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Home My WebLink About0402 OAKLAND ROAD - Health 402 OAKLAND RD. HYANNIS A= 271 017 I i I l 0 TOWN OF BARNSTABLE I 4 O LOCATION %f-i �'K4,o r,/ K SEWAGA 00-7,%+9k:? VILLAGE /� /. ASSESSOR'S MAP&LOT INSTALLER'S NAME'&PHONE NO. 6 SEPTIC TANK CAPACITY r I LEACHING FACILITY: (type) 4 ! '� �' C '(size) N0.OF-BEDROOMS �'---, BUILDER OR OWNER/ 1- f�� PERMITDATE: /h COMPLIANCE DATE: Separation Distance Between the: /� Maximum Adjusted Groundwater Table to the Bottom of LL' ing Facility Feet Private Water Supply Well and Leaching Facility (If,�ny wells exist on site or within 200 feet of leaching facilityVtlaxnds Feet Edge of Wetland and Leaching Facility(If any exist within 300 feet of leaching facility) Feet Furnished by t r t .. T` r .J No. Fee $5 / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for Migool 6pgtem Cott!gtruction permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) El Complete System O Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. ASS40r2spjcaz�and Rd. ,Hyannis Andy Milk 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 Nature of Repairs or Alterations(Answer when applicable) Tit-le_5 l eaGh system Cenci sti ng of a Tl box and 7 r nrrata 1 earb rbambers Witb GtonP all Arnnnd 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 day this Bo d o ealth. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. :az q Date Issued -� i 1 ' TOWN OF BARNSTABLE �! �' ,r - LOCATION i�+= .� ;'�P�� d �c. � .:: SEWAGE #<.7 ; VILLAGE I��• ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 1-5 LEACHING FACILITY: (type)��-t �� Z 4 (size) /_Z —"'.4' N(1 OF BEDROOMS � .BUILDER OR OWNER/, �/�%/ A/ PERMIT DATE: /-':2 COMPLIANCE DATE: /,2- Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of LeeAing Facility Feet Private Water Supply Well and Leaching Facility (If.49y wells exist on site or within 200'feet of leaching facility) Feet Edge`of Wetland and Leaching Facility(If any w6tlands exist j within 300 feet of leaching facility) Feet" Furnished ::by: 1 w i I ° ,t'�; i i I' �"'J �• � Fee $5 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V Yes PUBLIC HEALTH DIVISION =TOWN OF BARNSTABLE., MASSACHUSETTS 01pprtcation for �Dtgpogal *pgtem. Congtructton Vermtt 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. AS540r2sp lend Rd. ,Hyannis Andy Milk Installer's Name,Address,and el.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P 0 box 1089, Centerville Type of Buil ing: Dwelling No.of Bedr9oms Lot Size sq.ft. Garbage Grinder( ) T 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) it h 1-5 e sY� '` stone.-a 1 1 arnnnA, �'` '`' Date last inspected: ° Agreement: ,i. 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 syste�r in operation until a Certifi- ti �cate of Compliance has beerLissued y this Bo d o_,,Health. A Signed `/ \ Date ��+ Application Approved by w S .' Date Application Disapproved for the following reasons ` • s Permit No. i Odd 0 Date Issued{ .' THE COMMONWEALTH OF MASSACHUSETTS Milk BARNSTABLE, MASSACHUSETTS Certtftcate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( X)Upgraded( ) Abandoned( )b Wm. E. Robinson Septic Service at 402 Oakland Rd. , Hyannis has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit N ~ - d / w / .-9 w"WGj:;a. Installer Wm. E- Robinson S r_ Designer The issuance o s ,e •t shall not be construed as a guarantee that the sy9fie'm1will function as`desig d , Date Inspector1l ,`�l i i u , V U No. !,OW Fee ��g THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Milk Mtgpogaf 6pgtent Congtruction Vermtt Permission is hereby granted to Construct( )Repair(X )Upgrade( )Abandon( ) System located at 402 Oaklalffl 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:Construction must be completed within three years of the date of this emit. Date: Approved by f " .. - ups 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(WTTHOUT DESIGNED PLANS) 1, William E. Robinson,Sztereby cry that the application for disposal works construction permit signed by me dated concerning the property located at 402 Oakland Rd. , Hyannis meets all of the following criteria: • The failed system is connected to a residential dwelling only. There are no commercial or business uses associat with the dwelling. The soil is --;19.ed as CLASS I and the percolation rate is less than or equal to 3 minutes per inch There are wetlands within 100 feet of the proposed septic ktistem — • There are no private wells within 150 feet of the proposed septic system There i• no increase in flow and/or change in use proposed • There no variances requested or needed. • The ttom of the proposed leaching facility will w_tt be located less than five feet above the mum adjusted groundwater table elevation.[Adjust the groundwater table using the Frimptor od when applicable) • the S..-VS.will be located with 250 feet of any vegetated wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(1.1 feet above the maximum adjusted groundwater table elevation, Please complue the following: , A) Top of Ground Surface Elevation(using GIS information) D B) G.W.Elevation +the MAX. High G.W. Adjustment .__-_ DIFFERENCE BETWEEN A and B ,7 0 r SIGNED: DATE: [Sketch proposed plan of system on back). q:heahh folder Len 1 a. � . � � .�_ ,� �; i �, ). TOWN OF BA,pR'N/STABLE LOCATION tj 6 �.. AA �LAJ- SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.�d tiS0 A., Sv wl C '7�IS•'�7 6 SEPTIC TANK CAPACITY /6 6 d LEACHING FACILITY:(type) 16 o lJ (size) 6 �r NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER 0 BUILDER OR OWNER L� , i //� DATE PERMIT ISSUED:?„2 �/— �! S DATE COMPLIANCE ISSUED: `" �-s VARIANCE GRANTED: Yes No v� y ~ � � � C� � ! �I i -3 i �� i ..7y^ �� ,{ V t`.�^ ��y W 1 (� V r . 1 No..91' 3 ..3 0..........._ �� J , THE COMMONWEALTH OF MASSACHUSETTS�y APPROVED BOAR® OF HEALTH BarnstabIQ Con ervation Commis.SionTOWN OF BARNSTABLE S n Date WIlication is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: --4U...1dUana.."1......Ilya.zln1a..MA.................... ------•-----------....------------•-----------------..............--------•---.............--•---• Location-Address or Lot No. A. Milk -- -----------•----•------•---•.............. .