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Home My WebLink About0324 CRAIGVILLE BEACH ROAD - Health (2) 361 Craigville Beach Rd Hyannis A=267- 171 TOWN OF BARNSTABLE LOCATION 3� {/i F�e/� SEWAGE#AB C7- ® /4 VILLAGE �� W ASSESSOR'S MAP& OT ` 7 INryTALLER'S NAME&PHONE NO. /[�7 D 46 L �e* =X' SEPTIC TANK CAPACITY LEACHING FACILITY.(type) (size) NO.OF BEDROOMS BUILDER OR OWNER o9511 PERMIT DATE: 1 _ p-B 7 COMPLIANCE DATE: Separation Distance Between the: � E)PI-4e 7- - 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 O co �r Qp iaA 9-1 o TOWN OF BARNSTABLE�� LOCATION U/ �v� SEWAGE# ` VILLA E I f+'�'T ASSESSOR'S MAP&LOT Afo 9 1 Z 1.41 SV'rtt DER S NAME&PHONE NO. 7- SEPTIC TANK CAPACITY LEACHING FACILITY.(type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE: DATE: I`�� d 7 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 0 cue _ � o G'i \ No.q;�0G -2 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes ZIppYtcatton for Migogal *y5temc Con.5tructton Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑ Complete System Individual Components Location Address or Lot No. V 6 /'. 1 7 a- Owner's Name,Address,and Tel. 361 e1PA4-vl41-f 6t,4cw 0'�sx/ure Assessor's Map/Parcel 3 `1 ( F �� e�®® Installer's Name,Address,and Tel.No. J r ?Q Designer's Name,Address and Tel.No. C',4 k,CO 3.5'41 A&41A- Y7— C,v— /P Type of Building: Dwelling No.of Bedrooms " /^l G r 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) �. ®�/� �� F tL/ 16 e , 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 oard of Health. c Sign d Date Application Approved by _ Date Application Disapproved by: Date for the following reasons Permit No. --0/0 Date Issued /74 Fee' /DV Entered n computer: THE COMMONWEALTH OFF-MASSACHUSETTSY i E Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for 33igpogal *pgtem Com4ruction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑ Complete System A I�dual Components Location Address or Lot No. 7 Owner's Name,Address,and Tel.No./ /- 4??S" AI�VI /-I-X f/�c/� /r'� ftS//hgUR' Assessor's Map/Parcel IN /a Y �d/'j r 34 dot%� ('/�/�/� Ll/ L C F ,Bf�rol /P Y w �� /0"? 10 r- 79f--�Q0 40p Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms O V S F 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) Date last inspected: ` - Agpeement: r 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 th• Board of Health. c, ISign"d Date / G Application Approved by Date q Application Disapproved by: Date for the following reasons Permit No. Date Issued / -------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS c (Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed ( ) Repaired ( Alrupgraded ( ) Abandoned( )by A Y �"nPC0 IS 9P 1A.- 17 at 3 f/1 �( L L F Ad t4(-/�/ oP) has been constructed in accordance ` with the provisions of Title 5 and the for Disposal System Construction Permit No. ?1V/?C/C-� dated / ? . Installer C4 C O Designer #bedrooms Approved design`w gpd The issuance of this permits all not be construed as a guarantee that the system will function a designed. Date Inspector No. Z�_ �� Fee /PC� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION—BARNSTABLE, MASSACHUSETTS 1=igpOgal:*pgtem Congtruction Permit Permission is hereby granted to Construct ( ) Repair ( Upgrade ( ) Abandon ( ) System located at / e1V V/LL F ,d F4C,tl /► o Gv`/aP /001'7 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: Cons77� must be completed within three years of the d to of this i Date Approve by No....,.:.3...:.� • Fin$............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 3� Appliratiou for Mtivos al Works Cna nstrurtion Famit Application is hereby made for a Permit to Constructor Repair ( ) an Individual Sewage Disposal System at: ocation-�ress or�Iot�No/ 1 . ...---- ............................................................. ...... _.._..-..•- .... - _= ....,Y --•-----•-- W a � ��f C��i�.l�/RG✓ /®•t� ��/i�J'�!✓ �G/1_.._lf.?�!_%/./!;C�7dsi7��G�?1��.� - Installer Address Type of Building Size Lot._w.....911............Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic (W) Garbage Grinder,(Zo) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures --------------------------------------------.............................. W Design Flow..............A .....,C& ...gallons per person per day. Total daily flow........... 1.......................gallons. WSeptic Tank—Liquid capacity ..gallons Length................ Width................ Diameter................ Depth................ xDisposal Trench`—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit.Nd � ----- Diameter.-. _- Depth below inlet.._.'....... Total leaching area.. d.....sq. ft. Z Other Distribution box�wj) Dosing tank ( ) /, Percolation Test Results Performed.by.......��, -!'�' t! 1�1' %1� .'..................... Date... 4Z_ ........... Test Pit No. 1_o-9 .._minutes per inch Depth of Test Pit---A02*..... Depth to ground water......104�........ f= Test Pit No. 2................minutes per inch Depth of Test Pit....1i? Depth to ground water.....lam__...._._... a ................. -•-- --•----•--- ....._.-•-------•-------'-------------------•-- ..........- O Description of Soil...,,--rl :v ,- ,�?'. ✓��! �= /l7/3,0 `� '`�c ................................ x _ // U /114 " /V h.� �tr l� D lL� �s /Y�_st_x.G`_�`................... U Nature of Repairs or Alterations—Answer when applicable.._L?_ / ----------b ✓.A. ...a................... ----------------------•-------•-----•-•-----------------------.........