HomeMy WebLinkAbout0515 OAKLAND ROAD - Health 515 OAKLAND ROAD,HYANNIS
A=272-059
0
,. ., TOWN OF BARNS/TABLB
SEWAGE # '" 7
ASSESSOR'S MAP& LOT 7 INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
j ,
LEACHING FACII.II'Y: (type) (size) ;457 aX
NO.OF BEDROOMS
BUILDER OR OWNER % A -k�
PERMTIDATE: / 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
e
a
1
lit-
No. ° — � Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
2pprication for Migogal *p6tem Construction Permit
Application for a Permit to Construct( )Repair(x�Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
�V5 bViftVf1d �"d Hyannis Bavid�ali 'arrington
Assessor'sMap/Parcel 5�5 Oakland Rd Hyannis
Isst f er's lyam�,In re O n d e1..pj 1 C Designer's Name,Address and Tel.No.
P.O . Box 1089
Centervillp
Type of Building:
Dwelling No.of Bedrooms 3/4 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 2 2.nd
�attr f i or ratio (A saver when 1' a e install a 1, 500 gal tank,
s� ' '�3 � ga' s' onepaCV99 ��a c am ers
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 Co e and not to place the system in operation until a Certifi-
cate of Compliance has been issued by th�d��alth.
Signed � Dat
Application Approved by Date J(- /?--25:
Application Disapproved for th followmg reasons
Permit No. - 7�i J Date Issued
r
f
j TOWN OF BARNSTABLE
LOCATION �l s D l���'�-� Ad SEWAGE #
VILLAGE ZY,i ASSESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITY: "'(type) � � (size) �- `�� J
NO.OF BEDROOMS. ",,,�ff
BUILDER OR OWNER 111,k :
PERMTTDATE:_,/Z-L COMPLLANCE DATE:.f:2= % y
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
r-
�2 - ZE/
No. ^., ..,.....---..._,_.w._.�------- Fee 50 00
THE COMMONWEALTH OF MASSACHUSETTS. Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Application for Migpogaf *pgtem Congtruction Permit
Application fora Permit to Construct( )Repair(XTUpgrade( )Abandon( ) ❑Complete System ❑Individual Components
�TEio s or t N wner'� Address and el.No. —O
`'�.�f ahLd rid. Hyannis Bav i arr ing%n
Assessor's Map/Parcel 515 Oakland Rd. Hyannis
st er's Address,and Tel.No. Designer's Name,Address and Tel.No.
�r�.M. oa"`�inson Septic
P.O. Box 1089
Type of Building:
Dwelling No.of Bedrooms 3/4 — 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
t f ai or atio (Answer when li a e install a 1 ,500 gal tank,
`�� a$U gaf slonepatA �e c criamiueL,3
f Date last inspected: aall
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 Co e,/and not to place the system in operation until a Certifi-
cate of Compliance has been issued by this Bo d o ealth.
Signed /
Application Approved by Date If- /9'-
Application Disapproved for th followmg reasons
Permit No. 9 _76 / Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
` Harrington BARNSTABLE, MASSACHUSETTS
-,Certificate of Compliance xx
THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( r)
Abandoned( )by W.E. Robinson Septic
at 515 Oakland, Rd. Hvannis has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. dated
Installer Designer
The issuance of this permit shall not be construed as a guarantee that the system w' 1 frunction as designed.
Date Inspector
---------------------------------------
No. 7s1 Fee50 ,00
Harrington THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Migpogal *pgtem Congtruction Permit
xx
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( )
System located at 515 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: Construction must be completed within three years of the date of this permit.
Date: Approved by �. .
r
4 ya
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
ENGINEERED PLANS)
I, William E. Robinson, Sr. ,hereby certify that the a ication for disposal works
construction permit signed by me dated / �� g , concerning the
property located at 515 Oakland Rd, Hyannis meets all of the
following criteria:
*here are no wetlands within 100 feet of the proposed leaching facility.
JZr/here are no private wells within 150 feet of the proposed septic system.
'There is no increase in flow and/or change in use proposed.
'There are no variances requested or needed.
* If the proposed leaching facility will be located with 250 feet of any wetlands,the bottom of the
proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted
groundwater table elevation.
Please complete the following:
A)Top of Ground Elevation(according to the Engineering Division G.I.S. map)
B)Observed Groundwater Table Evaluation(according to Health Division well map)
SIGNED: vt/ G L/� DATE
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 60
(Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan,
this plan should be submitted).
�.
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LL 0 ,C/A 1�"110N J SEWAGE PERMIT NO.
�S �.i.?e ( .J A /i!�n
VILLAGE
t INSTALLER'S NAME 0 ADDRESS
0 U I L D E R OR 'OWNER
e
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED
�. � �
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r
No.. -nl Flzs.. .......
THE COMMONWEALTH OF MASSACHUSETTS ,'
BOARD OF HEALTH
...............Town...............OF...........Barnatabl-e---.-------------_......................-----•
Appliration for Bigpla ial Worku Tumilrurtitut Famit
Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal
System at:
515Oakalnd...M HYAAis-----------------
Location-Address or Lot No.
Benjamin No .11ra...................................................... 51_5 Oakland Rd A__Hyannis _ _ _
— ••--- --.... ........---
O ner Address
A &...B Cess-pool ServYge 128 Bishops Terrace....Hyannis
Installer Address
dType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms.......4..................................Expansign Attic ( ) Garbage Grinder ( )
Other—Type of Building --------------- No. of ersons............................. Showers — Cafeteria
a
d Other 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. 1----------------minutes per inch Depth of Test Pit---.--.------_-_- Depth to ground water........................
