1 ate of Toutp iatt r fr t r THIS IS TO CERTIFY, That the Individual Sewage.Disposal System constructed or Repaired by.............. .......... ..................................................................................................................................... e'A� o* Installer at........Z.k.Ln 791---­------------------------------- ............. ................................... -----------has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.,.'.1-11-K-.1-------1134-----...... dated_ --_ ............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CWONSTR 'D�IIAS A GUARANTEE THAT THE SYSTEM WILL BUNC4ION SATISFACTORY. Inspector-... ........ .............................................................. ---Jj ------------------------------ \7 SETTS THE COMMONWEALTH OF MlAaSIC SETTS BOARD OF-',H.1 A H ...........................................OF.... . .......................................................................... N o... ...zu� FEE.__..�P.___=_ Disjumal Works T11mitrurtion "pamit jl 10�eA le,-*-"4K— Permission is hereby granted__.______: ........................................................................................................................ to Construct orNRepair ( ) an Individual Sewage Disposal S stem . CA.10CY 4 . atNo............/, ..........ce�' ------ ........................................................... Street ........ as shown'on the application for Disposal Works Construction Permit No.... . ........... Dated___.J�....... 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