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HomeMy WebLinkAbout0672 YARMOUTH ROAD - Health 672 YARMOUTH ROAD, HYANNIS A=345-013 r 0 1 ' f ,A I' o N - ✓ TOWN OF BARNSTA,/BLE LOCATION 1,-,W0 Z_/ ��f-tu. SEWAGE # VILLAGE gfllOnAZI 5 ASSESSOR'S MAP & LOT G 72 0/ 5 INSTALLER'S VAME&PHONE NO. /a5ee4 /2s, 6.4rho S SEPTIC TANK CAPACITY /S�0!7 6,0 LEACHING FACILITY: (type) /0 /h (size) NO. OF BEDROOMS 3 SUIL.DER OR OWNER 'PERMTTDATE: F- /3- 9 7 COMPLIANCE DATE: - _Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 f dii Feet Furnished by J '' • _' o� a u. QQ ®oa a+�m � C6 <6 �/ ,' 1�' O J S � 'tl� _ � ' � � � `� A 4 {f/ f.{ ' ~ ' f7 tle No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes H ETT F BARN TABLE MASSAC US S PUBLIC HEALTH DIVISION -TOWN O BARNS TABLE,, ZIpprtcatton for Miquaf *pztem Congtructton Vermit Application for a Permit to Construct(6­yRepair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 6 7,,4 IAhmv v i'' /2 . Owner's Name,Address and Tel.No. 1'f 4/i�®7v1f.S Assessor's Map/Parcel 40�1_ 013 lv i9 Installer's Name,Address,and Tel.No. %%P' ©f y9 Designer's N e,Address and Tel.No. 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 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 Nature of Repairs or Alterations(Answer when applicable) la✓� 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 Board of Health. Signed Date Application Approved by Dated—9 7 Application Disapproved for the following reasons A of 4 ow Permit No. q ft —W 1 b Date Issued ,3 it �- -. -.,, No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS Z[pplication for �Di!5pogaf *raem Con mruction Permit Application for a Permit to Construct(6-TRepair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. //7 Y��'��v f Owner's Name,Address and Tel.No. /-r✓f/�v/hH/,S Assessor's Map/Parcel �i�,�ay rit0 .Installer's Name,Addresse�d Tel.No., `l�l 3�9 Designer's Name,Add s and Tel.No. JoSrp� D-c (S,rHv S 1477 Mope Type of Building: 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. Description of Soil 514 h�l Nature of Repai or Alterations(Answer when applicable) r�191'�✓� /S"d0 �,�s� =.S g T/C 7*o k /0 10 re 5 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 is d by this oar Yeth. ; Signed r w Date Application Approved by Date Y -/a -90 7 Application Disapproved for the following reasons 1 Permit No. 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 oS-epli D-t at '�V"0 Ut &,er r1r!/S hanstructed in accordance with the provisi ns of Title 5 and the for Disposal System Construction Permit No. V—I;Wted Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will nction as designed. Date J, 7,—'_ `F: l Inspector t _ F c _. No. .�— 9 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Mtopoal *pgtem Conotructton permit Permission is hereby granted to Construct(/''Repair( )Upgrade )Abandon( ) System located at G 2 ,�r�i oU 7`Li !2m and as described in the above Application for Disposal System Construction Permit. The applicant recognizes hisl er duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construct' n m st be co pleted within three years of the date of th' e 'r d /M Date: Approved by ..:.. `� I J rco' idpo I 50a. 12eq.. teacfus 440 qpd 71. 0 poaed n �13he pit ' +.q 90>2-180x .74 133,.2 I-v .fi� be p ump ed c i t s o a `�o t L Cea�li�ox� �16 6.2 9p I a,tcd iUed a t � �sr `���,.r I Ce-�L-A > I •LYtr1�.(z.(.t..C1�l,ct.On o - --- -- S 'u 4 :r.# new ��PJ1t.rn � i X i ri t\ ND�te. i.. I Wa teh Buie a,� o �e rtenrov ed AR � i'1 and put an o .t nc: o L !3;97osF ;w I—�' I how�e, �e o2� ivo' 'on, e . FNC gV,7aepc i atone � shown. 3 JhPhe i4 on l' c taw•C ace - ' v,�c Jet. ?off a. l0 1?C /0 cape f 1i -Mares tz' cod c�,l,tat a:� 4 baw. #2 ! �34,5 t ^iM' 3>"•r.---_L._ cc7 _— 1 111� x I i limo uthv f ,.`0 Qll '. ,Col 0 .t,r. ,a,>_• i 34.4 . fI _ I f ^^ Cr ST ... O I 14.