-•----------•------------------------------------------------------------------------------•---------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage isposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— T un ier agrees not to place the system in operation until a Certificate of Compliance has been issue y o ealth. Igne �/ Date ApplicationApproved By-•-•- --•--• --- •-• -••-•••-•••--•---------------------------••--•----•---•-•-•--•-•----•-- ... ..-- ..........................Date Application Disapproved f th following reasons-------------------------------------------------------------------------------------------•-••------------•----- -------------------- ------------- •--------------•---------------------------------------- •-----------------------------------------------------------------------------------•------------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....... ......... ...............OF........................................ Appfiratiun for Uhipoii ai Works Tuntrurtiun ranfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: B lion-Add r No. =.rt:. .....pr!r°?'../! .. ._..._ 1��_!.��ir�Ga>?`�c1�i:.. .._s��/✓�y�G�.r/ // • Owner �� y ��i�� f Ad e t �...1!fC!�f.' ✓/r 1 !!!? a Installer '��— Address f L� c� L Q Type of Building Size Lot...,9 --------Sq. feet Dwelling—No. of Bedrooms..._,7— ......................Expansion Attic ,W) Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ---•-••• •--•-•••-••••....................•-•.._.._..••"••-••----......--••-•---•••••••••••'--•......._............_._......__.__'-"-._.._.. W Design Flow------', e?................�--�gallons per person per day. Total daily flow...................... ...._-__..gallons. WSeptic Tank—Liquid capacity-/ gallons Length................ Width................ Diameter................ De. .....___.__...... x Disposal Trench_y'4.................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......... _.. Diameter......>/P . ..... Depth below inlet...... ..... Total leaching area....g??�..sq. ft. Z Other Distribution box ( ) Dosing tan ( ) Percolation Test Results Performed by....... Xrr�t.o` ___. e�............ Date....Z��/1_3_-_-_--___-.. a Test Pit No. l r>*'�-,"--c�.minutes per inch Depth of Test Pit........ Depth to ground water.._... -------- 44 Test Pit No. 2................minutes per inch Depth of Test Pit....Z� ...... Depth to ground water......__._..____--_____. --......_••- Z�-- - - '/ O Descri tion of Soil....G_�o?.'_G?!�rA 'I. ram.. rr�6 Tom% ___ N j p w ? � °v, . ,<, � .�.,s � - `/ �s/ .. .--'-...�A .... ......... UNature 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 Sanitary Code— he si e rther agrees not to place the system in operation until a Certificate of Compliance as been iss rd health. ign- ....................................................... A "��Oe Application Approved By'.... -•.... ................................... Date Application Disapproved f r t following reasons:................................................................................................................ ...........................'"••"'-'-'---''-....'-•'•••---•-•_._..... --....-••••-••._.••-•--•-'•---_...••----'•••••-••-----'----•-•._..••••'--------•••....._._..... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Cwrrtifiratr of Tuntphattrr T CERTIFY, That the Indiv•d al S age Disposal y m constructed ( ) or Repaired ( ) by-----------__ .... '_. ...... ."'............... • '-• -....... . ...:.. at- ..... ......................................................'--'--'- -•_--- has b n installed in accordance with ie provisions of TIT 3_5Af,, he State Sanitary cribed in the appl cation for Disposal Works Construction Permit No_________________________________________ dated-................................................ THE ISSU NC OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED S A GUARANTEE THAT THE SYSTEM/1A11 F1 CTION SATISFACTORY. DATE...... .lD ......................................................... Inspector._.. _.. .._____-------------------------.____-----•-------______---------___._-- THE COMMONWEALTH OF MASSACHUSETTS / BOARD OF HEALTH ...........................................OF.................................--------•........................................... /4/0 No......................... FEE........................ Diullu "� orki Tung. nuliun amit Permissi i er r ted.......••-- ........... r ............................................... to Cons TC ) � ( n�ndi 1 s stem atNo............. •............................................................'............................................................ •_• — Street ' ;2 as shown o/thhe plication for Disposal Works Construction Permit ._...._.. .=� Date ........................................ " �...............•---- -- -'-•• --'-••------•••--•----•......._-•.......__._.....____.._..._ DATE_ 4!_....................................................... Board of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS =mac 51 G ti DATA. I "IN Glr Fp&I L-Y -4 BE-D QL-k:l N� 0' 6A22A6E 6=►4DEe- �` _` 1 i 6evnG - P,4je= % a z' 6At_. USA I.Sa•� Dt5Po5A�. P►T' �c Z•-�000 C-SQL.• C�.4/G ✓/LLB � . : ►`�� , _ 51AE whu-A ac-A_300 S.� 99''t_ - --- - .-99.8_ �''� . ,a N A4 ' -rorat.... nES�►•4= £3�j'o 6?c� • ,,,• :,..,, ,� i•' �,, -1L,:rrAL-vPIL`./ FLo04 6o6pC:;p 40 PCr2GOL.AT�G�.12laT�% t'�t�.! 2l�II�I.O Q•1_ES rs io• �!w/, ' t{Sd-. . � � 1 Q� ; �'' � ', .^ � , �eA4W t o I. i. Sr• ; lot. I �Akio Au U RICHARD �,1t�,. lk� ALi4NA. � �N �: �,� vo• . � I I�,. 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