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HomeMy WebLinkAbout1126 PHINNEY'S LANE - Health 1126 PHINNEYS LANE HYANNIS A = 273 092 i rOA r � N�h1E FCE[`"_.. b;_t lrA'I AStoc. �- {' � } q �_,w col•CAPE7 COD _70 D, MA t UN ..1 -4. i -^.--`• .� ram= -� -� =-. - - ,�_:, .-___-.. __` C� -�-� _� __I�._........•-r.�: . 1 l ZG /°Li awe-yS Lh TOWN OF BARNSTABLE ' LOC,i%TION lij(, Wwu iJF yL lA w N. SEWAGE # a06 i — �-O Lk VILLAGE &Yam Ll� ASSESSOR'S MAP & LOT 73-0 Z— INSTALLER'S NAME&PHONE NO. 6&6i ram►SQ V1J SEPTIC TANK CAPACITY _ f..6 0 0 LEACHING FACILITY: (type) 02 JDZV 1,JE 115 - (size) t a )t Ot S -.a NO. OF BEDROOMS 3 BUILDER OR O, t���— 07 PERMITDATE: COMPLIANCE DATE: Z{I�16I 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 4 . O � � �>�;F�,: I � a ,� � e � � _ �. V � ,. �, O C 5 }. �`' .. �lC� LO,CATION SEWAGE PERMIT NO. VILLAGE , v INSTALLLER'S NAME & ADDRESS- /Zi e'® BUl DER OR OWNER V DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED �r � �� A,� � a 1 � ,, �� ���` �_ �L ti I �i �� F 4 � OWN OF BARNSTABLE L .ATION L.,V SEWAGE # VILL-AGE , ASSESSOR'S MAP & LOT C/ INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) O. OF BEDROOMS S PRIVATE WELL O PU'BL1C WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE ' COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No j i No. I t =v Fee $5 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ti Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYicatiou for Miopaar *pgtem Cow6truction Permit Application for a Permit to Construct( )Repair( X)Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot NoAK,4 Z X-, t Owner's Name,Address and Tel.No. 1126 Phinneys Lane, /' Dale Porter `t' Assessor's Map/Parcel � ^� ®�Z f ���00 Installer's Name,Address,and Tell.No. ['*? Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P O Box 108.9, 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 Gaud Nature of Repairs or Alterations(Answer when applicable) T i t l p-5 l p a r h sTs t em C.nn s i s t i ng— of a D-box and 2 precast leach chambers with stone all around_ 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 HeeAlth. Signed 4v L I�,l ✓ Date 1-,6—S-D Application Approved by t Date 0 Application Disapproved for the following reasons Permit No. cXQ)—c20Y Date Issued —————— ————— TOWN OF BARNSTABLE I:OCAT)kON _1 i I fiu�i.1 V S 1iA W SEWAGE # abti f -0'`0 Lk VIIrLAGE j �Clrn wtn, ASSESSOR'S MAP & LOT }73-0 'Z- j i - INSTALLER'S NAME&PHONE NO.��i N So 94 sel,-d T t L 7 7 5�-g 7 71 SEPTIC TANK CAPACITY 1 600 LEACHING FACILITY: (type) N-V hJ S (size) i P- NO. OF BEDROOMS 3 BUtZ.DER OR�i'�y 1 . _eve v�- ✓'l- PERMTTDATE: COMPLIANCE` DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Welland Leaching Facility (If any wells exist on site or within 200 feei of leaching tY facili ) Feet Ed W e of etland and Leaching clue Facility cili an we tlands etlands exist 8 ty Y ust within 300 feet of leaching facility). Feet Furnished by r` • S £f ... '� meµ., ..�- .� .. K. —4 4 •:'Y` �•' �Sfsy�j�t`��> m.. ,-:: •.Q PCB-- _.p� �J No. Z Ak Fee 150 THE COMMONWEALTH OF MASSACHUSETTS ' Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE} MASSACHUSETTS k ZIppYication�for rigpogal *pgtem Congtruction vermit Application for a Permit to Construct( )Repair( X)Upgrade( )Abandon( ) ❑Complete System ElIndividual Components Location Address or Lot No K4 G ��, S Owner's Name,Address and Tel.No. Z vt n�j Jsje�s§'sPA4*Mleys Lane, Dale Porter , 15 r� Installer's Name,Address,and Tel.No. 1, Designer's Name,Address and Tel.No. s Wm. E. Robinson Septic Service P O Box 1089 Centerville Type of Building: Dwelling No.of Bedrooms Lot Size ? sq. ft. Garbage Grinder( ) Other Type of Building — No. of Persons Showers( ) Cafeteria( ) Other Fixtures Desi$'Flow gallons per day. Calculated daily flow gallons. e� Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil San Nature of Repairs or Alterations(Answer when aD bait and 2 pplicable: ..,. . , r / . �T_—.teaGTiaYste"ut consisting V \.r i Date last inspected: Agreement: h The undersigned agrees to ensure the construction andimaintenance 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.i, V,C C' Signed Date =<-6 Application ApproNed by Date _! Application Disapproved for he following reasons Permit No. t�, r,i J -�C/ `� Date Iss d —————————— ——-— THE COMMONWEALTH OF,MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Porter Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( X)Upgraded( ) Abandoned( )by Robinson Septic Service ". at 1 1 r% ! __ J._- r „__. _ _ , , _ has been constructed in accordance c.u L asl'A" -Y.J 1Jp11�, 11. �' with the provisions of Title 5 and the for Disposal System Construction Permit No. �/J� dated c//� /(�f Installer wffi T n_L -_ Designer � �- The issuance of this ermit`shall not be construed as a guarantee that the syste will functio as desi�ed. Date c Inspector i ----------------------------- I No. Fee $5 d THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE} MASSACHUSETTS Porter ltgogaf *pgtem (Congtruction Verinit Permission is hereby granted to Construct( )Repair( j'Upgrade( )Abandon( ) System located at1126 __ ? �3 Pu-'7Tta a � and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction must be completed within three years of the date of this permit. Date: (Ile ., i Approved by ��.