The URL can be used to link to this page

Home My WebLink About0270 CASTLEWOOD CIRCLE - Health aqD CasMewcod � OCI3 -028 - � D63 1+1° 13'bA TOWN OFBARNSTABLE N-,3 Lin c C`>�P� oF•in►Nw r CZox LOCATION CASTk-U-5ooa CnZCIk SEWAGE# 2oxi �GU VILLAGE RlANN t S ASSESSOR'S MAP&PARCEL a 7 3 b 2 8 INSTALLER'S NAME&PHONE NO. oo(-, CZ SEPTIC TANK CAPACITY �,N LEACHING FACILITY.(type) (size) NO.OF BEDROOMS OWNER ' Sc to ANn. KAi-twiLine Athbi'ei-,-- ' PERMIT DATE: `��(��-1 COMPLIANCE DATE. 7 - Z o —Z 1 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 LOV W �00 n. w D s h _ t No. ''O�� Fee �— THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:, Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for 33isposal *pstrm Construction permit Application for a Permit to Construct( ) Repair(� ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.o) n G03TIc"OSD C I a`re ` Owner's Name,Address,and Tel.No. Assessor'sMap/Parcel a13 D29 �Tot-r-A Pr"b 01\-, -me, AvlbrtyrS' Installer's Name,Address,and Tel.No. gCAW:i Ro�R Co • Designer's Name,Address,and Tel.No. �f6�vv�ovT`{ SO$-4�1-BS7� 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) Ly1S I Ov� £ a 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. Signed Date 7 Z Application Approved by Date Application Disapproved by Date for the following reasons Permit No. ✓ Date Issued ✓f/ `f Fee INo. / r Entered m computer: , #-THE COMMONWEALTH OF MASSACHUSETTS Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS //r, t _ 2ltlflcatlon for Mistlosal *pstem Construction 3permit Application for a Permit to Construct( ) Repair' Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. k-O ++: Owner's Name,Address,and Tel.No. sco -_ Assessor's Map/Parcel a,'13 I)Z k� J e �'ra A+-t'b J'�1lt�eizlh� t�►vt br r 4 tS �y Installer's Name,Address,and Tel.No.RCQL,+2r�ou k(W - Designer's Name,Address,and Tel.No. 3(� ��..4.t P�*�N .5. y>tvoAt JT14 sod LlII-gS')I ' Type of Buildings Dwelling `� o.of Bedrooms' Lot Size sq.ft. Garbage Grinder( ) _ r Other '' Type of Building No.of Persons Showers( ) Cafeteria( ) t Other Fixtures, _---�----- •Design•Flow(min.required) gpd Design flow provided kj gpd Plan 1 i Date Number of sheets Revision Date Title �: �'- • Size of Septic Tank "' Type of S.A.S. \ Y= Description ofTSoilIZV I y . y Nature:of Repairs'orAlterations(Answer when applicable) r) ovt1�4 61t �. Vj d1+ 00(i..cCf eljn�j rt� Date-lastinspected: Agreement - r The undersigne8 agrees to ensure the construction and maintenance of the afore described on=site sewage disposal system in ; aecordarice with provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of M J _Compliance has been issued by this Board of Health. r r' Signed i Date —2 1 _. ;`Application Approved by Date —7 Application.Disapproved by , ` Date i for the,followmg reasons „ ' - s -" Permit No l ,�� Date Issued ------------ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance / j4A { t THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired(✓) Upgraded � ,'Abandoned( )by Q_n Ar C at -.a („ )inn.0 ��j (�! � has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ated -7 A.- Installer r Designer #bedrooms N/ A, Approved design flow �..� gpd r �- ' The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date' 7 1 Inspector aa — r r U No. �, -'t1lJ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS Misposal *pstem Construction j9ermit Permission is hereby granted to Construct( ) Repair(V� Upgrade( ) Abandon( ) System located at I 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 M Provided:Construction must be completed within three years of the date of this permiyt..,� _ Date AppwAd by._!.Y V' J ,TOWN OF BARNSTABLE ' LOCATION,( L �� t/L L�/ sue SEWAGE VILLAGE %/. ASSESSOR'S MAP & LOT �D INSTALLER'S NAME PHONE NO. 9L SEPTIC TANK CAPACITY /000 LEACHINCITACILITY:(type) . ��'' (size) 000- Ale NO. OF BEDROOMS 3- PRIVATE WELL O PUBLIC WATE BUILDER OR OWNER DATE PERMIT ISSUED:' to -- �- / DATE COMPLIANCE ISSUED: '- °- VARIANCE GRANTED: Yes No �1 ... , O No.....!L. Y1.Q v E D Fxs.......3 0....— Barn-'•'ni,: _ :tiet: (.i�^TKE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliration for 11iiposal Work, Cfotwunruort Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at• �e-?( ............l Q.l' .......... ... .... ... ... ..��.�..�-------- ..................... ..-.....-------............. o in- ess or Lot No. .............. ... ........ ....... ................................................... --•-•------••--••-....----.._..._..---........._...............................-._.-............._ t er Address W Installer Address ilType f ilding Size Lot............................Sq. feet D ling—No. Bedrooms.............S--------------------------Expansion Attic ( ) Garbage Grinder ( ) a Other— Type of Building ---------------------------• No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------------.----•-••--------------•-......------. ......................................................... W Design Flow............................................gallons per person per day. Total daily flow---------_..................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------—... Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft: Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (s, Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ -------------------------------------------------------------------•--------.......----•-•-•-_•-•--•......................................................... 0 xDescription of Soil-..............................................................................I----•-----•----•--------------. U Nature of Repairs or Alterations—Answer when applicable_.