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Home My WebLink About0017 SYLVAN DRIVE - Health 17.Sylvan Drive Hyannis fo . A- _C289 ,059002; b r a o a e y n o y • TOWN OF BARNSTABLE f7c LOCATION �� Slf!/�Ai 0 g. SEWAGE # 0o2.1;2. VILLAGE�a�ll e f // ASSESSOR'S MAP & LOT2b9L L51-0a) INSTALLER'S NAME&PHONE NO. �o(, i,.3 Q J. SEPTIC TANK CAPACITY /641-a 4 LEACHING FACILITY: (type) S-vc? + X (size) /3-;LS- z NO. OF BEDROOMS 5 / (2)Soo BUILDER OR OWNER / �►- PERMIT DATE: ��;��1—O�Z 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 i �n i R\ P i I No. UU — Fee$5 / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for ]Digpooal Opotem Construction Permit Application for a Permit to Construct( _ )Repair(X)Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 17 Sylvan Dr. , Hyannis William Kelly Assessor's Map/Parcel 3,p q 0 5 q .D O Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson septic Service Dan Johnson P 0 Box 1089, Centerville 804 Main St. , Osterville Type of Building: Dwelling No.of Bedrooms 1 Lot Size sq.ft. Garbage Grinder( ) Other Type of Buildinges i dent i a l No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3,10 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Q iDC4aj1ojL e lh Description of Soil me d i,l m sand Nature of Repairs or Alterations(Answer when applicable W w 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 B d�omalth.. SignedDate Application Approved by Date y Application Disapproved for the following reasons :4� I Permit No. :)00 of- 2s1� Date Issued aYlo 7, Fee a&9 THrF COMMONWEALTH OF MASSACHUSETTS Entered in computer: I Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE' MASSACHUSETTS ZIppYtcation for Mtgpon' t bpMem,Construction Permit "Application for a Permit to Construct( . )Repair(X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 17 Sylvan Dr. , Hyannis William Kelly Assessor's Map/Parcel j g 1-O.5 q,O Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.. Wm. E. Robinson septic Service Dan Johnson P 0 Box 1089, Centerville 804 Main St. Osterville ' a Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Buildingesidential No.of Persons Showers( ) Cafeteria( ) Other Fixtures R" Design Flow 330 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type.,of S.A.S. a 11.4 0 m h Description of Soil: medium sand Nature of Repairs or Alterations(Answer when applicable),R.Ppl a cgm _ wells s r Date last inspected: Agreement: ' The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal,sy stem 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 Bo d Calth.. Signed -, x . ' Dite Application Approved by s Date 2 -Application Disapproved for the following reasons Permit No. 00 a - 21( Date Issued 2 co� THE COMMONWEALTH OF MASSACHUSETTS Kelly 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 seat-i n sArviro at 17 Sylvan Dr. , Hyannis has been construct d in ccordance with the provisions of Title 5'and the for Disposal System Construction Permit No. 2 GU)-.221 dated .S7X2 v x Installer Wm. E. Robinson Sr_ Designer Dan Johnson The issuance of this pe t shall not be construed as a guarantee that the system will function a ed. Date Inspector �!h: No. G O Feed 5 O Kelly THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Xigpogal *proem Con.5truction Permit Permission is hereby granted to Construct( )Repair(X )Upgrade( )Abandon( ) System located at 17 Sylvan Dr. , 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:Con truction must be completed within three years of the date of this p Date: S a`� U� Approved by TOWN OF BA.RNSTABLE LOCATION j��!