(,.�_L G 1 t r, 1 ,l n LA 491-J ' I --�� a c'• c TT V I f l—_ ,6 x` tie M" NOTICE: This Form Is To Be Used For the Repair Of Failed 4 Septic Systems Only. CERTIFICATION OF SIC$UM AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMPr MTMOUT DESIGNED PLANS) William E_ Robinson.S y certify dm the application f.r disposal works eousvuetion permit signed by me dated L/ concemmg the prop" iocated at 1126 PhinneyS Lane, Centerville meets all of the Mowing criteria: • The system is coaoacted to a residential dwelling only. There are no commercial or busitwss with the dwelling. The is class: as CLASS I and the pacalation roe is Less than or equal to 5 miuuus per inch. There a no wetlands within 100 feet of the proposed septic s}gem • There no private wells within 150 tart ui the propose septic:s}stetu There -no incomm..in flow andlor channe in use proposed • are no variances requested or needed. • bosom of the proposed leadring bcd*will wbe located less than five feet.above the mum adj=W gtoandwraur table elevation:[Adjust the gtoundwater table using the Frimptor when applicab el If S.?-S_will be located with 250 fen of air,;vegetated wetlands,the bouma of the proposed t •facility will Mt be locate less than fourteen(141 feet above the n ximurn adjusted valet t�rle eletratiotr, A) cop ofGmmd Sttdaoe Elevatiost(aing GIS Wft aadon) B 1 G.W.Elevation +the MAX. High G.W.adjustmett DIFFERENCE BETWEEN A and B SIGNED:�. DATE: (Sketch proposed plan of system on badcj. sr be"folder dear - e •1 � � n \' i -�� `' No.. _ __ ?I------ _ F$$/... �...Cs....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OX HEALTH s� ' 1 ......0............ ... ....._'. ............. Appli6flou for Eliiiposal Workii Tonstrurtion Prrmit r Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..s ' . t �........2-..... ......... ..�.... °�..� � .............. ... .................: ................................. . ... ............ ..... .e..[ ��i A^-.�j....... ... •'Add..s... �iG.....a..... .. Z. ;.y� .... f or Lot N �® ,y W Qwner --...- Address .... ....... . . . ......... a � ----...... .. ..... ---- LA Installer Address U Type of Buildings Size Lot... feet a Dwelling 3L No. of Bedrooms..............3........................Expansion Attic ( ) (Garbage Grinder (410 a4 Other—Type of Building jV :!: --� No. of persons............................ Showers — Cafeteria aOther fixtures .................................................................................................. W Design Flow..........4........................gallons per person per day. Total daily flow. ®�?._......._._..._._......_.__..gallons. WSeptic Tank L Liquid capacity. ®gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No .................... Width___.._.__ ......Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter__/®a D pth below inlet................. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tan s1— �" Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................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........................ �' . J........_... O tr --------7- Description of Soil. Z ! ... !�C��n---- _.. w ........... a------ �---- ._..........._ J W ---------------•------------------...-----------.-------------•--------------------------------------------------------------------------------------------............................................ V Nature of Repairs or Alterations—Answer when applicable................................................................................................ ....................................................-................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article aI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of "ealth,j Signed-- - - •-- ------------- — Date Application Approved BY /. ••L�Z4 .... � � ' Date Application Disapproved for the following reasons------------------•----------------------------------------------......--•-••......-•--•••• -------•--•-----... ....._-----•-•-•••-••-•-.....••-••-••--•-••••...-•••-•----•••••-•-•-••------•-••-•-••......