% k'i;: L__—._, � r� rd! A�®G.r� Oocruc:.! \1�-+C•;GJC7C7 ! 1 C.Jpp �Z sroU c.c<a000 •7I � r ;.+ p .....x 30.!,. l.._ws_c, a o� cJc _ .. ..... .+�[S1�--'_-�4�y5T.62 L um ua0 op'Oa v.ovve,� ' r✓+L7674 e-4•C,:.c.cbe.ip ..� ( i'000c c.� Ica _...•�• - � . 1 Site Ran o� .eam4 .in kyaeeA-,- , Mq 90�t Mann4 13�.-&3 ge tnf a tot 1s.hown on ptan -tn boob, ! 172 par�.e /09 '•dtio boob. 457 pcge 46 I Revat i-oej, ace on l�� Date, -boata o nth . , I • � Dade .1O���1-96 ' ' - .._. _I„`20 .:.._, • AEG Ca {tI f r w t _ { f J � J f �p�ofTHE ro�o TOWN OF BARNSTABLE m OFFICE OF DAH39TdBL : BOARD OF HEALTH OO 1639. �� 367 MAIN STREET CFO MAY k' HYANNIS, MASS.02601 November 19, 1996 Manny Brito 672 Yarmouth Road Hyannis, MA 02601 Dear Mr. Brito: You are granted a variance to repair a failed septic system at 672 Yarmouth Road, Hyannis. The variance is granted as follows: 310 CMR 15.211: To install a soil absorption system six feet away from the inner foundation wall of the building in lieu of the required ten feet. The variance is granted with the following conditions: (1) A DEP certified soil evaluator shall perform a certified deep hole soil evaluation analysis prior to the installation of the septic system. The results of this analysis shall be noted onto revised septic system plans, stamped by a professional engineer, and submitted to the Board of Health. (2) The septic system shall be installed in strict accordance with the revised plans. This variance is granted because the applicant stated the existing cesspool is presently malfunctioning. The proposed replacement system will meet the 1995 Title 5 maximum feasible compliance regulations. Sincerely yours, Susan G. Rask, R.S. Chairman Board of Health Town of Barnstable lento r TOWN OF BARNSTA//B//LE LOCATION G �2 lgl�'�/d�/1`Li ftu, SEWAGE # i VIA LAGS i ASSESSOR'S MAP & LOT G 7�? 015 INSTALLER'S VAME&PHONE NO. J,5 4� SEPTIC TANK CAPACITY LF,ACHING FACILITY: (type) /O /h/:ZIfr"r/a (size) .S0 X NO.OF BEDROOMS 3 BUILDER OR OWNER PERMTTDATE: /3 - 9 7 COMPLIANCE DATE: 8 - !2 ?- 9 ? Separation Distance Between the: Maximum Adjusted.Groundwater Table and 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 f cili Feet Furnished by 'VAr'os o _h PorLGi 4 v� to L G u C7 O d � �, a / NO. TOWN OF BARNSTABLE �ofTyt Taw DATE�v" OFFICE OF FEE �.j�� exi 5 VAMTAn BOARD OF HEALTH RECEIVED BY put 1639' �� 367 MAIN STREET �p y�Y�• HYANNIS,MASS.02601 VARIANCE REQUEST FORM ALL VARIANCES MUST BE SUBMITTED FIFTEEN (15) DAYS PRIOR TO THE SCHEDULED BOARD OF HEALTH MEETING. NAME OF APPLICANT ;tp TEL. NO. 77S-2�,Z4. ADDRESS OF APPLICANT ,� L NAME OF OWNER OF PROPERTY e SUBDIVISION NAME DATE APPROVED ASSESSORS MAP AND PARCEL NUMBERS ! -► LOCATION OF REQUEST SIZE OF LOT I -3,17)o SQ.FT WETLANDS WITHIN 200 FT.YES NO ✓ VARIANCE FROM REGULATION(List Regulation) L-,N , mac. t A:3 S t4j s TN REASON FOR VARIANCE(May attach if more space is needed) +ca C� PLAN - FOUR COPIES OF PLAN MUST BE SUBMITTED CLEARLY OUTLINING VARIANCE REQUEST. VARIANCE APPROVED NOT APPROVED REASON FOR DISAPPROVAL BRIAN R. GRADY, R.S. , CHAIRMAN SUSAN G. RASR, R.S. JOSEPH C. SNOW, M.D. BOARD OF HEALTH TOWN OF BARNSTABLE N ed�rooacal 1�.i�spa4at no. j 1 /N. .taar/a ' , i 1 S00' Oat. p topodAd 15430-1450474 - . the I �,t � 90X2-1804 '.74 13 3.2 eK.wyt,A,,u'.p i. rto .be pumped c,c. ic1 5o0 7ota,L �166.2 d f j ' 4 ST _ and fi l l ed a LcdLAAa o.' 3�s'�t 3 1 ,- , 0� rt" dtf�stellC.rll ' ExisriN4 ; , Note: r�r GUatet d.+.ne �. .to:- b e •te�xou AR i"tC srr W C, l Dw t Mc, -� and pwt ora o�het e�i de o P i3 9;io sF ' W ho"e, be jo24( woa1�`opt i O IQ �b[Gt l Fug SIe,7 31 1 'l• 4.P,p�.tG �Yl.,•✓{/Vir. , 2 Um, 10 94-t,�O ivie . Q ' ,v _ , . .. 4.t0►Ze a4. �W art ._ _�._... 3 ' 9hehe oopt4 0447 't 4pace sp cap e ce.Ucu cod • ah;SjfwWt 3 r}s 0 A. 47r 17.�� f i i j ( .. p Oi `i i 34.4 11 ind ,r M fo' C 5T f4, r^ ,� J 14 CIF! 'A 'n ,^ OO a o ;. Ooocu Coca CAO /r` CJOb o0 i j f/QcJC�O . ,1 ., Gc9�o . i G 0c aiilO �q cJGv .y. i �~ I �.. OCvo0 a7at+ �� G V 4 Z STb N� G4G000t� , , 1 - r �'OOOmw�cio �. . elr C:j 6tl`OV VdCl . �DuOOoa--uvk,uc.� Pta,z (if .hand in,Rq M.; � 90't 1 a.Myul 13a-i to a Cot shown on pCGn -tn 600�i 13e i 112 pa ye: 109..aaao..boob;t1 S7 - 6 1 i �p £�C , - � euafiu�n.�. a/te� 01L ate f_-vt boatd .of _._ j -20 70,446 Cad a �K� . . . i . . i bya , M9 o2601 , i I L1N17_. i I i \ gEc,STEa<o ��F • Pit . . ..�\=l1lp�l0 S { . .. . �. . _ f. No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2p plication for Migooar *raem Congtruction Permit Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. `7 Z Y.�Zwtov /ZA, l, Owner's Name,Address and Tel.No. �kj-r0, (1�1Awv�` Assessor's Map/Parcel /3„ 1,7Z Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.779—pea k 7 � GAu, � y y ¢9 Y."Z t6 a, 4 14y4WW;f,X(* o�oi Type of Building: Dwelling No.of Bedrooms Garbage Grinder(oVs) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 4-40 gallons per day. Calculated daily flow 4 1(c gallons. Plan Date /o-4--9& Number of sheets / Revision Date Title Description of Soil i Nature of Repairs or Alterations(Answer when applicable) l(Ls S v c clrt o k� 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 Board of Health. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced( )on by Installer at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Date Inspector THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYS- TEM WILL FUNCTION SATISFACTORY. No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLE., MASSACHUSETTS &.5 pozat *pg;tem Congtruction Permit Permission is hereby granted to to construct( )repair( )an On-site Sewage System located at No.# Street and as described in the above Application for Disposal System Construction Permit. No. Date 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 three years of the date below. Date: Approved by Board of Health } 3 -0 +'1� . • . ate.Bali ' t r` Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS� 01apfication for ;Digpogal *proem Conotruction Permit Application is hereby made for a Permit to Construct( )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. O Z Y��rZt I:h, ley, Owner's Name,Address and Tel.No. " t >t2 ►�-a, rnAwu'P,1 Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7 7,7-/'-N S,� Type of Building: - o' Dwelling No.of Bedrooms Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 4-4-c gallons per day. Calculated daily flow gallons. Plan Date i e, - -a 7 Number of sheets Revision Date Title Description of Soil Nature of Repairs or Alterations(Answer when applicable) l 1 TL E 5"y S 7-=ti ' 4 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 Board of Health. Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued - ———————— �, ————--- ------------------------ - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-,site Sewage Disposal System installed( )or repaired/replaced( )on ,,, _ -_�-by-�. -� .- .- -. ;.._ --- _ __ _._ �_�•t:_ Installer _ at ` has be n constructed n`accordance == c with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Date Inspector THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYS- TEM WILL FUNCTION SATISFACTORY. --------------------------------------- No. F Fee THE COMMONWEALTH OF MASSACHUSETTS . PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS lwi5pozal *pgtem Conotruction Permit Permission is hereby granted to to construct( )repair( )an On-site Sewage System located at No.# Street and as described in the above Application for Disposal System Construction Permit. No. Date 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 three years of the date below. Date: Approved by Board of Health