/Jd/Z✓ IL SEWAGE # de2 d2�► J VILLAGE ASSESSOR'S MAP & LOT 2b9—KJ-0d) INSTALLER'S NAME& PHONE NO. ��b i•� ® - ✓J 'y �� SEPTIC TANK CAPACITY lb Na I I y/► LEACHING FACILITY: (type) .a--L�'' S t %t- (size) 13—A NO. OF BEDROOMS C;t�Suv (- BUILDER OR OWNER'`/ l PERMIT DATE:�S,��1—�� COMPLIANCE DATE: C 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 leactung facility) Feet Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) Feet Furnished by a x ' I 5MI01 NOTICE: This Form Is To Be Used:For the Repair Of Failed Septic Systems Only. PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, -��4 V/ J C.f��"``' hereby certify that the engineered plan-signed by me dated_i- ,x-/o1 concerning the property located at meets all of the following criteria:- 0 This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. The soil is classified as.CLASS I and'the percolation h�te is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary tests at the site without a health agent present_ • There is no increase in flow and/or change in use proposed There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor method when applicable]' Please complete the following: A) Top of Ground Surface Elevation (using GIS information) ?o B) G.W. Elevation +adjustment for high G.W.$ a,I DIFFERENCE BETWEENi A and B So,L 7-c7j T PtM r=o R n-�a SIGNED : DATE: /o� NOTICE Based upon the above information, a repair permit will be issued for 'bedrooms maximum. No additional bedrooms are authorized in the future-without engineered septic system plans. o- q:health folder:pertevnp 4'TOWN OF BARNSTABLE LOCATIONt ` \, v { SEWAGE # VILLAGE vv LV o ASSESSOR'S MAP & LOT C1 INSTALLER'S•�NAME & PHONE NO.", : r SEPTIC TANK CAPACITY I ®"0 ( fi Z f� �.�✓� S�P(��' 1i r CA LEACHING-FACILITY:(type) �}' (size) NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATE 0 ^-� BUILDER OR OWNER DATE PERMIT ISSUED: ':3 DATE COLIPLIANCE ISSUED: > � VARIANCE GRANTED: Yes No C O O r cli r n ryl P-1-4 i 4 1 I I - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH o0 whrr► s�- d d" Apphration for 14opooal Works Tonotrurtion trrutit Application is hereby made for a Permit to Construct (K) or Repair ( ) an Individual Sewage Disposal Systems at: .S. �1�.__ a........ ............... ...�.................................................................. Locatio Address or Lot No. le .......................................... Address Installer Address Type of Building Size Lot............................Sq. feet .-� Dwelling—No. of Bedrooms............:..........................Expansion Attic ( ) Garbage Grinder Other—Type T e of Building ............... No. of ersons.........._..._...........__ Showers — Cafeteria W yP g ------------- P ( ) ) a' Other fixtures ................................... Design Flow............_ _r-a......................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacitvlQ.gallons LengthJQ..1(i_._ Widih..._`�_...K.... Diameter................ Depth..-.(1.... W Disposal Trench—No. .................... Width.....i.............. Total Length................... Total leaching area....................sq. ft. x 3 Seepage Pit No..........I.......... Diameter.......lZ....... Depth below inlet..... .._...._._. Total leaching area..4.qQ--.i...sq. ft.4 PQ Z Other Distribution box Dosing tankr— �' y.. .. .�J 4- �lrt L�`'�........... Date....................................._.. Percolation Test Results Performed b �'.........:.....�...._.:_.. t• .. I � Test Pit No. 1...Gz-....minutes per inch Depth of Test Pit... s�.k...... Depth to ground water_. �w f=, Test Pit No. 2__L _..ntinutes per inch Depth of Test Pit...0m......... Depth to ground water.. . � _. n a •---•-• ---•-------} ............................................................................................................................... O Description of Soil.....`a ...... Ai a.n......................... ------------------------.............. ----------- •--------------- --."----------- ..------------------ ......... ------- ._.....----------------------------- ..._... .....----------------- W -------------••--•---•------••••-------•--•-----------------------•••---•-•-••---...