The URL can be used to link to this page

Home My WebLink About0090 PADLOCK LANE - Health (2) C A No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -,TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftpliLatlon for DIsvo£A 6pBtem t(ConstrUttlon Permit Application for a Permit to Construct( ) Repair( :'Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No: Y U fee 0tjc.S V r Owner's Name,Address,and Tel.No. CC*4 v�ll Assessor's Map/Parcel ( c0 S j 1�%a Xis Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building (PS t kk0k10.1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 30 gpd Design flow provided 3 H gpd Plan Date Number of sheets f Revision Date Title Size of Septic Tank yi 51 IN il Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) SQL/� 2 -Tbb OCA60 caomwz S 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 of Health. �^ Si Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. o "' Date Issued o;- No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Lor PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes 0[ppYication for Di4.06'saY *pstrm Construction Permit Application for a Permit to Construct( ) Repair(eupgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 11 T,{a rrr �vyt1S �r r Owner's Name,Address,and Tel.ct:N p Assessor's Map/Parcel I K 1 l Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 y v� ,rj. t Size sq.ft. Garbage Grinder( ) Other , Type of Building (PSG+�N410.A r No.of Persons Showers( ) Cafeteria( ) Other Fixtures �� Design Flow(min.required) 3'>Q `-,,gpd^ rDesign flow pr,"ovided �� gpd r;'�-ij. r%'. "i ..- Plan Date Number of sheets / 11 Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) _i�sF�/f 2 �seb GCa�1�Ca� (uom azys 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 of Health. e Signed Date r Application Approved by .. , �' Date ! ` r Application Disapproved by ( Date for the following reasons Permit No. U /" Date Issued ---------------- f � THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(!/�r Upgraded( ) Abandoned( )by JV,4 ,�l Ow ) . �1 A) C at �( ( Lt(P r� �pl�t 12, r 1 V y CAAnt�� fhas been constructed in accord ce P with the provisions of Title 5 and the for Disposal System Construction Permit No. ��f!" � d ted r`F .2— f Installer �. \ 4C3W ,)TrJC Designer �dC/ $C, #bedrooms 3 Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the systdm will function Date t nctio n as designed. � Inspector _ -.------ ----- -- -- ---- No. 6 x ' ✓31 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem �DnstrUctID1Y Permit Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located of Dlive ('FN# 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. Provided:Construction must be completed within three years.of the date of this permit. I t Date K' f►» Approved by Town of Barnstable Regulatory Services Thomas F.Geller,Director '"HAS& = Public Health Division �b019. ' A Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Date: Sewage Permit# Assessor's Map/Parcel Installer&Designer Certification Form Designer: `p _ tD 0, N4 Installer: •h fM I IA J � Address: �j�+�IdGGI Address: 1� 7Tb L Acc ? On J-L was issued a permit to install a (date (installer) septic system at L( J]A_f,-'r, D��,/ based on a design drawn by ,,A (address) P 4A ,Q!�_ dated (designer) I certify that the septic system referenced above was installed substantially according to the;design, which may include minor approved changes such as lateral relocation of the distribution box and/or septic tank. Stripout (if required) was inspected and the soils } were found•satisfactory. I certify that"the.septic system referenced above was installed with major changes (i.e. greater than 10'.