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Home My WebLink About0041 CATS PAW WAY - Health 41 CATSPAW WAY, CENTERVILLE r A=192-116 CIIII IN 3 UPC 17534 No.2153COR �,,ro ' HASTINGS, UN No. / T_I? 2_ Fee /4_6 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 2pplicatiou for Di5po! p5tem Con.5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location AddKess or Lot No. Owner's Name,Address and Tel.No. Assessor's Ma azce�p � ta staller's Name—,, ess and Tel No --C6 J C ' Designer ame,Address and Tel.No. `J MeY, b�er-�-s Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow :�5-30 gallons per day. Calculated daily flow 7" 95 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 1;�fS`t N -(17Z70 Type of S.A.S. G7 cL. Description of Soil Nature of Repairs or Alterations(Answe when applicable) �1�-ST�-� 1 s11t✓�t/ -- 1 O}� A�Q oov l Z-1 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 is B d Sign tt Date Application Approved by G� Date 5V Application Disapproved for-the following reasons Permit No. r_ Z Date Issued TOWN OF BARNSTABLE 1 :,.1OCATION . C W SEWAGE # �• YILLAGE ASSESSOR'S MAP & LOT.Q.�'i:._ `.INSTALLER'S NAME&PHONE NO. >;:.'.SEPTIC TANK CAPACITY :::--LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER Q Law,2ccd Cir�tAra PERMITDATE: - -4'B COMPLIANCE DATE: eparation Distance Between the: Maximum Adjusted Groundwater Table and 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 thin 300 feet:o£, aching facility) Feet TV C I _ 15 . A' No. / lJ _ _J Fee V I / THE COMMONWEALTH OF MASSACHUSETTS Entered in compu er: Yes PUBLIC HEALTH DIVISION -TOWN.OF BARNSTABLE., MASSACHUSETTS 01ppfication for M1.5 0!5 *potem Construction Permit F Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 'Assessor's Ma / azcel � �� tl --Ph 1;� fir► s _"Installer's Name;AAdd ess,and Tel o. 10-C P ` t Designer' ame,Address and Tel.No. 1' n Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( )' Other Fixtures Design Flow 30 gallons per day. Calculated daily flow r�� gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank 5;ZnS`t�.(on7 Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) O.�✓ l� L i t r L v c,,- /S 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 is B d Sign Date Application Approved by L- - Date Application Disapproved for the following reasons Permit No. Date Issued .—_--- ----- —— ------------------- THE COMMONWEALTH OF MASSACHUSETTS/ N p BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS T9_CERTIFY, th the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )by �1 C s I 4 " at has-been constructed in accordance with the pro isions of Title-5-and the for `Disposal System Construction Permit No.`-�3 11 1.'dated installer .a(,r V i�(-) t. Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date �"! tin Inspector a , —�✓�?� -------------- - No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS mig;pozar *pgtem nOruction Permit Permission is hereby granted to Construct( )Repair )Upgrade( )Abandon( ) System located at Z 1 CCU S'Pa LAJ n U r t j l 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-coriditions. Provided:: Construction must be completed within three years of the date of this it. Date: /'/ d" Approved by �� • ;�. .� 1019197 NOTICE: This Form Is-To B e Used For the Re�pa �O�Failed Septic Systems Only. A D APPLICATION FOR A CH AN CERTIFICATION OF SKET ' ORtCS CONSTRUCTION PERMIT (WITHOUT DISPOSAL W i ENGINEERED PLANS) j ql�Z hereby certify that the application for disposal works Permit signed by me dated �� 9 concerning the t constfuction perm ; meets all of the petty located at . f oMng criteria: Pro no wetlands located within 100 of the proposed leaching fhcithy i } private wells within 150 feet of the proposed septic system i •There is no home in now and/or change in use proposed �JUN ere no variances requests a'needed. i inching(iscility a{II be located within 250 feet of any wetlands,the bottom of the If the propt»ed located less than fourteen(14)fat above the maximum adjusted proposed leaching facility willam be groundwater table elevation• ! Complete the follonieg: please comp A)Top of Oronnd Elevation(according to the Engineering Division a.i.S.map) Table Elevation(according to Health Division well map) t B)Owed aroundwatet O� I DATE: -49� slam. f UCEM ED Sp Pi'IC SYS'fE1N FALLER IN THE TOWN OF BARNSTABLE NUMBER lAttseh O newest ptae Grew Preps»+ryrtan.Airs IttM iteanrad installer Pon see•""Mad plot plan. I this plan should be submkted)• i OWN OF BARNSTABLE i�'kATION L G> SEWAGE # 0 " '�•5` 3 VILLAGE ASSESSOR'S MAP & LOT �(� INSTALLER'S NAME&PHONE NO. R-�'-tr•1 � � SEPTIC TANK CAPACITY =- LEACHING FACILITY: (type) 9 ild Ba' __ (size) NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: OMPLIANCE DATE:�t�—It, Separation Distance Between the:- Maximum Adjusted Groundwater Table and 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 30p,,feet.Q€ eaching facility) Feet Furnished,6} :1I 2a �1 No.......... Fim$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD PF HE T -.....OF.......... Appliration for Disposal Works nstrurtion Prratit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal Sys ............ .- ... `:.%./ ..... ................. Location�t dress or I,ot No. • ... - �i.<�� —s........... VVV ..................... .............................................. -..._ .. wner --- Address W a6E..... -.-.--•------•........................ Installer Address UTyp of Building Size Lot---- ��C_ -_ ._Sq. feet Dwelling—No. of Bedrooms..__._.._,��............................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures .... .......----•------•------. W Design Flow........... . .......................gallons per person per day. Total daily flow...........1�.....................gallons. WSeptic Tank—Liquid*capacityZons Length................ Width---------------- Diameter................ Depth................ x Disposal Trench—No................... idth....... Total Lengt .....__ .......... Total leaching area....................sq. ft. Seepage Pit No.---1 r. t .....•. Total leaching area sq. ft. Z Other Distribution box ( Dosing tan' 4 Percolation Test Results Performed b . &-ems.`,�_�.o<A._.-.=.. a Y l , •,- - � `�1-------------- Date-�eZ=C -7 4 Test Pit No. 1................minutes per inch Depth of Test Pit---- ..._........ Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ + - .... -•------------------------------•...........--- O Description of Soil------��- '' `'` ^°l. `k � = _ �.�.? .,, ' - - - - x v V ----------------------------- •------- ..._...-------------------- ---------------------- •------------------------------------------------------------------------------- -------•------ 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 TITLL 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. Date -------------------------------- Application Approved By..... /...•••••..L � d �� Application Disapproved for the following reasons:.............. .-. ....../Z.."--�---'7- 1211 .....----•----------•................................................•-•---..Date•............. -------------------------------------•--...------------------.........••. Date Permit No......................................................... Issued-.-¢-='� ''� =7-�------------------ Date ,77 N /3..................... THE COMMONWEALTH OF MASSACHUSETTS B 0 A R D JQ F H Z,,6 L,/T�q V ......... ... ..._0F... ................................................................................... Appliration for Dispaiial ]Vorkg utilrurtion "amit Application is hereby made for a Permit to Construct ( or Repair an Individual Sewage Disposal System 4� S� ....................................................... ------------ -------------------*------1*----------------- ------ Locatiom,t ilddress or T&ot No. ........... ....... ..... ............ ......................... ...................................................................... wne �14 Addr;ss .................................................................................................. ................................. ---- _'s Address Installer Al Ty..p-. of Building Size Lot... Y.-Sq. feet U Dwelling—No. of Bedrooms.......... ----------------------------- Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Other fixtures ....00$01000% ............................................................................. ---------------------------------- Design Flow.........._1.0-----....................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacityf"_ _-Itallons Length................ Width.......__._..___ Diameter_--________._.__ Depth............._.. Disposal Trench—No OVidth......;�.-:..... Total Lengt ....... .......... Total leaching area....................sq. ft. )�kzr.......iiA��p Total leaching area..................sq. ft. Seepage Pit No------------------ 040% ------------------- Z iO ther Distribution box Dosing tank 7 -6 -77 Percolation Test Results Performed .............. ............... Date./A......-........................... Test Pit No. I................minutes per inch Depth of Test Pit.._........