Test Pit No. 2................minutes per inch Depth of Test Pit---.........---..... Depth to ground water........................
a -------------------------------------------
----------------
•----
•-------
•-.....
.-----------------
••---------------
•--------------------------------------
---,
0 Description of Soil------------------S-a d...---------•--•----•----------------------------------------------------------------------------------------------------------------------
x
U
W ------------------------------------------------------------------------------------------------------------------------------------------------
UNature of Repairs or Alterations—Answer when applicable.-----.19,000---ga110.n---stone---packed.---pre,-Cast
--1each--pig...(-oyer±1Aw-)------------------------------------------------------------------------ ----------------------
-------------------------------•--------------
Agreement
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of p 5 of the State Sanitary Code— The undersigned f rtl:er agrees not to place the system in
operation until a Certificate of Compliance has been issued egoof eal-th.ed-- ---• . --------- -- --------------••••----- .712,E 7.9..---------
to
Application Approved BY........ ............................. .........7116.1?.4...........
Date
Application Disapproved for the following reasons-----------------------------------------------------------------------------------------•- --•-••......--------
------------------------------•-------•---•---•------•---•------------......--•---------......•---•----•--•---•---•----•-----•-----•-•-•--•-----•••------------•-------•------•---------------...•-----
Date
Permit No.... h6`7.............79-..----...... Issued_.....7/16179.............................
Date
FRE $.5,O(DL........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................Town...............OF.. ........Barnstable.
........................................................
Appliratitin for' Dispot3al Workfi Tonfitrurtion thrmit
Application is hereby made for a Permit to Construct or Repair ( X
an Individual Sewag'e Disposal
System at:
515 Oakalnd Rd. . Hy!�nnis --------------------------- .........---------------------------".............................................................
-------------------***---------------------.... ......Benjamin Nop Location-Address 515 Oakland Rd or Lot No.
.... .................... ...!qK��..................................................... ...........................................i....NY nlql�!..............................
Address
A & B Cesspool Ser4vrae 128 Bishops Terrace,...4nn4s...............
Installer Address
U
Type of Building 4 Size Lot............................Sq. f
Dwelling—No. of Bedrooms............................................Expans n Attic Garbage Grinder t rl
Other—Type of Building ............................ No. of persons............................ Showers Fafeteria
P4Other fixtures .....................:-----------------------------------------------------------------------------------------------------------.................
Design Flow............................................gallons per person per day. Total daily flow--------------------------------------- ... ns.
P4 Septic 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. f t.
Other Distribution box ( ) Dosing tank ( ) .
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I-----------------minutes per inch Depth of Test Pit___.._._............ Depth to ground water------------------------
0i Test Pit No. 2.::............minutes per inch Depth of Test Pit__..._.............. Depth to ground water...____._....__....._...
9 ......................................................I---------**............................................................................................
0 Description of Soil..................sAnd.........................................................................................................................................
"� ......................................................................................................................................................................................................
U
................................................................................................................................................................................................
U Nature of Repairs or Alterations—Answer when applicable-------I t.00.0---gallon...ato-ne----packed---pravFcast
...leach---pit---�_o.vexflow.�-------------------------------------------------------------------------------------------- ---------------------------------------------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TLIT-17 5 of the State Sanitary Code—The undersigned fidrther agrees not to place the system in
operation until a Certificate of Compliance has been issued e%oo
I �ealth,
Si ..V ... . ....................... .............. -.7121/19..........
Date
Application Approved By........ ........... ---7/16[79..........
(7 Date
Application Disapproved for the following reasons:................................................................................................................
......................................................... -----------------------------------------------------------------------------------------------------------------------------------------------
Date
,
Permit-N-b....711.6.1.7...9.... 79............... Issued......V.W"71...........................
Date
'.THE.-COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH J
............Town..........OF..............Darn' stable
...... ....................................................................
THIS IS TO CERTIFY, That the Individual ,Sewage Disposal System constructed or Repaired X)
Service. 128 Bishops Terrace. Hy?qpj��p, Ma. 2601
........................ .............................................................. .
...... ...... ... ...... 7.....A. ......... .............................................. .....
..............
nstall,
at 515 Oakland -Rd, P- Hvannisi 026Oi Benjamin Nogu��ra
.......... ... ......
has
been install6d in accor`d`a'nce with the provisions of T 5 of The State Sanitary ode as d)pscew in the
- 1 7 /79
application for Disposal Works Construction Permit No........... ----- if------- dated-------- -----------...................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE
UARANT-EE THAT THE
SYSTEM-WILL,fUNCTION SATISFACTORY
sn o
DA
............. Z. ------------
.........................TE........7116
V
& to
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
79 So
....................wn
......OF..............Barnstable......
$5.00
No......... FEE........................
Permission i hereby granted-k...&.--R...C.e B S Cb-1.Z_e ry i a e. ....12.8----BiAhops....Tarrac.e.,...H_y.ann is
to Construct or Repair ( X) an Individual Sewage Disposal System
at No..51 5...Oakland---Rd.-,...Hy.annia.,__02_6.01......!n!n------Renjamin---Xogueira..............................;.-
as shown on the application for Disposal Works Construction mit Dated......T/16/7.9................
V
------------------------------ . ....................................
7/16 Board of He t
DATE................................................................................
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS