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HomeMy WebLinkAbout0479 LINCOLN ROAD EXTENSION - Health 479 Lincoln Road Extension Hyannis A = 207 002021 j' • 1, o o e l I TOWN OF BARNSTABLE u L A(_V) SE0 �� AGE # DUB— 0 b LOCATION I " C�� VILLAGE A4017 1,f ___ ASSESSOR'S MAP & LOT 2 7 2 -, all INSTALLER'S NAME& PHONE NO. Lc i nor)n SEPTIC TANK CAPACITY LEACHING FACILITY: (type) ()-)nU 4 u)JDn C�AM I- size) NO. OF BEDROOMS BUILDER OR OWNER r PERMIT DATE: 5�- COMPLIANCE DATE: �l 0 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 1, k 3 �r 0 � P r 0 r 7 l No!�'��.�a✓%/��� Fee 5 0 i/ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: s PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE. MASSACHUSETTS apptitatfon for migogal opgtem.. Congtruction Permit Application for a Permit to Construct( )Repair( )o Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 479 Lincoln Rd. Ext. ,Hyannis Henry Camara Assessor's Map/Farce .a Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E Robinson Septic Service Daniel Johnaon P O Box 1089, Centerville 804 Main St. , Osterville Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of BuildingRes;i d _nt i a 1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow gallons. Plan Date4-2 2-0 2 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Sofl: c n a rc;P sand Nature of Re]eVrs or Alterations(Answer when applicable) Replace cesspools with a 1 ,500 gal, tank, and 2 drywells, 25'L X 121W X 2 ' H 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 issueoky this Kar f Health. Signed IV Date ".2., Application Approved b i Date Application Disapproved for the following reasons Permit Date Issued :— �'-' .. Fee 5 0 fit. a `V pp THE,COMMONWEALTH OF MASSACHUSETTS Entered in computer: ` 1 PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Application for Mi5po5ar bpe;tem Construction Permit Application for a Permit to Construct( . )Repair( )o Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 479 Lincoln Rd. Ext. ,Hyannis Henry Camara Assessor's Map/Parcel C .+s 42 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E Robinson Septic Service Daniel Johnaon P O Box 1089, Centerville 804 Main St. , 'Osterville Type of Building: Dwelling- No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Buildingetesidential No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow gallons. Plan Date4-2 2-0 2 Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil; coarse sand Nature of Repairs or Alterations(Answer when applicable) Replace cesspools with a 1 ,�500 gal. tank, and 2 drywells, 25'L X 12 'W X 2' H 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 issueoky this oSard of Health. Signed y 4 _ Date Application Approved b 6 _It--1Z.0- Date _r Application Disapproved for the following reasons Permit No. 0-,e Date Issued THE COMMONWEALTH OF MASSACHUSETTS Camara 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 Septic Service at 470 L9 nc of n Rd . Ext., Hyannis has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction PerZt'�'No:V— f � dated-, Installer Wm. E. Robinson Sr. Designer p Dan JoIfAs'bn ' The issuanc f this permit shall not be construed as a,guarantee that the sys in ill fta tip,n as des ed. Date Oy Inspector . No. 1010 Z•_/, - Fee $5 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Camara Migpood *pttem Construction 'Permit Permission is hereby ranted to Construct( )Repair(X )Upgrade( )Abandon( ) System located at 459 Lincoln Rd. Ext. , Hyannis i 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 rnu't. Date: '�'� /f Approved b _ i TOWN OF BARNSTABLE p LOCATION ��ACa�o �`� SEWAGE # Do2� 6 VILLAGE thy? n ASSESSOR'S MAP & LOT - a INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /500 LEACHING FACILrIY: (type) W n0 k size) NO.OF BEDROOMST BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: �/ O 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility (If any wetlands exist Feet within 300 feet of leaching facility) Furnished by Rl�hk s��, o� �o�se • i 0 36� . } 1` I J S` J ' at }i SM/01 - ,.