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Home My WebLink About0278 CASTLEWOOD CIRCLE - Health (2) pF 161 Buckwood Drive Hyannis A = 213 - 029 1 TOWN OF BARNSTABLE LOCATION SEWAGE # 9'--173'7 VILLAGE ASSESSOR'S MAP 6z LOT INSTALLER'S NAME PHONE NO. ,�®��`O ��i�5.� 77/"�J7�� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size):: NO. OF BEDROOMS PRIVATE WELL OR PUBLIC.WATER BUILDER OR OWNER Q! �l ��WI lle DATE PERMIT ISSUED: `Z — J DATE COMPLIANCE ISSUED: !O -/Q —7(5 VARIANCE GRANTED: Yes, No�/. o l No. ' / ASSMRS Y1nr t6 Fee THE COMMOWW"JOF S "� PUBLIC HEALTH'DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0[pplicatiolt for Digoal *pgtem Con!Arurtion Permit Application is hereby made fora°Permit to Construct( )or Repair(V<..an On-site Sewage Disposal System at: Location Address or Lot No. Ownej' Name,Addres and Tel.No. ll�1 V coo 0 6I is ALLA 1D � Installer' ame,Address and Tel.No. Designer's Name,Address and Tel.No. Installer � i C.•U a -�c-+�[�+,.� !f3U�n�i�Tii•1 C4 ev.5'TX4 Cri lu hJ Type of Building: Dwelling No.of Bedrooms A—2 Garbage Grinder Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow s/ 3D A-%,tj'W gallons per day. Calculated daily flow n7 gallons. Plan Date Number of sheets Revision Date Title Description of Soil C i.0 U G-io-iT• I✓9/ w � — Nature of Repairs or Alterations(Answer when applicable) /.t rA-t.t- U P(Af Date last inspected: Agreement: The undersigned agrees to ensure the constructs of the afore described on-site sewage disposal system in accordance with the provisions of Title of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by s B ar o_f H It _ Signed Date Cp. Application Approved by iL-[ r- 41 ,. C Application Disapproved for the following reasons Permit No. d 27 Date Issued !71 Z� � ----------- ---- - —————— ——————— ——— r No. T 7 Fee 3a o jt THE COMMONWEALTH OF MASSAC18&Txs PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS Zipprication for ;Di!5po!m1.*vgtem Construction Permit ^;Application is hereby made for a Permit to Construct( )or Repair(K.)an On-site Sewage Disposal System at: lil ti !f Location Address or Lot No. Owne 's Name,Address and Tel.No. f /(01 �v c.Lwoo p Q�C 4J ( N- S Z-V A_Lt fill il,�1uJ %-S ✓14- j-1 ! A-N N W off_ Q d I . Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. C.(j a. w c."-t u,J �/2.T� Ti17 C G NJTlW t�'tt,�,1 A I t/LS; ,i1/1.4 G J I& J` Type of Building: ` Dwelling No.of Bedrooms ol— $ Garbage Grinder �G Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow A-t.t_u gallons per day. Calculated daily flow gallons. Plan Date u N mber of sheets Revision Date Title Description of Soil C.y Nature of Repairs or Alterations(Answer when applicable) 12 u4-r-3 Date last inspected: Agreement:' :The undersigned agrees to ensure the constructs 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 is B�arof Signed Date G Application Approved by Application Disapproved for the following reasons Permit No. 7r Date Issued '� t THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Certificate of Compliance - - THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced(A,/-)on by 90'e""o(-k T1 AJ.S—I . for d== as / (0 1 QJ GILI.JdO b 1�_( J L ( N LS K. has been constr ted in acco ace with the provisions of Title 5 and the for Disposal System Construction Permit Novdated .� Use of this system is conditioned on comp ' nce with the provisions set forth below: No. �J / / � Fee FV . �? 4 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS wtgogal *potent Construction Permit, Permission is hereby granted to '.�o�—�i�,o 1g7 C4I1-CT�4`—1 UAJ to construct( )repair(.e.'—)an On-site Sewage System located at DO-U 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. All constructio must be completed within years of the date below. Date: '+'�-? �"7 Approvedfiv y4o� ; v r i v �3 \ o of ,OIL,JL 1 LS w U' CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated _ ��- concerning the property located at /& I cJc,L�wcb� ,DrC�,1�, l�y � meets all ofthe following criteria: There are no wetlands within 300 feet of the proposed septic system "• There are no private wells within 150 feet of the proposed septic system -14-11"The observed groundwater table is 14 feet or greater below the bottom of the leaching facility There is no increase in flow and/or change in use proposed There are no variances requested or needed. SIGNED : . DATE: —9z LICENSED SEPTIC`SYS M INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted].