The URL can be used to link to this page

Home My WebLink About0077 CONNEMARA CIRCLE - Health 77 Connemara'Circle Hyannis A=291-300 o - , c: v �J f TOWN OF BARNSTABLE LOCATION �/ o /Y�«jAl2 r= ef2 SEWAGE # 11 VILI:,AGE 9 yAAI&44 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. -7 d L k A SEPTIC TANK CAPACITY /b b o LEACHING FACILITY: (type) (size) S NO.OF BEDROOMS BUILDER OR OWNER Vgn..� _ A1L q PERMTTDATE: ?,� .I.0 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 facility) Feet Furnished by . N 1 N � ,� "� o) / M � � � a- � Q, N 4� [�) S� O .-�yN , 19 F/ 05 im iRm.Z THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN- OF Works Tongtrurtivit Permit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ............ -�; dire...Cox,... ....... .*, LocC.1 dres to or Lot No. ............. .......... . . .... .....S. .......... ...... ..... ; .. Owner Ad� Installer - Address Type of B D' ding Size Lot...........................Sq. feet U Dwelling— No. of Bedrooms.............................. .............Expansion Attic Garbage Grinder ( 44 Other—Type of Building ........................... No. of persons............................ Showers Cafeteria ( 04 Other fixtures ....................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid capacity............gallons Length................ Width.........--..... Diameter................ Depth................ x. ..Disposal Trench—No. .................... Width.............--.--.. Total Length.-:................. Total leaching area....................sq. f t. Seepage Pit No..................... Diameter.......:............ Depth below inlet.................... Total leaching area..................sq. f t. Z Other Distribution box Dosing tank Percolation Test Results Performed by.......................................................................... Date........................................ al Test Pit No. I................minutes 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.............---........ P4 ............................................................................................................................................................ 0 Description of Soil........................................................................................................................................................................... �4 ..................................................................................... ................................................................................................................... U W - .................................................................................................. ..... 1,when.a .,.i .............................................................. ..... —c ... . . ....................................... U Nature of Repairs or Alterations Ans er h I' Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL I TI LF, 5'of the State Sanitary C e— The undersigned further agr not ace the systemin operation until a Certificate of Compliance has beeWssued by the boardloYhealt I'lie Si . . ... .... ....................... .... .................. .......... .................... Date Application Approved By.......... .............*..................... ....... Date Application Disapproved for the follo7vi g r sons:............................................................................................................... ......................................................................................................................................................................................................... Date Permit No........_... ................. Issued.-----.....---. ............ Date Fitz THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF Appliration for Diopoottl Worko Tomitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: /l -�� ............7...7._. .;?.P.�r;�%:-, •...G ! ....... ��-� ?r ............................................................................. Location Address or Lot No. .............?de t: �... 1-/ifn!Ii!i!! ._.........__... ......... ... .............Owner Address................. :. A ��.. .... .. .................... ..��Installer Address Type of B Size Lot............................Sq., feet U Dwelling—No. of Bedrooms....... ............... .. .....Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( ) a' Other fixtures ................................. .d .................................................. WDesign 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. I................minutes per Inch Depth of Test Pit.................... Depth to ground water........................ f= Test Pit No. 2................minutes per inch Depth of Test Pit............:....... Depth to ground water........................ L� ................................... ... •.......... .--..------------------- --...:.........................................._......•. 0 Description of Soil_..---•------•-------------••---------•---•-------------•---•-•-•----------•-•-•-----------=---------•--•---.....--------•-•--•-•-•---•----•----•-------............--••- x .. U ..............•••••••--.....•••••............••-••-•-•-••-••._..............•••••...•••-------•-•-••-••--••--••••-.......................••----•-•••••-•...............-••........-•-................. W ----••.............................•---...------------...--•---------......-------------------•-• �� UNature of Repairs or Alterations—Answer when applicaLe__.__ t:.F"�/ !