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HomeMy WebLinkAbout0057 PHILLIPS ROAD - Health 57 Phillips Road Hyannis, 4 , A 291: ' 002 a I' p a i 4 a r � TOWN OF BARNSTABLE c LOCATION SEWAGE # p�� VILLAGE �y�/"°s'O'r ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. ` 7 —07'07 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) � �i� (size) NO. OF BEDROOMS —� BUILDER OR OWNER PERMITDATE: 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 �r w, t •� No., Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yews PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS Zipplicatiott for 33igpo5af *pgtem Cott6tructiott Permit i Application for a Permit to Construct( )Repair( )Upgrade( Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. S°'�v' iC�oi�.!' /,Z- LT Assessor's Map/Parcel O.7- Installers Name,Address,and Tel.,No. - Designer's Name,Address and Tel.No. -6.-OWf&,I,, �Z,-7 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other 'Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 172 gallons per day. Calculated daily flow -0�fo gallons. Plan Date 3—,,;,P,-02 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. �c� �.�fi ��`�Q 3� X�G•�'3X? Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 this Board of Health. Signed Date Application Approved by Date F.7 0 Application Disapproved for the following reasons Permit No. 2®d 2— 13 Date Issued No. 3 1 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:y� /✓ :.,,,•7Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Migpogal *p�tem Congtruction Permit T Application for a Permit to Construct( )Repair( )Upgrade(A)Abandon( ) ❑Complete System `Individual Components Location Address or Lot No. S7✓ofl��e//`�1' Owner's Name,Address and Tel.No. f ,'` + Assessor's Map/Parcel 9/ O P 241/<eTi iQ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size : sq.ft. Garbage Grinder( ) Other Type of Building -o!'e P. l No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 7.7 gallons per day. Calculated daily flow #.�� gallons. Plan Date 3-I9 -0a Number of sheets i' Revision Date Title , Size of Septic Tank /5`�- 'P.4 Type of S.A.S. -6-ieo-1 c*ice-1 �4 e4 / X/o•�jX.7 eye Sri G'.4� .�.vFiY 9 ' '1"rsiPJ' r Description of`Soil �r Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: N 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 issis Board of Health. ued th 4 Signed Date 3- Vim: Application Approved by '�./. Date 3-U p Application Disapproved for the following reasons Permit No. ?Dd 2- 1 301 Date Issued 0 '� 3 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( Abandoned( )by at has been constructed i. accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. D 00-1l of dated U Installer Or;' e Designer 44:�i4 4040 �9:/, •,c.!'a a►� re;J", The issuance 9f t is permit shall not be construed as a guarantee that the sy P11 will f ction as si ned. 0.Z Inspector a .,� No. aZ 0a Z t J-/ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS =igogat *pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade(,�jAbandon( ) System located at 3"79 --Owwxie,,r r ✓l'd �1/.ci.-wr/-f' 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. 1 - Provided: C ns ction must be completed within three years of the date of ttu"ernu ' r Date: L1 3 U2 Approved by 1.1/)Ww r ' y ,� r TOWN OF BARNSTABLEcc LOCATION '0f"11/ZZ1^r `T'52 SEWAGE # VILLAGE ��/�" "V o'r ASSESSOR'S MAP & LOT ��/ ''f'Z INSTALLER'S NAME& PHONE NO. SEPTIC TANK CAPACITY -7, LEACHING FACILITY: (type) (size) NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: ��-��®� 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility (If any wetlands exist Feet within 300 feet of leaching facility) Furnished by y`' Z .�'OC`U/C' I oL o 9 5L 7-1 �r� 1 v v w - s s a z � o Wo A n+ v s yr s ♦ � in . Cl) 7 ! r o s z !w C to 39 ` C N C f�1 \ v N ! n N Cf y ! 1 o p 4N ' 4 l No.._22-A 7 FHx$ $5..00............. THE COMMONWEALTH OF MASSACHUSETTS SOAR® OF HEALTH M/P �91­60 � : Town ..........OF.........Barnstable . � rftration for Bt-qpoiFal orko Tonotrurtton Vantit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: Phillips Rd., Hyannis •-•••---•--.............................-....-----...............----•-------.................. ............................. ---- --------._.._..----•--•-----•-- Beatrice Stewart Lmation-Address 69 Letichon.Rd., iy& ark, MA ......................_.......................................................................... .....................................................•............................................ Addre W A & B Cesspool Ser$1'86 128 Bishops Terrace, Hyannis 02601 Installer Address dType of Building Size Lot............................Sq. feet a Dwelling—No. of Bedrooms..................2----...___._.-_-_-_---_Expansion Attic ( ) Garbage Grinder ( ) 44 Other—Type of Building ............................ No. of persons......3.___..............._ Showers ( ) — Cafeteria ( ) Q' Other fixtures .................................. WDesign 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest 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........................ p+' ------•--•-•----------------------•-------•.........-•-----•-•-------•......----•--------•---------•......................................................... 0 Description of Soil-------- Sand -----------------------------------------•---•---•-----------------•-•---------•--------- x -------------------------------------------------------•------------------------------------------------------------------------------------------•--------.---•-.------ U Nature of Repairs or Alterations—A saver when applicable_Installation--of------1,000 gallon, Stone__-_. -- ------------- ------------- packed pre-cast leach pit. -overflow •--------------------------------•------------------------------------------------------................. s Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L T- y g g p y 5 of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has be ss by the boated jof h Sign e *r-. �' .._ _..... 