Loading...
HomeMy WebLinkAbout0275 CASTLEWOOD CIRCLE - Health 275 CASTLEWOOD CIRCLE, HYANNIS A= I i i I TOWN OF BARNSTABLE / LOCATION 73' GAR, SEWAGE# VILLAGE ASSESSOR'S MAP.&PARCEL.? INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) NO.OF BEDROOMS OWNER PERMIT DATE: -1/S/ COMPLIANCE DATE: 17 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 M � M � v c6 M rd �`, A01No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS appliLatlon for 30isposal 6pstem Construrtion Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System , Individual Components Location Address or Lot No.,:2 73'Gift 0a0 L/,� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. TI pe of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of BuildingJ� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) d Design flow provided gpd Plan Date Numb 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) ���� '00 � / o 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 b ' Board of ealth. gn 6' Date Application Approved by pl Date Application Disapproved by Date for the following reasons Permit No. Date Issued No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Saes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for Misposal-6pBtem Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System Individual Components Location Address or Lot No.,;!7-1- G/,� Owner's Name,Address,and Tel.No. Assessor's Map/Parcel Installer's Name,Address,an Tel.No. Designer's Name,Address,and Tel.No. o Type of Building: Dwelling No.of Bedrooms 1Z Lot Size sq.8. Garbage Grinder( ) Other Type'of Buildinga e r No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) d Design flow provided gpd Plan Date Numbe of sheets Revision Date 44 'r Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) ��.�s�� .J'G��l/` '00 °ids /4—a ol-A, hest To' i •�.��T /w'1'�'�7` d �- �.��►'�c' 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. gne a Date Application Approved by /p^ / Date Application Disapproved by v / / � I Date for the following reasons Permit No. Date Issued TH E COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( f Upgraded( ) Abandoned( )by G at ml. � G.4✓'T1z� Lri oO,b G/off ,�7 has been construc d in ac r nee with the provisions of Title 5 and the for Disposal System Construction Permit No dated Installer Sri y L 4&0 e !/t - Designer #bedrooms E� Approved design / gpd The issuance of this permit al con _ ed as a guarantee that the system will cti n as designe . C Date Inspector ---------`-------------�---------------------- ---- ------------:----------------------------------------------- - -------- No. . . Fee-_ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS -isposal *pstem Construction Permit Permission is hereby granted to Construct( ) Repair(k<" Upgrade� ) Abandon( ) System located at �, 7 �,.�(y��'l�/oaf G/eta W$ 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 t be bmp eted within three y ears of the date of this permit. �1" i Date Approved by � r r TOWN OF BARNSTABLE LOCATION A-yS `4sTG-w sDaA t— SEWAGE # VILLAGE ' � N•�C ASSESSOR'S MAP& LOT 2 3 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY S ', LEACHING FACIL=: (type) Q—J-0A\(x0 OCA (size) ka NO.OF BEDROOMS - BUILDER OR OWNER DATE:_�� COMPLIANCE DATE: Separation Distance Between the: 1 Maximum Adjusted Groundwater Table and Bottom of Leaching Facility 2-® Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) I 1(?s Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leachin facility) . Feet Furnished by �-� :y _ CIO LA d TOWN OF BARNSTABLE LOCATION A 15 CAbUkeex C Le SEWAGE # J. ,)-G VILLAG>r H Vatr10 t S ASSESSOR'S MAP &LOT 273 -6!t 7 INSTALLER'S NAME&PHONE NO. i a CGwe �eo�iC 77 S"668L( SEPTIC TANK CAPACITY f QOb qa I LEACHING FACILITY: (type) L'- 91 �4 p� � �°r,� (size) +( X 15 NO.OF.BEDROOMS _ BUILDER OR OWNER PERMTTDATE: �j�-5 -J� COMPLIANCE DATE: Y —I!