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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). �. J I1��' �/ /JI1 \ -J t i _ ' 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 �. � � - � �v � �I 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