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HomeMy WebLinkAbout0141 FOX DEN BLUFF ROAD - Health 1 M FOX DEN BLUFF F;W),gA C�ollkr- A TOWN OF BARNSTABLE ��l l - q LOCATION Dr—A 6L—vffl°ASEWAGE # VILLAGE CC� y I l ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.(fAIZ 9,L,A-Mkol SEPTIC TANK CAPACITY LEACHING FACILITY:(type) -7&AJCH9S (size) NO. OF BEDROOMS) PRIVATE WELL OR PUBLIC WATER 0(A*U BUILDER OR OWNER RP ��OIYPSCMJ DATE PERMIT ISSUED: 16 � DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 6= S"g° F'� �' © o G� ' 9 1=`03' + ASSESSORS MAP NO`6-,ZI No. PARCEL NO. ciy 4?__ Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS YiCation for Mi$ ool $tem Cow5tructiun permit Application is hereby made for a Permit to Construct(X)or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. 1 9 l �=otc S�C.��.v'�' �o,s.� Co i��� p nn� '�No rnsoi✓ -�^'g6G�S 20 9' 1. -r 1s 2 2 2mi l��A X l?o� �,R C/e�rtK M� O zaks Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. '3A161 t", l NY t -1Nc Ositrnvoll t 10061A Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder( ) Other Type of Building No. of Persons Z Showers(Z) Cafeteria( ) Other Fixtures Design Flow `"�'-�- fir"'° 3 5ogallons per day. Calculated daily flow 3 $O gallons. Plan Date t O - Z-q 8 Number of sheets Z Revision Date Title Description of Soil CL sa a _C Nature of Repairs or Alterations(Answer when applicable) /dam. &kz z4az1-mil GY' � 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 Envirja menta odeladgt�to lace the system in operation until a Certifi- cate of Compliance has been issu this Board of H h. Signed Date Application Approved by Application Disapproved for the following reasons t Permit No. Date Issued — p yr O3� TOWN OF BARNSTABLE LOCATION �� Fox br-N 81�#AASEWAGE # /g copy j VILLAGE Cb I u I� ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO.GkZ aL� C) 18 SEPTIC TANK CAPACITY � Q® LEACHING FACILITY:(type) ca 1&1,JCN9.S (size) O NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER 1pt�iu BUILDER OR OWNER Ak �ONPSDAJ DATE PERMIT ISSUED: /0 1,7 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No —C b�7 Q o 1-59 _ �a s � � .,�.-ern� .':.. _;.:� .: �::.: :..;..z,.::..�•.:: .r e'. ."'� `. s, ,. .... . . e , .. _ .. -.. __ ,i No. �Gi O .J(<� Fee AA-t r • THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE., MASSACHUSETTS application for Migool *patent Congtruction Permit Application is hereby made for a Permit to Construct(X)or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. � �� A Yi\t -`FIp MSO/� -� i'�i�o�o-S 204 9.1 F o Y. i)r_�" t.v A G,iv, _ .] L&T Z Z ZC5 1= LA�C 1 o ril l�, n° CA ti✓e),. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 1✓AXt� t � NYC 03 71h,, Type of Building: Dwelling No.of Bedrooms .3 Garbage'Grinder( ) ` Other Type of Building 4A,1v.S L No. of Persons Z Showers(z-) Cafeteria( ) Other Fixtures Design Flow - x` 3 3agallons per day. Calculated daily flow Q gallons. Plan Date Number of sheets 'Z_ Revision Date Title Description of Soil C L s s 7L Nature of Repairs or Alterations(Answer when applicable) a f�� eZ4_r 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 Enviro menta ode a d of to lace the system in operation until a Certifi- cate of Compliance has been issu ._Xthis Board of H a h. Signed _ -- 111��1 Date fa Application Approved by Zzp Application Disapproved for the following reasons Permit No. ! . B lIFI Date Issued / °" ` ------_====_-=_=='—r--===y——__==--=-=�� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE,,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or re�aired%replaced( )on by for 1 1 1=o tic J as has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated �2 . Use of this system is conditioned on compliance with the provisions set fort _heel w: No. ` / Fee I THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS xtg offal !tent Construction Permit f�y � p Permission is hereby'granted to - - -to construct( )repair( )an On-site Sewage System located at 1 '4 1 fox --b c _k',13) Cc i • i 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 two,years,of the date below. =-"------- Date: t/! !