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Home My WebLink About0002 CROCKER STREET - Health 2 CROCKER STREET,CENTERVILLE A=210.139.002 llll elca® A* UPC 12534 No.2_ 153LOR � HASTINGS, MN i No. O �/7 ~ ' s y Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Application!17 for dig aal stem Con5tructton Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System El Individual Components Location Address or Lot No. 7_ Owner's Name,Address and Tel.No. `7 7 �.v a�2✓.�E 5 G N V L 2 a L'`a 41. Assessor's Map/Parcel 2 f p/ ��- Se C-,6N.G4 dlsl Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.7 7d�—c, ¢1/ySs.t XV k— .� z,40�I Type of Building: Dwelling No.of Bedrooms 3 Lot Size 4-1' a>5 sq.ft. Garbage Grinder( ) Other Type of Building %& /.x- No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3 u gallons per day. Calculated daily flow 3 rl gallons. Plan Date e_f-5?S' Number of sheets / Revision Date Title 'ei i nal 1�G�►w Size of Septic Tank /S yy Type of S.A.S. Description of Soil -,A•i3- = f G ns.h Nature of Repairs or Alterations(Answer when applicable) 5 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 and of Health. Signed M Date 1041 Application Approved by Date 31/ Application Disapproved for the following reasons Permit No. Date Issued -`� ' THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ? jE 'y dated 7 -9 Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date _ _ , Inspector t Nam. to, o s q. Fee ✓ j THE COMMONWEALTH OF MASSACHUSE MG Entered in computer: Yes y PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 7 ZIpplication for dig aaf Stem Construction Vermtt l,3. Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System El Individual Components Location Address or Lot No. Z �� Owner's Name,Address and Tel.No. (=JV_N_I46ZV,4_4_c�- SGNV L2ox 47v 41 G.a, Assessor'sMap/Parcel Zf•p;1 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7IS— 4 LGa u� Type of Building: ��^^ Dwelling No.of Bedrooms 3 Lot Size ¢OT d> su.ft. Garbage Grinder( ) Other Type of Building%/ram No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow '3`l gallons. Plan Date Z^ -e-t- Number of sheets / Revision Date Title Size of Septic Tank Type of S.A.S. l Description of Soil n sa h.. t. AA% C�n 2 sue• �.a..�l - l `;,2,5E �w.t.r� \ Y ' r eh Nature of Repairs or Alterations(Answer when applicable) 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 At' Bard of Health. ° Signed Date — ApplicationApproved-lay Date �'19 Application:L7`isapproved for the following reasons 1 l E Permit No. Date Issued 3— `�_ 9 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of Comphance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.- 98&y dated 3 Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date G ' S " 7 g Inspector r --------------------------------------- - Fee �l�d. �•r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE: MASSACHUSETTS x1i6pozat *pgtem Construction Vertnit Permission is hereby granted to Construct(X)R pair( )Up rade )AN don( ) System located at Z C �F G✓ .f p'P�� `' l /(A 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 must be completed within three years of the date of this permit. Date: d" _ Approved by --5 TOWN OF BARNSTABLEj LOCATION Z04 Z, ) oc- ��- SEWAGE # VILLAGE �c.nt'��G2v► I ASSESSOR'S MAP & LOT Z►°-13q-ooZ. INSTALLER'S NAME&PHONE NO. � )-) SEPTIC TANK CAPACITY LEACHING FACILITY: (type) eLZ�3F,'I Ir A40 rS (size) NO.OF BEDROOMS BUILDER OR OWNER < PERMITDATE: - COMPLIANCE DATE: C - r 3- 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 300 feet of leaching facility) Feet Furnished by 3' b� 39 �I a ass 3 a 9 '6" Iq a S _ 4- L 4: ' { �� : �;�- 1 `_ .� c.l�. �3 . 7 '¢ -;-, • �� c:��_ M` + fix,.: .._ it .� 1 _ _ ,� - { i � s I i I , `� i t -, 7 Lot r �nR fi i-, 8455 sf T e ' / l�i0 i 4 4 5 S7.> •� 1 fib' - � -- � . �.. � � i_: i I a � � , • r t i .. p I 1 r , - - _ 1 8 s, , : i f tic. esign t r a , leeching 330- gpd _ task 1500'_go l ; f; Ching- area-' r: Note: A11_. work to' conform. - r r 5 37-5x 74: _277.5_-- to the minimum: requirements. r F : i� 1�_4 i , x74�i-118:4 of Title V _ a 1-1.each-in ' 3 9 6,0 -gpd-, posa no . • , 6° Cxocker I i _ Yariab 1 �is�h._ • i Profiles ' no scale77 f -;- r ` � , ,- - Kt' .� to t+ n _ ►4i� ry _ a.�. ._. '-f __ vU u ✓ova? .Gc...Cs�r. C� G ! I T 1 r •i :��-ii•r GEC,rCA Vfs�. ._ - (J.t2lLJ � c,.)U GJ�J. _ (s✓•�Gi.G? ,�„1 j ;._ r _. Fvs LoveL . i 8 h-igh capacity- infiltrators F '_ ,$• __. two bows with 3 ' of stone t' 3� a�' - t_ _ end. _middle as. shown._ � i YrwtT i s i �� I •1 , l t a, - � ._: _. .. '. Q U`,�.rJ a/ j ..�Q�.►t'— --- .. C,7 O Q U<2:Q - ? , v ! 1.� 1 � _ . . .0 �.7� is G.. i4 '/�,° -ST 0.►,► �' .d C1aR .PD _ qt-.Q.-d. , r {_ '-'' i _��._ _.��-_i��i°_sN u _� ' .Gt.i:�.-C'•G�-�iC sd�!Sate f•�� / .��t.._., 1 { _. _._._..._. _ ._--..-_. _.._ �..__.. __ �-c s--.uC�.,'�...4-r.�_s.rGl_..-.. I _-- -- -- '-' s.�rc?`-c2 -. _- �i ..--1-=•-: r -- - -._ S• r t > i Site Plan of.. Land in Centerville, MA For: Schulze.. Building C.o. ;. I 1 , - Being lot 2 as" shown on--,,a plan, in" book 2 P .. .J , _.. 210:pc•1 _13�9 _ g , . . . tt jritP$974- -- -- page _ ._ ..- 4 3 4 - 3:E�-. . e 7,-10'-.9 7, i Elevations' are on NGVD .Dunning i } - ' water encountered r; �41 r - E ro. less'.-, 2 nin pe:r. 1" Date' Agent. Barnstable board of health.. IT P 2 Scale 1�!._40.1 _._ -Date 2-21-98 In 4 t A1.1 Cape. Engineering, z ""� 4 Harbor R r 9 o,r d ' r ¢' Hyannis,;..-MA 02&1 PIRG 'GjlLw�D, _ ;. r , OF �r Ci ea xsd OBERT.M.cy�NJONN FITZGERALD �, ILNE w C R CIVIL .,UQO V7 41, STE�� /0 AL ENG\ 1 ir.. 34.1? �\