-.._..... .................. ..-------•--••••--•••••••••----•--•-••-•-••----•-•-••-••----•-�'&A/1-.1Z.-�G �. �.�'21..... Agreement: The undersigned agrees to install the aforedescribed Tndividual Sewage Disposal System in accordance with the provisions of TITLF,� 5 of the State Sanitary Co e — The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee ,sued by boaAdoIealth. Signed....... . .. . .. •............----•-•-•--•-••-....... ....................... .......... .7.................. / � Date Application Approved BY ..�........ ..... .•,art,._.;.-•--.......... ...... �D c� Application Disapproved for the llowin re•sons:._..........................................................•--•---......_................................------ ..............•-•---•--..............•--•....................................------•-•••---......................--••••----•----------.-•-•-•--.........................._.............................-- Date Permit No........C! -.t7-_ ...-:.q:.1-1.1.................. Issued.............-��- • ',----..r.�<..r.............._ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN of YARMOUTH Trrtifirate of Tomphttnrr THIS IS TO CERTIFY That th9 individual Scwage,Disp sa Systems constructed ( ) or Repaired (�• , by.. .: ...... r_...... -.: !`..-1 ��-.......................................................... Instal at....-•--.12•---�-`�`�-•---- .-- .• ....................... .---•-----•---•-•...................•---•--.............----•-•. has been installed in accordance with the provisions of TIT 5 of The State Sanitary Code as describe in the application for Disposal Works Construction Permit No...... y ......... dated... 7J ..?�..D�..�r.�........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................ ..................................................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD .OF HEALTH TOWN/of YARMOUTH No........ </U� FEE........N........... Ito %Vorkg nil WU remit Permission is hereby granted_... ....................`` to Construct ( ) or Repair ( Individual Se age Di�. System-.at No.•••-••....... -7 cam.. ��✓ •P,....--•-.- s� - .----.••... ........... - � �Strcet �� Works Construction Permit No on the application for Disposa� D'ated............................. ....... .---------•-•------•--..�•� --- -- ................•----................... �_ Board of Ilealth DATE :�' —... �..�� y , TOWN OF BARNSTABLE qq L0C.A110N / o /YJJLa W A 6 0 R SEWAGE # VILLAGE ASSESSOR'S MAP & LOT. ?/- INSTALLER'S NAME&PHONE NO. "L k SEPTIC TANK CAPACITY /6 b o ("q L LEACHING FACILITY: (type) (size)_X NO.OF BEDROOMS BUMDER OR OWNER yj-n 1� -,5C Z;Q q PERMITDATE: 3&1 .S COMPLIANCE DATE: 7 Separation Distance Between the: Maximum Adju9ted 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 facility) Feet Furnished by 2 37 22 tv � 0lv/vZM '9R � �� s6477 � LOCL.TIOPI SEWQC;E PERMIT MO. VILLAGE - IWST&LLER•5 U&& AE ADDRESS BUILDER 5 Q [ VAF- t, ADDRESS DATE PERMIT ISSUED O ATE COMPLI W-ICE ISSUED : ' � I I �Q y c rj f E G c' (j-N d � r f V 4 ' - N I.A . ONNE �. 3 3•86� y -4 �s �� 3A_i i 30 - 9.od � 0 7- r r - CERT 't FLED PLOT PLAN L0CATI 0 N. y/4NN/-s SCALE: / = 30• DATE REFERENC E: L DfkTE ,9Z. � i HE' R' ESY CERTIFY THAT THE BUILDING REG. LAND S.URVEY SHOWN ON THI'S PLAN IS LOCATED ON THE G: RO,UND AS SHOWN HEREON AND THAT lT ,GOBS CONFORM TO THE ` ; ' Z O.N- IN- G BY - LAWS OF THE TOWN OF Bf} �44 12?/,�5WHE N C 0N5TR`U.CTE D. a� � fly tR€�? B.ARNSTABLE. SURVEY CONSULTANTS INC . . �� T787 I WEST YARM.OUTH, MASS . .. Fiucjo....I.r.........VI...... THE COMMONWEALTH OF MASSACHUSETTS CA BOARD HE LTH AOF...... ... ............................. Appliration -for Disposal lVarkii Tomitrurtion Vrrniff Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: .............................................................. ................................................................................................. _jAdress CA- r tl ......a....._ ..... .Location . .... .................. --------j7.... �n45 ' ......45 v ner Address jjl ................ .................................................................................................. ....... ---- nstaller Address Type of Building Size Lot.. Sq. feet U Dwelling—No. of Bedrooms._..___."...........................Expansion Attic Garbage Grinder -1 a4 Other—Type of Building ---------------------------- No. of persons.._..___.___.._............. Showers Cafeteria Otherfi.-,tures ......................................................................................................... Design Flow.............. 5--u -son per day. Total daily flow___________ -- ---------------------------gallons. *4� ------------- gallons per pet �Z P4 Septic Tank Liquid capacity .gallons Length................ Width.._._........_.. Diameter_............... Dep�i I........ P - I ---- ---------- No. .................... Wid h_X a. . Disposal Trench t d . ....... Total Length_.. ..... Total leaching arc,'. - -0----------sq. f t. Seepage Pit No..................... iameter.................... Depth below me ................... T t I leaching kt oel. al Ae area.... (I Other Distribution box Dosing tank to zjE ........... a Percolation Test Results Performed by------------------------- 7 ............. ate------------------------------ Pit No. I----------------minutes per inch Depth of Test Pit...._____._.._._.... Depth to ground water....____..._.._...._.... (X4 Test Pit No. 2----------------minutes per inch Depth of Test Pit.