The URL can be used to link to this page

Home My WebLink About0030 STANLEY WAY - Health 30 STANLEY WAY CENTERVILLE A = 228 109 Ow ord, NO. 1521/3 ORA ;;,� 10% TOWN OF BARNSTABLE �► LOCATION 30 a trAiV 1C—•/ W4 SEWAGE # aQ00-7I.S VILLAGE C(-vO L 2✓t I16 ASSESSOR'S MAP& LOT e INSTALLER'S NAME&PHONE NO. N ohs N SD/� SEPTIC TANK CAPACITY 15 a LEACHING FACILITY: (type) ,;2 Q(1,U (S (size) 2 X i I t- aS IVO:OF BEDROOMS JJ BUILDER O OWNER . (/�- clrl- PERMITDATE: COMPLIANCE DATE: 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 leaching facility) Feet Furnished by �2vwk . :o.� �ousC `" . . .. r � l �. �. . 07� r \ r, _ "� . �. t� �e f No. c9�)--7 CAS Fee$5 0 ✓ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Mopont *pgtem Cougtruction Permit Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) ❑Complete System O Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 30 Stanley Way, - Centerville Charles Price Assessor's Map/Parcel Installer's Name,Address,and Tel.No. l/ Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P O Box 1089, Centerville Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons 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 Type of S.A.S. Description of Soil c a,, a 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 oar of Health. Signed �i t l Date ,o�Z`a,Z?_,jL-.e,- Application Approved by It...Q2.e �C.�t1Li-�t�P Date ,�>q oo Application Disapproved for the following reasons Permit No. ZQ0Q_-7(os Date Issued rf TOWN OF BARNSTABLE 11 LOCATION 3 G ;try�V�c-,� tv��l SEWAGE # Coo 7 LS i a VILLAGE F c 2,-t �6 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. CS-OLeli S01A) ��i 7 75 � SEPTIC TANK CAPACITY 1 S c� LEACHING FACILITY: (type) 2,_iJ R iw l 1 S (size) x i 2 n 2S . . NU.Vi"tSCLt(Wt'r1J BUILDER 0 ^OWNER PERMITDATE: COMPLIANCE DATE: l'1 CDVt n?c Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply We11 and Leaching.Futility (If any wells exist i on site or within 200 feet of leaching facility) Feet 'Edge of Wetland and Leaching Facility(If any wetlands exist K" Feet within 300 feet.gfaeactun8;facility;).. .. Furnished by J � S 1 'L No. v Fee _ THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ° Yes PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE., MASSACHUSETTS 0(ppricatton for Misspogal 6pgtem Construction Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. AssAsbr's4aR99&Y Way,,,Centerville Charles Price Z2$— Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P O Box 1089 Centerville Type of Building: Dwelling No.of Bedrooms 3_ Lot Size sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons 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 Type of S.A.S. Description of Soil an 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 Caode and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Board f Health. Signed �` Date ��_s-G Application Approved by 1/ b � Date Application Disapproved for the fok_owing reasons Permit No. c Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Price w . Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) Abandoned( )by , W _ E. Rebinsen S ept, e Servi„ at has been constructed in accordance witvL h the provisions o Title 5 Adthe for Disposa System Construction Permit No. _-:�co dated 1,n iT o Installer WXR. B. Rab ions^a S r. Designer 1 „r . , The issuance of this permit shall not.be construed as a guarantee that the system will function as designed Date Inspector 4-'1 F)-1%1 l; ,4 w --------------------------------------- No. Fee $5 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Price Mioozat 6p0gtem Con.5truction Permit Permission is hereby granted to Construct( )Repair(X )Upgrade( )Abandon( ) System located at -a a ii , y ., Stanley Way, v41�iL�rL Y�1i1V 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 thr�;years of the date of this permit. Date: Approved by .1 "• 116199 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) �. Williatn E. rRobinson,S%aeby certify that the application for disposal works construction perimit signed by me dated el�Z —r`F" , concerning the 30 Stanley Way, Centerville property located at meets all of the following criteria: • The failed system is to a residential dwelling only. There are no commercial or business uses associated with a dwelling. • The soil is classi6 as CLASS I and the percolation rate is less than or equal to 3 minutes per inch. There are now within 100 feet of the proposed septic system There are no p ' atc wells within 150 feet of the proposed septic system There is no i in flow and/or change in use proposed • There are variances requested or needed. • The bo of the proposed leaching facility will Mt be located less than five feet above the maxim adjusted groundwater table elevation.f Adjust the groundwater table using the Frimptor meth when applicable) • if S.A.S.MR be located with 250 feet of any vegetated wetlands,the bottom of the proposed t hing facility will not be located less than founeen(1.1)feet above the maximum adjusted g dwater table elevation, Please complete the fla"ier. A) Top of Ground Surface Elevation(using GIS information) B j G.W.Elevation +the MAX. High G.W. Atiim ment.�±_7= DIFFERENCE BETWEEN A and B / SIGNED : 4 •..�"' DATE: [Sketch proposed plan of system on backl. y:heaM folds:Len l