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Home My WebLink About0101 BUMPS RIVER ROAD - Health 101 BUMPS RIVER ROAD, OSTERVILLE A=120-001.01!2 f p, 4 i 9 TOWN OF BARNSTABLE LOCATION LOT 1Z��:s rn PS su tK.,c act — SEWAGE # V A VILLAGE ASSESSOR'S MAP&LOT /;ld INSTALLER'S NAME&PHONE NO. DZC-0 • j SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) I� NO.OF BEDROOMS BUILDER OR OWNER PERMTTDATE: 4 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 Wedand.and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 6' - r ' Oo� �r N Lq I\j W O a r t `I No. Feeo THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: es PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppricatton for Mt!5pool 6petem Congtruction Permit Application for a Permit to Construct(Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. `(y/ BU/l PS K t(161Z R Owner's Name,Address and Tel.No. `2 71� `v7 v Assessor's Map/Parcel Installer's Name,Address,and Tel.No. L/�b - ,j d V57 Designer's Name,Address and Tel.No. q,�_y. nt Type of Building: Dwelling No.of Bedrooms 3 Lot Size Y3 P S4® sq.ft. Garbage Grinder(A,1� Other Type of BuildingUMb %iQ 906 No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 660 gallons. Plan Date 9TY Number of sheets C21 Revision Date �✓ /� Title Size of Septic Tank /5-00 &III-40-Al Type of S.A.S. 65AC4 CC4`196WBM_15 Description of Soil //�}5 P�� t 9thA Nature of Repairs or Alterations(Answer when applicable) 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 provisio f Title 5 of the Environmental Co and not to place the system in operation until a Certifi- cate of Compliance has been issued y is B d of gealth. Signed Date .voik5r Application Approved by Date Application Disapproved for the following reasons OWNW,-mitNo. cj ZS _g Date Issued __--------------------- -- .d... ---- TOWN OF BARNSTABLE LOCATION Q 1u m es SEWAGE# ^V VILLAGEbS�eti� ASSESSOR'S MAP& LOT INSTALLER'S NAME dt PHONE NO. ¢G n 3 SEPTIC TANK CAPACITY 0 9,AC LEACHING FACILITY: (type) (size) 3U NO.OF BEDROOMS r . ' BUILDER OR OWNER PERMITDATE: 8 COMPLIANCE DATE:_ �� - 9� Separation Distance Between the: T. I: 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 f it, ?/ • Io 9 d F77 No. Fee l )Vs THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for Migosml *pgtem Congtruction Permit Application for a Permit to Construct(VI"Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.#/U/ BUMPS 2 t V Ek 90 Owner's Name,Address and Tel.No. `771 — I Dt j 0 d ST�,e 1/r u1r_: `lS � o l�A INlo Assessor's'Map/Parcel /Zj 00/. 0/ a ` Installer's Name,Address,and Tel.No. ya 6 — 3 Designer's Name,Address and Tel.No. /L 0OF� 7>IG1flA/4 �-�- 9/ 3/ �.