-•----------------•-------------------------------...•-----------------•-•-•--------------•-•----•-•--•----.._...... UNature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------•-----------. -"...............................................""-----"--•------------•-----------........-"-.....----........--•------•------------"-----.......-----...-------"-•------------------...-----••------. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'LITER 5 of the State Sanitary Code—�The undersigned further agrees not t place a sys m in operation until a Certificate of Com liance has been by the board of' _t . ned... Date i Application Approved By.._..-=----•.......................��.:..__... ..Zj/4s� Date Application Disapproved for the following reasons---------------------------------""---------------------------.....-----------._...............--•-.........._... ......................................•-_...._.....---------------------••---------..........---•--•---.._.....-----------------------------••--••••--------------------------.....------...---......... DatePermit No..........75 _ Z ....... Issued....................................................... Date r No �� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '' -lj..................OF..............Ar21JSTq( C.E_.... .:._..:::. --2 Appliratiun for Disposal Works Tonstrixrtiun Permit Application is hereby made for a Permit to Construct (k) or Repair ( ) an Individual Sewage Disposal System at: Loa _L,� Loeatioo Address �/�/t.�-''T�, ��.. Lr� or Lot No. —__..... .................. ..................... ............................................. ...---........................................ Address W ......... ��. Q s...•............ ................................................ .•......-----.........--- Installer Address Type of Building Size Lot.................... .....Sq. feet Dwelling—No. of Bedrooms............3..........................Expansion Attic ( ) Garbage Grinder (V) aN Other—T e of Building ...__..... No. of persons............................ Showers d OYP g -------------•---- ----•-----......._ ( )--- Cafeteria ther fixtures -----------••-•--•-•-•--•--•- -••.-••----••-•••••-•.....------•-•------------•••---••= WDesign Flow............. r--a_.......................gallons per person per day. Total daily flow.......33.0........................gallons. WSeptic Tank—Liquid capacityl ..gallons Length_1_Q..4!.--. Widih.--a--.X, Diameter------- Depth.... ..U.... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area_._.................Sq. ft. Seepage Pit No..__._.._.�.._...... L r � `�3 ._ Diameter Depth below inlet_....._:.__.______. Total leaching area4.`a�.� -sq:f>'.�--t t' z Other Distribution box (V—) Dosing tank ( - ) Percolation Test Result Z Performed b L Q9 e; ._$_... o✓<_.. !'' ` W y... - Date Test Pit No. 1...G_..__....minutes per inch Depth of Test Pit....� ......... Depth to ground water.. ��;{ (s, Test Pit No. 2__:LZ...minutes per inch Depth of Test Pit--- ....... Depth to ground water._ _ jJ�Jlt .................... 0 Description of Soil..... a .......�___M C• ............................. .......................•-------------------------------------........................... V ------------ ••-------- -------------------------------- ---•-•-------------- •-------------------------- ••--- •--------------------------------- •-•------------- •------------ W UNature of Repairs or Alterations—Answer when applicable............................................................................................... 4. ...-•--•...............•--•----•......•------•-•---•--•-----------•••-----------•••......-----......._.....•--•-•--•----•-•-------•-•-••---•---••--•-.....••--•---•---•----------------..._............