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Home My WebLink About1367 HYANNIS-BARNSTABLE ROAD - Health 1367 Hyannis-Barnstable Ro ' Barnstable 297 006 0 0 o R n � . � a �I .'TOWN OF BARNfS�TABL�E LOCATION 1 ii U? �� =s rJ 31��`�`' L � SEWAGE # y -k VILLAGE ASSESSOR'S MAP & LOTZ 9 INSTALLER'S NAME&PHONE NO. .5 � f' SEPTIC TANK CAPACITY V 0 LEACHING FACILITY: (type)r,2 5, -0 0 e- a (size) yurx Z NO. OF BEDROOMS BUILDER OR OWNER PERMITDATE: in COMPLIANCE DATE:!�!—/O— Separation Distance Between the: t 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 260 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist Within 300 feet of leaching facility) Feet Furnished by It � a , r Sdf� f y 6 y t/ � � LA No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Migonl bpztem Con!Aruction Permit Application for a Permit to Construct( )Repair(A-)Upgrade( )Abandon( ) Complete System ❑Individual Components ^�br► .g��N Owner's Name,Address and Tel.No. Location Address or Lot No. 1316 B,F✓rvSfiab(x_ �a,M�s ��cSo,n, Assessor's Map/Parcel 2-q7 BO(o ,sATi-e- Installer's Name,Address,and Tel.No. Desi Is Name,Address and Tel.No. $a�3Field smr..��{-a.+.tJ'e,..�� •Zr� �t3c �;wvt _ I%OXgq-L FCree4c(At2 EA57 S"8(All cin 026cf-f JV YF 2,010 a73 Z 07 Type of Building: Dwelling No.of Bedrooms '3 Lot Size sq.ft. Garbage Grinder Other Type of Building S M & 1591y" No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3�O gallons per day. Calculated daily flow 3 �(d gallons. Plan Date J-2-`f-0 q Number of sheets 1 Revision Date 4 uw-� Title Size of Septic Tank 15 v A4tovN Type of S.A.S. 2) 4_e&c-1n '`,"ite,_P Description of Soil Se e-io Nature of Repairs or Alterations(Answer when applicable) ��/�t-2 �i(2. �$S 'Poo 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 issu by thi d I Health. Si ed Date Application Approved by ��O Date Application Disapproved for the following reasons Permit No. Date Issued 0 L � 5 No. * * , Fee ~� Entered in computer: c THE COMM WEALTH OF MASSACHUSETT p Yes PUBLIC HEALTH DIVISION,- OWN OF BARNSTALES MASSACHUSETTS ZIPplication,for Oio ogar bp.5tem Cbhgtfuction Permit Application for a Permit to Construct( _ )Repair(A)Upgrade( )Abandon( .) Complete System EJ Individual Components J~ Location Address or Lot No. 156 $"'^` Owner's Name,Address°and Tel.No. rs/kv�.Sf +h Assessor'sMap/Parcel aq7 66(o S/ � i tl Installer's Name,Address,and Tel.No. Desi s Name,Address and Tel.No. 0,e(4 TA kI+A/-,.t fpiVILC 1/NG 13vxyg-L F-o-eS-44ale 57 SAnOcv,cl OZ6w-( F FF 101 o k33 2 r71 Type of Building: Dwelling No.of Bedrooms `� Lot Size sq.ft. Garbage Grinder(43 Other Type of Building �5+1%c, 4e 05A1" - No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3O gallons per day. Calculated daily flow' 3 q0 gallons. Plan Date S-Zq"°Y Number of sheets Revision Date n uti A- Title Size of Septic Tank 1 5 0 U q 4/(u^ Type of S.A.S, 2� 7@oA#, CA4,-gz.S Description of Soil fP 14 h Nature of Repairs or Alterations(Answer when applicable) �� S S pa') J Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has b Health. Si l ed Date !` Application Approved by Date O Application Disapproved for the following reasons t ,q Permit No. —[ Date Issued 6/4110 L w.. THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Compliance THIS IS TO TIFY, that the0 -site Sewage Disposal System Constructed( )Repaired (� )Upgraded( ) Abandon d.� )by I duS/=, 2 �c( J/ r� t W✓ S e lam,c '�N at � ( /Q^'^' `"�' 2� g'"^'�'S 6 6, j has been constructed in accordance with the pro lionspf Tit l 5 a the f r Dispos System Co struction Permit Tqo. dated Installer X-N,S; - -1 ��''� PV 0v'L�-jam Designer A C V The issuance of this permit-�hafll not be construed as a guarantee that the`system wi fu ct' n s designed. Date ! ! Inspector .