The URL can be used to link to this page

Home My WebLink About0040 SAVINELLI ROAD - Health 40,SAVINELLI (U fl COTUIT At 024 014 --- - - - --- - -- - _ -- - j 1 t 1 r P? No. ! Fee t V >J THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplitation for ;Diooml *p!6tem Construction Permit Application for a Permit to Construct(pair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot Nosovw-e III Owner's Name,Address and Tej No. �/o room r' v��io�ly 14hh Assessor's Map/Parcel �1f /� `. Installer's Name,Addres ,and Tel.No.4/!J 1— 0 3 4� Designer's Name,Address and Tel.No. Jbscpy D-� (��rwo.� fell /W, Type of Building: Dwelling No.of Bedrooms -5; Lot Size sq.ft. Garbage Grinder( ) Other TI pe of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date .Number of sheets Revision Date Title ' " Size of Septic Tank Gr _Type of S.A.S.CQSCt�G 'L �- �oQ�S �X13�X lam" 3� Description of Soil; o �h Nature of Repairs or Alterations(Answer when applicable) 2'`i 4T/�l� 2:7— S"bo �tg� V-.& Lrsi ��, �/ ' �77'Oh-P 14.V61h W 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 Board of Health. Signed Date Application Approved by Date C, -8 Application Disapproved for the following reasons Permit No. /"ql_Z_ - Date Issued 6 No. ZO'a f tl a r Fee x ;THE COMMONWEA T OF MASSACHUSEITS Entered in computer: Yes VS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 01pprication for �Diopogaf *pgtem Construction Permit --� M ` Application for a Permit to Construct(pair(, )Upgrade( )Abandon( ) ❑Complete,Sy tem ❑Individual Components Location Address or Lot No._17#,I /.� ��/� Owner's Name Address and Tel o. .,e Oti s Assessor'sMap/Parcel� �OrV T I Yv� � y y414 14 V Installer's Name,Addres ,and Tel No. �77� O 3�� Designer's Name,Address and Tel.No. J65�loLi D-� (,��a U r' Type of Building: , } Dwelling No.of Bedrooms Lot Size sq.ft. Syr Garbage Grinder(J•,.) Other Type of Building No.of Persons Showers( ' ')'Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan.,Date Number of sheets Revision Date Title `+ Size of Septic Tank I()C(7jGr Type of S.A.S. Description of Soil �'sati Nature of Repairs or Alterations(Answer when pplicable) L�`i STdp�� - S"UU r,�a� a y �T� -e 1y�i 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 Certit cate of Compliance has been issued by this Board of Health. Signed Application Approved by _ Da e — 2�-0 1 Application Disapproved for the following reasons Permit No. ��Y[� """ '"' Date Issued (,P ,? + " -- ------- -- -- ---- -- ---------- THE COMMONWEALTH OF MASSACHUSETTS S BARNSTABLE, MASSACHUSETTS �aS -7 Certificate of Compliance oeo THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed(G.)-RVpaired O Upgraded( ) Abandoned( )by at 90 5,41/l/'I has been constructed in accordance with the pro isions of Title 5 and the for Disposal System Construction Permit No. Zoo-W9 Z' ate d G — 71 GG Installers wL'/aLI Uti ��fA��i,S' Designer VoSe li -G XMA'0.5' The issuance of this permit shall not be construed as a guarantee that the sy tes m/.will functtiion as 4esignpd. Date C7 f o l Inspector ---- --/------- -- --------- -- No. C�J�f" �b..Z.. --- Fee SV. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS 1=iopo5a1 *potem Construction Permit Permission is hereby granted to Construct( epair( 1 Upgrade )Abandon Y ( ) S stem located at �/ ? e/! 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. Provided:Consttrructi•n mus be completed within three years of the date of this pe Date: W 2� Approved by 0 / < 3 t/6i99 NOTICE: This Form is T- B-e Used For the Repair Of Failed Septic Systems Only. CERTI)iICATTON OF SKETCH .3,ND APPLICATION FORA DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, ��0,1�pCi �'t./ ,�r.•�,s hereby certify that the application for disposal worts construction perrtut signed by me dated concerting the propery located at O VAy��/�� p U,,T meets all of the following criteria: „ %I ae failed system is tonne✓ed to a residearial dwelling only, i nere are no commercial or business uses associated with the dwellinz. Z.--T.ne soil is classined as CUSS I and the percolacion rate is less than or equal co 5 minutes per inch. There are no wetlands within 100 fee;of the proposed septic system i/T"nerr are no private wells within ld0 tee;of the proposed septic srse:n �j There is no increase in flow and/or change in use oroposed //�Tnere are no variances requested or needed. lity will not be located less than hve tee;above the bottom of the proposed leaching fac ma.=um adjusted undwater cable r!evadon. (Adjust the goundwater table using the Frimmor method wheat applicsblel the S..-\.S. will be located with '_ 0 ter;of any vegemted wecla.ids, the boaom of he proposed leaching taciliry will net be lccacrd !ess than "bur-cern (I,,) ter;above the ma-ximum adjured Toundwater table ele•/adoa, Please complete the rollowin;: A) Tap of Ground Sur-tact- Elevation(usin(7 GIS intormadon) B) G.W. E!cr/adon _the NL-�'(. ,:igh G.W. AdjusLment D='RE`+CL a E TWE-7N a,and SIGNED D AT (Sketch proposed plan of systeni on backl. q: caich;cider.;-t / a� oA�j ��✓ m ,Ogg a r s v 1 yrc } rri� Au �4Z£t uJ � 1�`�!l1 •�i� a s� a `6;i tutsryAv k l�3 s F� d LOCATION milli SEWAGE #• / �i!G 2 VILLAGE w.ASSESSOR S MAP &LOT; J :: . .. INSTALLER'S NAME.&PHONE NO. � L� SEPTIC.TANK.CAPACITY L D D 4 _ LEACHING FACU-=: (type ' Nb'OF BtDRO(bMS ° BUII:.DER:OR OWNER PERMITDATE = o/ colvilArrCE DATE;�S Separation Distance Between_ahe Maximum Adjusted Groundwater Table and Bottom.of Leaching Eaeillty; 1-ee . _ -- Private Water Supply:We11:and Leachin FaciL an .w.ells exist . . g h' y on site-or within,2Q0 feet of leaching facility) Feet Edge:of Wetland and.Leaehing Facility(If any wetlands exist within 300:feet ofaeachin facility)-facility)-o. Feet Furnished by ,. } M k I s 41 , 71y t . 7 0 TOWN OF BARNSTABLE LOCATION �/4 _ 'A Z l k �� r / . SEWAGE # VaiLAGE C O Tv1 T ASSESSOR'S MAP &,LOT 1 INSTALLER'S NAME&PHONE NO. J 6 iq?raS SEPTIC TANK CAPACITY /D DO LEACHING FACILITY: (type) 2--rW NO.OF BEDROOMS _3 BUILDER OR OWNER ( !�S PERMI TDATE: 0 COMPLIANCE DATE:b5�r/,V, �2 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 leachin facili +) Feet Furnished by � � "f � �.� `4 '.. �TY.�\ � a 5 a �` may. • a5 h � ... �R"ON �,