-1 - Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 e � b Fe- e �4 C O B Q < Dri v. V No. 76 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 'Yes Application for rlig aal 6pelem Con!6trurtton Permit Application for a Permit to Construct( )Repair( Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Ad�d,�resso-t�o�__Rt wood ^ rrC� Owner's Name,Address and Tel.No. Assessor's Map/1).el `( an i3 �273 rd 6eiL—, M a,rew has Ins ler's Name,Address,and Tel.No. n„ ,( Designer's Name,Address and Tel.No. rts to� -C ;L'��-Ia,-1 n 45 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 3�a gallons per day. Calculated daily flow `3 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank i`� w e��✓ Type of S.A.S. di t&r ,ram,DCf 7-1-alri-�' �-- Description of Soil Nature of Repairs or Alterations(A swer when applicable)- V-S5'SYV 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 gode and not to place the system in operation until a Certifi- cate of Compliance has bee ' ` Signed Date m Application Approved by Date Application Disapproved for the following reasons Permit No. � Z 7,6 Date Issued _ - 9 TOWN OF BARNSTABLE LOCATION S '�►-����. SEWAGE# �S 12- VCA nn 1 s __ ASSESSOR'S MAP &LOT�27 i -a 7 VIII;AGE N �—�' INSTALLER'S NAME&PHONE NO. ./ ) a C60C Eeo�G 77 S 668y SEPTIC TANK CAPACITY 160041. I EACHING FAciLr Y: (type) y� M� C4p._____��"` (size) /XIS j NOs,OF BEDROOMS BLTII-DER OR OWNER Pjr TTDATE: COMPLIANCE DATE:_�I�� �-1 -917 Spaation Distance Between the: "urnAdjusted Groundwater Table and Bottom of Leaching Facility Feet Privace,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 Famished by i ' � G pc 0 I nr- H 7o4 / .... 74 �Zg ak No. " — A Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYic'ation for &!gpo,5al *proem CCongtruction Permit Application fora Permik tp.Construct( )Repair( pgrade( )Abandon( ) ❑Complete System El Individual Components Location Address >�ot .i.�+' ^��UCI�''r� Owner's Name,Address and Tel.No. Assessor's Map/Parcel �X Pl a ra n h aS Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. rxl rye qc.�_)e r-�s Zo 6�kp Lc rAve, _�qa t,0 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 - ,3[� gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title ., Size of Septic Tank a��a, el Gw�`���J Type of S.A.S. jt,&( rG DGl - = a"'h�o �-- Description of Soil _��y.e C�. S" Nature of Repairs or Alterations(Answer when applicable) - -u�S S ✓J l� k=CN ��'k Cc A( 7, �,,_ L. ��.`� trVf C CA-, ��� S'CAe CJ\A -Si 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 ode and not to place the system in operation until a Certi�;; cate of Compliance has been issue B �> ,---" -� Signe� Date Application Approved by Date Application Disapproved for the following reasons Permit No. Z Z r r !Date Issued ----------7-7 77 -- -———————— ——— THE COMMONWEALTH OF MASSACHUSETTS y BARNSTABLE, MASSACHUSETTS Certificate of [Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( Upgraded( ✓� Abandoned( )by Ar V4 p r i at 4 C ;Y'o has been constructed in accordance with the proy�sions of Title_5 and the for Disposal System Construction Permit No. -GZ w dated l . Installer l- . r y Designer The issuance of thi permit shall not be construed as a guarantee that the systn will function as designed. Date U Inspector 1 _ --------------- —————————— -- No. Fee ��• ./� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Mi5po5ar *p5tem Construction Permit ,\ Permission is hereby granted to Construct( )Repair 1f J Upgrade( )Abandon( ) System located at i s 0 12 0 AkJO n n f,f) 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 perm' r � Date: / - 7 Approved by 1"/97 _ I I NOTICE: This Form Is To Be Used For the Repair.Of Failed Septic Systems Only. ! I CERTIFICATI ON OF SKETCH AND APPLICATION FORA 1 WORKS CONSTRUCTION PERMIT (WITHOUT DISPOSAL i ENGINEERED PLANS) fY that the application hereby certify for disposal works ! ' I I' concerning the construction permit signed by me dated meets all of the property located at 9�7 i following criteria: 'rhm ere no wetlands located within 100 feet of the proposed teething facility septic system Private wells within ISO feet of the proposed ( ; There ere no pri 1 f Is no increase in flow and/or change In use proposed ` (1' lime as no varianc or neededVariances � r the I { nd the bottom o If the Proposed Inching heility will be located within 250 reet orar wetlands, ed leeching f8cilitX will�be located less thanfourteen(14)feet above the maximum adjusted1 ' groundwater table elevation. { li 1 please eomplete the following: In to the Engineering Division O.I.S.map) A)Top of Oreued Elevation(accord g .�'0 i I B)p ()MMJweter Table Elevation(according to Health Division well map) 7 , I DATE: ' SIGNED i . LICENSED SEPTIC INSTALLER IN THE TOWN OF BAIWSTABLfl NUMBER tart stow Pia •AM*It"110m9W tn.utr.r pol""s•ow"I a plot plains lAltat►a aleNeh p .. 1 Ibb plan should be submitted). ; I 1 ! �:; �hesMr tMAa:eat {