�C6 N XTF e 7 Al Y / Type of Building: `wl Dwelling No.of Bedrooms 3 Lot Size y3' �0 sq. ft. Garbage Grinder(Ali Other Type of Building W00b rR19015 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow 6 b 0 gallons. Plan Date Number of sheets coZ Revision Date �✓ A Title Size of Septic Tank 5-00 d1?LLOA1 Type of S.A.S. L,P'ACII Uft)W46e5 Description of Soil //q 1094 (P,A Nature of Repairs or Alterations(Answer when applicable) c" t Date last inspected: Agreement: w The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisign&jQfritle 5 of the Environmental Co hand not to place the system in operation until a Certifi- cate of Compliance has been issued y s B d of)Health. Signed _.__._ < Date Application Approved byC Date / Application Disapproved for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY that the On-site Sewage Disposal System Constructed Repaired( )Upgraded( ) Abandoned( )by \70 b) 0 l A,✓U at lo/ &)Aje'5 g(VElz RD. 06T>=_Jl4.!6 has been constructed in a cordance with the provisions of Title and the for Disposal System Construction Permit No. "� dated— Installer S� Installer � ( )e ,Y)111 401n Designer va e The issuance of this permit sh 11 not be construed as a guarantee that the system wi unction as designed. Date 41 — A Inspector ---------------------------------------- No. �/ ! � Fee ✓��- L THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migpogal 6pgtem Congtruction Permit Permission is hereby granted to Construct( ✓)Repair( )Upgrade( )Abandon( ) System located at J o/ !J/H>� ut RI).. 5 7 FA V ILLF 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:. Approved by .t r l�ll.�.s FAM IL`{ 3 Bt�RLiwl r E PL.A o N V A44 o ps�zvl� 4 �j X IIo =33DGPp VAI Ly F1-o W (,(c SSG 0 6PD USt: I5D0 6AL' d'PvC PiPC� Y�c,V�zL[ 130c Aw*�S ,STrUG �K Iy,E 3 cv1,-E� �D� u� �ivaL�r aST. 1 /'Q=i/'' ,&VpU CATION AMk =0 WOK 33a Gl'D -'•' d' SF=44b SF r ,tPPucbro►-r AVZA ��5te� �LaN VI�YV _ L9EACE.{.IW-" GNAM8Ee5 SItEIlIQLL AtzEA• 5-7x`L x2'14i SF VOTToM AZVA c 1 �S =/��(GaD $= FiNrs� C>zaac` y`AL. +i �� 3 AUx M pE240LA►7loI4 I7d- L 5 titiv�INcN 2 STa�+E SOIL Cl�. W OF M4,6Ss9 ► e o CULTEG °2 v` 34,-ith: SN � STEPHEN CyG y ' ' 330 o 0 .9 I p"'3ToWe+!� ALLYN - ---''�' � � o WILSON -+ --- 52�----'� W TER '^ No.30216 y -5-991 17,= 60 T�•GI r Pvc- "(fir 4•id.E- -_'�� SC �Cv i 1w T;, $ �j- ILK i 5!3 r ►w 5l S s Lrd41 CKAM cZ5 51z boiC 574 .E G !' 51 OrAw- •. kAvEL �s 4 y �� 'p�VEI�OP4� �t0F11� SauD C "(1�1D P S 13 co ate,: la 1?, 19 3 Sc�,L� I �o .� �.. '1'1 Fy 'SAT 't*I tr `�w�u N fo 5�1vyvN G c. sr� 2 C�MPt-y5 u tTµ TAG stve-uN9 A9D i-Ur t2 zwvizrmGgT OF T"ra V"IKI of MAl- 120l7- -g q.rt 0 STAt�t.GW1V 15 RIOT 1.L1-ATm W I Tl•L I+J /a BAD .A RYE I wa SpG[a AL. FLvcv HAZ.1Z,D 7XH E. LAUD 5LMvltYCV4 •w&t N 5sV4 J111J• 5, lqq LLOC�Q �� oS'T eVI Md�f�• of=Fset�s �zoM $VIL.010&5 411I`00 wor os /DPP J6ANT:,—B4gsIj[:�F -EVIL,>I>JG _ D (rSP:D 4v tys��u�N PRc pe�¢Ty 7 4-mer S OF rr" + $A4Sly% BLo& Co lac- I':4e BAH 5, 100E Z.D►JE QC/GP 20 AC;/�d '�3uMp5 QIVE� rZ>�A.a � � 11Yai7 N i � 1 O tp l i Ub Il 7-4 Q \ I '�IU�LLIIJ(� SB 3G t -! 13 V'IWfC i � � , • i� ANA ( N, • 1S ( L I' 00 jNOFM �p STEPHEN yG 1 'g ALLYN i o WILSON y / No.30216 FGIS-NIX �'�Q•88 � �-- ' �� //-S Fs k r