HomeMy WebLinkAbout0151 SEAPUIT ROAD - Health 1.51 Seapuit Road
Osterville
A = 118 - 124 - 003 ,:
No. �!" Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
9pplitation for Dismal *pstrm ConstCULtion Permit
Application for a Permit to Construct( ) Repair ) Upgrade( ) Abandon( ) ❑Complete System f AIndividual Components
Location Address or Lot No. 51 SGA PU17- P, Owner's Name,Address and Tel.No.
R a�SL-r W4 d 6k§kJ
Assessor's Map/Parcel I�4 003 05T ( SOS-A <Jc'T— P� 0�?'
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
15.3 Co -z— M
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(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) .57Q1SIr 1-Jax�) R—;to n—609,, AND PJ.5M
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 Hea
e Date \
Application Approved by Date � 1
Application Disapproved by Date
for the following reasons
Permit No. �c3��� ^ ® Date Issued
.f ,4•l-.+a;_,. . ,t �-,z,',o, .:.-r�.:.r.t7^ --.:k;:--..•,^=t%^„-,^T"«*sr._:.:,:y. -�'.,^�....'^''4., !`"Kti.�'�A-.�'--x•":..-...".'.e•�. ... Y:.;i�-,x ➢„+''.s-:.,-.�.'k,,.'�:r'„7,r�. .:.. -• � , - -
No. /" Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
ftpliLatibn for Disposal 6pstem Construction Permit
Application for a Permit to Construct Repair)( Upgrade Abandon complete System Individual Components
PP ( ) P � PPS' ( ) , ( ) ❑ P y � P
Location Address or Lot No. 51 5 C-'A P rr Pb Owner's Name,Address and Tel No.
Assessor's Map/Parcel I Wa7 dQ. (` Ste}j7cJt 7- PLT QST �G.CE„S
Installer's Name,Address,and Tel.No. SC$d--yT7--$$'i't 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
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
` Title
Size of Septic Tank Type of S.A.S.
Description of Soil > .
Nature of Repairs or Alterations(Answer when applicable) _ &)S7'�_ AJ6Xj F4^;tO D bOX ANb PJ57 M.
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 Hea :h.
gnf ed ' Date `
Application Approved by — Date t
74
Application Disapproved by Date
for the following reasons '
Permit No. 1Ss- — 10 Date Issued 1
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 AC-Wl-S g =C1jT&('t9E3/Ago .
at S 1 s c-Ou!-r Ab - o.6 7- has been constructed in accordance with the provisions of Title 5 and the for Disposal Sy e Construction Permit No.�31'? --D/0dated l 1
Installer 0,4VE c,A/DiE EA)7Z@Q%G Designer AJIA
bedrooms Approved design flow gpd
The issuance of this permit shall not be construed as a guarantee that the system will fundio designed` '
Date �� M . ff�
Inspector
--f='--------------------------------------------- =-- _ ____________ -=--=---------- ------
No. go` ~'`�` Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Disposal 6pstem Construction Permit'
Permission is hereby granted to Construct( w) Repair O Upgrade( ) . Abandon( )
System located at 51 S'&¢PU l j- P a*:b ®S=MXvIz dC-45r
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/coo jpleted within three years of the date of this permit. �.
Date ! ` Approved by` _
ems_, �. • . -, - .< _..