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HomeMy WebLinkAbout1555 HYANNIS ROAD - Health 155n5 Hyannis Road Barnstable A=298 =011 7 TOWN OF BARNSTABLE ['),CATION �'�� 6 yJA)t5 -/ SEWAGE# ,:TILLAGEAM/VS?n 1, ASSESSOR'S MAP&PARCEL T INSTALLER'S NAME&PHONE NO. 0271"O ��Q SEPTIC TANK CAPACITY LEACHING FACILITY:(type) /Cs'Qo) 07 r/Crd)(size) NO.OF BEDROOMS ,3 OWNER/vl ArSA17CT` (/C V0AI A/ O PERMIT DATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Q 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 / `;A (�Q4C>/? AI C2 s6 �dg 30' Mach '�2e�nclt ` a,is,L , t Ro!q� fttA)M. on_'rop :o� PM. .USA POSTP.GEm Margaret Vetotmo HID t'. .» PO Box 234''s QAB AFLE.MA k r . u4 Ci L 02630 Ob Barnstable.MA 02630-0234 POSTALSER 9261 VICE O �Ut,�.l� [12£ 5�1 44r�UG-100. coal �t�r.its"r�;Isl�ts��srtsas��i�tt���stt��sttts:li�iisr�.Ilaats�tlt .. .. . .... .. \� �: L�iE4 t! iitt i4itE t[ t ittit i�t tE t+ ?t� t t. i F �. Barnstable Fire Department — o i 1B . 3249 Main ST Post Office Box 94 Barnstable, MA 02630 Permit Certificate - General with .Seal Date: 05/17/2006 Business Name: VETORINO, MARGARET Address : 1555 Hyannis RD Barnstable, MA 02630 Phone: The following permit has been issued: Permit No. 980562 ' Type: 01 Removal of tank(s) from property Issued Date: 05/17/2006 _ Effective Date: 05/17/2006 Expiration Date: 07/17/2006 Notes : Removal and disposel of underground storage tank.= ' .Under the provisions of M. G. L c 148,a or 527 ,CMR i9: 07 (K) (2) Cm It is the business ' s responsibility to ensure -that conditions are�_ n +" accordance with applicable State and Local fire regulationsT.�:* _ Please ntact Barnstable Fire Department for more informatfori. r 1 Jr 14 Inspector: Christopher J Olsen Date 05/17'/2006 14 : 02 , Page 1' . Find Map/Parcel 298011 , Town of Barnstable , y a« �A 'Ifni 1'/' 'f/xii f� '✓ ,q k G -l R - Y Y Map/Parcei� 298011 dank Nbr 01 aglbr 00036 Tnst111ed 01/01/1976 Location B / Alf I � S 3tus 06 07/1996 fsTestNotification Date 08/23/1996 Rem`ovaFNofif canon Date 01/05/2006 g �� �eSt a 1 5'y a Y ,mbandon r t g r �ariance�-`z NO `yFuel 5�tored FO ` Euel Stormge�Reason Op Capacity Constructs Leak Detection Cathodic Detection Stoag Tank Info 001000 IS Additional-DetailO No release at time of removal ChangeZIP- K . O t C_QT_LO N SoEW 1J,GE-P_E.R.Ms—IT_U O. XA l.lv-SEAL-L--E—R�5-1J.�►M=E�—ADDR-E—S-S �l3aU 1=L=D E--R 5�11mL�1�A E�A D D Fa-E SS DL1,—E R E=R=t.i T D AT_E—CO Ks A-P L_I—Q,.NI CE-1_SS_U E.D_: r_ 3 6,14 GA2A .................. 7 ' THE COMMONWEALTH OF MASSACHUSETTS BOARD HEA H. Appliration -for Di-gnsal orL) or Towitrurti Vrrmit Application is hereby made for a Permit to Construct,( Repair J( an Individual Sewage Disposal System at• � � �e_ • -----•c•. •Ad r s �r Lot No. --- •---- --�- ' 't -----_• �--- ----- . %............................................................... wn Address Installer Address Q Type of Buildin Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons....._---------------------- Showers ( ) — Cafeteria ( ) Otherfixtures ----- --------------------------------------------------------------------------------- WDesign Flow_ _______________________________ __________ _llons per person per day. Total daily flow............................................gallons. WSeptic Tank Liquid capacity���lons Length_______________ Wi 11...__........... ll ameter--.------------ epth---------------- N Disposal Trench—No ____________________ ��/i th....... T e o e chi _____sq: ft. Seepage Pit No.__-_---�------_ Dia> �t _.__ 1Tep el tnlet_____ __________ otal a ng area..._.__._.__._____sq. ft. z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed by-------------------------------------------------------------------------- Date.......................:------------.---. Test Pit No. 1................minutes per inch Depth of "Pest Pit-------------------- Depth to ground water..---------------_-___-- �14 Test Pit No. 2................minutes per inch epth of Pest Pit.................... Depth to ground water.-.-..---_------_----_ ---•-•-----•--------- ------------------ • •• --------••- ---------------------------------- DDescription of Soil---------------n-------- ------------------ ---- ------ t--- ------------------------------------------ U ------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------ W UNature 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 of health. ned. -------------------- ----------- ---------- -------- l Date PP Approved Application A d By. _.( __ . ... ..... ----------- Application Disapproved for the following reasons---------------------------------•--------------___-___-__-_------___.-----•------------------------------------- --•-••-•-•-•--•-•-••-----•--•---•-----•--•------------------------------ Date PermitNo........................................................ Issued........................................................ Date ..••••••..••a-•••.•e•....-•..............r....-.....-.•v.e.r..-.•.r.-•...w...-.-.-••..-....•....e•.-..••-e•.........•......................r............a•e.1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH �.. .......OF................ . . .. .. .. Tntifirate of COmpliattre %HI I TOCERT FY, T e Individual SewageDi al System constructed ( ) or Repaired b --•- Y � � `� ; t nstaller at � 2 .f --•---- ••----- l! � -! ---...----••--•--._.___.--- has been installed in accordance with the provisions of Article XI of he State Sanitary Code a described in the application for Disposal Works Construction Permit No... ______________ dated..-._1�-�.� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... - - - - - - - - -- - No._- 7A/ -. Fly$.. ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD 'H EA H Appliratiou -for M_qploiial Workii Tongtrurti u Prrutit Application is hereby made for a Permit to Construct ( or Repair ( an Individual Sewage Disposal System at — r .. -- c n•Ad r s y r Lot No. wn Address -------------------------------------------------------------------------------------------------- Installer Address d Type of Buildin Size Lot____________________________Sq. feet U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons.--------------------------- Showers ( ) - Cafeteria ( ) dOther fixtures ------------------=-----------------------• --- ---------------------------- -------------------------------------------- W Design Flow_ .......................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank -Liquid capacity/ llons Length_______________ Wi h_-____.___..-_._ D•ameter____--.--_.-___ epth.__-__-______... x Disposal Trench—N ---------------- Wi th__ .____(_________ T e __.. of e chi e -_- _ __ sq. ft. Seepage Pit No..______-,�_-__•._ Dia> ter_ __ '! -___ LTep el. mlef__.__ _ .___ a ------ 1 otal ea n� trea_________________sc It. z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed by-------------------------------------------------------------------•---- Date-----_----- ---- ------ Test Pit No. L_______________minutes per inch Depth of "Pest Pit-------------------- Depth to ground water__-___---___--__-_-___- rX, Test Pit No. 2................minutes per inch Depth of Test Pit____________________ Depth to ground water-_-_______________._ IxI -------------------------------- ------•••-- -----— -•--.:__._...-----•----------------------------------- D Description of Soil---------------"---------- --- ---- ------------�1 =- �" �✓ v ----------------------------------------------------- -•----•••----•-••-•--•-•-•--------------•-----------------------•----•-•-•----•-••-•---•-•-•----------------------------------------------------- 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 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 of health. tied ------------------------•---------------•--------- - Date Application Approved BY '•�"� '--"''-' Application Disapproved f or the following,reasons:............................_--------- _._.___..•---•-------•-•------------------•--•------••—•---••--•------------------------------------•---'---------------•-------•--•----•-------------------•--______-_-•- _____---- - Date PermitNo........................................................... Issued----------------....................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH - .. ...... err#if iratr of fuumpliatta TH1 1 TO CERTIFY, Th t t e Individual Sewage Di osal System constructed ( ) or Repaired ( �f bY------- - ---- --f ,` - ... C 'w.. . ``' '. t9 --....---------------------------------------------.._..----••------ nstaller at- has been installed in accordance with the provisions of Article XI of The State Sanitary Code as describ d in the application for Disposal Works Construction-Permit No........ _� _______________ dated...._ _ - _ - ... ,� THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE__"". ...................... ------------------------- ---------------------••--- Inspector............................................................................•--•=-= 's THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ! .:..... .....OF........ No. - --. FEE---Z............. Di>ipofia rk,i Clomitr ti rrrmif :• Permission is hereby granted_ .......... - r------ to -------- Construct or Repair ( ) rival Sewage Di sal System a at No.. = - - -�'�3.•�.I. ------ . - - trect •. as shown on the application for Disposal Works Construction r it No--- _ ___:_ -____ ate d___�-:Zr -- -- _ ..... Board -- -- alt ------------ DATE--- ---------------------- e `/ /� FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS