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HomeMy WebLinkAbout0287 OAKLAND ROAD - Health 287 OAKLAND RD. HYANNIS. ' A = 271 090 i a I i TOWN OF BARNSTABLE :,LOCATION-7 64 SEWAGE # VILLAGE ASSESSOR'S MAP & LOTZ 7 -o9a INSTALLER'S NAME&PHONE NNo. 1;�S 0,7- 7 7 1° SEPTIC TANK CAPACITY J �� LEACHING FACILITY: (type) L (size) NO. OF BEDROOMS J BUILDER OR OWNER ��� /Y S ki r, S4 PERMITDATE: X '11'6'1 COMPLIANCE DATE: _ .Separation Distance Between the:, Maximum Adjusted Groundwater Table an/wetflandsexist Leaching Facility Feet Private Water Supply Well and Leaching Fy wells exist on site or within 200,feet of leaching fa Feet Edge of'Wetland and Leaching Facility (If within 300 feet of leaching facility) Feet Furnished by c ,. - t , � � ��� . � , �� �� , � ._ e� � .. �---� �� ® I . No. 62. ez�:2 l Fee$5 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pprication for �Digogal *pgtem Construction Permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) O Complete System O Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 28'7�J�cl�nd Rd. , Hyannis Charles & Inez Duchesney Assessors ap J, :5 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic 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 system con— sisting of a 1 , 500 gal. tank, D-box and 2 precast 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 Py this Bo d o ealth. � - 1 Signed:: '�--� Date Application Approved by -t Date kf_—11— ,V Application Disapproved for the following reasons Permit No.i�,�a l� 27 Date Issued OAM :_. '- .. ._ .a:fir.. -aM..,• ,� .c- ..._._n .�-_;� TOWN OF BARNSTABLIr LOCATION r I T G r L.,e. ,. `.. ! SEWAGE VILLAGE w.�/3 ASSESS,OR'S MAP & LOTZ—7 INSTALLERS NAME,&PHONE NO. os a<7„ '� = "? . SEPTIC TANK CAPACITY / q LEACHING-FACILITY: (type) (size) NO. OF.BEDROOMS BUILDER OR:O.WNER, PERMIT DATE: -—COMPLIANCE,DATE �. . Separation Distance Between the: ' Maximum Adjusted Groundwater Table.and Bottom Leaching Facility Feet Private.Water,Supply Well and Leaching Facility any wells exist on site or within 20b feet of leaching facility "'Feet Edge of Wetland and Leaching Facility (If an wetlands exist within 300 feet of leaching facility)' ' Feet Furnished by --— IF ti _ a . No. Fee$50 . THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS r 01ppYication for �Digogal 6potem Construction 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. 287 Oakland Rd. , Hyannis Charles & Inez Duchesney Assessor's Map/Parcel'? 0 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P O 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 Title-5 septic system con- Na s stin i oorra -1 "Ip�s�Answ�r whtnaarppl, Dle)box ari g , ga , precast leach chambers with s one .a 1 around. r 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 this B d ealth. ) Signed _ Date S`��'-' ✓ ' r ..te Application Approved b L����� DateFig — fy� Application Disapproved for the'following'1reasons Permit No.,-7A6 Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS Duchesney BARNSTA y BLE, MASSACHUSETTS Certificate of Comptiance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( X)Upgraded( ) Abandoned( )by Wm. E. Robinson septic Service at 287 Oakland Rd. , Hyann s has been constructed in a cordance with the provisions of Title 5 and the for Disposal System Construction Pe v- .49" ,Z, dated-L —4e"Z44> Installer Wm. E. Robinson Sr. Designer The issuance of this pertr;it Pal not be construed as a guarantee that the syst ill f Gti a designed Date (��/ Inspector -------------------------Fee ���0 � L+ THE COMMONWEALT�FMASS—ACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES KASSACHUSETTS Duchesney �=Diopooal *potem Construction Permit Permission is hereby grant d to Construct( )Repair(X )Upgrade( )Abandon( ) System located at 28�/ Oakland Rd. , 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:Con truction must be completed within three years of the date oft1tl�pe�mit. Date. - '' G�� Approved W 11 % NOTICE: This Form Is To Be Used For the Repair Of Famed Septic Systems Only. - C IffMCATION©F SKETCH AND APPLICATION FOR A DISPOSAL WORKS_CONST UMON PER)f (WrM UT DESCGNED PLANS) William E_ dobirlson.5y cerafY dax the apowation t..r works L S' ✓✓.a CIOUU111CtiOU permit sigped by Ene dam zf�o 17 ,c the . prop" tocated at 287 Oakland Rd. , Hyannis meets all of the following criteria: • The failed system is connected to a dwelling only. There am no commercial or business uses associated with the dwelling. The soil is c}assi6od as 1 percolanon rate is lass am or equal to 5 minutes per inch. There arc no wed'ands feet of the scpuc a-VUCnt — There arc no private urithiu 150 meet al the proposed septa sS-aeni Tbert:is no' 8 t agdkw chanW in use pwpmd • There are no nequtssnd or amdai • The of the ptaposed leachmg facility wal 99—t6e located bm than five-feet above tht madm aged table elevation(Adjust the groundwmer table using the Frimptor when ap�Cabkj if .kS_will be hated with 250 fuel of ally veguatcd wnhn ,the bottow of the proposed leaching facility will am be meted kss than fourteen t 14)feet above the maximum adjusted _quandcvater table zievatiM Please compkee the Mewar A) Top of Gmund Smfaot:Etetradon(using GIS in6at>aatioo) B) G.W.Elevation t tk MAX. Mgb G.W. _ DIFFERENCE BETWEEN A and B SIGNED: D ATE_- G� (Sk=h p npowd plan Of system on ba J. -1.hc&M folder�cn �' r � � �-.� � � � � -� ... �. " �