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HomeMy WebLinkAbout0239 IYANNOUGH ROAD/RTE 28 - Health rp _235 & 237 I 1• o 28 Hyannis 32 M No. - -�� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0(ppYication for �N!6pos;al *pgtem Con6truction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon k ❑Complete System ❑Individual Components Location Address or Lo'f�o. Owner's Name,Address,and Tel.No. Assessor'sMap/Pazcel 3 /* Installer's Name,Address,and Tel.No. p�oY/S�-!�/�J�Yl� Designer's Name,Address and Tel.No. S' 13O 64f �/' Tlw�cam' 64,rley 6s�o,l >r t' P PX Z o!O 90 T 6fr+ Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( ) Other Type of Building ��,G�Zi`/ No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date �/� ^ `� Number of sheets 7- Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 94- ,J GC ZZ 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 Certificate of Compliance has been issued by this Bo f Health. o Signed Date l �2 ,o8 Application Approved by vw' - Date 1-2. Application Disapproved by: Date for the following reasons Permit No. �d � I Date Issued I a " 30�"� No -d0 - Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: A / PUBLIC HEALTH DIVISION--TOWN OF BARNSTABLE, MASSACHUSETTS Yes Application for Mi!gpo5a l *p!5tPm CCon5truction Permit Application for a Permit to Construct O Repair O Upgrade( ) Abandonk) ❑ Complete System ❑Individual Components Location Address or N 6 If/ :71yA/1/!0u-�4/Ze/ Owner's Name,Address,and Tel.No. L cxrnG G L C Assessor's Map/parcel Installer's Name,Address,and Tel.No.. GY/S�/e�e��Qr'I* �re/ Designer's Name,Address and Tel.No. r�U k 67 5 � �� t r' //a k,S/�y (tee f��'. Groves' Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building 12O 1A('/ No.of Persons Showers( )'Cafeteria( ) Other Fixtu-res,, Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets 7- Revision Date Title M Size of Septic Tank Type of S.A.S. Description of Soil I i S ' Nature of Repairs or Alterations(Answer when applicable) i .9. Af . Date last inspected: r Agreement: r 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 Certificate of s } Compliance has been issued by this Board- f Health. s �° r 2- D� .Signed Date }t Application Approved by , uW ("� _ Date __ O 0, _ '2 ,Application Disapproved by. Date for the following reasons .' Permit No. �do 9' 5 Date Issued a _ _ _ __ _ -` __ GAP � -------------------- ru� �c ¢�` THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS 71 (r P C� Certificate-of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( ) Upgraded ; ( ) Abandoned( x)by ci S C-,Q. (p� C- at ��.? �?, 1 ti! /lAr�,�h u� l7 �/1:��'I i.5 has been constructed in accordance �— with the provisions of Title 5 and the for Disposal System Construction Permit No. �2(Vk'—S7-7 dated L�"3U-GiO Installer ��O u S�' 2/d/ :�Gl.� �;�rc, Designer ,r (�/6,, �/t �� /®u/o #bedrooms A/�✓� "' Approved design flow A ,j7�r gpd The issuance of this permit shall of pt be construed as a guarantee that the system w�11furictio as designed. . Date // �// Inspector`._._..{, . -------------------------------------------- Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS Migonl *p.5tem CCon.5truction permit Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon K ) System located at 2, _ 2 r/ �9���1oT/ /� /44,,,",/7r S 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 date of this�eer n r Date 12 30 —0�' Approved by ( �L -7�-�°L^"'o v� h OWN OF BARNSTABLE {1 LOCATION �3 tee SE + # II . ASSESSOR S72W � NAME&PHONE NO. f J7a - -go-SZ 7 -b- � ®g 3 � SEPTIC TANK CAPACITY / J /f/D h`�v LEACHING FACILITY: (ty �i(ze), o,- NO.OF BEDROOMS `����J/ 2 BUILDER OR OWNERS CZ�iJ - T h�,� �Cr �` ���r /cis PERMITDATE: -93 COMPLIANCE DATE: .S Z 2- Separation Distance Between the: S� v Maximum Adjusted Groundwater Table and Bottom of Leaching Facility v / Feet Private Water Supply Well and Leaching Facility any wells exist / on site or within 200 feet of leaching facilityY /�-. �J�'V G�J k/4 Feet Edge of Wetland and Leaching Facility(If any wetl Nest within 300 feet of ng c ,✓�. / Feet k Furnished byi/ �Zt � lr,��c�lrj�, �7%.S an/ lgxe-ex v N 3 3� 0206, - No..2�_ � Fiml.