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0636 SCUDDER AVENUE - Health
636 SCUDDER AVE. , HYANNISPORT A=266-032 i l I f I I �r TOWN OF BARNSTABLE s% LOCATION. d JTb ` 4% /1QlO� SEWAGE # VILLAGE W XL/ '1,02/�D17� ASSESSOR'S MAP & LOT-4/-�2— INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /sGQ GG L /�►r ,, // LEACHING FACILITY: (type)1VF,C�sr� (size) V 83 X A 7 iep NO.O EDROO BUILDER O�� PERMIT DATE: S�// 7 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility `5 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 s v 010 i a vJ i �. TOWNU B STABLE LOCATION SEWAGE # VILLA E �QD'l iL' ASSESSOR' MAP & 1,04 4 INSP R'SI NAME&PHONE SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OWNER PERMITDATE: COMPLIANCE DATE: 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 le ching facility) / Feet Furnished by i� 7/2-YGJ7 .•► � � � f 1 �l �. �_� i 4 No. Fee Y THE COMMONWEALTH OF MASSACHUSETTS Entered in computerkles PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01ppYication for Diopool *pgtem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade(�')Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. � � ��`�� Owner's Name,Address and Tel.No. Assessor's Map/Parcel �J��j�/ ����� 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(4p Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow Ile gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank d' 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 issue by this and He Signed Date MVAP7 Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued TOWN OF BARNSTABLE LOCATION �?✓zb �x ��%l�/'QG� SEWAGE # f7 VII LAGE�l��1/��s/ ASSESSOR'S MAP & LOT 'S NAME&PHONE NO. INSTALLER. SEPTIC TANK CAPACITY ISO4 Gc L LEACHING FACILITY: (type)1+�� �`j �lv (size) ell NO-0 , EDROO BUII.DER O O PERMTTDATE: S�//�7 COMPLIANCE DATE: 9_)_? 'Q 7 Separation Distance Between the: Feet Maximum Adjusted Groundwater Table and Bottom of Leaching Facility S � 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 Feet within 300 feet of leaching facility) Furnished by �b q4 eye 5� .�t ' t No. Ll I( Fee �_SU`� / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS ZIpprication for Migogal *p5tem Con5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( ')Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 6 36 jGk `j/Q//�. Owner's Name,Address and Tel.No. jelP APyi`Pr Assessor's Map/Parcel .M;,Y Instver's Name,Address,and Tel.No. Designer's Name,Address iTel.No. vp/rri, '/ 7`�f q99 Type of Building: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder(/W Other Type of Building ?•5/ Femme No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow l/d gallons per day. Calculated daily flow 7 gallons. Plan Date Number of sheets Revision Date Title ft Size of Septic Tank f�©� ®oyJ7 Type of S.A.S. Z 7W Z 7 X Z . w/T 1ylaY1071 Xe-IV5 Descriptionf of Soil Nature of Repairs or Alterations(Answer when applicable) ;F--/ 7—le 2Z� 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 issue t 's and • _ / Signed Date 9P/9 7 Application Approved by Date Application Disapproved for the following reasons Permit No. �' Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS. Certificate of Compliance THIS IS TO CERTIFY, that the On-s.te Sewage Disposal System Constructed( )Repaired( )Upgraded