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HomeMy WebLinkAbout0015 SYCAMORE STREET - Health 15 SYCAMORE• ST. RYANNIS t A 310 047 o o B 0 9 0 o � 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 i �, �`� � . r � _ - � I 0 . � 1 �� � � � CS e