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Bi-Vain tl Work.6 Tonitrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair �XX an Individual Sewage Disposal System at: 2yA1vN0U644 2D dyannis PZ•Ta -Z£6 . ....................................................3 & 237 e:�li'.Road...... --------------------•---...._.--...------•--------•--------......--•--•---••----------------Location-Address or Lot No. Mark Ellis ......................_.......................................................................... --••-••--•-----------••-------••--•-•............................................................ Owner Address a J P Maco ber Jr. Installer Address Type of Building Size Lot............................Sq. feet Dwelli4X— No. of Bedrooms-----------------------------------------...Expansion Attic ( ) Garbage Grinder ( ) 4`4 Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 44 Other fixtures ------------------------------- - - Q -------------------------------------------- ------------------------------------------------------------- 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. Seepage Pit No..--_.._.-_------- Diameter.................... Depth below inlet.................... Total leaching area........•.•..--...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ W - Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ w Test Pit No. 2................minutes per inch Depth of Test Pit........-.-..-.---_- Depth to ground water....-.......--.---...... 0 Description of Soil........................................................................................................................................................................ xSand .. Gravel --•---------------------------------•--•=---•----•---------••-•••. W ..................................... ----------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable-..QM it.--ces.pools-,____Install---1_-_1.500_--__. ....................gallon---tank_,_1_-distr.ibuton__.box__and_--1_-_1 000___g41lon___leach___pi_t............... 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 i sued y the bo rd o health. Signed ---------:�; - ------ ---f ................ $---3-/-30./...9.5......... Da Application.Approved .... ...... ---- -------- -------------- -------- ----�----. -------------------- --- F'-_ ...`-..`vr" _ -_-_---------------------- Dace Application Disapproved for the following reason - ------------------ ----------------------------------------------....-..._.-........-----------------.---------...-..--------------..-..--.._-.-..----------------------------- -------- ------------...-....-... ---------------------------------------- Permit - "' 9 - No. .. "'- ............. Issued �/.--",..-...... a � Daze rr t, 3,2 i t Fms.�....30.00.... THE COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEALTH TOWN OF BARNSTABLE Apphration for DiaVitiitti Works Towitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (4X,' an Individual Sewage Disposal System at: YyANN006i+1 ��?"I' Road H anni • 235 & 237 ....y . ..-s----------------------•-•---------------•----------------------......-----•--••--......-•--- Lociition-Address or Lot No. Mark Ellis ......................_.......................................................................... Owner. Address .. P _Maqqyiber Jr. Installer Address Type of Building Size Lot............................Sq. feet Dwellingx No, of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther —Type of Building ---------------------------- No. of persons-----------------------_---- Showers ( ) — Cafeteria ( ) QOther 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. 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..................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------- ........... Depth to ground water........................ R: ODescription.of=Soil- --.•-•---------------•-•---------••-------...