Abandoned( )by �4`l5J` at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated Installer IVl yo`OI_1_11_/ Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date ? Inspector — —------------------- No. �t�(/D✓ � Fee JV — THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Mi!6po0ai *pgtem Congtru [on Permit Permission is hereby ranted to Constru l )Re air )Upgrade r Abandon b � Pg. ( ( ) ( ) System located at 3� 5,G 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:Construc 'on njust be completed within three years of the date of this permit. Date: Approved by r- y r� 000 s T � #�y aSf 'Y g,-'.J� s.�J'� } ad•^rrF a $,,,f- r ,+4i:4 `fir h'� C t :...k 1 , • x ''�° 4 ' NOTICE: This.Form :Is To Be. Used For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) I- lUx/'�`D hereby certify that the application for disposal works A�LJBI^1"�. construction permit signed by me dated 5' �� concemina the property located at d;5blf�! l��///1%� meets ail of he following criteria: V'"} r wetlands within. e*o 'r' nc c ere are no ti�_�.zas . 300 `e_� Jt .Ile �TOL.,_eQ:,epi1C SvStem n r�o or. ate e.l ,v'ih; 1-,0 -,eet o_ .ne :moos:...seonc system �_!le Ob_�. eQ =roena� 3I_. :3Dle ._ .- ..,... .} _ ,.... �e10•v' �l"ie ^OtTCa� 'h .rl.. ,eG.:iIIi� .a.:- . 'tier S JO IlC- 3 e ;p 0« _ila 0r a3I1Je ;n 20 SIGNED : DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan. this plan should be submitted]. .r ..' MAY'� .yyx 1 •ai .-a:: r;vt`'' �a � ..n Y � v �„4`1E 'k �'vii'F•A •a "�� � "&: 7+ ,�r -w;.`axl s p #' ">+�yj;'. �* ,u7�. �' ,;.� -�`r{`.,F.�i:'r S -.:'•�. � r,,.a� H�`:.fir.t�.r �,a '3 �T" �^�-� a° �z t' �.n,�» � ":,,� e� ., �:. �.cre}$���„� t �' �1� � "y•¢ ;.`� q, is r .y � ;.�^%��y r",},r .�. ., Y,:vy"-s}^,i1�.,,,�.Tx'- n _.rrr .:,'��y �L'wa fi'�' ,^�,p"�ci�" '� % 8r ;•�9�.,. ,+ tr �r+a 'L'�;�.�^� �§���RS,p _ � . :Y �- - 3,ky"A'" ��� %�?;.s�"• =+r� k .. ' Yx� Lll.. t'2 M`S%s'h%:$�;`"n��.. �x{��� ��u T'� -����3--��{' 1.t^�;�� � }.�"�"�`'y^ ;�- �� �5, R t s.,�'�yp�", �'.u: a , ri� h�•, ���3 s. ,_ v. �r' �� .._"e` "t S -' k' �f.2" ..........%� x .. .���a'� -.. � v ,'xq� ._ ��#�P .':'��.''>'4',.,�rx: O 0 a 9 o A 9 u- 0 s � t i w V _ HYANNISPORT S•illT-A 2-04-00ya/ Goo J LOCUS OvERLEA N IRyING 4.1 28 4' 14 STEPHEN LOCUS MAP -1 �o J. PLAN REF 17308 B,C &D ® CTF REF 145556 s���,r ZONING. '"RF--I'• CAR/APPT.'= h �® SETBACKS: 20'-15'15' s.......... 'ss, LOT 8 °'� 'v uV v�'s� II -.� �_..,. FLOOD ZONE: C o PANEL NUMBER.- 250001 0008 D DATED.• 07-02-1992 TSR *W S1 PLOT PLAN OF LA-ND O S ORARA IS✓FROMN M TH6 _ RUIN OF BARNSTABLE r ` - S6FT/C A'STALLSRS CARD- - Q LOCATED AT MA ..... .. r 636 SCUDDER LANE :S:EXlSTlNC:::;:SS" t�� W 28. 7 ;;ff0llS�':SS�SSS� 1� W� HYANNISPORT MA. O VERLEA SHED �1 AREA=39,143--S.F. ,� �� ROAD PREPARED FOR. e ASSESSORS ? �,3' ��eki'� PETER & BRENDA LEE OKEEFFE 266—032 25 r S o �.�� �r �� FeNc 'l G� JANUARY 18, 2008 - p LOT 1 THE � - i L AT 3 REV- REV- PROPOSED - / POOL 2o4 37 REV - POOL YANKEE LAND SORVE'YORS �. 57 & CONSULTANTS GRAPHIC SCALE P.O. BOX 265 LOT. 7 40 0 20 40 e0 UNIT 1, 40 INDUSTRY ROAD MARSTONS MILLS, MA 02648 7EL• 508—428—0055 FAX 508—420-5553 ' 1. inch = 40 ft. SHEET 1 OF .1 JOB ,,!- 54319 JF r f t;. �4k I�. rf • il' iitr , u I, ( i Ir fit: • ' I { ;i it !i I , i !I ;I , . 1•. 1 11 I ' I( it !I {! I '� II .j I{ i c s