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Home My WebLink About0585 BAY LANE - Health (2) s 8qy Lan C - 18 7 - 60 S M E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAIBLE NA FORESTRY MIN.RECYCLED INITIATIVE CONTENT 10% Cer6fiedFiberSourcing POST-CONSUMER www.49mgrem.org SR01290 MADE W USA GETORG MZEDATSUEA MU i No. O �� <Ids' _ Fee THE COMMONWEkLTHCF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF.BARNSTABLE, MASSACHUSETTSTS n 01pplitation for Disposal 6pstcm Construction Permit Application for a Permit to Construct( ) Repair(Z,i. Jpgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.SSS .34(y L If I115 Owners Name,Address,and Tel.NO. Assessor's Map/Parcel i f V Installer's Name,Address, d T 1.No.,�,_ g•-%1r/ 5K7 Designer's Name,Address,and Tel.No. 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(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) `/(/,5r & &44 L .D ` OTC 0-&/& n 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 Certificate of Compliance has been issued byy.this Board o Health. DatA Application Approved by I Date "1-- Application Disapproved by Date for the following reasons s Permit No. 20 ( Date Issued TOWN OF BP.RNSTABLE 0 P IdI310ff • LOCATION T2Y (39c/ SEWAGE # VILLAGE ASSESSOR'S MAP & LOT 237—QTS0 INSTALLER'S NAME&PHONE NO. f422-y240 ZZ SEPTIC TANK CAPACITY /SDO // // LEACHING FACILITY: (type) J':5^00 !,00,(��0dS (size) NO. OF BEDROOMS S BUILDER OR OWNER u//¢EL 4I-or PERMITDATE: /D -20-62.S` COMPLIANCE DATE: /0 --411 - 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 leachin faac�cili��y) Feet N-414-2 Fumished by !�4 �tov 0 � f. •b� LOCATION S WAGE PERMIT NO. i_s Berl ,'VILLAGE O£v)'i-- SILO INSTALLER'S NAME i kDDRESS S U I L D E R OR OWNER DAt-E PERMIT ISSUED DATE COMPLIANCE ISSUED 1� -Xj g _. • �, f �y �6` I'� � � � �y �,� �G�/ �sP POP No. C) �- /�i� /� �/ Fee---- THE COMMONWEALTH OF MASSACHUSETTS `l PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS 33isposaY 6peitem Construction 3permit ` PermissiYihereby granted to Construct( )3 ram'rRepair(,.r') Upgrade( ) Abandon( ) System located at l rr 5 �/_�t��Gi' !" ,/.�'N/= and as described in the above Application for Disposal System Construction Permit. The.applicant recognized his/her duty to comply with Title 5 and the following local provisions or.special conditions. f Provided:Construction must be completed within three years of the date of this permit. Date C1 T y r�' _ Approved by `--~� No. 20 � av-5 'f-. Fee t THE COMMONW9A' TH .F MASSACHUSETTS Entered in computer: Ygs s PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE MAS ACHU ETT t �. x fipiitation for Misposal 6pstem Construction 3permit . Appfication for a Permit to Construct( ) Repair(()"Upgrade( ),.Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.s'$"S` N;l(� f¢/1� Owners Name,Address,and Tel.No. j C,>Ix0,i s w140411r11__1 Assessor's Map/Parcel fA 7_4 V Z//; f _ Installer's Name,Address,and Tel.No -��/ �f Designerp s Name,Address,and Tel.No. Type of Building: r Dwelling. No.of Bedrooms <Lot Size sq.ft. Garbage Grinder( ) f.. Other Type of Building No.of Persons Showers( )`Cafeteria( ) Other Fixtures Design Flow(min.required) /V / gpd Design flow provided ' gpd r t Plan Date Number of sheets Revision Date k Title Size of Septic Tank Type of S.A.S: Description of Soil Nature of Repairs or Alterations(Answer when applicable) !/ �� , �f=/�j 4�2 -3 10% �r 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 Certificate of Compliance has been issued by this Board oS Health.Signe ;? ; [^ J ApplicationApproved by t ��/ , V,){% Date Application Disapproved by d Date for the following reasons r� 2- 1 .ry )NIPermit No. r�0 2- 1 — a Date Issued" THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS , Certificate of CoWiance f,41-)r1-1,11 THIS IS TO CEERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) } Abandoned( )by at 4`ix S" % ,d4IV•�.4e/ P '�/ / �'l,�i f/�/= has been constructed in accordance with the provisions,of Title 5 and the for Disposal System Construction Permit No.)C)-)�/""3 `"-dated Installer t i Designer #bedrooms f Approved desigpXGws- / gpd, The issuance of this permit shall not be construed as a guaicantee that the system will function deMgned / . Date 7 1` .,/ 1 1 Inspector . Town of Barnstable Inspectional Services Department �A�tnisrASM MASS. g Public Health Division �Fc �a 200 Main Street, Hyannis MA 02601 Office: 508-862-4644 FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7021 0350 0000 1549'3969 July 29, 2021 WAECHTER, DIANNE - 585 BAY LANE CENTERVILLE, MA 02632 ORDER TO COMPLY WITH STATE ENVIRONMENTAL CODE, TITLE 5 The septic system located at 585 Bay Lane, Centerville, MA was inspected on 06/27/2021 by Chad Hathaway, certified Title V Septic Inspector for the State of " Massachusetts. The inspection of the septic system showed that the system "Conditionally Passes" under the guidelines of 1995 TITLE V (310 CMR 15.00) due to the following: • The distribution box is rotted and pipe repair is needed. You are ordered to repair or replace the septic system within one (1)year from the date you receive this notification. Failure to repair/replace the septic system within the deadline period will result in future enforcement action. - You may be eligible for a waiver from replacing an onsite sewage disposal system if your property will be connected to public sewer in the near future. For information regarding public sewer availability at your property, please go to https://www.townofbamstable.us/Departments/Assessin /g Property Values/Property- Look-Up.asp or telephone the DPW Administration Office at(508) 790-6400. Any written request for a waiver or extension must be filed in writing to the Board of Health, 200 Main Street, Hyannis MA, 02601 PER ORDER OF THE BOARD OF HEALTH mho�scn,�O Agent of the Board of Health y Q:\SEPTIC\Title V Inspection Report Letters Mailing\Conditionally Passes Letters\585 Bay Lane Centerville.doc