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HomeMy WebLinkAbout0095 SMITH STREET - Health 95 SMITH STREET HYANNIS A=267- 106 i i i I o ° Y LL,O CATION E W A-G-E PERMIT NO. VILLAGk A a ORE3S 1 N. S.T E 'S O M BUILDER OR OWNER ® ArT E PERMIT ISSU D DATE COMPLIANCE ISSUED // iMs r-- _--�-- �� y�� �� 1 U �� 1 j �� r � � lid b - � r �1 L_ Ts % S� TH BOARD OF HEALTH'17 S�► OFta A liratiou fur Utz oti al Worko Tomatrurtiou ramit Application is hereby made for a Permit to Construct ( ) or Repair •( . an Individual Sewage Disposal System at: ...........(��.. .� ,...� ,,� - - -- .................. ......... �,.,, ,n Lo tion- dre r s o, —• / .F- k. . ...................... ......stkIl./- y o -...N:-.. (, 3 Owner Address ------------------ � ........ ...... ..,�ir� Installer Address Type of Building Size Lot............................Sq. feet a Dwelling—No. of Bedrooms................ --------------------Expansion Attic ( ) Garbage Grinder ( ): aOther—Type of Building ______________--._.___ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures --------------------------------------------------•--- ) --------------------------------------------------------------------•------.............. W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width...........:.... Diameter---------------- Depth:............... W x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.......... ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area............... ..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) t Percolation Test.Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0� Test Pit No. 2................minutes per inch Depth of Test Pit_.................. Depth to ground water........................ --------------------------------------------------------•--------------------------- •-----. . O Description of Soil----------------------------------------- ... x V -------------------------------------------------------------------------------------------------•------------•--•---........... .......................................-- •-••••-----•--•--••. ---------------------- ....... ----•----•--------------------•-•••-------................--•---. •• ........... U Nature of air r A rations—Ans er when applicabl._ __. Cr----- A ------------------------------------------ Agre ent: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Complia e has been issued by e d of health. : Si d.. Application Approved BY - -------------- Date Application Disapprov f o he following reasons---------------------------------------------------------------------------------------------------------------•. ...........................................................-............................................................................................................................................. Date PermitNo......................................................... Issued-....................................................... Date �s _s :..: .-.... Fps..°�..`.�................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7.14I4'.,yl................OF...-..:. Appilratiun for Bitivuoul Workii Tunitrnr#'tun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at ••--.......���.� .. .° ...• °'�L ;'`r, -- --•--••-•----•---------------•.----•-.----- --------. ---..-----••.----------- L tion-Eyddre !ior _No. --------------------- ------. sty ?�...-- `.�► ' .... ..+����.�. y Owner r- Address W --••.. / '�Ga r= ....................... .... �� ------... % ��----•-- . a V Installer Address S � Type of Building Size Lot________________________:___ q. feet Dwelling—No. of Bedrooms.............. -------..___-___-_Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building . No. of persons... Showers — Cafeteria a YP g P ( ) ( ) QI 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 ( ) Percolation Test Results Performed by........................................................................... Date........................................ Test Pit No. 1................minute's 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......................... 1x •---•------------------------------••---••---------•------------------------:....-----•-•------......-----------------------....--------•-•-•-•----------••-- 0 Description of Soil......................•------------•--....-•-•------------•------•-----------------------------------------------------------------------------------------------------. V ....-----•--•-•-------------------------------------------------•------------------------------------•-.....�-----•---•---- V x Nature of airs or A trations—Ans er when a licab A /,/! Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI14, 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 hpbo rd of health. Sigtrted.C �G ±" �' 6-� _.._._ '..� Date Application Approved B ......--.'fi t..:...................................................................... r� Date Application Disappro7ed f o the following reasons:----•-----------------------•--------------------------•------------------.................................. ...-•----•----------------•------•-•--------•------------------------------------•••-•---....---••-•--•••-----------•-----•---•-•--•--•••----•----•-•------•-----•-----•-------•----•------•--------•--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... r� Trrtafiratr of Tomplianrr THIS IS TO �R'TIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired �� 1.�L»G�`'f f-------------------------• - --- by. . ,_ ..._._�.�..�.. �•,�� /{ � Installer � at. ~'" = �`+ �r ----•-- ...---••------------------------------•--------------------•--.....--------; has been installed in accordance with the provisions of TIT-IE 5 of The State Sanitary Cod�� ddsc d in the application for Disposal Works Construction Permit No._U---��°'.................... dated__]` _ �. f---------d�esc� d ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......................................................-_.�\�L 1...... In••spector...........\k'-1�y--------------------............------••--•-----•--•-•----• THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Sf' l"i ..........................................OF.......................................:............................................. No •-••••. FEE_ ................ I �to�uu� ��.a��#ri�n rrntt� Permission is hereby granted ; ------ :..' to Constr ct.(,o).V or Repair ( an Ind vi al SeS a Disposal System at No.,.. ... �. -' '� ... - �- Street d /?•7 as shown on the application for Disposal Works Construction Permit No...................... �Dated/4 '_tr�_:%____._____._.... .......................••-- ---------------------------------•-•-••••-----•-......-----.. DATE............................................-••.............. ----•----•-• - Board of Health f FORM 1255 HOBBS & WARREN. INC., PUBLISHERS President r ."'O3un BRUCE ELDREDGE,R.L.S. CAPE COD SOCIETY OF PROFESSIONAL Office Manager. ELDREDGE ENGINEERING ENGINEERS AND LAND SURVEYORS JO JOHN R.ELLIS,R.L.S. MASS,ASSOC OF LAND SURVEYORS Associates: - AND CIVIL ENGINEERS ALBERT A.MORSE,P.E.,R.L.S. COMPANY, INC. AMERICAN CONGRESS ON PHILIP WEINBERG,P.E.,R.L.S..: - SURVEYING AND MAPPING - _ AMERICAN SOCIETY FOR CRECI.L1Ee4EQ - CJ\EC�LSErE1ECl - TESTING AND MATERIALS - �anc� �lvit 712 MAIN STREET a csuweyou G�n9lIIEEzs HYANNIS,MASS.02601 TEL.(617)775-2244 December 29, 1982 Remodeling Professionals of Cape Cod 1645 Falmouth Road Centerville, Mass. , 02632 REF: Lot 22, Smith Street $ Haven Lane, Hyannisport, Mass., as shown on plan recorded at Barnstable County Registry of Deeds, plan book 86 page 127 Dear Mr. Richardson: A soil test was done the morning of December 28, 1982 off Haven Lane, Hyannis- port, 30 feet more or less from the front of an existing dwelling under the supervision of the Town Health Agent, John Jacobi and myself. The results are as follows: 0 to 6 inches - loam 611 to 4 1/2 feet - medium sand ground water was encountered at a depth. of 4 1/2 feet The percolation rate was estimated to be less than two (2)' inches per minute drop in medium sand .