-••-•-----------•--•--•-•-•------------------•-------•--••----•----••-•--••-•-•-•----•---------------------•--- x Sand & �vel V ......................................=--------•---•------••-----------•----•---••------------------------...-•----------•••-•••-•--------....•---•---------•---------•••----•----------...-------•---- W J UNature of Repairs or Alterations—Answer when applicable_..Mi..t---cesspools. Install 1 --1 5 0 0 ....................9.allon tank, 1-distribution box and 1 -1 000a1Zon leach pit. Agreement: , Thq undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with . he provisions ©f;,�TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in opera ion until a Certificate of Compliance has been issued by the board of health. Signed -----_%'J..AC I ..... ...t-------- ------------- �S......3./-30/9-5-------- Da Application Approved B -------G-� ----�... ....................._...._.-..... .�J...... ---------- --------------------------------------- - -�_ z�7 Date Application Disapproved for the following reasons- ----------------------------------------- - ----------------------------......----------------------------- _...----------------------------------- -------------------.........._..........-............---------------------------------------------------------.....----------------------------- ------------------------------------- Permit No. .... � �---------------- Issued ...`....... �1 - ', --- Dace • _--- .--_.--- .—.—, THE COMMONWEALTH OF.MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (111-ertifirate of 01-11IImplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired,(XXX) by ....- J... '...t'1 .comber -Jr.... .------------------------------- -:---- --------------- ---- --------------------------.._------------------------------- --------- lnstaller f.. at .. --.235---&---237...Iyanou9h...Road.._----vanni.s..............--------------.------------------------ ---------------------.._--------------------------- has been installed in accordance with the provisions of TITI.� of he State Environmental Code as described in the application for Disposal Works Construction PermitN J .. dated ;_.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. - '" '.� f---- -------------- Inspector ........,- -..G-- - - � cC-'Z�. DAT ............. .............. .�� ..�.. ..,7 _.--_,---_.----_- �.__.------___---__---_, - -,._ s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE N o... ......... G FEE-..---30.00 .. �t��n,s�t1 nrk� �lan��r�r#ilan �rrnti� Permission is hereby granted....)•P•Macomber Jr. to Construct ( ),,or RepairX(XX) an Individual Sewage Disposal System at No. 235 & 231 Tyanoucth Road Hyannis Street rr as shown on the application for Disposal Works Construction Per J I-1------___44Dated____-.�.,�1�.- .. ---•--• e7- . ._. � ....................... Board of Health DATE---------- ----- ---..............-•--- FORM 36508 HOBBS R WARREN.INC.,PUBLISHERS I E I I I I ' I i I � I 1 I 4 I I I i j 1 i i • i i i � i i ,r i � i I i I I i I i I � I � I ti. I � I I I 1 i i 1 i I i 1 � I I i i S� I 1 I y I � I I 1 I I I I I I I 1 I I I I I 'f I � i 1 f I 1 i E I I ' P' — TOWN OF BARNSTABLEp J LOCATIONv2, 7 -Rt— 02,r SEWAGE # �/ VILLAGE 1715 ASSESSOR'S MAP&LOT 2,0dr INSTALLER'S NAME&PHONE NO. F?CDYY1 e/- G,Qyl 7I J,,C SEPTIC TANK CAPACITY l SRO / l LEACHING FACILITY: (type) �t (size) _1000 NO.9F BEDROOMS —' W&MM OR OWNER PEIRMITDATE: COMPLIANCE DATE:4��'?;Z ' Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 ,,/� TOWN OF BARNSTABLE LOCATION SEWAGE # r VILLAGE ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS r' F,VI ,DER OR OWNER PERMITDATE: 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 a �f TOWN OF BARNSTABLE ! , i LOCATIONo),3 7 -Pl— car SEWAGE# '"��✓ VILLAGE HLI,-4,1717Z 5 ASSESSOR'S MAP& LOT • ,0 t< INSTALLER'S NAME&PHONE NO. he., SEPTIC TANK CAPACITY t-7yo LEACHING FACILITY: (type) �,� �-' (size) J 000 NO.OF BEDROOMS 0_44� B OR OWNER c PERMUDATE: �'' �' �-J' COMPLIANCE DATE: �''�'� • 7� Separation Distance Between the: _ Maximum Adjusted Groundwater Table and 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 Li �� Tor-,