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Home My WebLink About0149 RICHARDSON ROAD - Health 10 RICHARDSON"P AD CENTERVILLE A = 210 166 Owiford, ORA e. ® 10% TOWN OF BARNSTABLE LOCATION I LI 1 R �c�.�r t1S®aS R� SEWAGE # VILLAGE Ce.3'r, 4Ake ASSESSOR'S MAP & LOT Z 10"1 INSTALLER'S NAME&PHONE NO. SA,VA" AR9jLe)5 SEPTIC TANK CAPACITY I®co C..6,I LEACHING FACILITY: (type) CLw\aj�s 3 (size) J500 G-a1 NO.OF BEDROOMS 3 BUILDER OR OWNER Lei Jan wlI o Y,,F- PERMIT DATE: COMPLIANCE DATE: —7-10001 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 feayf leaching facility) Feet Furnished c�G 33 a t , TOWN OF BARNSTABLE LOCATION`1 Y2 Xt C4cilr1,S 0vr fij SEWAGE # VILLAGE I t'��r �� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) j'r � (size) NO..OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes N ` 9 Wo0'4/nZi . 1- CA n , No. �U� '� +� ! Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: s PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Z[ppYication for �Dtgpozar *pgtem Construction Permit Application for a Permit to Construct( )Repair( . )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. kt; ,ARDSvN Ro v fl i Owner's Name,Address and Tel.No. M A i-A KIA0 F F L %L Assessor's Map/Parcel ,-y / �y f� C W,- 0A& ..1 ` 8 O a a Installer's Name,Address,and Tel.No. Lc' P�� ti��L(� Q� Designer's Name,Address and Tel.No. ?ky M04TK +MA tm 1Mo 4T6 1%4 SOS aq S ? Wo Ra10� euN\) ci 5- 76o Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building Res No. of Persons a Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank /®O® G-41 Type of S.A.S. Description of Soil 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 this Board of Health. Signed Date t Application Approved by Date Application Disapproved for the following reasons Permit No. ��— Date Issued �� No. �U� `f L� Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: s L` PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication for Migooal 6pgtem Cowaruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. /Nq P, tC,,i�9,D SoO ko a Owner's Name,Address and Tel.No. LE V m A t_A K�O( F Assessor's Map/Parcel AAk -7-71 _, 5 Installer's Name,Address,and Tel.No. 1 \ C�71,t 1 J/ (ti Designer's Name,Address and Tel.No. (9 S Q V y (j 4 R,06 =WV+MRy t `A oa3� 508 s fR a 9 s- �760 Z Type of Building: Dwelling No.of Bedrooms .3 � Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons ' a Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets 1 Revision Date Title / Size of Septic Tank /o o° Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees toyensure 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 issuied by this Board of Health. Signed !, Date Application Approved by Date Application Disapproved for the following reasons Permit No. "' Date Issued 21, Vol ---------------------------------------- C THE COMMONWEALTH OF MASSACHUSETTS 1 BARNSTABLE, MASSACHUSETTS Certificate of Compliance ` THIS IS TO CEeKTEX I that the On-site SewMe Disposal System Constructed( )Repaired( )Upgraded( ) Abando d( )by at 1G19i , ✓ ,,c. has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit Ng .r .. '..cated Or�•� /— , Installer Designer n r r, c7 The issuance of this permit ssh 11/not-be.coits ed s a guarantee that the system-will f,function as designed. I I Date l l f�C v Inspectorl�! � / os�!`>�` ,�, �,.+;�' ------------------------- N 4 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS iniopozar6potem Conotruction Permit Permission is hereby granted to Consttru, ct(/ )Repair( )Upgrade Abando System located at 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. X, Date: %d'¢ `o ; �' Approved bye NOV-20-00 09:219 From- T-699 8.02J031 F=72II p� yy �p e� r� .,x�-9 ��710TICs"-:, a Thus -Pon-. Is �T-`) Be 'ITS �3 ?iAz d'�L�` �reR_'_C s-a g+-�y_� n _ �d? Ld�—e L flGe3-S-'J'.G 9GL G.a.. .V - 3�6 a ,_ -'�..3P ern s�3i vli s✓bPa SepA.' I . ar l��s�..[�a a �� z-ate:�1'��r`��-��.,s{.'t��• ;�T��'��n�"��:a�� "OVORKS CONSTRUCTION PERRM-IT ��HOIJT DFSIGrr D��LA!�" - _a � hereby%certify that vile applicatinfi for disposal i onk Consituetior:perr,�it signed by me <<atedA� 6OncemLng the property IOCa: Q at I LI 1 meets all ofnhe giz lowing criteria: This failed system is co:-,netted to a:esidentisi dwelling only, There are no commercial or business uses assor:z._s:with rtic dwelling.NJ The soil is classified as CLASS 1 and :c percolation rate is less than Of equal to 5 minutes per inch. -mere are Po wetlands within 100 feat of the propo.cd septic system c Thero are no private weiis within ISO fees of the proposed scVic system e There is no increase'iit flow and/ar change in use propos � There are Mo varianMg reuiaested or.needed. The bottom of the proposed leaching fscility will not be located less than dive feet above he maximi m Ji)St�d groundwater tagMe elevaiioP. idjusi the groundwater table using the Fri9npYOT{T3eti0d W11E^ applicable) -. .r If t1iC S.A. w:ll'oE IoCcted euIYdi r�_ IC&of wn ve-elated tYetla.a'- L m of The proposed y ':aJ,the.E.tv�'LL lE3Clii7i�far ility will not lac located ass th lr—ur!e n/ .� �.. ir71 Ld t!�)feet above tine maxim Ground I'mer table eleva.,on.ft. , } asvd Tease complete the following: f3) Top of Ground S rfatE ie all (17S,inE l3 intOYificiis�t�% B) G.W.Elevation 10 +Lhe MAX.Hi G.W_Adjustment. .3g� _ 6 SIGNED: DR s-: *4- NOTICEfl il'lysse SAefi;proposed plan of systE tl 9C cy. 1 Based upon the above info.: i pit- will i,sued for _3;:=� �7 r _ a PC Permit bi^ -. be maximum. No additional bedrfeffn¢are n 'ru-m-fe !o'-'!engine re _e'�t3 vsIr n^!an$. authorized i t••- ,,,v will ,,•- a ,�� b a:heal@!!-bid crrr - + At All ti LEAC>11ING CHAMHOiS IIS"MBUMN SOX 1000 GAL. SET"71C To4Pqmj' RESERS MEA 0/ ran py caa 41 Gtl DR WIVIA o.01 ......... Z...... ------- Ft TOWN OF BARNSTABLE SEWAGE # LOCATION ASSESSOR'S"MAP & LOT Z VILLAGE INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY size LEACHING FACILITY: (type) ( ) NO.OF BEDROOMS 'BUILDER OR OWNER COMPLIANCE, DATE: PERMIT DATE: ----------- Separation Distance Between the:.,, Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet wells exist (if any we Le hing Faciti. vate:Water Supply Well and ac Pri Feet on site of within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlan ds'e)List Feet with�ifi.300 f of.leaq.hing facility) Furnished.by ft! A P"0 J, J -Mr It ................ �CD of.leaching —Y-4—� 3-)