•••-•••--•---•------•-----------•----•-------•--•---------.................................................. Date PermitNo......................................................... Issued..............................:......................... Date g �/9 Finz....... THE COMMONWEALTH OF MASSACHUSETTS BOARD O, HEALTH N, . ........... OF...........t ?.-�%......_:... .:............. �l Appliration fear Bitipusai Works Tonotrurtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at _ Pp ...�'';. � :.�� '... ra°; p�"r .tom?Gs ? �` ''1 ............ .............. .... ..... ....._._..., iLoc n,Addr ss' or, Lot N �,/�' - W Owner !Y Address 1� .f......`�` »�:°'p t �. j`'� . .......fir°r� � :l.t°.....�� a .... '0. .................:.. f ----•---------- Installer Address � U Type of Building, Size Lot... :-� ' ' .-Sq. feet. Dwelling.�[No. of,Bedrooms............... ........................Expansion Attic ( ) Garbage Grinder VVC) p., Other—Type of Building &- "k yp g.�l-*! •:.-•-.•-•°gt�No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ...................................................... Design Flow.......... .__..>.................gallons per person per day. Total daily flow._3.!0................__..___....._gallons. WSeptic Tank-L Liquid capacity_fUgOgallons - Length................ Width................ Diameter.................Depth___-_-_-___._-.. x Disposal Trench—No...._.=K%..._...__.. Width..........aT..... Total Length.................... Total leaching area...._...............sq.;ft. Seepage Pit No..........�........ Diamet r...14OU D th below inlet.................... Total leaching area..................sq. ft. Other Distribution box T D so in tank a Percolation Test Results Performed by-......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ rZA Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a / ••--•---------- -•-•--•.....•- - • ---- ---------- - -•-•_--•-------- i If O Description of Soil �)..'.LA.....-,1 0 •�1`<� 4' _ x / ---------- •----------- x -•••--••-•-•-----------------------------••....-••-••••••••...•••-••-•-••................_.......... -------•••--------------------•-------•.......--•--•-----•............•-•••-••••. V Nature of Repairs 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 been issued by the board ofjralth. Signed---- ._ t / .<'. A..__._. +r �� Date Application Approved BY. -l;= t `c�`/ f' .%tc ._ -- ------------ r' ------------------------- ApplicationDa = / f c�v fi v� at '6 Disapproved for the following reasons:........................././ .......................................................................... ..--••---------------•--•-----------•-----•-------------....----------------......-------•----•.............................................. ..............-........................................... Date PermitNo......................................................... Issued......................................................... 1 Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH : :. .. ...OF............. 'f' ✓ . TrrtifirFate of Tontpliatnre TH hS"TO C;& TIFY/T"liak the,Individual Sewage Disposal System constructed ( or-Repaired ( ) "�1!�ir? by....._�. ........_....��...- == -- .................•---- ---- -•-•-•-----------........_................------ f..� =- 'd z„stauer has been installed in accordance with he provisions of Articl��XI of The State Sanitary 6AAa �,e" l ed-in the application for Disposal Works Construction Permit No..6c.__ �f. .................. dated-.--------_1l---_---,..____-_ j.._..._...._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARA TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................•--------.....--•--........_......---•••--.......... Inspector.....................................................................:.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH { y No......................... �G -a,. ............................................... FEE.......... 1 U Dispoli i Works Tonstrudian amit Permission.is hereby granted........... :: +...._._._ fr'..... to Construct () orR�epair/( ) an Indtvidual Se%Narge")">Sposal�S�ystem at No..y?!�f.... y as shown on the application for Disposal/Works Construction Permit,No..................... Dated.... ............ _ / yf_... - DATE................ _--.. ..... r, ................. FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS f., f ' BE` i y r tiJ Z .I _Z,' .o 1 5.7 U . F"�y, •'fit r, /-0 r / fr 1' -- l ocsv 4A L. hCMC, TA►J!4. �c . W I A 10D'jp �ANSt DU s r t.. 1t t �i r 1 7 tNAT' Tl-lv% TouotI NrlotJ ��tt tit ! L L C 3Zt S45 A st+ 1 4�ACL! CJ�•T, T'VIU . c— lt..t'+Z7`. .�R., -..i ;i' �JJ.y.'.,.!-.�( •� 'r�.!'._ w� F ',i"�'''i 'it' -t..'..", c