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Home My WebLink About0009 LAFAYETTE AVENUE - Health { 9 LAFAYETTEAAVE. =HYANN 287,7043 0 �,r NEWI! 4!'�4,TE;D AF2EiAS 'I'ERE IN +F{L 'Qfd r 'r R covE "TA1N1�OW5 /, NE,W �11NDO�11S WDH2O?�2� CosTa I r I:Z I I :I N lU-_+ KITC✓�4 fI NI LAYou;?f (01 R E RELOCATE r �� NEW; - , I 15 A'ND L REMOVE EX,51'I` C6UNTER/CA£3 I STEM'' DOWN i - TO PATIO NEW PANTRY — NEW CLOSET NEW :-2 . Rs l --- -: W/ STORAGE NEW C.O. TO C)IhlE.T T UNDER EXIST R€SID: I A W REMOVE PART D STACKING W/D OF EXIST WALL FOR' BOX WIND. rn _ - i` 77777 'z -- EXISTING RESIDENCE IINFILL WHERE REO-.7 -__ — �-4 Sl"IvP QOU TO GRADE WDI-1 0,42 WDH2C ,11�, .yI.O.1 CUSTO �M k,r 14;/'1LL��VI'7Ml��y�,�� I / ��'r (✓ '�/,.��//.?.e j%_,�/! /,i�/%i �� / .i I( if Rep ` $ n K. r , !.. NO 4 44 ' � XI T _ r tt Tit Al ti i t C^ff GILI ei� ` � . PAfilip 4 y I. 4 x • 1 OOM I pt V. CAb 0,0 � .. } C�EM )V EXIST -GOO I=11 L WHERE REQ.) Mov M� T $kIQEi I �1�L�4� �YR?itll l II FIt l.. W 1 E ROO EXISTING - - } l,t: TOWN OF BARNSTABLE LOCATION A I i.' V SEWAGE # VILLAGE Td 1r ASSESSOR'S MAP & LOT , INSTALLER'S NAME&PHONE NO.f 6 4 -,BSc -- - 'j 7 SP �"i 9 G SEPTIC TANK CAPACITY LEACHING FACILITY: (type) fL s! (size) NO. OF BEDROOMS 3 BUILDER OR OWNER PERMITDATE: I G ei--o COMPLIANCE DATE: I Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bo in of Leaching Facility Feet Private Water Supply Well and Leaching Fa i ity (If any wells-exist on site or within 200 feet of leaching f ility) Feet Edge of Wetland and Leaching Facility any wetlands exist within 300 feet of leaching facility Feet Furnished by n . r l R. e� ni J S , X) 3s . w' No. :7p/ Fee !$5 9 THE COMMONWEALTH OF MASSACHUSETTS Entered in comer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipprication for Mi5poga1 *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System El Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 9 Lafayette Ave . , Hyannisport Richard. Woodwell Assessor's Map/Parcel 36 Wync of e Rd.. , Ho-Ho-Kus, NET Installer' N dress,and Tel.go. Designer's Name,Address and Tel.No. Wm. 'o`�inson ebtic Service P 0 Box 1089, Centerville Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 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 S and. Nature of Repairs or Alterations(Answer when applicable) Title-5 septic system, consisting of a tank, D-box and. 2 leach chambers with stone all around.. 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 Certifi- cate of Compliance has been issued by thi Bo d of Hea . /, Signed Q ate! � '02a 6`6 t Application Approved by ate Application Disapproved f r e following reasons Permit No. Date Issued 0 $59 / No. Fee_ �w ,;."�'. ✓ THE COMMONWEALTH OF MASSACHUSETTS -Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for Oi5pogar *patent Congtruction Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 9 Lafayette Ave . , Hyannisport Richard. Woodwell Assessor'sMap/Parcel 36 Wyncote Rd.. , Ho—Ho—Kus, NJ staller' Nam A dress,and Tel. o. Designer's Name,Address and Tel.No. tm. lo�inson eptic Service P 0 Box 1089, Centerville Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 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 Sand Nature of Repairs or Alterations(Answer when applicable) Title-5 septic syster4 consisting of a tank, D-box and 2, leach chambers with stone all around. 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 Certifi- cate of Compliance has been d by this o of Hea issul Signed t r Q ate -16 a 64.1 Application Approved by ate Application Disapproved f e fo lowing reasons Permit No j — � Date Issued------ ———————— — ——————————— THE COMMONWEALTH OF MASSACHUSETTS Woodwell BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) Abandoned( )by Wm. E . Robinson Septic Service at 9 Lafayette Ave . , Hyannisport has n constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer Wm. E. Robinson S r. Designer The issuance of this permit shall not be construed as f a.,guarantee that the system will function as designed. Date �° - - 9 n4 - Inspector s - -d----------- -- ------ ---- No. Fee$5 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Woodwell Xi!6poga1 *p5tem (fongtruction Permit Permission is hereby ranted to Construct( )Repair( X)Ugrade( )Abandon( ) System located at � Lafayette Ave . , H,yann sport and as described in the above Application for Disposal System Construction Permit. The applicant recogn'zes hi er duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction ust b completed within three years of the date of thi Date: Approved by ✓r •y •'may 1/6/" .. NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PER 41T (WITHOUT DESIGNED PLANS) I, W i l l iarn E . Robinson>: ,rhereby certify that the applicationfor disposal works construction permit signed by me dated �' concerning the property located at 9 Lafayette Ave . , H,yannisport meets all of the J following criteria: The failed system is connect to a residential dwelling only. There are no commercial or business uses associated with the dwe tng. The soil is classified as CL• SS I and the percolation rate is less than or equal to 5 minutes per inch. There are no wetlands wi in 100 feet of the proposed septic system _ There are no private well within 150 feet of the proposed septic system There is no increase in ow and/or change in use proposed o There are no variance requested or needed. • The bottom of the p oposed leaching facility will not be located less than five feet above the maximum adjuste groundwater table elevation. [Adjust the groundwater table using the Frimptor method when ap icable) o If the S.A.S. 11 be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching faci ty will not be located less than fourteen(14) feet above the maximum adjusted groundwat table elevation, Pie � complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W. Elevation +the MAX. High G.W. Adjustment ._______._ DIFFERENCE BETWEEN A and B J o SIGNED : �✓!/ l DATE: [Sketch proposed plan of system on back). q:health folder:cen j ,. � '� J � �� -�. I �.