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Home My WebLink About0340 CRAIGVILLE BEACH ROAD - Health 340 CRAIGVILLE BEACH RD. HYANNIS - A = 267 082 Mom a II TOWN OF BARNSTABLE � , LOCATION �� C'�'c�r,'�/�� J SEWAGE # IWO VILLAGE � '" �PJ - 1 . ASSESSOR'S MAP & LOT —O / v INSTALLER'S NAME&PHONE NO. al/v) 7 SEPTIC TANK CAPACITY i `ci 0 LEACHING FACILITY: (type). Z!��1?11 IOl?-3 (size) .' NO. OF BEDROOMS BUILDER OR OWNER , ffe PERMITDATE: COMPLIANCE DATE: 00 Separation Distance Between the: Maximum Adjusted Groundwater-Table to the Bottom of Leaching Facility Feet Private Water Supply Welland 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 I� i f O e W i Y •/y No. �"� —�� ., a Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0[pprication for �Di7)Upgrade at *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( ( )Abandon( ) Complete System El Individual Components Location Address or Lot No. -3".o GvQi�Vl. �c� Owner's Name,Address and Tel.No. Assessor's Map/Parcel ;6_7 O 0"�i P V A N 0 �,C Y'`G F""V-1 R 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 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3W gallons per day. Calculated daily flow 3 gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank `S6—D Type of S.A.S. ,`AA C�g4c.tp � Description of Soil: M-eJa C6 AQCe S M&N/) r Nature of Repairs or Alterations(Answer when applicable) (L 1u�t Dccct't� `�� tL=trc`yc) y_1�� Oki 51 b9 _ 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 En ironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been' Signed _ Date C? 00—7 Application Approved by _ Date 7 Application Disapproved for the following reasons Permit No. 26-&V Date Issued — 7"Z4V—P Fee ;• No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: :> Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for 0io gar *pttem Congtruction Vermit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) complete System El Individual Components ri Location Address or Lot No. V 1! Owner's[Vame,Address d Tel No. VIA Inc, Assessor'sMap/Parcel �' Inst is Name,Add ss, Te— o. Designer's Name,Address and Tel.No. IS �vVrs Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures r-- Design Flow gallons per day. Calculated daily flow �c, gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank , U Type of S.A.S. �� ``�``c. < < ik �' i Cc,Aese Sp,_,o Description of Soil Nature b fReppai or ter��tti ins(Answer when applicable) �� '� �� S�� Se \L"�•per. �- 1��C '"'�=ch�CL Cam.• c�c-.� ��.�� 1—c,,u.Zc r; , w L- du- , ,s — k-,. q,r 1n 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 vironmental Code and no to place the system in operation until a Certifi- cate of Compliance has issued y t is ' d`of� alth. Signed Date Application Approved by Date 7 Application Disapproved for the following reasons Permit No. Date Issued r. —————————————— ------------------ ---- THE COMMONWEALTH OF MASSACHUSETT BARNSTABLE, MASSACHUSETTS C Certificate of Compliance � THIS IS TO CERT�Y� t t -$ite�vae,p��po5al System Constructed( )Repaired ( )Upgraded(' ) 'Abandoned( ) ` ' ' f I' c' at ` ] o en cons ted in ac ordance with the provisions of Title 5 and the for Disposal System Construction Permit No. S JV dated 7 Installer i Designer /A n A/i "1 r The issuance o t s ernuti s 0 construed as a guarantee that the srv,l�f ,txo as Best ne Date - Up `~vInspector I V I� J,-j�7 ,�k r -- - No. 3 Fee THE COMMONWEALTH OF MASSACHUSETTS ZG 7- O Z- PUBLIC HEALTH DIVISION - BARNSTABLE. MASSACHUSETTS lwtgool *p!tem Construction Verrnit Permission is hereby granted tg CT6uct,(_r)�Repaii —-�- )grraade A) rdon( ) System located at \\ �(L� 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. � QProvided: ConstTctg/n m tt b�pleted within three years of the date of thi t.� Date: ! Approved by 1 a . 1/6/99 .1I Jj t, NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL L WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) hereby certify that the application for disposal works construction permit signed by me dated 7�1� , concerning the property located at 3(40 A- o(t( meets all of the following criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. � There are no wetlands within 100 feet of the proposed septic system 6* There are no private wells within 150 feet of the proposed septic system -here is no increase in flow and/or change in use proposed t "here are no variances requested or needed. L__14-te bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor method when applicable] �f the S.A.S.will be located with 250 feet of any vegetated wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the.following: A) Top of Ground Surface Elevation(using GIS information) B) G.W. Elevation t +the MAX. High G.W. Adjustment. = r DIFFERENCE BET �d"�nd B SIGNED : DATE: [Please Sketch to osed plan of sys em on back]. NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health folder:cert P-4 �I - TOWN OF BAR/N�STABLE LOCATION SSG' Cry, ��r' C'/Y SEWAGE # �lo� � i VILLAGE & ASSESSOR'S MAP & LOT o !n INSTALLER'S NAME&PHONE NO. JYI/i7 rf/12,-- S c'SEPTIC TANK CAPACITY Z a C LEACHING FACILITY: ( -) ,� �✓� (size).y`� NO. OF BEDROOMS p' BUILDER OR OWNER I r 4A 11� PERMITDATE: r1lo 0 COMPLIANCE DATE: it it ®0 t. Separation Distance Between the: D Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet T 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 i Furnished by �-( T z El