-lateral relocation of the SAS or any vertical relocation of any component of the septic system).but in accordance with State &Local R •',3tions. Plan revision or certified as-builtbytesigner to follow. Stripout(if r? acted and the soils were.found satisfactory. OF Mgs /►�-� �� DAVID S nstallWs Signature} M �b ,... _ ...,�..-.. y..r.•NM..�._..�_,... ... .. _ rv-.J»i-e.n-_...ter^'eea4-' :.�qq�.. a. ��+K;J.e�.vs.�,=--.r..NaTsflaL^'-.. :-- .^"rs:e:.gr n-•..+•rw1a�.�. r.w•-^+e.�31�'�•__ •-M`_ .... .....,....��.....-aluw�r -• •w .y.....61. :,eram„�s�rK>K+�a,ea�aa",•aWr�++:.••-•u.--.-�j,�j � ...•...�w�.......••w.•_:...arodt„n-ir-++WifF+•-.r:...•.—..a.••„++--m•xw �''�.•..''q•.�'--- .• .. -t�- c'�J ...,_i insta:,?tion shoe r t , > ►own D Tf+�'��'fL.: � �e � -�--- �.,.;�t :ate Entitroiln;�_rtitai � F:r c* septir sysiett, 3.. F n shall not be irli :, ,i ,,, .-;sed town trst•a!j 2r �j a es approval 4nd t ul 1 /66015 1� _t/�/�.j.�, ��y t�ins= tt . .. - - . �� I /�•-•�.� / �••ti/� L l `l t4 S'�`FF4{..; j 1;-`,4 1FgT t'< tltfQrl•!r'.�ri••C��t�• •:dtt`:At'1iV�f}e t��i.�C:�'!l~. .' .,1:.••:, _ _ _ ,Y�Yir SL��wi4�r+j�l'r,'.�. � , >� � } '' /' � 4 cyitn� aL't"ttj:ci)(;1 ' ± v ,',+`f!Ci iR5tia�l3#li?rt. , P , \ \ `� EJ0- 1 E. e) �`2 ZI 1/17) ' rdVttt!SNttitri t)tpirt i r:itS S�f?e{11;C' E1 itvC fZt l'-�' .. t, t " first! t'L't J.!`. f`.`e y y� F `"i �i�T �/ � . �j ; f`a tjl5tilf)41t{Otl brlfi i'1 41 �t. rr.' -Z'M,,,nping connectinns t.t t;'S septic � t : for p nperty tin t •vr �:nth. oA J �'j t� � - 4 `... pi)SP_Oth�t 1i'i:'.l i} r;•vy-_. �yst:err insiaftaticr±`- \ j:tfe -� •r. ,a i._ti; t..�.� •i �/ r i `i•:4r}'E�S:�n_.. i �:t 1. �aer.;s scatfon.,. ` �Q � i !., tt: 5f�3tf�}Q t�?'(1h!.,1`+_ ° . '•=' :C": y3c)rrL'Rt5 11rTfP.a:. :;'�:1 . ^i:: ilt H2O ioader - f hp p±1 III{'ed a.1d fj,�: _ t.'I-• - '' att?r'1� :-,er Titie V ndunrnent procette:, 9 cesspecl(s)and r:, ,;;: u�io4t�] within the fi l >p�secs SAS s. -1! ;E +aced with crean��•ii i;.e cifrcat;c3n� } ':af'ir SQcrEi e 1'nP.. �c r � :,,; . ,::ng a v,ra?e, titre ::+ ,�/"� 1� , ; {0 IL �� IO�t�L•� '.. .tee+<E;i :•.=}t: an ape, .� ._ �.. �,hedute:lf.1 PIVC wish :�1! 'Ffza :vale{Jsery c�. "3 �'.tl the ,fi =L3j�.rFg he 51 eve �• , / I �► / � � `� . ' .. ,..gait}y t'lE�It±TP. p�.�i�JBtEE' fl :re, it is TO t?f.'.!n 1'{(t, - :: :StPt7l i5 rlOt TfJ :e 4.ksavatiov e}f?lis'::3+ t 1. .'rop4l 31u tPClit-,j t!1E 5tnx_rl: ,rl i! ' TIr. 1 - :r'•l1� rE'L�rt�1'' >. +:ter; :r3i1 bp? ti�Fic—,*n T.Ii! _ :airt':Y:2i?t�. ��jj�� t)rop rty vvvner ,' i;. '!4?fie'G 7 j} f:3l�E t y�. i,: ( of bedrooms?nii 6z i nf 1. 115t IIs?1f;, rem as pfopvsed a , , n1 fit the c Sigi. ! _ritefia aw the t3rf�{�a•„ .s tte::;: ,r t ui. ! vJl'clity crt fi}:s to .,.;1" < ►rr,: ,. tht•:Px it t i' J�� `'✓v r � % )t` t _ �.;311. , p ±t r p at.d :�)n permit issu f �/ — �r �. l� �`� � s:. ptatr or valictit _ ,� :'kt P.XOIff�L7t� i#r�+'xptr2s Ifr� Q' c ':: s.►::,'rIc�ICa nfComp`i�nr: j � i. .w• 'ed for t+le. icjie3tla: '.':Fs'rU�F- �23) M t,,V�L , ariA�� LO-1-9A -F�K/P pfl: •i :i`';r5 ,F1f-*1` _f . t mt Vol _ ,t - t UV ev IL kA OF 14. LA LO TE _AN DAVVID i:s itf . 3= \ _ MASON m .- 1 v Fc .1066 ti __.�-e'Y`�_!�.��! I��LC ►�1.. v TE •�'.W�71Y16MYIaP ']49=i.,:.raYW;,\t�u.A L r4J.y..,... .•. a�w.....:+h7 2�Cr.,a r.�43,._�A:s3l.-....n .:..rr»,.-1��•_...1.0 v ... .__r 3 �- +�wrs w �s.rwnsa. —s •a i .. •rY..,•sa-.t.av I'wTrr,w-ra@"�)S•da9e�+'1R9'•'—^:,,_•.^•••.qvl,.:�•,Mx:..i. .'"_ -:rli wRr-sw•r�>.-