-_._._._........... Depth to ground water................._._.... P4 ................D .......................................................................................................................................... 0 , Description of Soil: _ 4:*...-I-------------------------------------------------------------------------------------------------------- ---_-_-------------------- U .................................................................................................................:.............................................:----------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------*------------------------------------ Nature of Pe sirs or Alterations—Answer when applicable---------------------------------------------------------------------------- ................... . ....................................... ------ -------------------------------------------............................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by the board of health. Compliance Signe ... ..... ------------------------- --------- ....... ------- ................................... Date Application Approved By... 5, Date -- ---- ---------------- Application Disapproved for the following reasons:.-:........ ............. --- ................................................................................ .............................................................................................--------------------------------------------------------------- ---------------------------*--------------- Date PermitNo......................................................... F Issued.......... Date ------------------------------------------------------------'A X No." 3 _. FEs.../Q... .... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HE LTH ..... .t�...............OF. ........ .. Za4�lG��' ....................- Appliration -for Diopooal lVarko Tomarnrtion Permit Application is'hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst a ,•� �� . c"�.•w N.....��. C �.. �.�. Location-Ad ess or o �t rpwner Address W Installer Address UType of Building Size Lot..-.l_._-_PP7V...Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fi_ tur�,s --- - r� N W Design Flow ........ .......... .�...-...-i.gallons per person per day. Total daily flow....._____._ . .....I........gallons. WSeptic Tank Liquid•capacity (/7%�gallons ngth................ Width..._............ Diameter.... De>r .._. ___..__... x Disposal Trench—No. ................... Width___-X,. ------Total Length.... .d-__-- Total leaching area.-_.-� lV.sq. ft. Seepage Pit No--------------- ameter.......:............ Depth below in}�f_^_.. _. �T tal leaching area____.....,.. __ .,$(I K z Other Distribution box ( Dosing tank ( ) �•• s .. .�'-' Percolation Test Results Performed b Z ;? ate.................. . .. C �"'� Test Pit No. 1................minutes per inch Depth'of Test Pit.................... Depth to ground water........................ L� Test Pit No. 2................minutes per inch Depth-of Test Pit.................... Depth to ground water........................ D Description of Soil pi ::�;: ---------------------------------- W f UNature of Repairs or Alterations—Answer when applicable....................:............................................ _:_..................... Agreement:P>- - s The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance,with( the provisions of Article XI of the State Sanitary Code— The undersigned further agrees-not to place the system.iti operation until a Certificate of Compliance has be issued-by the board of health: �... 1 it g S,,gne :... . .. ............... ..........k...... . ........................ ......................... Date Application Approved By = f � = 7/_ Date Application Disapproved for the following reasons:------i,=-•..........:.. .:.'.- ---------•-•-----_......,1 = ..?.. ..........................................................•----------.....--------•----••---------------.•----•--------•-•-------.....-•---•--..............----•-------.......-----.....--=---------••- Date :. Permit No......................................................... Issued........................................................ d• Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH A!�7..............OF............. .............................---- ITrrtif irate of Tomplianrr T Q CER IFY,01hat the Individual Sewage Disposal System constructed ( or Repaired ( ) by-------- --- ! ---- ----•- --�- -- ----------------------'- ::......•. • Iiat--- ---------- ----- --------------- ..._ •_ _ ---nst... .- :--C. ' ......--- has been installed in accordance with the provisions of Ar ' le X The Stat4Sa ry Coe a descri ed in the application for Disposal Works Construction Permit No.- ........ .................. dated...____ �e... Z/-7-7`..___----_- THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONST ED AS - ARANTEE THAT THE SYSTEM L F//UNCT N SATISFACTORY. DATE G119- Inspector ................................... e 7 C_ THE COMMONWEALTH OF MASSACHUSETTS BOARD, O�j HEA - S- ' o F ... .�J No.. _ _„ FEE--- (I'Tonsourfiall jkrntil Permission tereby.granted-- -- .--- --••---•-----------------------------••----------------....----- to Constru or f�'air ( ) an Individual Sewage,Dispos . ste Street pp as shown on the application for Disposal Works Construction e it N . . _ __._ ..._ Dated.... ..' :I. .__. �l'-.__... 000 u f Board ofHea It TE /-- ---- - / ----------------DA ;. FORM,•1255 HOBBS & WARREN. INC.. PUBLISHERS '