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Home My WebLink About0143 CEDAR STREET - Health 143 Cedar Street Hyannis A= 328-174 A I I TOWN OF BARNSTABLE LOCATION C/ ��rQcoai s SEWAGE # VILLAGE I �-�Uv1 S ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. /2aV e_^ �2ee,—,+s SEPTIC TANK CAPACITY f�L�V LEACHING FACILITY: (type) (size) 7�L` . 9 YY-�- NO.OF BEDROOMS BUILDER OR OWNER U V 4-lb k'1-0 PERMITDATE: 3 -S' - / COMPLIANCE DATE: � 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 leaching facility) Feet Furnished by W �` GW � � � � � r n I J No. `' ®�_ V �( Fee TIaE COMMONWEALTH OF MASSACHUSETTS `, PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS AppItCAtton for Xigpo$AY *p5tem Cong4ructton Vermtt Application is hereby made for a Permit to Construct( )or Repair(L,<an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. 1 93 Ceavr 37 YUKY. , Cre'b��01,1 Installer's Name,Address,and Tel.No. Designer's Nance,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 'S gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil I S►��1D Nature of Re airs or Alterations(Answer when applicable) '�VLX TV A� L 5(ID G*I} Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance ofthe afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Co and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B rd Signel Date Application Approved by Application Disapproved for the following reasons Permit No. 7 Date Issued �4 i*-,. , r.,i.,.N, ... ^,'!_t>.�> ,r. � .Y «.. -t .�r .Y.K`ar'Y''r. .. .7r..�:�. y y: ,.,.,,.._ .�. `"'�,rt.•n 4 .� � .. '�,.. r tip.--.•...q*�.d »�.., - - No. < Fee THwE COMMONWEALTH OF MASSACHUSETTS �. PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppl 'cation for Migaar *pgtem Conmructton Permit Application is hereby made for a Permit to Construct( )or Repair(l,,<an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. r HS C &Y- si } awwts Jvwe_. Cre�S�Zor�( t Installer's Name,Address, -and �Tel. No. � t Designer's Name,Address and Tel.No. t-ut( S 4 1 Type of Building: ? r Dwelling No.of Bedrooms > Garbage Grinder( ) Other Type of Building No.of Persons Showers( ' ) Cafeteria( ) } ,Other Fixtures Design'Flow 5 'r gallons per day. Calculated daily flow gallons. 7 Plan Date` Number of sheets Revision Date Title Description of Soil i E ; Nature of Re airs or Alterations(Answer when applicable) K-S10,1� t'Sop Gffa1�—`j k_k ! i Date last inspected: 4,.p 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 Co and not to place the system in operation until a Certifi- j care of Compliance has been issued by this B and Malt Signe Date '- Application Approved by i Application Disapproved for the following reasons t• Permit No. � —� / �' Date Issued 3 s THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS certificate of Compliance HIS IS TO CERTJTFYy,,tha -site Sewage Disposal System installed( )or repaired/replaced(,,<on 3 � by " for jv� oG�J 'I[ as has been onstructe in cordance with the provisions of Title 5 and the for Disposal System C nstruction Permit No. 9 61 y dated 3 � G Use of this system is conditioned on compliance with the provisions set forth below: r No. n1(� (� / Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mtgogar *pgtem Congtructton Permit Permission is hereby granted toor� -C✓ YJe to construct( )repair( L,�`5`n On-site Sewage System located at 1 a✓ 4.A n A V"Ei 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 c pleted within two years of the date below. r Date: - /� 7l� Approved by CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, -oC'O�-e�R 1\0 e_1\5 , hereby certify that the application for disposal works construction permit signed by me dated '---2>— "S (O , concerning the property located at k4 -ea v- '5—� 0 7 c-v-v- S meets all.of the following criteria: • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNE DATE: s 'J '(P LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. I e -r oo � �� N � � ��o� � i