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Home My WebLink About0218 WIANNO AVENUE - Health 218 WIANNOi ✓Q�u2�„OSTERVILLE A=140-147 f d 1 III n TOWN OF BARNSTABLE LOCATION 2 17- /D,vt SEWAGE # VILLAGE 0 S -, ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 24 S,6 SEPTIC TANK CAPACITY l,Sb 0 LEACHING FACILITY: (type) (size) NO. OF BEDROOMS S' np BUILDER OR OWNER PERMITDATE: J -� 9 COMPLIANCE DATE: 6 9' 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 t r ` 1 ' o t r Tt7WN OF BARNSTABLE LOCATION VILLAGE L1✓ '��.� ��s� ASSESSOR'S MAP& LOT ki NAME&PHONE,NO. �.�iN1,s a ► �J SEPTIC TANK CAPACITY sPJB� LEACHING FACILITY: (type) r C .��J� (size) ti NO.OF BEDROOMS BUILDER OR OWNER -PITDATE: Z /�� 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 Wetland and Leaching Facility(11 any wetlands exist within 300 feet of leachin a Feet Furnished l&II , N I\ . � I A/7 No. 7 s 3 / =".• R `��.+ <' Fee $ 5 0 _0 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0[pprication for ]Diopogal 6potem Con.5truction Permit Application for a Permit to Construct( )Repair(X 4 Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 218 W i a nn o Ave Owner's Name,Address and Tel.No. 6 0 3—6 7 2—3 21 1 Assessor'sMap/Parcel Oster'ville, MA Peter Stepanek 1 Col. Wilkins Rd, Amherst, NH 0 031 Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. Wm E Robinson Sr Septic Service P O Box 1089 , Centerville, MA 026 2 Type of Building: Dwelling No.of Bedrooms 5 Lot Size sq.ft. Garbage Grinder(nc) 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 repair consisting of 1500 gal tank, D—Box, & 6 stonepacked Cultex 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 Environmen 1 Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by t Td of Healt Signed Datel" 9 5?; Application Approved by Date Z 7 Application Disapproved for the following reasons Permit No. �27 " 27 Date Issued �[= p 1 92- 37 -No. i Fee n THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01ppricatiou for Migozar *pgtem Conaruction Permit Application for a Permit to Construct( )Repair(X>j Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 218 W i a nno Ave Owner's Name,Address and Tel.No. 6 0 3—6 7 2—3 21 1 ' Assessor'sMap/Parcel Osterville, MA Peter Stepanek 1 Col. Wilkins Rd, Amherst` NH 0 03'1 Installer's Name,Address,and Tel.No. 5 0 8—7 7 5—8 7 7 6 Designer's Name,Address and Tel.No. Wm E Robinson Sr Septic Service P O Box 1089, Centerville, MA 026 2 Type of Building: \ Dwelling No.of Bedrooms 5 Lot Size sq.ft. Garbage Grinder(nt) 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 1Nature of Repairs or Alterations(Answer when applicable) Title 5 Septic repair cons;sting of 1500 gal tank, D-Box, & 6 stonepacked Cultex infiltrators. Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system j in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this 1390rd of Health n Signed 1iL . / Date — 9 Application Approved by / Date 9_l" Application Disapproved for the following reasons Permit No.T — 7� Date Issued / — _7��-' 9 7 _ THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Stepanek (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed{ )Repaired ( X)Upgraded ( ) Abandoned( )by Wm E Robinson Sr Septic Service at 21 28Wianno Ave, Osterville, MA has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 9 2-3 2—dated�� ' - 22 Installer Wm E Robinson Sr Septic Srv. Designer The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date ::7_ �i' -"`1 Inspector ---------------------------------------- - No. 9 7 7 Fee$5 0.0 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Stepanek Mwi!5po5al *pgtem Construction Permit Permission is hereby granted to Construct( )Repair(X )Upgrade( )Abandon( ) System located at 218 Wianno Ave, Osterville. MA by Wal E R&bi nson Sr Septic Sry 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: ,2 f9t9 2 Approved by _ f y 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, Sr.,hereby certify that the application for disposal works construction permit signed by me dated /Z Q` Q , concerning the property located at _218 Wianno Ave, Osterville, MA meets all of the following criteria: * There are no wetlands within 300 feet of the proposed septic system. * There 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. • There is no increase in flow and/or change in use proposed. * There are no variances requested or needed. SIGNED: i 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). �� .l . e - g. ,, q \ f ` l - �`� l �__-_ � - .. �� . . • .� �J TOWN OF BARNSTABLE LOCATION a -L��9 L SEWAGE # ' VILLAGE (7 � �"-1 ASSESSOR'S MAP &LOT QJ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILI'IT: (type) (74,l�t� _ (size) NO.OF BEDROOMS BUILDER OR OWNER Potd ��o PERMITDATE: 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 Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) • Furnished by 0 0 0 4 rp J yT z Z