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Home My WebLink About0009 RAINBOW DRIVE - Health 9 Rainbow Drive, Centerville A= 188-130 No. 42101/3 ORA ESSELTE 10% ® o 0 I TOWN OF BARNSTABLE LOCATION y�4' ,Al0&d Dk1VL SEWAGE # VILLAGE !J i ASSESSOR'S MAP INSTALLER'S NAME&PHONE NO. e-3 S - SEPTIC TANK CAPACITY LEACHING FACILITY: (type) NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: i a Maximum Adjusted Groundwater Table and Bottom of Leaching Facility l�,l` —, Feet Private Water Supply Well and Leaching Facility (If any wells exist � Feet � on site or within 200 feet of leaching facility) �L ./ _ �- Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leac facili ) Feet Furnished by / / 6 - QQ , Z 112- _ 000 3 2ys � Z,3 y •I • 1 f No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppitration for Mtoozat *p$tem Cun!5tructton Vermtt Application is hereby made for a Permit to Construct N. )or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. # q ,P� � -7-7 �74 f Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder,(/dj Other Type of BuildingA4XCtA4LvxA. No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 1[ U gallons per day. Calculated daily flow 336 gallons. Plan Date J^��1 Q b Number of sheets Revision Date Title Description of Soil Af-4 aA,. t 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 provisio 'Ti le 5 of the Environmental Code an of to place the system in operation until a Certifi- cate of Compliance has been i ue by th oard Health. Signe Date Application Approved by s' Application Disapproved for the following reason Permit No. Date Issued —————————--———. ——————————————-- ———————— - --� THE COMMONWEALTH OF.MASSACHUSETTS w PUBLIC HEALTH DIVISION - TOWN OF'BARNSTABLES MASSACHUSETTS 2pprtcation for Migaal *p!tem Construction Permit Application is hereby made for a Permit to Construct(V)or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. Installer's N ame,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder,NA Other Type of Building fh 04_1FL46w+._a No.of Persons Showers( ) Cafeteria( ) Other Fixtures / Design Flo�wa .. �! U gallons per day. Calculated daily flow � gallons. Plan Date `off 1 ' Q b Number of sheets r� Revision Date Title /� n Description of Soil /1-Pil E 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 provisijueby itle 5 of the Environmental Code an of to place the system in operation until a Certifi- Cate of Compliance has been is tht oard Health. / Signe �. Y C-� Date / f t Application Approved by Application Disapproved for the following reason i Permit No. Date Issued 11W2j xi THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS i Certificate of Compliance - THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( vrollr repaired/replaced( )on by .'h cC D for A 4_ 5/M Ps0 A/ as D U/A16k a b onstructed in accordance with the provisions of Title 5 and the'for Disposal System Construction Permit No ated-if Z/— Use of this system is conditioned on compliance with the provisions set forth belo / 66 U/ )5(2 1 V E C4;-::- F 2✓IL(-e No. 6 �.J Fee THE :',OM ONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS Miopogal *pgtem Construction J)ermit Permission is he eby granted to I) F C U to construct( y)repair( )an On-site Sewage System located at 2_0 1- 7 R w5 2AIIV �oU) r?. 1UF.. (' 'A/%r-... VILLF 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. All construction must be completed within two years of the date below. Date: T�/l Approved by i UESI&W DATA 79E£C 1 of 'j- R.. SI►J E FAMIL :g 13CD..eOOAAS j GA28A6E GRa1J m FL0Y� -. xllo.,:,'35a, p SEE PLAN CIA SEffil G TA rJ1l, �OX7 b, ; loGD GPI LOT � I�'e3oc CI ecL-- LEAct-4 r u G s s nn.�zto-3ac�iyIlrr�ea w/sTON& APPLICATI09 AM 2EQW992 �gl ^� '/A APPLICA-ROIJ AREA' 12' X 38 4:S& MLOLAT1014 IZATL- I"IIJ2.44 14 044 --- _. ... . .. . ....��:..._:._. ._. . �dc 4 PVC INF)LTrz-47bT1$ T�TA►L of D gM4L NOF OF �iauaa ' SUIAN ` _ ,. i3"PE►s c*jc- AM SrcWE NAXTM r AL N0:29733 v, u�� ,. yo am CIVIL : . o c�6 vb�',� ��.� 12 3I4' tp� �ONAL�`��' Wllun+ ri3� inth ` pvc, Sv33oIL �aC. Ao 1 '5 N t 4DOrIJJ 41 n SAu� L 1 ��el v INS. I I d 6 &AL 25'6 ' G z"o1 .. 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