(excellent) . Title V, The State Sanitary Code, specifies a minimum distance_ of four (4) feet between ground water and the bottom of a leaching system, a dimension less than the minimum would require variances on both Town and State levels if we presented formal plans to the Board of Health. We feel the repair of the existing system, which is currently malfunctioning, to be the most logical and .economical solution. It is my understanding that the proposed remodeling project will not increase the number of bedrooms, therefore the gallon per day flow would remain the same, and, according to the Health Department, no engineering plans are required for the repair of an existing system. A number of local contractors could install a new septic tank and a leaching field, .the following are some of the local installers: J.J.Driscoll $ Son, P.O.Box 573, Marstons Mills Arch Construction, 36 Wequaquet Lane, Centerville Robert B. Our Inc., Great Western Road, N. Harwich Enclosed please a bill for our services to date, should you have any questions do not hesitate to .contact me. Sincerely, jJn DGE ENGINEERING CO. , INC. i R. Ellis, Office Manager I 2/9/2021 ShowAsbuilt(1700X2800) �0CCATTION EWACE PERMIT NO. a6r/-106 A . I N S Ig E 'S (IAM f, i on[SS GUILDER OR OWNER DATE PERMIT ISSU DATE COMPLIANCE ISSUED a https://itsgIdb.town.barnstable.ma.us:8431/Home/ShowAsbuiIt?mp=267106&sq=1 111 �1 A ❑*� I Delete At 01922 1 11/15/2008 001 I A281090 � 1 0� ❑ Change NFIRS - 1 State Incident Date Station Incident Number Exposure ❑ No Activity BASIC Check this box to indicate that the address for this incident is provided on the Wildland Fire B Location ❑ Module in Section B"Aftemative Location Specification".Use only for wildland fires. Census Tract 50 ❑ Street Address U I SMITH STREET ST u ® Intersection ❑ In front of Number/Milepost Prefix Street or Highway treat Type Suffix ❑ Rear of �J �Hyport I L MA� I 02647 ❑ Adjacent to Apt./Suite/Room City State Zip Code ❑ Directions IlHaven St. ❑ Cross street or directions,as applicable C Incident Type * E1 Dates&Times Midnight is WOO E2 Shifts&Alarms 413 10il or other combustible Local option Incident Type liluid spill dates esarethsF Month Day Year Hour Min I �, I Still �J dates are the I � I same as Alarm ALARM always required p Aid Given—Received * Date. Alarm * 15 2008 09:50 Pi o«, No OfAlann9istrict 11 1 ❑ Mutual aid received II II I ' ARRIVAL required,unless canceled or did not arrive 2 ❑ Automatic aid recv. T U ® Arrival * 11 15 2008 09:55 E3 Special Studies 3 ❑ Mutual aid given Their DID StatThee Local Option 4 ❑ Automatic aid given 14, CONTROLLED optional,except for wildiand fires 5 ❑ Other al given ® Controlled 1 1 15 2008 N ® None LAST UNIT CLEARED,required except wildland fire Special Special Their Incident Number ®. Last Unit � 112008 � Study ID# Study Value Cleared 11 15 11:42 F Actions Taken G1 Resources C72 Estimated Dollar Losses &Values Check this box and skip this section if an LOSSES: Required for all fires if known. Optional for non fires. 45 Remove hazard I ❑ Apparatus or Personnel form is used. Primary Action Taken(1) Apparatus Personnel Non Property I I ❑ 70 Assistance,other I Suppression 1 � 4 Contents I I ❑ Additional Action Taken(2) i EMS 0 �0 PRE-INCIDENT VALUE: optional - t 86 1 Llnvestigate I Other I J �I Property I I ❑ Additional Action Taken(3) Check box if resource counts include aid El received resources. Contents I I ❑ Completed Modules H1 Casualties ® None H3 Hazardous Materials Release Mixed Use Property . Deaths Injuries N❑ None ❑Fire-2 Fire NNE] Not mixed ❑Structure-3 Service 0 �0 1 ❑ Natural gas: slow leak,no evacuation or HazMat actions 10 ❑ Assembly Use ❑Civilian Fire Cas.