HomeMy WebLinkAbout0015 SYCAMORE STREET - Health 15 SYCAMORE• ST.
RYANNIS t
A 310 047
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B
0
9
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l TOWN OF BARNSTABLE (j
LOCATION J '5Y G 'A W2 01 LF J -T� " SEW' AGE # d 1'4/ Ss"
17
YII,LAGE /?` 7/ iU�l/�f o ASSESSOR'S MAP & LOT 3� 0 �1
INSTALLER'S NAME&`PHONE NO. 64 r" '� s��I 17 Z
SEPTIC TANK CAPACITY 6
LEACHING FACILITY: (type). �.` ��'� `Z' �' L (size)! �"
NO. OF BEDROOMS l
BUILDER OR OWNER
PERMIT DATE:• COMPLIANCE DATE: ` —'1 —® I
Separation Distance Between the: {
t.p -'• ..
Maximum Adjusted Groundwater Table to the Bottom of I.eachmg 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
t
T
i
J
No. Fee 5 0
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS Yes
0[pplication for �Digogal *pgtem Congtruction Permit
Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or
or Lot No. Owner's Name,Address and Tel.No.
Al 5sorSsivIap7Par0 a St. , Hyannis Dana Dufur
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 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 S a nd
Nature of Repairs or Alterations(Answer when applicable) Title-5 septic system consis—
ting of a 1 , 500 real. tank, H 20 D-box and 2 H 20 leach
chambers with stone all around. a-
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 Health.
Signed 0 Date
Application Approved by i Date 67—Z%—U>
Application Disapproved for the following reasons
Permit No. Date Issued
777777
�No.� !N�/�lTr/ ' 'Fee$5 0
z THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
. R Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS
01ppitiYcat on for 33igpogal *pgtem Congtruction Permit
Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Add�dress or Lot No. Owner's Name,Address and Tel.No.
A1SSSor$S n a St. , Hyannis Dana Dufur
1/0
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 3 Lot Size sq. ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Desk 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 consis—
ting of a 1 ,500 goal. tank, H 20 D-box and 2 H 20 leach
chambers with stone all around. '- a-S-
t r Date last inspected: - U
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 Health.
Signed - r " I10 z-t 3 1 Date L r'aZg-o f
diuMi� .Application Approved by Date 6- Z 2- De
Application Disapproved for the following reasons
` Perrmi"t'No. Date Issued r
1
THE COMMONWEALTH OF MASSACHUSETTS
T BARNSTABLE, MASSACHUSETTS
Dufur 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 15 Sycamore St. , Hyannis has been constructed in accordance
with the provisions of Title 5 and the for/Disposal System Construction Permit No.7.xZ 4115dated 6-0 001
Installer Wm- 'E. Robinson`Sr. Designer
The issuance of this permit 'all n t be construed as a guarantee that the syste 11 fu A esigped�
Date. /1 0/ Inspector
No. �•� 'w,/' � �/ Q �G /7 ---------•----.—Fee $50 .— - ._-...-.
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION -.BARNSTABLE., MASSACHUSETTS
Dufur
Migpogal *pgtem Conoruction Permit
Permission is hereby granted to Construct( )Repair )Upg''rade(� )Abandon
System located at 15 Sycamore St, ' -, H" nAks�
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:Constructio must a completed within three years of the date of this pe
q � ,r
Date: 6 Z r � Approved by
J e
LOCATION ..
SEWAGE'# �' / S, '
VILLAGE ,MAP & LOT
INSTALLER'S NAME&PHONE NO. '1 i.6 a ;• s <S:�.' :' Z .. sE .�� -
SEPTIC TANK CAPACITY
LEACHING FACILY•. t Ype):. ..X - �-�� y A �� � 7
IT (r (size)+ ,'a
NO.'OF BEDROOMS 3 `'
BUILDER OR OWNER 1 /V Iv'O,
:• ....
PERMIT DATE: 76, COMPLIANCE..DATE;
Separation Distance Between the
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
" Pri.vate Water Supply Well and Leiching'Facility (If ahy'wells exist C
f.
on site of wittun 200.feet of leaching fac'ili:ty)' Feet
Edge of Wetland and Leaching Facility (If any wetlands exist'
i, within 3;00:feet.of leaching facility). F.. :.:.•;
Feet..
Furnished by'
:.
- � � - ^ <; � -, is s '�'•:
--- '
-J
1!6l99�NOTICF_:This Form Is To Be Used For the Repair Of Foiled
l Septic Systems OD1y.
CENTMCAIMON OF SMOMM AND APTIAC MON VOR A MSPOS,it►I
WORKS CONSf UMON PER f f_(VYMHODT DEMNED PLANS)
j, William E. Robinson,S%creb t� n f.►r works
y certif}r appiica>so disQosat
cons tnrcti geed siMM by me dared 4 Concenum the
located at 15 Sycamore St. , Hyannis meets all of the
following criteria:
• failed system is aaonocoed m a rmftmd&muwg e* Tbcmarenoammaramortusuess
use with the dwelliu&
• the '1 is cl3596Od as CLASS i and Ibe petoolanan rate is less am or cqum to 5 mimm=per mch.
- There -no viedands within too fat of the proposed sepnc atimcm —
• Them ii na pnvatc wdh wahin 150 ka of the proposed 9eWir s}sm"I
Them- no iuc mzm in BOW ands tIlangP in use
• There no variances requested or oe+eded.
• me of the vM m&be.kmwked less ib.five f m abave the
ma table dewtion:(Adjm tt Womtdvmta table using the Frimptor
whets e1
• if the S.3.S.will be totaud with 250 fox[of any vMmand wcftmk the bottom of the proposed
IC*chMS f CMW will M bt loemtod less than faunas 1141 feet abaft dw m ummm adjusted
gmmdtvaicr tattle do ration,
the fatloariW.
A) Top of Gmund Sthoc E wmioa tusieg GIs 1 L/
aI c.w F7enation 23 +to mAx tfth G.w_ 2.
DIFFERENCE BETWEEN A and B 2
SIGNED DAIS:
ISMM PrePOscd Pbu Of sygm on bade_
.F hMlf folder cart
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