HomeMy WebLinkAbout0140 DEVON LANE - Health OFT
140 Devon Lane , Cotuit
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No. FEE
THE COMMONWEALTH OF MASSACHUSETTS
774 Barnstable MASSACHUSETTS
�Nyy rativn for (gurns#rurttun Ilermit
Application is hereby made for a Permit to Construct (X) or Repair( )an On-site Sewage Disposal System at:
Location A dress or Lot No. Owner's Name,Address and Tel.No.
Lot rd Davcan Lane the Norman TLwt
Cotuit, Box 599, Mashpee, MA 02649
477-0023
Installer's Name,Address,and Tel.No. Desi n 'Name,Address and Tel.No.
Fer eW Associates
1 131 Spring Bars Road, Fainmth, MA 02540
fPA
540-3699
Type of Building:
Dwelling No. of Bedrooms 3 Garbage Grinder(nO)
Other Type of Building No. per Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 55 gallons per day. Calculated daily flow 330 gallons.
Plan Date My 1, 1997 Number of sheets 1 Revision Date
Title Sewage Disposal System Plan prepared for The Norman Trust
Description of Soil Test #1: 0"-5" "E" loamy sand, 5"-20" "B" loamy sand, 20"-36" "CI" sand, 36"-126" "C2"
sand Test #2• 0"-5" "E" loamy sand, 5"-20" "B" loamy sand, 20"-36" "Cl" sand, 36"-126" "C2" sand.
No groundwater encountered
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the aforedescribed 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 y this B and of Heal✓�
a Date
9
Signed c� ( 4$ 7
Application Approved by ��^^� Date
Application Disapproved for the following reasons
Permit No. 9 7, L Date Issued
-^��^-� -^�.. .. . -• �
C/
No. FEE
` THE COMMONWEALTH OF MASSACHUSETTS
S 774 , t2t Barnstable MASSACHUSETTS
c�3� Ctrtt#turc far is II$rz1`. 5get' t Tano#rur#turt prrrtt#
Application is hereby made for a Permit to Construct (X) or Repair( )an On-site Sewage Disposal System at:
Localot: 98res�s•oVr n-Lot Noe er's Name,Address and Tel.No.
NonnanCotuft, Box 599, Muhpee, MA 02649
477-0023
Installer's Name,Address,and Tel.No. esi ne 'saNme@ss and Tel.No.
13I 5prinEgli93 RaM Road, Fa1WUt:h, MA 02540
540-3699
Type of.B,dilding:
Dwelling . No. of,Bedrooms 3 Garbage Grinder(nl)`
Other Type of Building No, per Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow 55 gallons per day., Calculated daily flow 330 gallons..
-� "--PI an 'Date Number of sheets t Revision Date
Title ageftqpo&U Systan Plan pappaved for The No an Trust t,
Description of Soil Est #1: 0"-5" "E" loamy sand, S—20" "B"'loamy sand, 20'1-36" "CI" sand, 35"-126" "C211
sand: IWt #2: 0—5" "E" 16a Sandi 5,"-20" "B" foamy sand, 20=36" "Cl" sand, 36'=126" 11C2" stand.
No gam=n ter enwunt:ered. .
(
Nature of,Repairs or Alterations(Answer when applicable)
t
Date last inspected:
Agreement;
The undersigned 'agrees to ensure the construction and maintenance of the aforedescribed 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 issue by this Board of Healt]a� ��
Signed to - 7
Application Approved by �r��� ��..ba� Date
Application Disapproved for the following reasons
Permit No. � . r) Date Issued
THE COMMONWEALTH OF MASSACHUSE77S
MASSACHUSETTS
IT
C�Er#iirtt#E II TIIZYIXi�IxirE
THIS IS TO CERTI,4Y, that the On-site Sewage Disposal-System installed C14 V` repaired replaced ( ) on
by X014 EA44"A17O2 for FL _R.,
at n, �/A y 1-�t�l ('19 /7"� has been constructed in
accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. Cl?-2. dated
Use of this system is conditioned on compliance with the provisions set forth below:
The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. This
Certificate expires on
DATE ti / ! Inspector h �`
THE COMMONWEALTH OF MASSACHUSETTS
No. MASSACHUSETTS FEEIr
�is IIsttl $#Em 0.10notrur#ion 11lrrxtti#
Permission is hereby granted to
to construct ( ) or repair( )an On-site Sewage System located at
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.
All construction must be completed within three years of the date below. / n
DATE `�/���2-`7 ! Approved by •ly?rt nra LAB(.[_
FORM 1255 Rev.3/95 A.M.SULKIN CO.-BOSTON,MA
TOWN OF BARNSTABLE
LOCATION t?y u N L R NQ L c�'1- �( SEWAGE # (�
vIL LAGS C U '�`� �. I ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE NO. J eK C^U.4
SEPTIC TANK CAPACITY /-f 60 G
LEACHING FACILITY: (type) Re A.+C-t f (size) SCE X V)Q,
NO.OF BEDROOMS 3
Bi1ILDER OR OWNER Ylp A✓
PPRmrrDATE: COMPLIANCE DATE: Q - lam— 27
Separation Distance Between the:
Maumum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Priyate Water Supply Well and Leaching Facility (If any wells exist
an 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
T.
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O D 3 `
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