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Home My WebLink About0266 MEGAN ROAD - Health 266 MEGAN RD. ,HYANNIS A = 291 273 TOWN OF BARNSTABLE =' o LOCATION SEWAGE#. VILLAGE %d >�- +� HASSESSOR'S MAP&.LOT INSTALLER'S NAME&PHONE NO.- ' ` ,G i.GIs o 7 J `"g 7 Z, SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ,Z �"ry7- 1-4-, (size) NO. OF BEDROOMS BUILDER OR OWNER Ja l: a PERMIT DATE: Ll - G-C) COMPLIANCE DATE: Separation Distance Between/toth Maximum Adjusted Groundwa ottom of Leaching FacilityPrivate Water Supply Well anacility (If any wells existon site or within 200 feet oility) Feet Edge of Wetland and Leachinany wetlands exist within 300 feet of leaching Feet Furnished by I ,' o _. c, " `�'� < . . Z '_ �+ ' � °�- � �� .� t + �'F ,� �' '�f l� � )� TOWN OF/BA/R�NSTABLE LOCATION. eglbX SEWAGE # VILLAGE �',4„�,,v ° ASSESSOR'S MAP 6z LOTS/ INSTALLER'S NAME 6z PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS 5 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER / ,-� /r � m�s �oQ Jf P DATE PERMIT ISSUED: DATE COUPLIANCE ISSUED: VARIANCE GRANTED: Yes No pip a eA7.4� /V lVV/�w Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIpplicatiou for Migcl l *potem Con6tructiou Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 266 Megan Hd . , Hyannis Tom Barone Assessor's Map/Parcel Installer's Name Addregs,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Sex)tic Service P 0 Box 1089, Centerville Type of Building: Dwelling No.of Bedrooms 2�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) Np ul Tit 1 e_K =g a c h sir s t e pa consisting of a D—box and 2 leach chambers with stone all 2rnund 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 issue by this Bard 9SAG41th. IC/ — Signed �- I Date ( Application Approved by Date 'f-7_ Application Disapproved for the following reasons Permit No. 7e- y Date Issued c -zd 2 9 / - 2 ?. Fee No. .. "' - f n THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pp[ication for Migonl bpotern Construction Permit Application for a Permit to Construct( )Repair(K r)Upgrade( )Abandon( ) El Complete System El Individual Components Loc on Address or Lot No. Owner's Name,Address and Tel.No. 2�"6 Megan Rd . , Hyannis Tom Barone Assessor's Map/Parcel in taller' am dress,and Tel. o. Designer's Name,Address and Tel.No. Vm. lo�inson eptic Service P 0 Box 1089, Centerville Type of Building: 2/3 Dwelling No.of Bedrooms 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 Reaps or Alterations(Answer when applicable) New Title-5 leach s ors t e m consisting of a D-box and. 2 leach chambers with stone all around.. Date last inspected: Agreement: F 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 issue by this d ealth. Signed ' �� Date 6 ' Application Approved by �! ► Date Y Application Disapproved for the,following reasons Permit No. 2 07 Date Issued d i --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS Barone , BARNSTABLE, MASSACHUSETTS 4 Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) Aband ned( )byWm. E. Robinson Septic Service r' at 2g6 Megan Rd . , Hyannis has been constructed in accordance with the provision of Title 5 attd the for Disposal System Construction Permit No:$ dated Installer Wm. Robinson Sr. Designer The issuance of this permit�shall n t be cons . ed as a uara e,that the �"tem.wtllrfunetio s designed. Date Inspector __ __ / (f _ ___ No. `�0�1� —TOT———————————---————————————Fee $50 2 C/ 2 7, THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Barone Ifi6poal *p5tem Congtruction Permit Permission is hereby g2 n d tConstruct R d.. )Re air(X )Upgrade( )Abandon( ) System located at Megan , Hyannis 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:Construgtionjnust be completed within three years of the date of this thl . Date: T Approved by G11 �1S- 7/�� 1/6/99 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 PERMIT (WITHOUT DESIGNED PLANS) I, William E. Robinson,SAereby certify that the application for disposal works construction permit signed by me dated %�`� / — C> � , concerning the property located at 2 6 �gar,_ �r } meets all of the following criteria: • The failed syste is connected to a residential dwelling only. There are no commercial or business uses associated 'th the dwelling. The soil is class ed as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. There are no wed ds within 100 feet of the proposed septic system There arc no pn to wells within 150 feet of the proposed septic system Th/encinc in flow and/or change in use proposed 0 Tho vant:es requested or needed.. • Th the proposed leaching facility will not be located less than five feet above the mjusted groundwater table elevation: (Adjust the groundwater table using the Frimptor mn applicable) If . will be located with 250 feet of any vegetated wetlands,the bottom of the proposed lecility will not be located less than fourteen(14) feet above the maximum adjusted grr table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W.Elevation 2 3 +the MAX High G.W. adjustment DIFFERENCE BETWEEN A and B SIGNED : Ab 6 l DATE: GJ (Sketch proposed plan of system on back]. q:heWth folder.cen C� `C� ' �" '• ' � N G yl O � . - � -' _ .. Q `j