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HomeMy WebLinkAbout0141 ENTERPRISE ROAD - Health PO 1.41 Enterprise Road ._ Hyannis A= 294—021 ` .I q n 0 0 �i v p o »ww � �\ . V� - wlw. . #. . r � f THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for Miopooal *pgtem CoYY$t Uction permit Application for a Permit to Construct( . )Repair( )Upgrade( bandon(/ Complete System ❑Individual Components Location Address or Lot No. 1!l/ t�qd�jc nerq�e,Aress and Tel.No._ /ri 5� l� Assessor's Map/Parcel Installer's Name,Address,and 1.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size 0, 3 2 sq.ft. Garbage Grinder( ) Other Type of Building GvGo ' No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. 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: 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 Certifi- cate of Compliance has been iss b s Board of Health. Signed a Date �O Application Approved by. Date Zr 0 Application Disapproved for the following reaso Permit No. 7,Vd ��qZO Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS 510 CERTIFY that the On-site Sewa a Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned 1�y at rt ' has been constructed in accordance with the provisions of Title and the for Disposal S stem Construction Permit No.740 LY Zd dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector �-���.'%ter'—. F ��, ... .. _ ...�...., . ♦. ..J., y +n' .. ,.+�1 � �.` �^. _ _ - }1To. Z/j�—`7 Fee V THE COMMdRWAA TH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 0(ppricatton for Miopo5al *pgtem Co ;C1 uction permit Application for a Permit to Construct( )Repair( )Upgradeo( Abandon((/� mplete System ❑Individual Components F� Location Address or Lot•No. ° ` ` "' OwnI'rer�'g Name,Agoress and Tel.No Assessor's Map/Parcel of 9 In'stallec's t4 e,Address,and P1.No. 1 Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size jQ,3 7_sq.ft. Garbage Grinder( ) Other Type of Building Wcoff No.of Persons Showers( ) Cafeteria( ) Other Fixtures --- Design Flow :gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil's t /��Nature of Repairs or Alterations(Answer when applicable) /yi9rml7�io�'1 A Dry, F Date fast 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 Certifi- cate of Compliance has been issue' b his Board of Health. Signed a G Date © dv' Application Approved by Date " 7T--0 Application Disapproved for the following reaso ! Permit No. ZVO l"q ZZO Date Issued ----------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance i THIS IS CERTIF,Y�AA4- the On-site Sewa a Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned(U /Y' Cat rt, ' has been construe d in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.`7*V ZD dated j 0 l Installer Designer ' The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector r ' No. /i!�'���—�--------------------------Feed/ t .. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Miopotal *p!5tem Construction a mit Permission is hereby ranted to Construct( )Re 'r( )Upgrade( )Abandon System located at and as described in the above Application for Disposal System Construction Permit.The app!l cafnt rec4g in ie h's duI 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 t. Date:' G ZJ Approved by .