HomeMy WebLinkAbout0031 WOODLAND ROAD - Health 31 Woodland Road
N=-265 -007
Hyannis
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r J ( TOWN OF BARNSTABLE
ATION C2 � � � SEWAGE #
VILLAGE �� t-� ASSESSOR'S MAP & LOQ&a C�
INSTALLER'S NAME PHONE NO.
SEPTIC TANK CAPACITY
LEACHING FACILITYAtype) (size)
NO. OF BEDROOMS PRIVATE WELL ORTUBLIC WATER
BUILDER OR OWNER VV t t(irrn L� z�►�(�,�
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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TOWN OF BARNSTABLE
'-A-CATION _alood! AW- .eahM;4 SEWAGE #400 5
T,LLAGE �u�tin c 'ASSESSOR'S MAP & LOT o& S
INSTALLER'S NAME&PHONE NO.. t!!�APe lu/CCq �rn,�- , ✓vim S� Z{a
SEPTIC TANK CAPACITY /5-00'sc.1 - --
LEACHING FACILITY: (type) 6L-sUy C Ct-CIu► 644_ (size
NO. OF BEDROOMS Q .I
BUILDER OR OWNER oa� TQ Spbyyuw
PERMITDATE: COMPLIANCE DATE:
Separation Distance Between the: ,
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility h !L Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or wid-vn 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
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No. Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered incomput ':
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
01ppliLatlon for Disposal �ipstem ConetrUYtlon Permit
Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No..?/ G-�a l aK D Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel Y4 wit A i -y D eAAA e fr(A-G 11 vL,,-
�ist�ler's Name, ddress,and Tel. o.' e� a Designer's Name,Address,and Tel.No.
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Type of Building:
Dwelling No.of Bedrooms /v Lot Size sq.8. 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) e f t Z•0 Al,. i L tv
lee
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 Codejand not to place the system in operation until a Certificate of
Compliance has been issuedUbby this Board of He
i d Date
Application Approved by Date l�
Application Disapproved y Date
for the following reasons
Permit No. �WIA7Date Issued
v
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No. i 1 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
2ppl cation for Disposal 6pstem Construction permit
Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) ❑Complete System a ❑Individual Components
Location Addressor Lot No.-? Wa 1 a d( 12D Owner's Name,Address,and Tel.No.
Assessor's Map/Parcel /�yli wn j 5. D 44yr
Installer's Name Address,and Tel. o. i r Designer's Name,Address,and Tel.No.
pi�.74+o H D i s t.�.J e✓ �1 t�
Type of Building:
Dwelling No.of Bedrooms /v Lot Size sq.ft. Garbage Grinder( )
r
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
- r
Nature of Repairs or Alterations(Answer when applicable) e 0 I ae— a -(/'D 4?�1! �i e� t D
-F L %ie t,. V. PV I t t f U G '10'C SG�544 fie �
Date last inspected:
y
Agreement:
i
The undersigned agrees to ensure`the construction and maintenance of the afore described on-site sewage disposal system in
- a
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 iss*b1,5oard of Hea
Date
Application Approved by DateApplication Disapproved Date
for the following reasons
Permit No. Date Issued
- -=------- --------------------------
); THE COMMONWEALTH OF MASSACHUSETTS
Q 1 ^ "p��1►n U,,� BARNSTABLE,MASSACHUSETTS i
Certificate of Compliance
THIS IS TO CERTIF/YJ that the On-site Sewage
wge Disposal system Constructed( ) Repaired(VI/ Upgraded( )
Abandoned( )by i L5 u oGc.o C.4 i,
at �� �ClJ�l G� 0 has been cons1ructe in c ordance 1
with the provisions of Title 5 and the for Disposal System Construction Permit No ted b
Installer Designer
#bedrooms Approved design flow gpd
The issuance o thi perm t shall not be construed as a guarantee that the system will ncti esigned.
Date { Inspector r
p -`�i - - - -
No. -�-- -
® ' v/ Fee
HE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
laispo8a1 6pstem Construction Permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon( )
System located at � l/yoOel/L. ey p� OC LJ �}}'e. ,e?S �C'�
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Consimp o in t be mpleted within three years of the date of this permit.
Date Approved by
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l 0 C A T 10N SEWAGE 83P EM I T NO.
;. - Woodland Ave. 4
V'11LLAGE �
Hv�nnis
I N S T A LLER'S NAME i ADDRESS
_Robert B. Our Co. Inc.
Great Western Rd. North Harwich, Nass.
i UILDE R OR OWNER
James Pomeroy
DATE PERMIT ISSUED 3/17/83
DATE COMPLIANCE ISSUED
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