-4 2 ❑ Propane gas: <21 lb.tank(as in home BBO grill) 20 ❑ Education use 3 Gasoline:vehicle fuel tank or portable container 33 ❑ Medical use ❑Fire Serv. Casualty-Civilian �0� �0� ❑ 40 ❑ Residential use ❑ 4 EMS-6 ❑ Kerosene:fuel burning equipment or portable storage 51 ❑ Row of Stores ❑HazMat-7 Detector 5 Diesel fuel/fuel oil: vehicle fuel tank or portable storag ❑ 53 ❑ Enclosed mall ❑Wildland Fire-8 H2 Required for confirmed fires. 6 Household solvents:Home/otfice spill,cleanup only 58 ❑ Business&residential ❑7 Motor oil:from engine or portable container 59 ❑ Office use ❑Apparatus-9 ® 60 ❑ Industrial use 1 ❑ Detector alerted occupants 8 Paint:from paint cans totaling 455 gallons 63 ❑ Military use ❑Personnel-10 ❑ 2❑;Detector did not alert them 0 ❑ Other:Special HazMat actions required or spill>55 gal., _ 65 ❑ Farm use U®I Unknown Please complete the HazMat form 00 ® Other mixed use Property Use J Structures 341 ❑ Clinic,Clinic Type infirmary 539 ❑ Household goods,sales;repairs 342 [3Doctor/dentist office 579 ❑ Mottirvehicle/boat sales/re irs 131 Church,place of worship 361 l 161 Restaurant or cafeteria ❑ Prison or jail,not juvenile 571 ❑ Ga for service station ❑ 419 ❑ 1-or 2-family dwelling 599 ❑ Business office 162 Bar/tavern or nightclub ❑ 429 ❑ Multi-family dwelling 615 ❑ El ec c generat:ing plant-. 213 ❑ Elementary school or kindergart. -g� 215 High school or junior high 439 ❑ Rooming/boarding house 629 ❑ Labo tory/science lab t7 241 [3College,adult ed. 449 ❑ Commercial hotel or motel 700 ❑ Manu acturin9.elant Y 311 0 Care facility for the aged 4459 [3 Residential,board and care 819 [3 Lives ck/poultry storage(barn) ❑ Dormitory/barracks 882 [3 Non- sidentialcparking-garage 331 [3 Hospital 519 ❑ Food and beverage sales 891 ❑ Ware Ouse C" I`' Outside 124 Playground or park 936 ❑ Vacant lot 981 ❑ Construction site 656 ❑ Crops or orchard 938 [3Graded/cared for plot of land 984 ❑ Industrial plant yard 669 [3 Forest(timberland) 946 ❑ Lake,river,stream [3 807 951 ❑ Railroad right of way [3Outdoor storage area Dump or sanitary landfill 9W ❑ Other street Look up and enter a Property Use 919if 931 [3[3Open land or field 961 [1Highway/divided highway youph ve NOT checked a 962 962 ❑ Residential street/driveway Property Use box: I Residential street,road NFIRSt ft ebn Qil11,99 A281090 - EXP 0, 1111512008 PAGE 1 OF 2 HYANNIS FIRE DEPARTMENT - MFIRS REPORT K1 Person/Entity Involved I I I 11) Local Option I Business name(if applicable) Phone Number ❑ Check this box ifI I I u u same address as LL �� I I I I I incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three duplicate address lines. Number/Milepost Prefix Street or Highway Street Type Suffix � I IUI Post Office Box Apt./Suite/Room City � JI State Zip Code ❑More people Involved? Check this box and attach Supplemental Forms(NFIRS-1S)as necessary. f�2K2 Owner ❑Same as person involved? Then check this box and skip Local Option the rest of this section. I I Business name(if applicable) I I Phone Number ❑ Check this box if I I I U I I U same address as LL__ II incident location. Mr.,Ms.,Mrs. First Name MI Last Name Suffix Then skip the three I I u u duplicate address III III lines. Number/Milepost Prefix Street or Highway Street Type Suffix Post Office Box Apt./Suite/Room City UI State Zip Code L Remarks: Local Option I fi t ITEMS WITH A * MUST ALWAYS BE COMPLETEDI ® More remarks?Check this box and attach Supplemental Forms (NFIRS-1S)as necessary. M Authorization 197201 (Craig E Farrenkopf C. ( I Captain /EMT I I Suppression Ll1 L 15 12008 Officer in charge ID Signature Position or rank Assignment Month Day Year Check box N same as Officer in merge .0, ❑ 197201 1 ICraig E Farrenkopf C. I I Captain /EMT I I Suppression 1 1 b-51 L2008 Member making report ID Signature Position or rank Assignment Month Day Year A281090 - Exp 0, 1111512008 SMITH STREET page 2 of 2 HYANNIS FIRE DEPARTMENT- MFIRS REPORT