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Home My WebLink About0045 HEMEON ROAD - Health (2) 45 HEMON RD., HYANNIS I F O N �_-TOWN OF BARNSTABLE -- LOCATION A.- # l�'� 4 VII.LAGE h1 , ; ASSESSOR'S MAP & LOT .L,17 INSTALLER'S NAME&PHONE N0. < �7 SEPTIC TANK CAPACITY O-U LEACHING FACILITY: (type) ,�:',��7 4A, G (size) 1 0d , NO. OF BEDROOMS r — BUILDER OR OWNER PERMITDATE: S= 6 L_COMPLIANCE DATE:_? IS 7.5 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 E � Li TOWN OF BARNSTABLE rl LOCATIONv �e 0 A, " � ��"' = SEWAGE # A F VILLAGE h'�v rei.�� s' ASSESSOR'S MAP & LOTSdv M1',INSTALLER'S NAME&PHONE NO. 4eJ,i x.*s® n 7 '2 S'--e 77 "I SEPTIC TANK CAPACITY 1.r 0-- LEACHING FACIL=: (type)�_1-94 A G (size) S eZ NO. OF BEDROOMS , . BUILDER OR OWNER A, I PERMITDATE; 0 6-9 3 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 R T 5 '1 No. % !r �b Fee $ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Rpprication for 3Diopogar *pgtem Construction Permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. Hemeon Rd.. , Hyannis Jack Byrne Assessor's Map/�arl_ �s 104 Old. Town R d.. (� , Hyannis Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P 0 Box 1089, Centerville Type of Buflding: 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 Sofl Sand, Nature of Repairs or Alterations(Answer when applicable) new Title-5 septic system. tank, D-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 b hi oard ofEealth. Signed ` IV Date Application Approved by Date Application Disapproved for the following reasons Permit No, i Date Issued R A ��6 Fee 0 No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: t Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Application fc(t Mtopo$af *pgtem Congtructton Verluit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components / ocanon Address or Lof No. Owner's Name,Address and Tel.No. LIJ� 4w3-Hemeon"Rd.. , Hyannis ,Jack Byrne Assessor ap/,Parl_ c� 104 Old Town Rd. , Hyannis (� i Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P 0 B.ox.,1089., Centerville 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 Sand. atJ Nature of Repairs or Alterations(Answer when applicable). new Title-5 septic system.: tank, D-box and. 2 leach. chambers. r � , Date last inspected: h ` Agreement: The underfgned agrees to ensure the construction and maintenance of.the afore.described on-site sewage disposal system in accordance wWa-'the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Complianc ihas been issued_bkthiAoard 5 Iealth. /Signed `�1 Date Xig Q Q Application Approved l�b Date �- Application Dis4pfoved for the following reasons "t Permit No. Ify at,:" Date Issued 1 / THE COMMONWEALTH OF MASSACHUSETTS Byrne BARNSTABLE, MASSACHUSETTS (fertifirote of Compriance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (X )Upgraded( ) Abandones(( )by Wm. E . Robinson Septic Service at 43 Hemeon Rd. , Hyannis has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No dated InstalleNM. E. Robinson S r. Designer jn The issuance of this permit, fall not a co strued as a guarantee that the sy tesf'~iillll f� ction as de i, 1 ed. Date ( l 9�T Inspector— No. No. � Fee$50 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE,, MASSACHUSETTS � a Byrne Oigpont 6potem Construction Vermtt Permission is hereb a' i ted to Const t( air(X Upgrade( )Abandon( ) System located at emeon l cd.. , fly)_�teanni� j 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 thi t. ~ Date: 4;;�� ' 7 Approved b • 116/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. C� C/, zr— _ CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) I, William E . Robinson,S,rllereby certify that the application for disposal works construction permit signed by me dated 4&r r7-O` concerning the property located at 43 Heme on Rd . Hyannis , MA meets all of the following criteria: • The failed system is connected to a residential dwelling only. There are no commercial or business es associated with the dwelling. a /�soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. o L ere are no wetlands within too feet of the proposed septic system Th e are no private wells within 150 feet of the proposed septic system There is no increase in flow and/or change ut use proposed e are no variances requested or needed. The 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 applicablel d 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(1.1) feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) l B) G.W:Elevation T the MAX High G.W. Adjustment DIFFERENCE BETWEEN A and B / SIGNED : �✓ L( DATE: [Sketch proposed plan of system on back. ' q:health folder:cent y (��`� . �` _ �"�- .. < � �. %-. ` .. , ,c