HomeMy WebLinkAbout130 B CRAIGVILLE BEACH ROAD - Health 130 B Craigville'Bea6 Rd (Hyannis)
No.�[�I Y/ - Fee D� �—
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
2pplicatlon for Vsposal *pstrm Cottst trfion VPrmit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon K S&Complete System ❑Individual Components
Location Address or Lot No. 3 0 0 113Ar n 5T'c>-61e L2,%,*4 Owner's Name,Address,and Tel.No. l k r 5 T
Assessor's Map/Parcel 3 I O 04-( S
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
`
G'►q�ei�sir Eh �n�c� "C— 71,7 73,I �ltA
Type of Building:
Dwelling No.of Bedrooms Lot Size Z� sq.R. Garbage Grinder( )
Other Type of Building A L-e— No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank 'op to Type of S.A.S. L
Description of Soil
s
Nature of Repairs or Alterations(Answer when applicable) A A-FA p Cj S�,c,w. ( (��v O 3e .
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 Certificate of
Compliance has been issued by this Board of Health. _
Signed Date
Application Approved by G C Dates —
Application Disapproved by Date—c
for the following reasons
Permit No. ��J ��. Date Issued
---- -- - - - - - - -� --
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No. o ( a�� ;y; Fee 00, r
THE COMMONV4 A�TH OF MASSACHUSETTS Entered in computer:_A.�
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
Zipplication for MI8posal r*pstrm Const union Vermit
Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon Complete System ❑Individual Components
Location Address or Lot No. ; G O 3n r n g T-a,;3l e Rwp 8 Owner's Name,Address,and Tel.No. l^k c 5 T 4 i�hT-14,.,l j net S
Assessor's Map/Parcel 3 l d ` \ H\(�A n n i S�y ( 5
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No. 1
Type of Building:
Dwelling No.of Bedrooms Lot Size ca o v sq.ft. Garbage Grinder( )
Other Type of Building L.-. No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank C) C7 Type of S.A.S. I-E rcAt, Dl'r
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 5 VS f-r-- (I o G K-v P ro Se"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 Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. _
Signed C Date
Application Approved by '� {A�� Ce_�/[� / Date
Application Disapproved by r Date 1
for the following reasons 4
Permit No. a o J d — Date Issued I
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( )
Abandoned(4by C�4p-&,�)�U� CV1 FCC1 (,f S
at O 0 l�A",i S lvlA 12 ky,*d has been constructed in accordance
with the provisions of Title 5 and th for Disposal System Construction Permit No. dated
Installer CiApw 1 j_4 (:,Tlit.�,�(?LAV ,� Designer ✓
#bedrooms Approved design flow gpd
The issuance of this permit shall not be construed as a guarantee that the system will funct� ios''dest ed.
Date Inspector
No.�� l-
� �. /Fee �(�
1
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
Misposal 6pstem Construction permit
Permission is hereby granted to Construct( ) Repair( ) Upgrade( ) Abandon
System located at d®
and as described in the above Application for Disposal System Construction Permit. The applicant recognized 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 this permit.
Date /�(� Approved by
AsBuilt Page 1 of 1
TOWN OF BARNSTABLE
4 CCZ�
LOCATION 300 (�o,r,n S +G Ra SEWAGE
VILLAGE ASSESSOR'S MAP& LOT 10
INSTALLER'S NAME & PHONE NO, r rN , Jj in it 12
SEPTIC TANK CAPACITY
LEACHING FACILITY type) (sI)
NO.OF BEDROOMS 0 PRIVATE WELLf OR PUBLIC WATER
BUILDER OR OWNER_Oq., �
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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http:Hissg12/intranet/propdata/prebui It.aspx?mappar=310144&seq=1 8/22/2012