11126/7...--••-- '� 11 ?6 pp79 Application Approved By...... ----- ----- ---•-- ` --------- Date Application Disapproved for the following reasons------------- ----------------------------------------------------------•--••---- --------------•--•-•-•-•-------•......----•-------•----------------------...•----._..........---------••-•---------••--•--------------------...----•-••-•---•-----------------------------•----...._.... Date Permit No...... 79 Issued 11/26/79 ---•--•--•-•...._.._ ....................... Date No.._.29- ..._...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TownoF..........Barnstable..................................................... ,� �irtt#flan for Uhip o al rk� C�naT� r�ir iun rrnii Application is.-hereby made for a Permit to Construct ( ) or Repair (X an Individual Sewage Disposal System at: Phillips Rd yannis ..�.......................... ....................L ----••-------------•-•---•-•...... .---••------•-----•--•..........-•---------•-----•--•-•---... . ocation-Address or Lot No Beatrice. ....... .--• ---.. ......_... O ner Addres A & B Cesspool Ser X36 128 Bishops_ Terrace, ftyannis 02601 a -•--•••••--•-----.....••-•.. .................................................................... ........................ --•----•--•-. .... Installer Address QType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms...................2 .Ex Garbs Expansion Attic e Grinder P ( ) g ( ) p., Other—Type of Building ............................ No. of persons......3................... Showers ( ) — Cafeteria ( ) a Other fixtures -----------------------------------------•---- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic 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 ( ) Percolation Test Results Performed by.......................................................................... Date....................................... aTest Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water-----------.---_.._----. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------------------------------------- -------------------------------------------------------------- --------...... •--•--------------•--------- .... ----- .----- DsDescription of Soil..........�Sand.------•-----------•---------------•-----•--•-•------••----------------------------------------•-------------------------------------•------------- x W ------•-------- ----------- ---•----•-------------------------------•--------------------••-------••---------------•----------•--------•-•-----------------------•----------------------•-----•--•••--•- UNature of Repairs or Alterations—Answer when applicable--InstallatOD__of__a_1_,000__gallon,.__stone____. Packed_-pre-cast--leach_.pit. --(overflows--• •--------•-------•----••---------•- - --------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with TITLE ^ the provisions of LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in ` operation until a Certificate of Compliance has been issued by the board of health; �Sig �.l �/ _ � % Wit._ 7 . ....._.:_:.__44 ....... .11...26/..4.._....._... G+' 11 20 to ApplicationApproved BY ----•••------•---- . .---- -------- ---------- -----------•------. --- ---- .........................9 Date Application Disapproved for the following reasons----------- --------•••---------•----•----••-•------------•---------------•-----............................. ----------•••-•••---•-------•-------•-•-•••••------•------------------------------------------------••----••--••----•-----------••--•--••....•---•----------•----------------------- -------------- Date 11/ .2679 PermitNo.........79.........---............................... Issued-----..---•----•• .... .- •----------•----------- Date THE COMMONWEALTH OF1MASSACHUSET7S BOARD' OF HEALTH . T own.o F....Barnstable.:.................................................... (9rdifirFatr of (tomplianrr >a ,r THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x) by..A.1-.B..Ges p�zQl.5>;�sxica,..12s ..Bis?a�ap ..T rraca}.. Iyannls�...N,�....Q2 Ql...........7.7�-6?_�-•-----••-- Installer at...........Fhillips...Rd.A,.. #yarnis,.--SSA....9260.1.......=n..Be&trice..'5.tewart----------=-----------------•---------------------------. has been installed in accordance withjhe provisions of TITLE ` 9f The State Sanitary Code as described in the application for•Disposal Works Construction Permit No._--7 -__ 6.._��.1..._.___.. - dated:-..:_----3a f���-79.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..........................11/6/79---------•-...------..........---- Inspector.................................................---................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T own Barnstable 79-76/141 ................................ OF.......... ..............--•--------............................... $5.00 No...................... FEE........................ intt1 nr� �>�nrUan rrnii� Permission is hereby granted.A & B Cesspool Service. 128 Bishops--'Terrace Hyannis 02601 to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at No..............Phillips-Rd........ yannis,--MA 02601 -----E atrice__Stew t et as shown on the application for Disposal Works Construction it No . :. . ._.. ed.........11/26/79............. 11 26 79 r Bo - _• ', DATE / /---- •--- ••. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS k •* � ASSESSORS`MA P -- HOLE 'LOGS TEST, - PARCEL. 3r ------- 1.00 6 SOJIL,11VALUAT R : - FLOOD :ZbNE: 771- -REFERENC DA oKxii e b6-W Oi�� WITNESS : 70 TE: E:, TH-2-- TH- 1 q LOA10A om OCAT I ON M L A be -DESA ON - FLOW ESTIMATE -3. SEPTIC TANK 3�dGAUDAY :x 2 DAYS G AL u GALLOWSEPTIC ,TANK ' SE M RZC> Hl 64P tt9ftL .el b L4 L A: BOTTOM AREA.- . 10 ,q;s 9 lom �z7 �-S'EPT I C SYST E M : ,,S E CI 0 N ........., . ........ ttoo lw Y& /67006AL 0 SEPT I C TANK 7/� Ouva T p � ,Sl TE W E' PLAW. SE AG AND , L it -7 f 7Z,/,- AT,I ON z R :,SC LE. VASON A T '57 E. DAV I D ,iS N�AL DES I GNS' '2 1HEAL H AGENT 'EAST:. �.SANDW I CH MA, , DATE, T '(508