HomeMy WebLinkAbout0014 WHIP-O-WILL DRIVE - Health 14 WHIP-O-WILL DFZ HYANNI'S
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LOCATION = "0 `�/ SEWAGE # q47
VILLAGE T ASSESSOR'S MAP & LOT �S
INSTALLER'S NAME&PHONE NO. CZ;Z,0,41 40,<-,1
SEPTIC TANK CAPACITY I-ro-O
LEACHING FACILITY: (type) �/ s0 Gtr/ c4,'q S(size)
NO.OF BEDROOMS
BUILDER OR OWNER Q
PERMTTDATE: I t ''S—9 1C. COMPLIANCE DATE: 1
Separation Distance Between the: Al
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet 2
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
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THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
01pplication for Miqool *pgtem Con!5truction Permit
r Application is hereby made for a Permit to Construct( " or Repair an On-site Sewage Disposal System at:
Location Address or Lot No. Owner's Name,Address and Tel.No.
Lvr 5 C�vca� 5)W�►�'• -wv,uo V/2 ufA. 40 CA, L cos N --
G' AtJU tzL
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Instal dd ss,and Tel No. Designer's Name,Address and Tel.No.
t
Type of Building: 50,� 3T'*g q 9
Dwelling No. of Bedrooms 3 Garbage Grinder( )
Other Type of Building 'No.of Persons Showers( ) Cafeteria( .)
Other Fixtures
Design Flow �50 gallons per day. Calculated daily flow l a gallons.
Plan Date lq446,, Number of sheets ?s Revision Date
8
Title L• PL 04GALL
Description of Soil f�-� fJ, `Z"�ff� � /D��ZZ��,� �2 �� �p � 5'A&V5 u'fccdBEit.
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 be 'ssue t is Board o Health.
Signe T' Date 1- 22
Application Approved
Application Disapproved for the following reasons -
Permit No. y' Date Issued _� �`S/ 1•
No. L7 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION TOWN OF BARNSTABLEs MASSACHUSETTS
tJ
AppItcation for Mi!5paal *pgtem Cougtrurtton j3ermtt
—` Application is hereby made for a Permit to Construct <or Repair( )an On-site Sewage Disposal System at:
Location Address or Lot No. Owner's Name,Address and Tel.No.
&S ►.lA,zaz..►&rr ANC.
AN►JI /�lYf7� '- °' (Zr tJlt nP MI<1 49z13ey Z_.-
Instal r' Add ss,and Tel.No. / Designer's Name,Address and Tel.No.
Vlua Cni/� flG(L'T/of'I �U �Ax`tz,.� tJy� INS.
t e .
Type of Building:
Dwelling No.of Bedrooms Garbage Grinder( )
-- -- Other Type of Building No. of Persons Showers( ) Cafeteria(
Other Fixtures
Design Flow —_. � gallons per day. Calculated daily flow `?10- gallons.
Plan Date N i)J. 10. 1"4,. Number of sheets Revision Date �
Title 6�612t` Q4 Pc. 114 f°N A►J a 14 C GAAQ,Dtn t�J 8 a I uCA ' +�l ZD
Description of Soil f�4 D. -Z"=10 6, /D-�22��8 Z2�= 67" Gv, are" $"ate � 3f3L
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement: E
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 be ssue t is Board o Health. n
Signe T Date I `9
Application Approved t
Application Disapproved for the following reasons
Permit No, % Date Issued �� �Y
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS
CCertiftcate of Compliance 1
THIS IS TO CJ TT. jhat the O -sit Sew age Disposal System installed(Y)or repaired/replaced.(�on
by / (, 1 for ,6
as _ has been constructed i accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 9,4, y dated f 1�
Use of this system is conditioned on compliance�)w��ith th ovisions set forth below
VIIIZU60JA" 'I
No.; V 7 Fee/ v
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLEs MASSACHUSETTS
Migogal *pqum Com5truction Vermtt
Permission is hereby granted to
to conJ�S ct( )repair( )an On-site Sewage;System located at et 72
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.
All construction must be completed within two years of the date.below.
Date: Approved by
-- - --
TOWN OF BARNSTABLE
LOCATION SEWAGE #
VILLAG ASSESSOR'S MAP & LOT A
INSTALLER'S NAME&PHONE NO. L3�
I
SEPTIC TANK CAPACITY /J ao
•r
LEACHING FACILITY:
(type) 04 (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMI TDATE: COMPLIANCE DATE:
Separation Distance Between the:
I '
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
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OFFICE OF FEE <y5�
I IIA"ITAM i BOARD OF HEALTH RECEIVED BY
riva
i639 M� 367 MAIN STREET
HYANNIS,MASS.02601
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VARIANCE REQUEST FORM ` � A
ALL VARIANCES MUST BE SUBMITTED FIFTEEN 1151 DAYS-1PR$Ok TO'
THE SCHEDULED BOARD OF HEALTH MEETING.
NAME OF APPLICANT -L 7Dos"- 3 sr7_& TEL. NO.
ADDRESS OF APPLICANT G$ 9A►2 P-TT A1/E \I411-'MA14 M4- 02382
NAME OF OWNER OF PROPERTY Lp jl a.vzr_> AA -i- EON icy LEViN
SUBDIVISION NAME WgIr-1-0-Wo" yLEN DATE APPROVED M,
ASSESSORS MAP AND PARCEL NUMBER -zaq AS-1
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REASON FOR VARIANCE(May attach if more space is needed)
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PLAN - FOUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY
OUTLINING VARIANCE REQUEST.
VARIANCE APPROVED
NOT APPROVED
REASON FOR DISAPPROVAL
BRIAN R. GRADY, R.S. s CHAIRMAN
SUSAN G.-RASH, R.S.
JOSEPH C. SNOW, M.D.
BOARD OF HEALTH
TOWN OF BARNSTABLE
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CIVIL
TOWN OF BARNSTABLE
ypi THE r�4
OFFICE OF
DA"ST"L i BOARD OF HEALTH
y MAB& %
00 1639• 367 MAIN STREET
cMnr�. HYANNIS, MASS.02601
December 4, 1996
Richard Baxter
Baxter&Nye, Inc.
812 Main Street
Osterville, MA 02655
RE: Lot 5 Whip-O-Will Drive
Dear Mr. Baxter:
You are granted a variance on behalf of your client, Carl Dosenberg, from the Board of
°� i sewage disposal system at lot 5
t an ons to s
Health 330 Regulation m order to construct g p y
Whip-O-Will Drive, Hyannis.
The variance is granted with the following conditions:
(1) The septic system must be installed in strict accordance the submitted plans.
(2) The dwelling shall be connected to town water.
(3) No more than three bedrooms are authorized. Dens, study rooms, finished
basements, sleeping lofts, and similar type rooms are considered bedrooms
according to DEP.
This variance is granted because the proposed home of three bedrooms is consistent with
the other existing homes in the neighborhood. It is the opinion of the Board that the
installation of one additional septic system which complies with Title 5, the State
Environmental Code, in this area should not significantly alter the quality of the
groundwater.
Sincerely yours,
Susa�.sle;R.S.
Chairman
Board of Health
Town of Barnstable
SGR/bcs
whip