-- NoL� L ------------------------Fee �O THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi!6po$al *p!6tem Construction Permit Permission is hereby anted to Construct( )Repai(-()Upgrade( )Abandon( ) System located 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 r�u f be c 4 leted within three years of th date of this etmit. Date: 7 Approved by o Town of-Barnstable °fj"ET°"yti Regulatory Services Thomas F. Geiler, Director b`9 � Public Health Division rFo Mn+°' Thomas McKean, Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304' Installer& Designer Certification Form Date: Designer: 1AC Di V( Installer: jwS tt.o Address: S A l)b t v t CA 04A Address: (?j o k 'N 2. t�L56 3 fes-_1 l.P- G 02��{�l On —64aUS i�, ✓.�� t� was issued a permit to install a (date) (installer) z . septic system at 13 (o _ (� av P_ based on a design drawn by (address) DA C ENyi dated 5 ' 2Y'- e (designer) I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. I certify that the septic system referenced above was installed with major changes (i.e. greater than 10', lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. J t fi1 � (Installers Signature) Q <i�a $ . a 091. sa ryY esign 's gnature) (Affix I7dsrgner�s Stamp Here) Ig PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE! WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. , Q:Health/Septic/Desiper Cda fication Form TOWN OF•B.ARNSTABLE r� LOCATION lVk`A%" � �� SEWAGE #GY ' VILLAG ASSESSOR'S MAP & LOT INSTALL ER'S NAME&PRONE NO. 65& - zwc- 'T'2= 5-" Wp SEPTIC TANK CAPACITY l�V Q- ~ LEACHING FACILITY: (type)Q I 5-0 0 (size)e c a �9C, S'� �• NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: � � COMPLIANCE DATE:!?,—/O d O y 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 300 feet of leaching facility) Feet Furnished by 0 i i F7 t ��MAO ASSESSORS MAP : 2 T TEST 'HOLE LOGS PARCEL : �00 C� _ ,��-- �'' SO I L EVALU 70R : � IA-1 } l i7 Jai NOTES: �i V'j ►f�S L�� . FLOOD --�-- E,D �� Z �xI l��O DATE WITNESS : ' �l✓ y� REFERENCE : i -� � � � �� / � �, - PERCOLAT i ON RATE: .-- 1) -the installation shall comply with Title V and Town of Barnstable Board of i / // �� ! l lealth Regulations. r�T D�ram'' TN r Oyo 2) The installer shall verify the location of utilities, sewer inverts and septic ��H2,ve0 H I components prior to installation. IA 3 All gravity septic piping to be 4 inch Sch 40 PVC at 1/8" per foot. ) g� Y � P P P 8 4) This plan is not to be utilized for property line determination nor any other >7 �J L9w'-A �' purpose other than the proposed system installation. 1�2 t ��`�� L��p�}Gr 5) All septic components must meet Title V specifications. LOCATION MAP �� ,�,�,) ►� 6) Parking shall not be constructed over H10 septic components. 7) The property is bounded by property corners and property lines as depicted. // — 8) The property owner shall review design considerations to approve of total number of bedrooms to be considered for design. Receipt of payment for the plan and installation based on the plan shall be deemed approval of the number of bedrooms. 9) The existing cesspools shall be pumped and backfilled per Title V Abandonment Procedures. 1041%, 1p, i� (,Y�, 10)d'roposcd leaching is to be within 36 inches of grade or provide venting or cut r /D�p - grade as permitted by the Board of Health. I �77.23 / w �� 11)System components to be 10 feet from water line. I \° SEPT i C SYS_�-EVj. DES i GN FLOW ESTIMATE r L BEDROOMS A► - i� GAL/DAY/BEJf�i00M -�'./� l3AL/DAY (2 SE,'T i C TANX GAL/DAY x 2 DAYS - �� NHL ' U E 150bGA LLCM SEPTIC TANK SC L A SOR? IOl YSTEM / 1 - S) D c N�t cam.: �� .. ,� i BOTTOM, ARE-A:2z x ",Lf ) F". ^►1 r4 . 1 �! t r Sl.._P r I C S Y S 1. M SEC � IOU ,�. r 1 i / / l�_ --- � -v`�✓�'t � 4.L a ii OG / r u �e r L 6 t , - TOO ,�. /' I I I � � - •• �3 3 � GAL �' �., kti ---- — SEPTIC TANK Colol�2 N►E' — 9 Z �. '4`�► ° - S I TE AND SEWAGE PLAN LOCAT ION : 13 I ► -11�115 S ✓' 4 ✓ �TB�-�� ? PREPARED FOR : 0 SCALE: 111-Z DAV I D B . MASON R5 DATE : 5 Z � DBC ENVIRONMENTAL DESIGNS ; EAST SANDWICH . MA w DATE HEALT;� AGENT i 3 ( 508 ) 833- 2177 W Z