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Home My WebLink About0089 SUOMI ROAD - Health 9 SUOMI RD., HYANNIS — A=268.202 a r, �.I o v C TOWN OFBARNSTABLE Q LOCATION SEWAGE # 9F'5 6 VII.LAGE / ASSESSOR'S MAP & LOT 20—1 %� INSTALLER'S NAME&PHONE NO./C Z, r L, r SEPTIC TANK CAPACITY LEACHING FACILITY: (type) o- (size) G'— NO.OF BEDROOMS_ BUILDER OR OWNER &'A I j Q ZU E PERMIT DATE: G COMPLIANCE DATE: 7--/" q Separation Distance Between the: , A 'u ted Groundwater Table to the B tt m f Feet Maximum d� s o 0 o Leaching Facility Private.Water Supply Well and Leaching Facility (If any wellsexist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within W feet of leaching facility) Feet 4v..-vj Furnished by i, —� _ a _ '! �� . '� ` Y .. t � \a . :�*� No. 9 9- Fee$5 0 .0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Migogal 6pgtem Cottgtruction permit Application for a Permit to Construct( )Repair(x)q Upgrade( )Abandon( ) El Complete System ❑Individual Components Location Address or Lot No. 87 Suomi Rd Owner's Name,Address and Tel.No. 7 7 5—0 0 6 3 Assessor'sMap/Parcel Hyannis, MA Norman Nault/ Barnstable Water Co P O Box 326. Hyannis, mA 02601 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. W E Robinson Septic Service P O Box 1089, Centerville, MA 02612 Type of Building: Dwelling No.of Bedrooms 2 Lot Size sq. ft. Garbage Grinder(no 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 Leaching consisting of two 500g precast leach chambers. •- ® #4 S-rV �e 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 d of Health. 1.0 Signed J Date 4/—9 Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued ;�}-..•4--�:' .>.-.e..-..�`-e.. .:..�=.:.- :..„d-•i�.:�t..:..:,...v--^:f-...o-,...�_..-.. ..w uanvm '»..._,�'�"�� '. .--F..,......,_....,,..,.... � ..a .._.•=<T........�.u...:.Y'•'i.i tz THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: J Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Migpo!9a1**pgtem Construction Vermit Application for Permit to Construct( )Repair(x3o Upgrade( )Abandon( ) ❑Complete System ❑Individual Components i Location Address or Lot No. 8? Suomi Rd Owner's Name,Address and Tel.No. 7 7 5_010 6 3 Assessor'sMap/Parcel Hyannis, MA Norman Nault/ Barnstablej,Watar Co P 0 Box 326 Hyannis, mA 02601 Installer's Name,Address,and Tel.No. 7 7 5—87 7 6 Designer's Name,Address and Tel.No. W E Robinson Septic Service P 0 Box 1089, Centerville; MA 02642 Type of Building: 1 Dwelling No.of Bedrooms 2 t1 lLQ Size .. r- sq.ft. Garbage Grinder(no Other Type of Building " Ferns 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 Leaching consisting Of two 500g Precast 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 t ' o fd of Health. Q Signed Date �-' 7 Application Approved by Date • Application Disapproved for the following reasons pp — R Permit No. " D' Date Issued ^ THE COMMONWEALTH OF MASSACHUSETTS Nault BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed ( )Repaired(xx�Upgraded( ) Abandoned( )by at 84 Suomi Rd, Hyannis has been_construc ed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated ' Installer W E Robinson Septic Service Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date_ _ 1 , Inspector f No. �►'_ _ _ ._ _ /. .--.—.—.-------------------Fee $50.00 b THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Nault Miopogal *pztem Construction Permit Permission is hereby granted to Construct( )Repair( x$Upgrade( )Abandon( ) System located at 84 Suomi Rd Hyannis, MA Snsa ll ar• W R Rnhi ncnn Septic Service 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 becom leted within three years of the date of this pp5mit. �^ ^Date: t� S5 '- Approved 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 ENGINEERED PLANS) I, William E. Robinson, Sr. ,hereby certify that the application for disposal works construction permit signed by me dated aZC" 9 concerning the property located at 84 Suomi Road, Hyannis, meets all of the following criteria: * There are no wetlands within 400 feet of the proposed leaching facility. * There are no private wells within 150 feet of the proposed septic system. * There is no increase in flow and/or change in use proposed. * There are no variances requested or needed. * If the proposed leaching facility will be located with 250 feet of any wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted- groundwater table elevation. Please complete the following: A)Top of Ground Elevation(according to the Engineering Division G.I.S. map) B)Observed Groundwater Table Evaluation(according to Health Division well map) Zo SIGNED: G(, DATE `e; " LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 20-1998 (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). i �� W , d` � �' _ o� 1 � "� `' t J s- TOWN OF BARNSTABLE , LOCATION �� •7 'A'' � SEWAGE # VILLAGE ASSESSOR'S MAP & LOT4_6 �o 1 INSTALLER'S NAME&PHONE NO.96z, SEPTIC TANK CAPACITY /Q LEACHING FACILITY: (type) 2 ��'� " �. (size) —2 , NO.OF BEDROOMS 23 ! BUILDER OR OWNER AZA>> / 1 LU PERMITDATE: Z ';Z4' z21 COMPLIANCE DATE: 7 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 360 feet of leaching facility) J�"' Feet Furnished by r Town of Barnstable . P# Department of Regulatory Services Public Health Division Hate 1 r�+ss rFD MKt�,� 200 Main Street,Hyannis MA 02601 Date Scheduled ��! o�J�I J TimejV � Fee Pd. Soil Suitability Assessment fog- Sewage Disposal Performed-By:_ y Witnessed By: LOCATION&G RAL INFORMATION Location Address �U4m Owner's Name dy"n/� Address Assessor's Map/Parcel: ✓l//� _ 176 Engineer's Name -� I NEW CONSTRUCTION of REPAIR Y Telephone# Sok3 to 7 6.1 Land Use Slopes(96) Surface Stones Distances from: Open Water Body ft Possible Wet Area ft Drinking Water Well ft Drainage Way ft Property Line ft Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&pert tests,locate wetlands in proximity to holes) Parent material to Depth Bedrock(geolo(geologic) (g '_ 1 Depth to Groundwater. Standing Water in Hole: Weeping from Plt Race ZO -{. Estimated Seasonal High Groundwater i DETERNIINATION`FOR SEASONAL HIGH WATER TABLE Method Used: Depth Observed standing in obs.hole: In, Depth to soil mottles: In. Depth to weeping from side of obs.hole: In, Groundwater Adjustment f. Index Well# Reading Date: Index Well level.� _._., Adj.&ctor- Adj.Clroundwater Level I PERCOLATION TEST bate Thne_____ Observation Hole# Time at 9" Depth of Perc 5�1 It Time at 6" Start Pre-soak Time Q End Pre-soak , Rate Min./fnch Site Suitability Assessment: Site Passed_� Site Failed: Additional Testing Needed(YIN) Original: Public Health Division Observation Hole Data To Be Completed on Back--------- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conservation Division at least one(1)week prior to beginning. Q:\SEPTICVERCFORM.DOC DEEP-OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Sdil Color Soil- Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,,Boulders. o i ten v.%"Gravel) ,9 l0 ey l t i S 26 VA t► • ---------------- DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture `Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%Grave ' i V� /lie ✓ 1 A a DEEP OBSERVATION HOLE LOG hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. s d _ Consistenev.%Gravelld • 3 • 1 DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones',Boulders. Cosit n .1 • t Flood Insurance Rate Map: Above 500 year flood boundary No_ Yes'l / a Within 500 year boundary No ' Yes ' Within 100 year flood boundary No.:j� Yes Depth of Naturally Occurring Pervious Material 4 Does at least four feet of naturally occurring perviou mm�terial exist in all areas observed throughout the area proposed for the soil absorption system? 161tc ,n If not,what is the depth of it rally occurring per tous material? 1� Certification I certify that on (date)I have passed the soil evaluator examination approved by the Department of Envirorimental Protection and that the above analysis was performed y me consistent with i the required training,expe and exnertnqe described in�10 CMR 15.017,. Signat t Datb l o y Zo 1 Q:\S.BPTIGIPERCFORM.DOC TOWN OF BARNSTABLE L.7CATION r SEWAGE � f*7 VILLAGE Z q oti tj lC ASSESSOR'S MAP & LOT Jf J. CR.AIG MEDEIROSS�'^ INSTALLER'S NAME & PHONE NO._ 78 L4NDEN M SEPTIC TANK CAPACITY <f-e*/ HYANSS,MAL1 LEACHING.FACILITY:(type) I lg=70 (size) NO. OF BEDROOMS PRIVATE WELL O UBLIC W �F,R "I b 0 em OWNER 72 TJ--1 5�� e t4^ e. - d DATE PERMIT ISSUED: 1 / DATE. COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� G �� t.� '�/�, � �, ,._ ,. s� ,_�. _, �- �� . �� `�c ��; �`�� S � j i � '` �' �woo�� . �\�� :,. i ,Fim THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH t' ...............OF..... 'o! .! --.. .... j .............................. Appliration for lliipnsttl Works Tonotrnrtiun Ilermit Application is hereh,'-a.�c for.-permit to Construct ( ) or Repair ( j�an Individual Sewage Disposal System at: [� � �''� ') °1-D .................. .............1................... .. .................................. -- ••--•----------- ............... Locatio - duress or Lot No. _..�� ......_•-�.. ..! .R wwavfi�• t� .. � /f Own r �/ C Address 5 �L lam✓► �tV1/.d�i61 : ..... Via--.......... Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .Expansion Attic ( ) Garbage Grinder ( ) 04 Other—T e of Buildiii No. of persons............................ Showers — Cafeteria 04 Other fixtures -------------------------------- . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank—Liquid'capacity_.__.__.....gallons Length................ Width................ Diameter---------------- Depth................ 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 ( ) �_q Percolation Test Results Performed by.......................................................................... Date........................................ ,a Test Pit No. 1----------------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........................ a ----------------------------------------•----------------•--..................................---•----.......-•-._...--•••----............---- O Description of Soil........ e?")__ U -----------------------•------------------ -----------------------------------------------._... ------------------------------------------------W - ---------------------------------------------------------------------------------------••••-------••----------- - DIV U Nature of Repa>rs or Alterations—Answer when applicable................ ._.____L __.__ '�......_......__._.__ ._ - ��h ``ram •----------- : :-----. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iimL E j 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 health. Signed-" ' Application Approved BY--- -• - !%�- - Date ---- -• -- .. ..... .:............. ----------•-----_. -------------- Date Application Disapproved for the following reasons:-----••---------------------------•---------•------•---•---------------------------------------------...-•_..... -------••-•----•----•------•-----------•--------•-•------------ ••--------------••••------------------------ ------------------------------------------------•------------- Date PermitNo.� Issued_........................................................ Date ....... No.. f � FE$ o_..— THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH ..............OF...../n 1 f✓'! _J Ic`' ...................................................................... Appliratiun for Disposal Works Tonstrur#ion 1hrmit Application is hereby mad forr sa�r ermit to Construct ( ) or Repair (V)�an Individual Sewage Disposal System at: �— Locatiop-Address / 1� ,pr •^� / or Lot No. /� .j a L. � r'a'- r % 1/`� f .'�i'.''• , 7 ! t! i �_ _ _n a ( •�„ _!"4,9, ................. . .'__._._...a........................ .................... ............-----........ ........________.......... ............ ............... 1/t -+ L Owner .,. f .i. `A^ddress�,.,.�..��tt ,t q .(� - W \.A i a� 7�� . .•-- ,.�. .. I J'1 I! •� \ / f S,1!I.Mw a --• . . - ...................... .... .........._ --•-•-- -- ... � Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers W YP g -------•-------------------- P ( )--- Cafeteria ( ) Otherfixtures .........................-------------------------------•••••-----•....---••-•-•-•••---------•----•-•......--••••... W Design 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ r1 .4'..............•---..._..._................................................................................................................................. O Description of Soil......... `y W U Nature of Repairs or Alterations—Answer when applicable.._` ------------.:...............................:!-------_-- -. _------:-._... " i Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITS- 5 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 health. Sign ed..-___ .---,............ -- ----------•-------••---•--•---------- -------------------------------- Date Application Approved By. ---•--; /•r=L/i - Date Application Disapproved for the following reasons----------------•-----------------•-••-------•----•----.....-------•---------•--•---------------••---------••--- •--•------•----•-•-•---••-•---------•--•--•-•-•----------•••/--••...•-•-•--•................................•--•-•-•----••-•---•---------------•-------•---••••-•••-----•-•-----------•--•-••------------ Q' (7 / DatPermit No.�_Ll__. v ------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS r--� BOARD OF HEALTH .................O F...7�..7...'`.•.di 3 k. ......................................................... (9rdif irFate of ToutpliFaurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (u,' ) I.I C .. ..I/i --� �.................................................................................................. �- — � / nsta ller ; . - ................. has been installed in accordance with the pro lions of TITL�Ey 5 o• T� tate Sanitary C as d • i' in the application for Disposal Works Construction Permit No . /...... dated...�e f .. __. ....__.._.. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................��." ............................... Inspector............................ -- ........................................ TH%1COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH $:• o � No.......... ... FEE .. . Disposal Works Ton#rudionrutit it .._ r f Permission s hereby granted....._e ._.__ ' 'r 5 �_=' '' •---•-•--•-•-•-•--. -•-•---------•......•-•--••--.....••.............. i to Construct ( ) or it nd' 'du Sewage_ Disposal System at No.......r`S- GT!........ f0 t r• ,,EE .............. �n_v --... ....-=- ... ...................... Street,-- as shown on the appli tion for Disposal Works Construction P �No.___ ..............!��` - . ....... •--•------- DATE_ �_//�/ 2) / Board of Health ..._ 0 .:5, ................................................. •1 r t` FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS_ ��