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Home My WebLink About0032 STARBOARD LANE - Health 32 Starboard Lane, Osterville = 185 - 002 r 3 f �- TOWN OF BARNSTABLE ic, LOCATION �/'� 6 2� 'd SEWAGE # / r/ VILLAGE �,� // ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 4(6 LEACHING FACILITY: (type)/Y.-)"a -��`'r S (size)A ` NO.OF BEDROOMS -� BUILDER OR OWNER G rC A A.- PERMITDATE: 9—le — _COMPLIANCE DATE: /a 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 I i T` v `; coox— No. / Fee '5 5 0 .0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 2pplication for �Digool *p5tem Construction Vertnit Application for a Permit to Construct( )Repair(X35 Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 32 Starboard Ln Owner's Name,Address and Tel.No. 4 2 8—21 7 6/8 6 2—1 01 4 Assessor'sMap/Parcel Osterville, MA Maureen Cronin PO Boy{ 276 nsto-rvillp., MA 55 Installer's Name,Address,and Tel.No. 7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. Vim E Robinson Sr Septic Service PO Box 1089, Centerville, MA 02632 Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(no) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil sand Nature of Repairs or Alterations(Answer when applicable) Title 5 Septic system consisting of 1500g tank, D-Box, and 3 stonepacked infiltrators . 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 de and not to place the system in operation until a Certifi- cate of Compliance has been issued by this ar Health. /v v Signed Date Application Approved by A 01 Date Application Disapproved for the ollowi g reasons Permit No. V 7- Date Issued No. r _a..._�* Fee $5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ,. ; k, Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS k Zippitcation for ;Migotar *pgtem Construction permit Application for a Permit to Construct( )Repair(x�Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 32 Starboard Ln Owner's Name,Address and Tel.No. 4 2 8-217 6/8 6 2-1014 P Osterville, MA Maureen Cronin PO Box 276 Assessor's Map/Pazcel - Osterville MA 02655 Installer's Name,Address,and Tel.No. 5—8 7 7 6 Designer's Name,Address and Tel.No. Wm E Robinson Sr Septic Service PO Box 1089, Centerville, MA 02632 ITY . - r 1� Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder(nc) Other Type of Building No )r6rrsC7-7 Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil sand Nature ai or Alter ro (Answerw�er3appl}cable) titlef 5 Septic system consisting opt '� �'g`dank, —`fox, and SLonepac e n ra ors. -_0 Date l�tli^M ected: '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 E ironmental de and not to place the system in operation until a Certifi- cate of Compliance has been is t ' oar of�I sue byealth. ��✓ /7 Signed j Date Application Approved by Date -7 Application Disapproved for the following reasons f. Permit Nel f C75 THE COMMONWEALTH OF MASSACHUSETTS Cronin BARNSTABLE, MASSACHUSETTS �h Certificate ofCompliance +' THIS IS TO CERTIF , t at n-s n S e i C p(gal 4stem Constructed ( )Repaired(xx Upgraded( ) Abando gg ( )by WITI at Starboar Lri, OS erV a been constructed in accordance with the r isio �fT,'.r1 5 and the f r Di os 1 S st m Construction Permit No. 7- �v dated pm IT nson ep ' Service Installer Designer ' ; /,9 n The issuance of this, s 1 or a construed as a guarantee that the(syste&willl unction-as desi Date 1r I L r Inspector s�z�' r�'� g 1 il�� n p t No. �j--9D---------------------------- $-- 50 Fee .00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Cronin Mizpogar *p,5tem Construction Permit Permission is hereby granted t onstruct( )Repair(xx)Upgrade( )Abandon( ) System located at Starboard Lane t osterville, NAw Installer: Wm E Robinson Sr Septic Service 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 bbe�completed within three years of the date of this permit. Date: / 10 / 7 Approved by I :'�' L NOTICE: This form is to be used for the repair of failed septic systems only CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS I,William E. Robinson, ,hereby certify that the application for disposal works construction permit signed by me dated_7`-�'�" ' ,concerning the property located at 32 Starboard Ln, Osterville, MA meets all of the following criteria: * T re are no wetlands within 300 feet of the proposed septic system. * ere are no private wells within 150 feet of the proposed septic system. * The obseved groundwater table is 14 feet or greater below the bottom of the leaching facility. * ere is no increase in flow and/or change in use proposed. * There are no variances requested or needed. SIGNED• L DATE ( �� LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 60 (Attach a sketch plan of the proposed system. Also if the licensed installer proposes a certification plot plan,this plan should be submitted). f , �i /�� l � r I � �,- I '`�� . L � � r � , ,r � m "J 1� x�.i�.c:+6i-. p _ TOWN OF BARNSTABLE LOCATION '6 SEWAGE ASSESSOR'S MAP & LOT VILLAGE INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY 3 LEACHING FACILITY: (type) (size)A NO.OF BEIJROOMS r3 , BUILDER OR OWNER rc O PERMTTDATE: 9/6 'g' 'Z COMPLIANCE DATE: /y /- 17 Separation Distance Between the: Feet Maximum Adjusted Groundwater Table and Bottom of Leaching Facility private Water Supply Well and Leaching Facility (If any wells exist Feet, on site or within 200 feet of leaching facility) . Edge of Wedand and Leaching Facility(If any wetlands exist Feet within300 feet of leaching facility) Furnished by i b d 'VV`