_...._... Depth to ground water.._._._._..._........__. Test Pit No. 2................minutes per inch Depth of Test Pit..._._.......____... Depth to ground water......_.__..........___. ...........= 1................•------•------...:........_......_.___._d......__.__.__-----___.C.----.............._............. 0 Description of Soil...... ....... .......1:2....Q ................................. W ... V U -------------------I—---------------I---------*----------------*11-------*------ -----------I—----------------I----------------------------*------------- ----------------1-------- W ................................................................... .............................................................................................................................. �4 U 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 TITLE 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/bb the boar l of health. Signed .......... .................. ...... ..........6..1.1....o .A......7 . Date Application Approved By. ...... .......... . . . ... ................................. ....... .... ........Date,, Application Disapproved for the following reasons:............................... ... ............ ...... --------------- .............. . .......................... ........................................................................................... ............ .............................................. ..... . ............................. Date PermitNo....................... .......................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE LT .............................0....... ................................... Trdifiratr of Toutpliatta THIS IS TO CERTI � , T the Individual Sewage Disposal System constructed t;�- or Repaired by.........................I................. ... ....... Installer------------01 ......... .................................................. /W------------------- .. ...... at............ --------al:............... ........................................................... ....................... rVIE ,.T a,# ............. ..... 94'�� . .......�_.f ---------------- ------------ ------- .... . has been installed in accordance with the provisionseD I-T 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.C�, 716 ........................................ ........................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........ .................................. Inspector----P... ............... --------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL 7' 0 F..... ........... ...................... No......_...-5------...... FEE/...:!!n............... Disposa 1varks T tr ion "amit Permissioni reby granted..... . ..... ...................................................... .. ........................................................ 0- Repair to C ) or Re !air n Iild'yidual Sewage ns'ru p Syst 0 ge Disposal Syst at No...4.....&-,X------ ..4w......... ---------- I ....... ................................. -7" street as shown on the application for Disposal Works ConstructioY Permit No 0.......A............ Dated.... ---------------- 7------------------------------------------ 2 -7 Board Health DATE........ .......-.65.................................................... V FORM 1255' HOBBS & WARREN, INC., PUBLISHERS tic- T .t. ;:7 L OO,k/ : l 10 x 3 = 3 D G.P.D. I' �E.f'Tt r- -rA"1L = S3Q v (Tj 0 P.0.' U4,4- loOd 6QL . ,9 SPC--AL. PtT ust= loot GAL �CpEu/Q.t-1.. ArZE.A = l5D S•t=. � � TUT'AL -7-)ESIGK1 = 425. G•VU• TOTAL- -C>A.t 33P6PU �� 4'All GEfZGDL�TID►..I CASTE .: "tu 2Mlu• 02TA_�Y�. ' v. m IT I t 4 ;st; se f' /tea •i a � , 'r1=5T 9 Tor i7wo L l o o.c> 4. IIJV.`4T• OD cue '8OX 9G.4S SEQTIC �;. �14 o sa, INV. i� T"otilK (� 1 D00 95,Ae LiNy. 1Wv-176. LE Arc 14 A I c�cn►i FtT ; p 5/1NbY WIT41 p} R 6 env�1_ 1'�aj4 l'li WASLIFED 57p�.l� 1 1,91.7,f C,atZTtFtELD Pt_aT PL.A,1,j PczoF`1 L. L 0C-AT1 0t�1 IPN.�40 -77 � No WATT-M 10/4 —7 4 G<;tz'1j=-- T14A7 TNr~ �-OtJ1aUAT Oty5uoru►J ��u�E z�:cWlPL_VS W►Tt4 TW;Z 5(VE �c►-�� i_ o T c. fl� A4" 4'Gc.Q rQ.&VE"Ts of TNe—. PATG �1 Gc B/S.XTCZZ. 'c,` I.l'la t�-1G_ �ZEGI�, r'C_RETU LAIW0 >U2v'�`(ucL�, MA I _1,,rl?J•En l�t•l i .iUG /t?�' "(tIG c:Fi=�ET�, �t 1GwLD t1�{a l_1 G�.hJT t_aT t-1 WEE S �Ap +✓ lr�/i E vE�. 1',0'' �f � 'Ajii.i � •.ems LO CAT ION („ I S-EWA G E PERMIT/ NO. VILLAGE INSTA LLER'S NAME & ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED c _ - � �� ,,,_ _, � � �� l` � �� ,�� rf � � ��, t �