-" NOTICE: -� This`For>< 4-10 Be Used'For the Repair Offailed : . Yams��y se.�r�-: S P x ptic h x PERCOLATION TEST AND SOILEVALUATION EXEly TION s _ FORM a p t4^'10%' hereby certify that the engineered plan signed by me :< r dated—g bl�/I `'`` , concerning the property located at Y•( 'Y 1 y i S t meets all of the - •. following criteria _ • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil 4s classified as CLASS I and the percolation raie is less than or equal to 5 minutes;per inch. The applicant may use historical data to conclude this fact or may conductpreliminary 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 Tlevation (using GIS information) 3- B) G.W. Elevation _+adjustment for high G.W. ("f)_ :3�8 DIFFERENCE BETWEEN-A and B moo' SIGNED : DATE: 9 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 Based system plans. q:health folder:percexmp �77- VM �,J 777 'o, 7 1 15W GAMON SEPTIC TANK QUIVALENT) MODtLTK-l5WtSHEACONCRETE) (ORE oFINISHED SRADE 2C DIA B, ohnson TYMIN) 24"DIA 24"DIA y 'April. 9 Da6i., 30 H 97.7) 4 SCH 40 S FLOWLINE 4 CH 40 1(y 14 L MEL FILTER A oo 9`1 A, 10Y4/ m —SEPTIC TANK TO MEE 7 2711 Bow, joyR5/8 Sandy loam 41*SCH 40 TEE 2 GAS BAFFLE 310 CMR 15 23 FOR 4'LIQUID LEVEL REQUIREMENTS OF SCH 40 No Observed ESHWT 1 4 WATER TIGHTNESS, TEE ETC Ig w #4 ...... ALL VIALL SLEEVES/GASKETS TZST DATA SHALL BE CAST IN PLACE OR (MIN.) 6 C:) C. ME04ANICALLY INSEPTED AT FACTORY. COMPACTED CRUSHED STONE STABLE LEVEL BASE Date Apri 1 91 2002 <-3/4'Dw 4 A SEPTIC TANK DIMENSIONS: 10- 15"L X 5' WW X 51-H (TP-1, .20 DISTAIDUTION BOX Depth 4ti H 10 or z"VaTicus 4"SCH 40 0 U TLE T LAT EAALS V DIStRIOUttON ROX To mtri SHAL,L BE SET LFVEL FOR A AtUACM(NTS or 310 CM" THE FIRST TWO MIP114UM Or Inv,, Out F(, tje)n (OiKift t 1 Aq FEET AND CONNFC.T D 10 hv EACH DISTAieutION LINE WTH SOLIO SO4 40 P4C PIPE, Pt4c Tank N()IL CkLy MUSHED ry W tT 41'DIA) 4 ry Bottom Of "Dry Moll" ASr ACHING 0 FIY MILS U GALLON$ LE L Existln� COntOur 1NO"CROSS SECTION L FINAL 6AADF, Yt)AtITARILVED FIN161 0 13FIADC(SLOPF Tet Pit IMIN) nse levation H -10 Fr LXA04JNG DAY WELLS 2 W'LX 4'10"WX 21 ill H '-1/4"-112"DOUBLE s evation BFE WASH PEA STONE 4 C= I== C= C= 4' OVERALL LEACHINO AREA, W 3/4"�1 I/2"DOUBLE r—.0 r 25'L X 12'W X 7 H 24 lot— ""'WASHED STONE G LEACHING DR`YWEILS Ovr e Of1w TO COMPLYWITH THE REQUIREMENTS OF 310 CMA 15-252 100 6 CAPC Abe 132 NOTES AL C, t All rotool MAI z$I hit 4AA004 I TC ls within 100 cat *5 f"A0W$.j area. TIV till CL Existing Cesspool/s, to be pumped and removed prior to Cleo s ow Vf ; ACV o made in 't lit, fiel d without the approval A d es i g n 'o ng i nee r. 04 oil 5 . Proposed leaChing arc Is n e Los, c hours prior to Plan not, ;r 'Ir . , - 4.�\/ 0; be proport y Lino, -iu rve,,y. Rr tit flpj t 0, and wlt,h 'L ren(lfl� 1� . 255 for apecii i o ro� Of fil I (sand) I*. The tot.'al amowit, f f 11, 1. r U ir r d is XimAteAly 10 cub.ic yard!3 . r I A I)P r,o. okLanAmNs W X 330 colAtlon Riv, Y6 (0 , 74 ORoposw LzAcgmr. ARzA,. a h J n q D r y Wel I s 2- A r 2 5 L X 1,21W X 2114 .1 4 8 S�' X 0. '14 c,/$ 10( 5 (�pD 13F X 0- 74 y CAI) r 6,6 go SUBSU"ACE SEWAGE: YTEM 479 Lincoln 'Road, Ext. , Hyannis SCALE; As shown DRAWN BY 4/22/02 -ohns on DATE: Daniel is i D.B. Johisiah *7 Al 0 11'r"Wred Rigzy Cat" (509) 775-4007 rot, 479 Lincoln R*ad Zxt., Ryannis, W)k T_ IWC. 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