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'ITL% 5 of the State Sanitary Code— The undersigned further agrees not t place t m in operation until a Certificate of Compliance has been issued by the board o t I .. ned....L" _) �,rt, " ---. /y t Date Application Approved BY -.........r. r 7-c;� qLp Date Application Disapproved for the following reasons:................................................................................................................ --...-•--••..................................•---......---------•--....-•--------••......----------•----..----••--•...---•-----------------••---•-••----•---•--•--•-------•-•--•-•....-•----•--•--....:.. Date Permit No....... �P...'. �r5�...... Issued................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .... Trrtifiratr of faumplianrr THIr ;.TO CERTIFY hat the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by............ . ...... .�. ./. .... . ------.._......................._ .....--•---•-•-._...................................--•---_..... Installer at L-a.. - ._...... 1 . ....�'- .- c�--------------•--•--•-- {� has been installed in accordance li the provisions of TIT j of The State Sanitary ale as described in the application for Disposal Works Construction Permit No............... .. dated............. .....................l � ........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE • SYSTEM WILL,,FU�NC�TION. SATISFACTORY. - .b DATE.................................................................•. Inspector..f e THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH ........{ .O.1,J�,�.►.••1► ..OF'....................................V%X�..i�7�'3- .............. No. ..2 .. 1 FEE.2 . 11ispusttl arks Ton str1iun Permit 4 Permission is hereby granted............ --• . ............. p r .................................................... to Constru t ( ) or Repair an Individage Disposal System at No. -�... - GnlleC cr-" --- •----------------•........---••- c..� �}__.... Aur.....__......... ..... ... Street as shown on the application for Disposal Works Construction Permit No.' ::__X D'ated..��/ ............ ............... -.. --------------------••-•--•----•----•...................-•-••- . Board of [feallh DATE...........................•-•---•------•---•----.........>,C ..................... I . ..ae.•r¢aarr•ar ' - Y I - ...p..wma:+:wrn....um.n...ar.x.. .,..ivYASYm, �� zoo , sa. �• z� a 7 5 -- ---- — Ato oeRIO — ZZ — —--- — -- — -- -- ------ 4{ - - — — -- - - --- --- --- - - J o ra - - - - - - - eXistin round ro�i/e E)CTEAID ALL F-�PPLICF-� BLE 9 9 P S C T / O N VE- ,e7 Scf3Lc- : / ' = io" MAtiINOLE COUE)eS 7-0 �✓iTH�,L —o—o—o•—o— �ornPosec/ c�rO�nd Pr'af'ile /2" OF F/N/SHED G,2F�.D� FLo4AJ —T .SCHED. 40 P. v c. 0,2 Cr»inimum Va " per f'oof) z-. layer- of EQU,9L To SE PTi c 31w,peas-fone - TANK + D/ST, E3 ox GfL. SEPT/C TANK c ,ashed stone n; ;, LEACH P17" ya T•� i 7-E- S -F O L � DO' S / G A / r , j B E�Fc GON7 HOUSE •_.. 1 � :,.d.,,m, e,•.Y ...•i � � r"r'. p Cry . .__�_ .. -r. — —..—..,.._ - - ,_..:.o----d -_..-4,. . -— f �' _ —_ _ _ _ _.._ �--- `-�-- Z� r-'e-,2 C. ,� 7_� •- =- �-�/,�.Jai A/c H _ _ if F L ol.�/ �Tt GALS D ` ' l S E P r/C TANK ��A M A M TAN,+ h _ Sir M1 30 , \..� r? i k 'r7. W 1r1 CE2TlFY THAT THE BU/LDING N, ,vA` E ' E� i � +�J"r '�✓ /•, ' P)20P0$E D OAJ THE G�2oUND AS SHOWN ON TH/5 PLAN DOES _ COS JFOR2&? TO THE BU/LD/KJG SET- s l T E - 5 E l..%J1q G E PL tlq /�J f BAGfC )2E0UIREMEti1T6 OF THE TOln1N OF 3A�� 'q�'i`. FOR : l�^1 <,`Y l �.i a< . �4YAl. Q I Lq 7 y C� PREPARED FOR: `�f +-� � I �,•�� i w �;�° SCALE: AS AJOTED DATE: MA F: ova .;�= L��_.i�� , �t PLA /U (scALc- /'• • 30 ) VIEW O o o L e x�sfin y e /evay-ion BL DG. SETBACK o.00 _ Praposed e / nation �2EG1UIREMENTS : APPr2OVED ' t- -on f'f. i�alq 20 oF' HEALTH �-0� �ELLE2, Inc _ -- - - - - e X is-f-i n c� con-fov�s _ 714 MA/lV STf2EE T - -- ,o�oPo ed conf-ours S1 ale �o , MASS• YAQI--70U7-H PO2T, MP56 . - PRoFE5SlONAL ENG/N6e_R5 of L,9wD 5UQVEY0Q5 —I,, f,D