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Home My WebLink About0106 STETSON STREET - Health 106 STETSON ST. HYANNIS A = 306 071 i TOWN OF BARNSTABLE LOCATION 1'6 SEWAGE # VILLAGE AV ASSESSOR'S MAP & LOTj2L-4 INSTALLER'S NAME&PHONE NO. ` ?O'� 7 SEPTIC TANK CAPACITY Ji®-f:::2 LEACHING FACILITY: (type) OrL (size) I NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: ®1�— L COMPLIANCE DATE: f g Separation Distance Between the: h Maximum Adjusted Groundwater Table to the Bottom of Le hing Facility Feet +, Private Water Supply Well and Leaching Facility'(If "wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetl ds exist within 300 feet of leaching facility) 'Feet `` Furnished by --- -, ^"- -�. t. ` ;� --1 1. `5� '' �� 4� 1 a � �� • � � It ____ r, i i e NoC7G/ 75 03 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4plitation for 30ispo$al 6pstem Construction Permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1 Ofp 61eTS0&J S AVAKW 1, Owner's Name,Address,and Tel.No. kewNE-i-tt• * 1%A1*C0 dkuI" .tjj Assessor's Map/Parcel 3 o(0 7o — — C S-r N6wrpu Installer's Name,Address,and Tel.No.5 07C,—Y77—lag 17 Designer's Name,Address,and Tel.No. CAP6WtTDC �3"t�2 kSr� LLC- 153 G r�ccu ! aY' 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(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. 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 Certificate of Compliance has been issued by this Board of Health. igned Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ` dIWAIW Date Issued C1;V 1 F - No: � Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes application for Disposal Construction permit Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. t,[p 5`i t5�+t) S NYAKW Is; Owner's Name,Address,and Tel.No. K=Ne-Q+ -r AiAkCko dtu ty 1�J Assessor's Map/Parcel 3 o 0 7 '7p — -,-PC-: S, - TD Installer's Name,Address,and Tel.No. j2-q77-188 77 Designer's Name,Address,and Tel.No. CAPeW1�c E �s� u-c- N/A G ctctu 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(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil i Nature of Repairs or Alterations(Answer when applicable) Aih� ) S' Tc sYSz�av1 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 Certificate of Compliance has been issued by this Board of Health. igned Date 3-:0 Application Approved by Date Application Disapproved by Date for the following reasons Permit No. :L.) Date Issued `.. - : ----- ------------- ------------------------ ----------- --------------- --- 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 6 4 0(5W(D E G�J 1F_*,P&KS C.C. L at ST E'T54,o 5"1' H yAkimi 5 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No�/ a9 ate Installer CAP EW oe &,Aj7a:0,P0lS€t U-x Designer N f�. #bedrooms Approved design flow l/ �( gpd }; r .--- The issuance of this permit shall n ft be cons{rued:as a guarantee that the system will function as designed I rued. �/ ^! 1 ol " ,1 ' Date } � ,:^ Inspector Gv - ------ No.(,- 1 —3 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Disposal 6pstem Construction permit Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon(X) System located at 16�, STr-^7:56M .)1 H YA& 1P S and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions: Provided:Construction must b 'comp}eted within three years of the date of this permit. Date �/ Approved by TOWN OF BARNSTABLE LOCATION 16 ,S SEWAGE # VILLAGE V t A,--k`S ASSESSOR'S MAP & LOT; h f. INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) -r 'pT Z L C- (size) NO.OF BEDROOMS BUILDER OR OWNERr5n.�.o PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Le king Facility Feet Private Water Supply Well and Leaching Facility (If wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetl ds exist within 300 feet of leaching facility) Feet Furnished by i � I I�� B l r Fee $J 0 No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS apprication for Mi-4pozal *patent Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Locati n Address or Lot No. Owner's Name,Address and Tel.No. 10e Stetson St . , Hyannis, MA Ken Quinlan Assessor' ap�Parc r / taller' ameq ddress,and Tel. Designer's Name,Address and Tel.No. m. KOtJlnSoneptic Service PO Box 1089, Centerville , MA Type of Building: Dwelling No.of Bedrooms `i Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil S and. Nature of Repairs or Alterations(Answer when applicable) T i t l e— l P.a e h sys t P m— n—hh n x and. 2 leach chambers 4-- A ,?�r,D Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this oar of Health. Signed Date Application Approved by - Date Application Disapproved for the following reasons Permit No. Date Issued �` '� ...,..:�...�� , . .��'.-..j �'..�.r". a. c .-....... .i" .. ..... .n y,:wMt.Hti,...y;dt+$''�i>� . ..^rwr w-:.•1.r.FT".Mr , •. ^.• .. .. No. Fee $5 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes \` PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS application for Mi-opo.5al *potem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 106 Stetson St . , Hyannis, MA Ken Quinlan Assessor's ap/Parc g Wml.r,! Vamel Odtrj1S On NS e Pt is Service Designer's Name,Address and Tel.No. PO BOX 1089, Centerville , MA Type of Building: j 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. i Description of Soil Sand. Nature of Repairs or Alterations(Answer when applicable) T it le-5 leach sirstPm— Tl—box and. 2 leach chambers . 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 by this oar f Health. n .� Signed 1; Date 7 Application Approved by 4 Date gf:,� Application Disapproved for the following reasons " Permit No.` Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS Quinlan BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) Abandoned( )by Wm. E. Robinson Septic Service at 106 Stetson St . , Hyannis, MA 9q I has been-construe ed i/n� accordance with the provisions of Title 5 and the for Disposal System Construction Permit No - � �dated "'/ 0 19 1 Installer t Designer The issuance of this e t ss}.dll o/t�l;e construed as a guarantee that the sys m •yl function s de ed. Date �' l �t-9 ''/ Inspector 1�% ��'�i l./tl --------------------------------------- No. —t/ Fee $5 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE} MASSACHUSETTS Quinlan i!6pogal *potem Con.5truction Permit Permission is hereby granted to Construct( )Repair(X )Upgrade( )Abandon( ) System located at 106 Stetson St . , Hyannis, MA 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 t. j Date: ` Approved b 1/6/99 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 DESIGNED PLANS) I, William E . R o bins on,S,rhereby certify that the application for disposal works construction permit signed by me dated ° / `Q / , concerning the property located at 106 Stetson St . , Hyanrj�i s , MA meets all of the following criteria: The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. /T/he soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. • /There are no wetlands within 100 feet of the proposed septic system ,+ /There are no private wells within 150 feet of the proposed septic system t/There is no increase in flow and/or change in use proposed There are no variances requested or needed. L*e bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] • If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groun %+ater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W.Elevation +the MAX.High G.W. Adjustment. DIFFERENCE BETWEEN A and B zz Mr SIGNED : — DATE: [Sketch proposed plan of system on back]. q:health folder:cert - C