HomeMy WebLinkAbout0230 LINCOLN ROAD - Health 230 Lincoln Road
Hyannis
A =.270 044
M�� 9-7o — o �,y
No. U 0 Z J-1(1 Fee —
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
ZippYication for �Digaal *pftem Construction Permit
Application for a Permit to Construct( )Repair)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.v;2,�0 Linco�ev Owner's Name,Address and Tel.No.
•
Assessor's Map/Parcel
2 70 '0�l
Installer's Name,AddUyss,and Tel. Designer's Name,Address and Tel.No.
ti✓(�fTiV't_
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow Falns per day. Calculated daily flow gallons.
Plan Date umbheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations( nswer hen applicable)
L.
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 kof Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issued by th}s oard of He Signed MAIIIJ M4 Date 9/0 laz
Application Approved by .� Date \
Application Disapproved for the fol wing reasons.
Permit No. Date Issued q U
40
No. l O Fee _
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
Zipphration for �Digool *p5tem- Conotruction Permit
Application for a Permit to Construct( . )Repair)Upgrade( )Abandon( ) ❑CompletC§;4em ❑Individual Components
Location Address or Lot No. �� Owner's Name,Address and Tel.No.
2--50 C; .itiCO� I
Assessor's,Map/Parcel �O 'D� ►' `,f j o5
Installer's
Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ,
Type of Building:
Dwelling No.of Bedrooms % Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures k ! I
Design'Flow /1 1 I�Tgallons per day. Calculated daily flow gallons.
Plan Date bumbler of sheets Revision Date
Title i
Size of Septic Tank Type of S.A.S.
i
Description of Soil
Y Nature of Repairs or Alterations(Answer when applicable) + �x� 1 cA
yrW� ouprc.1 r 0
. . TJ —�
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 Vf Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issue by this oard of Heallfff
Signed 9/0 Date O
Application Approved by ln..`!, �. .J DateA/-Qt,9
fir-
Application Disapproved for the foll ing reasons
Permit No. 3 g k Date Issued q Al U
THE COMMONWEALTH OF MASSACHUSETTS
QePjtiW_ .�eVeT t,nf/1 BARNSTABLE, MASSACHUSETTS
�n�y Certificate of Compliance
THIS IS TO CERTIFY,that the On-s'it e_S.eawa a Disposal System Constructed( )Repaired(+/ )Upgraded( )
Abandoned( )by " �;� . 1Z�,A
at 0-70 4 r c.. ;.S has been constructed in accordance
with the provisions of Title 5 and'tho for Disposal System Construction Permit No. DW-319 dated 0 �
Installer/MlU P 0� 69� Designer
The issuance of s permit shall not be construed as a guarantee that the systemwill function as d i ned.
Date a / Inspector 4',
---------------------------------------
No U O 2— �95 Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
1=i6poar *potent Congtructiori Permit
Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( )
System located at 7Ui�tic. .
r-r 1
r , r , ',g S
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 this permit.
Date: U1 L,91 0 >- Approved by hpi