The URL can be used to link to this page

Home My WebLink About0192 SIXTH AVENUE (HYANNIS) - Health 192 SIXTH AVE. HYANNIS A = 245 161- l j { TOWN OF BARNSTABLEiaCe� LOCATION � / �" SEWAGE A#. ':"�)-"�'� � VILLAGE I _ ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. >its �y SEPTIC TANK CAPACITY < J LEACHING FACILITY: (type) 2 " t�z i �'-`�� ' =(size). / NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: '-4 {.-C 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 FaciliV. If any wetlands exist within 300 feet of leaching facility) Feet Furnished by I ,. -�`� _...._- �. ___-___. �T6� �� ✓� _� .a ;�3 ��.�. ` .� r'' E �''� ,�'`°�� ,' �� l�t�~�'� ! �� I � � � ,,.. . .. _� .._._ � � i No. ctic>U � / f Fee 5 0 • '. THE COMMONWEALTH"OF M—SSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYicatiod for Migogar *pgtem Construction Permit Application for a Permit to Construct;( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 192 Sixth Ave . , W Hyannisport , MA Thomas McAuliffe Assessor'sMap/Parcel .Z it�/0 10 Shawmut Ave . , Hudson MA 01749 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 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 Sand. Nature of Repairs or Alterations(Answer when applicable) Title-5 septic system, consisting of a. tank, Tl-box and n_1 each chambers wi 'hi Anne a 1 1 armind . oil 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 ofklealth. Signed Z1v ti Date -2 o-t-.z Application Approved by ✓ Date 0-74-M Application Disapproved for the following reasons Permit No. Date Issued TOWN OF BARNSTABLE �' SEWAGE # ' -,. � LOCATION J i � : �'� 1 VILLAGE c� i '�m ASSESSOR'S MAP &LOTA5 Ll INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY (type) �z L= -�'�/ �. =(size) NO.OF BEDROOMS BUILDER OR OWNER Ike Lf/ l PERMITDATE: COMPLIANCE DATE:-"'-L 2 ",2-`'`Y�-�1 Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet F Private Water Supply Well and Leaching Facflity (If any wells exist on site or within 200 feet of leaching facility) Feet Edge.of Wetland and Leaching FaciliV(If any wetlands exist within 300 feet of leaching facility) Feet Furnished.by I I i i j ( / i v No. '� Fee $5 0 THE COMMONWEALT MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Oigool *potent Construction Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 192 Sixth Ave . , W Hyannisport, MA Thomas McAuliffe Assessor'sMap/Parcel -Z /1T / 10 Shawmut Ave . , Hudson MA 01749 Installer's Name,Address,and Tell..No. Designer's Name,Address and Tel.No. Vm. E. Robinson Septic Service P 0 Box 1089. Centerville Type of Building: Dwelling No.of Bedrooms 4 � Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers(. ) Cafeteria( ) Other Fixtures t 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 Nature of Repairs or Alterations(Answer when applicable) Title-5 septic system, consisting of a tank. D-box and leach chambers withl .Aone all around , i 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 o ealth. ` Signed a< Date =2 0-c-,c Application Approved by Date Z -/0-Z47 0 Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS McAuliffe BARNSTABLE, MASSACHUSETTS E Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired (X )Upgraded( ) Abandoned(, Jby Wm. E . Robinson Septic Service at 192 S iA Ave . , W Hyannisporthas been constructed in accordance with the provisions of Title 5 and the fWr , al System Construction Permit No.'Z,dlJO-0?7 datedInstaller Wm. E. R ob ins oni I ) Designer The issuance of this ermi�t shal n,t be construed as a guarantee that th s, stem will function as des Pn�efd Date P�� /� g Inspector 'y� 1 I'I v61%�i g � V y-- v v- No. "Z.•6-d?J- 0,97 --------------------------Fee $50 THE COMMONWEALTH OF MASSACHUSETTS McAuliffe PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS ligogal *pgtem Congtruction Permit Permission is hereby�r�q�edSt1X� 1 HV e .�Rei,VnyaU2� spoTt)Abandon( ) System located at y 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 permat. Date: Z _ f - � Approved by 1/6199 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) T, W i l l iarn E . Rob ins on,S,zltereby certify that the application for disposal works construction permit signed by me dated 2, concerning the property located at 192 Sixth Ave . , W Hyannisport , MA meets all of the following criteria: The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. 0 The soil is classified as CLAS I and the percolation rate is less than or equal to:5 minutes per inch. u There are no wetlands wi 100 feet of the proposed septic systeni — There arc no private we s within 150 feet of the proposed septic.system There is no increase' flow and/or change in use proposed There are no vari requested or needed. • The bottom of proposed leaching facility will not be located less than five feet above the maximum a usted groundwater table elevation: (Adjust the groundwater table using the Frimptor method w n applicable) If the S.A.S.will be looted 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) B) G.W. Elevation +the MAX. High G.W. Adjustment . — t, - DIFFERENCE BETWEEN A and B L�c SIGNED . -� t � DATE: _ [Sketch proposed plan of system on backl. y:health folder:cen l � �� , �—�. ." �_ 1. a C c a, R o T'v! u .. -rc 2 b Ref � s� T r c T—' Yr Mtlio to r4 to v e�: e b m r~ R c.. to Ref a r P ty B.Y.LeBaron Construction hereby f—eg7—Bf8-24f8 ezpresely reserves it's common law PROJECT: DRAWN BY: .� copyright. There plane are not to be ,� Tom Mc au ' e S.M. LeBARON reproduced, changed or copied in any form or manner whatsoewar, 7r without th-Ut. obtaining the espreee j W Ll written consent and permission c �+ DATE: ` of Steen 1L LeBaron' LOCATI ao Sept. 27,2007 i d 192 Sixth Avenue REVISIONS m Hyannisport,Mass:0_ 5�;;;,N,r;; ;; R Cl m � o �t x