•----•---.--------•----------•-----•------' .- -------.._----- Owner Address aW.E.Robinson Septic_ Service.................. .P.O.Box 1089 Centerville,- MA•___.__.___._.... Installer Address Type of Building Size Lot............... .........Sq. feet U DwellingNo. of Bedrooms.._--.3....................................Ex anion Attic— p ( ) Garbage Grinder ( ) a4 Other—Type of Building No. of persons............... g ---------------------•------ P ------------- Showers ( ) — Cafeteria dOther 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. ,................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (.%4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -•---•--••---•-------•---•------------------------------------------•--•------------•••-•-••••------......................................................... 0 Description of Soil........ . -amel---------------------------------------------------------------------------------------------------------------------------------------------- x U -------------•------------•-----•-••------------•--•••-----••--...-••••------------•••---•-----------•---------•--•-----•-----------------•------------••---••----------•-----------•---••-------------- W V -Nature of Repairs or Alterations—Answer when applicable---ins.tall---a....L oo__-gal-_...................................... stone.-pack ----Ieaebpi-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 ' sued t �rdofealth. QSigned .. /�� L --- ------- --------- -- `7. . -- Date Application Approved BY — ------.-- .... Date Application Disapproved for the following reasons: ...............--------------- -..................................................------.............................. ---------------------..................------------------------------------- ----- ----- ---------------------------------------------------- ------------------------------------------- -- ---------------------------------------- Uate ZFZ Permit No. ---...7/." .................... Issued '"--G*� ..:... Date No...__../_.... :�f 3 0 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE on lox Disposal Works Tonstrnrtion lirrutit Application is hereby made for a Permit to Construct ( ) or Repair' ( X) an Individual Sewage Disposal System at: ...40 O�kl rlc...R ..?h xlxt .s..M.A�Address or Lot N .............................. -•---••---••--------------------------------------- Location- - .._............ - �� A. Milk ......................_.......................................................................... ......--•-••••-••----•----•-.._..---•--........••--•----•---...-------------------._...._•---•---- Owner Address a W.E.Robinson Septic Service___-___•______-__ P.O.Box 1089 Centerville, MA - Installer Address Q Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms.__..._ ...................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of ersons____________________________ Showers a YP g ---------------------------- P ( --->--- Cafeteria ( ) dOther fixtures ---------------------------------•---------------------•--•-••-••-•-•-•--•••-••-••--•-----•-•--•-•••••••-•-•-• • -•••__ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 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........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f= Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -------------•I--------------------------------------•-----.....---------.....-----...._.......-...-_..._....--•------------......•-•••••-•----••---•-•-•_...-- DDescription of Soil--------Griftal_..__..._...•.........•--•--•-----•••-••--••-••--.._......................................................................................... V ...-••-•-•-•-•-•----••-•-•--••••••-•---•-••••----•--•---•--••••-•----•-•-•-.._..._..•-••••---•-••••--•-•--••-•=--•--••-•-•--•-•--•••••••-•---•----•-••-•••-••----••••-•-•••-•--•--•-•--•-•--•••--....---- W x --•--------•----•----•---•-------•--•---------- ............................................--•-........................................................................................................ U Nature of Repairs or Alterations—Answer when applicable....l_n_stall--- ___�cam __ ................................ .._--•--.stone_-peeked•-1eac p 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 beenXued bylQ boZd of health. I Signed .---...�� -- ........................................ ---------- --...-------- V Date Application Approved By ..----:- { i ,1�--9�-. .... /.... / -........................ Dale Application Disapproved for the following reasons -- -------------------- ------------- ........................ ---------- Date Permit No. 9� ��Iw �.................. Issued .. / ..................................... ------ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE fivIPrtifirate of C�IImplinure THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X ) by......... .:F-.,.Robi.37 Sn n St?p.t f t.-. rV ---------------------------------------------------------------------------------------------------------------------------------------- Installer at =------40-2....Da.k 1-and....Rd ]_d-st ann-As...--_MA------------------------------------------------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TITLE of The_,Ssat Environmental Code as described in the application for Disposal Works Construction Permit No- ---- -- -----------J.....---.-�Fx-........ dated ----- .------ :..-. .� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......... ... ..... 1.--... Inspector . - ..... ........ J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No... " �' TOWN OF BARNSTABLE FEE.&QQ.:.a0..... Disposal Works Tnnotrndinn ramit Permission is hereby granted....uu•.E...R+nhinsihn..-Se,nt ............................................................. to Construct ( ) or Repair (X ) an Individual Sewage Disposal System atNo..... Q2__Oakland St ------•------..................:.....................................................•- Street as shown on the application for Disposal Works Construction Permit .:: '.�,�-Y -•� .........�'.' - r� _L..- =_ DATE- . � "1 Board of Health ........................................ FORM 38308 HOBBS&WARREN,INC..PUBLISHERS r