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HomeMy WebLinkAbout0038 EATON COURT - Health LA55.018 *�` � No. �'' L7 w r t Fee `ICJ THE COMMONWE H OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOW OF BARNSTABLE., MASSACHUSETTS 01pprication for Migogal *pe;tem Con!5truction Permit Application for a Permit to Construct(V)`Repair( )Upgrade( )Abandon( ) L"JComplete System ❑Individual Components Location Address or Lot No. j F 4-470 Al C T• COT 0/ Owner's Name,Address and Tel.No. 7 Z/ — Id V49 Assessor's Map/Parcel 155 / '8 15 ILL CJ 1j Installer's Name,Address,and Tel.No. gcpy— 30 Ys- Designer's Name,Address and Tel.No. Vd.Y-9/31 � 06� h I6/ea�o H �� Al ,v ,� Type of Building: Dwelling No.of Bedrooms 3 Lot Size f7°� sq.ft. Garbage Grinder Wa Other Type of Building LlI00{D IW IXF- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 646 gallons. Plan Date ld Aj PH Number of sheets Revision Date TitleLgT-63 €4TD N CT, COTil l-r Size of Septic Tank /5_6�0 Type of S.A.S.. Description of Soil _�� PEP— P/, -' 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 issued by this B&Iof lth Signed Date /1, X1 J Application Approved by Date Application Disapproved for the following reasons Permit No. Date Issued e� " "= e►', No. � Fee THE COMMONWE L H OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOW OF BARNSTABLES MASSACHUSETTS ZIpprication for �Digoe;ar *p!tem Construction Permit Application for a Permit to Construct(Vu)Repair( )Upgrade Abandon( ) ®Complete System ❑Individual Components Location Address or Lot No. . R �9-AT 0 A/ C 7• COT V T Owner's Name,"Address and Tel.No. 7 7/ " Id V a z r�` - Assessor's Map/Parcel S5 S / /�; J ILL. e-�,1 Li Installer's Name,Address,and Tel.No. qQ 36 5-5— Designer's Name,Address and Tel.No. lay—g(3 f i Type of Building: Dwelling No.of Bedrooms _ Lot Size /'1-7,L sq.ft. Garbage Grinder(4/0 Other Type of Building WQQ© No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 3 3 U gallons per day. Calculated daily flow �° gallons. Plan Date !4 (G q y Number of sheets Revision Date Title"T ">3 F4TO N C?, CUT 017- Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) y Date last inspected: Agreement: t " The undersigned agrees to ensure the construction a4maintenance 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 issued by this B of_ ea lt Signed Date Application Approved by Date ! R Application Disapproved for the following reasons V Permit No. Lf Date Issued {/ --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY that the On-site Sewage Disposal System Constructed Repaired ( )Upgraded( ) Abandoned( )by at 3 F 4,470A/ COuR-T •Old/1- has been constructed in accord b with the provisions of Title 5 and the for Disposal System Construction Permit No - dated`/cs4� Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date _ I l - of Inspector No. � '`� ! ---------------- ---------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 'wigpogar *pztem Con0truction Permit Permission is hereby granted to Construct(✓)Repair( )Upgrade( )Abandon( ) System located at -3 8 fll-TOX/ C0 U 4 T , G 070 / 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:Construction must be completed within three years of the date of s-permit. Date: 13 - k q Approved by Z TOWN OF BARNSTABLE G LOCATION ;3 � �,,, SEWAGE a , VILLAGE (® ASSESSOR'S. MAP 6z LOT 65'S- O (�f INSTALLER'S NAME 6z PHONE NO:� SEPTIC TANK CAPACITY , o s LEACHING FACILITY:(type) �u@�c.✓(size) • •4 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: f VARIANCE GRANTED: Yes No jA •,�a i� �. ..! �r �t.J+n 3..� �t.r .�yr�?.r f@F,•...rt•" 4^.i y ^ •�....... + "ar6 !4:7/ a?:i�\fllA*nN.xa+ru.M1earT,�.ire..y...�,� �.� �'}?ti%p �.✓wp-f f��s 4 is o t,�i.y'��yFlw 11 � t d f Sates `i ��►-t VATA -5114, E FAM ILa ( QEDma*- K r/r-E pL.A t•l oN BA44 4EtzEvF GA ql�G �IL1D 6:2. r 53 >7 � r -PA.tt- FLOW = 3 =1396 �ArCh 10'✓'= y -Zito SDI G -MmL - 330x700%w 6o6PD u�F 1500 GAL. Q•Pvc. 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