� C ICJ Approved by 1 _i> SttEET 1 of= 2 �S►G� DATA 'SI�1G E FAM 11-`{ PLA i•L OW BAC4 uExzE- q o ;A V93A`Q Gwr<.tn wally pww = 3 x tto =33a LoT 22 sznc TA14L = 330 r(700'/.="0� uS� 1500 GAL. 4'PVC- PIPE ' L6e 3 cuL-�sc 's3oc. a�►Wv-s/4STDVE -- - --- - - -- ►2 4�U c-A-mom AzEA 2E 'R vls'toy, 3'3 o GPD 0-j4- 5=+41. SF ,(ppUGl.TtoN AQ.6A ��StbN Stt�Y,lAc.1_ Ate= 311 X�x2=14$sF PLaN V1�1u - LEI-Elt•!', cNAM8Ee5 toTTOM AMA = IZ)( 2-5� -3oc T -Tom. AME4- 448 sF pu►sN Grz c PE2.40LAT►OW ME SOIL CLAP7' I ���"OF 4?qVo 0 T— Sgy c ^' ��Y. sq ► � a0 0 � D %O 10 STEPHEN G o J o a,r CULTF� 1 a 0 a ' I N� OF Wur-5mme S+Ir� — � � o.30216 $ BAXTER u n S .c'. 1p �� 1'L - No> :�Fs STER ��/ 4�Oy5_SEG"PIa+1 0 F G 4AM13& T— Q� rr S/l7PJAL E'`' 3 G4 to 2.c� j 9r� �!n =bq t Tl±•'71 0` -Tbgf "Ax- L:L `.q F. RAX777 =i LOAM Q ,. 54 n ' ��3So�L p� IbA[ IN1 rob$ t lv70 2.5� Et.(0{0.5�. Lit C►iAMB±C R5 t4ii 6�.4 bL.L �� i t Lam. � Shone bus; �SA,�� � "D�VELOPL� pQpFl1.� Ne7 �ealir r` CE"RGD PLOT FLAIJ 12 N o W4Tgz- LafAT lost CoTv IT M A s s _ P 1,56 3 A4 ��t9181 SGAL� 1"= 504 VASE lol 2.'9 8 pQopo s St�vyvN FLAW R t•1G�R` v 10111,118 I L�TIF`l r"4T "E -Dwa ►wc- 4emoW cempu S wrn4 Tl4 sIDEL%W9 AW Lo-r V- L,c. 39(6b0 $ 5�4- ,5m Iv- e)F T46 vwm OF MAP 41 Pam- 3B $A►ZJ 5'(A1�3L� A� !5 NflT LacaT� Vu t T"41 N ,; 6 AL FLccv HA7� ,D e ZONE. � NYe`- 1tiiG n j � �-, LA1�D StJevts"�'ttZS - �I���i sib DG,r,. tc��{g V J r: c -- oSTlaev►►�.� fS. 5et,s . zones $u c,Dt NlsS sNax� Nor brxaPPV G4NT: (fig �-� i N o M So I� (USED Tb 9K7 At5LJ W PFrOpE=Ty Lr►JLsS, v �--� 10 y / LoT 22 �x zd 27.E TAB IF o' i9 2S eon �c��P 40 1/ 5-4 4 _ � N PL►k] 5ca�LE SHFCCT. pa qRt'�`( TF•}oM SotJ � f � � � �2 Sc� , oc°f 2 tcil$ 7E/. mT, il,tgl$ *ATE PLAQ Ri:1 L.C. 39 b(60 ♦ '�,p. �' I 0 Foy 4 \ _ P SWFF FLEV 4ri ofj s GAiED o%� A.CT. v 'b. C" DE��-� DATA �tIEET i ol= Z 251►.1Gt_s FAMIL{ r2-V--E PL.A I.L OW 13Ae4 qo GALZ3A`-- G¢ir�r1t. -PAAL-y Iww 33p6fv oT Z2 7? Ufir ! sEnc -CANS 33o x?oo'/.=66a6� v I Soo GAL. a'Pvc PrPE L6AGt}It;.1G 5`(STi=�I �S�N � oer�ar�%cT - i)sE Appu GATlo" Am A ikt� P vrsT• •3'3 o GpD 1 0'14- SF=4410 SF �x _20' ,�ppL1GA.T►ON AVZA Drkil& t �r 51tE1NQLL Apr,-4 3"j X�x2=14$sF PLAN. V1�1�V — L1=A�!••}It� c1.4AM8Ee5 JI OTTOM ARC = lZ 2S =300 -TOTAL, AA= 448 sF F�wsN G>z� PE2LoLATia4 vA•rE L 5 Mrv/� 2� 3 4u)c „ vA of!.,q G '/s-YZ �� Ss9 • 0T- 4CHARD5ToNE,0 o 0• LT�L Ilz i s 330 OFSTEPHEN G a rlf�e. �$ j I,-- 52'A. 0.30216 r - BAXTER w �' c';F<) No zaoee �� STE`� ?-O%-SEA--nDN D F C 4AAA j�� `" `ASS/0 ALE:��� / 4 lbor F4a e- EL. 69� F. T�-'7 LOAM ¢ 4„ S G Go .46 JW. S+7vsso�L lw f &7.o ' 1.F.4�.�t Cypna R5 ' • b�•4 h z 2,5 CL.(,1,IS Ido,v t z �oK 4►lr °. 64 .. Glk4*� I - /o• - r�Ft) to 40AV-SE r hb SCAL ar rL. M " RGD PLOT PLAIJ 61, 12' 1.° LovEL 5 ;o!:� No W4TtTL- •- Lvef 4Tlow CcT"IT� MA56 P¢�posr-� SI�vM PLAU -V I CGZII F -Dw dA.t NG 4EESON CDMPL4.5 wrrw 1-4=- slt>F---.uN9 AID Lo'r' 22 L,C- '39 b&o $ 64 S�B,►�IC. �u�Qwtr rr VT: TV -W rvN OF, MAP 41 Pam- 3 B $aRaJ'�-rllu'1.E AQV l 5 Nor LOCATE. Vu I TU I W A 0S- AL FLvCV HAZ.A D ZONE, a4 - A HYM I WCf LAUD 502vr:^426 •iw/,1#.4VER;S oFFSersuonA By It,D1 NIiS sNoucp Nor ba QPPI.I GANT: (�SG� Tb E�,T1AEc.1sy PRD'pE�¢T`/ Lr�.11:S• VV — \� 6�• V A i / ✓ 1 f 6 ?p' LoT 22 fit'6y' � � TA►�.. A. � �:' y / ,% . o �i LOT 21 o' 4 / k , PLA 5cprLE ' sNFCT 2 o I! 2 � g1aR1'�L`� TF}oMSo� � `f � 2sc3 tgg$ / GAT 1(o,Igg CRarar �)13 RAQ 9C- L.C-. 311 too a ss Fo,& to 83 , REVA'ria as GmeD bh