____..__..� _ __._ .. ...... ........... ......... .. .- -- --------------------------------------------------------------- ................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance h been iss ed boh b and o health. Y Signed --- -_------------- �—r Date Application Approved B ............................. . ................ Application Disapproved for the following reason. ................................................... -- --- ---...----. ------...---- ---. .....---- .......--------..... ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ---------------------------------------- �a Permit No. .... V t yAY ................ ..... . Issued .........................................................Dale ----- Dale J"rrw.I✓r+ No.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Dhipviial Workii Towitrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ,B ............ 'ID_..4 � C CG2 ...... ............................................... c lion- ress or I of No. ............... s{ .. [............ . .............................. ............................... ...-----••-•-----...----••............................... nera Address••-•------. -�.... ......f.---------. .a.......................•-•--...... ------------. ----- •.. ------....-----...........--------------.. Installer �� Address Type of Building Size Lot..........................Sq. feet U D ling—N0. . .�� Bedrooms............. ...........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ............... No. of a YP g ------------- persons............................ Showers-------------------------p ( ) — Cafeteria ( ) Otherfixtures ------------•-• --•-- --•---------------------•--------••. -•-••-•--•--...------------------------•................•---- W Design Flow............................................gallons per person per day. Total daily flow............................................ WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter._ ---__.-�.__ Depth................ x Disposal Trench—No. .................... Width.............._..... Total Length.................... Total leaching,area....................Sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet..................... Total leaching area..................sq. ft. Z Other Distribution box .( ) Dosing tank ( ) 11, l Percolation Test Results Performed by-----------------------------------•-••••--• Date........................................ Test Pit No. 1................minutes per inch Depth of Test-Pit.................... Depth to ground water......................... 0-4 fs, Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ a ----------------------------------------------------------------------------------------------------------------------------------------------••••......••••. 0 Description of Soil....................................................................................................................................................................... x c, -•---•-•-•••-•-----•-••-----•---•-----•--•----•-----------•-•------•------•-•-••••--------------•--------••-----•----•-------••---------•.---------•-....................... ....................... 1 W --•-•-•••-•-----------------•--•---------------•---•-----•-----•---------------------•-----•--......---•-------•--------•----------- n ---------- •. '------- ------------ _ U Nature of Repairs or Alterations—Answer when applicable .._._... ...___.______ .................r.p . ................................................................................................................................................................N-•--.._..........--••--...----•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha been issued/by -he board o&health. ----Signed --- _�,� :......... --- �. Date V Application Approved By ......................... � -.�.. .....--.......---...... - 1..r'--D�t�-------- r- Application Disapproved for the following reason - -------- ------------------------------------------------------------------------------------------- ----- ------------- -------------------------------------------------------------------------------------------------------------------------------------- --------------------- -------------------------- -------------- ....Date.......---- PermitNo. ....... �------------------------- Issued ................................................ .................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t TOWN OF BARNSTABLE tTerttftca#e of (�orayliartc.e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( N�)^ by ------------------------- ------12 ....� ---- at �-7 //�� ((//"'��yy ��{{ IInstaller has been insta 1 d in accordance with the provisions of TITLE 5 of-The State Environmental Code as described in the application for Disposal Works Construction Permit No. -------�.....1. �/j�.............. dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ► l u DATE.................................... [0 �_ �.:�I ,, Inspector --- " : �r:L L� !ji I� ,.�� "' 7 t r 1, re i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE......._ ...' . Map asat nrk11 inn r ilan rrmit Permission is hereby granted ------• .... 4r at«� `?' to Construct ( ) or Repair ( � an In ividual Sewage Disposal System at No.............) �7^ I Street as shown on the application for Disposal Works Construction Permit No .. Dated........................................... ................................ .......................................... Board of Health DATE 7IC7.=-�.......9�-•----------------------------------- FORM 36508 HOBBS&WARREN.INC..PUBLISHERS