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Home My WebLink About0063 BARBERRY LANE - Health 063 BARBERRY LANE MARSTONS MILLS A = 102 149 _ _ J TOWN OF BARNSTABLE LOCATION e!� 154 A b&il RC—)2 Z A SEWAGE # '*iViLLAG AV, �,5 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. �6 SEPTIC TANK CAPACITY A6 v LEACHING FACII:ITY: (type)"J<7 `3"'� I- Z G (size) /3 02 S'* tom- NO. OF BEDROOMS "t. BUILDER OR OWNER /11fm PERMUDATE: �-�� COMPLIANCE DATE: O,—/,S•"� _. ,,.,�--- Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bo/eflands ing Facility Feet Private Water Supply Well and Leaching Facilills exist on site or within 200 feet of leaching facility Feet Edge of Wetland and Leaching Facility(If any within 300 feet of leaching ff ility I Feet Furnished by � a, �� ,�" ... t i �� !' c 4y _ s yj '� � �� ,�� ' � a � ' ��® /'� . - � TOWN OF BARNSTABLE J qT, LOCATION A �Ckr 6(—fr%.J SEWAGE# C/Q4A VILLAGE NC Xo-S, ��i�� ASSESSOR'S MAP & LOT 1!/ — 9 INSTALLER'S NAME&PHONE NO. N �A SEPTIC TANK CAPACITY VS 0 U C-//C i LEACHING FAC1Lr Y: (type) ��* X co Pk (size) Im NO.OF BEDROOMS BUILDER OR OWNER PERMIT DATE C 62\� �� 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(If any wetlands exist within 300 feet of leaching facility) Feet Furbished by ` J v � r i � a No. Fee $5 0 / ✓✓✓�� THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppftcation for �Digpozar *p6tem Cougtruction Permit Application for a Permit to Construct( )Repair( X)Upgrade( )Abandon( ) O Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 63 Bar gry Ln. , Marstons MIlls Robert Walsh Assessor's 'alp arce 14 Apache Ave. Andover MA Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P O Box 1089, Centerville Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) 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 leach system_Consisting of a D-box and 2 H 20 ( heavy duty) precast leach chamb-ersl with stone all aro14nd _ 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 Certifi- cate of Compliance has been issued by thi oar 4.4f Iealth. r Signed 4 Date 0'_0 Application Approved by Date Application Disapproved for a following reasons Permit No. Date Issued I No. "� Fee 50 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE'MASSACHUSETTS Zfpplication for Oi5pool *pztem (Construction Permit Application for a Permit to Construct( )Repair( X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 63 BRre>�ry. Ln. , Marstons Mills Robert Walsh Assessor's ap azce 14 Apache Ave. Andover MA ~ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P 0 Box 1089, Centervilkl&e Type of Building: ;i Dwelling No.of Bedrooms 3 Lot Size sq. ft. Garbage Grinder( ) Other Type,of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design4 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 j Nature of Repairs or Alterations(Answer when applicable) Title-5 leach system consisting of a D-box and 2 H 20 ( heavy duty) precast leach ch With stone all around- 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 Certifi- cate of Compliance has been issued by thi oar f UIealth. Signed t. �. € r" Date Application Approved by a18Yj"2A1L&jC') ! Date - ----Application.Disapproved for the.following reasons - i Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Walsh (Certificate of Qtompliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) Abandoned( )by Wm. E. Robinson Septic Service at 63 Barberry Ln Marstons Mills has b constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No ated -2 5-- Q-1 - Installer Wm. E. Robinson Sr. Designer The issuance of this permit shall not be construed as a guarantee that the twill function s ,esigne8: Dateb -"' L. Inspecto "� --------------------------------------- No. ✓ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1wigP00al 6peum Construction Permit Permission is hereby granted to Construct( )Repair(X)Upgrade( )Abandon( ) System located at 63 Barberry Lane, Marstons Mills 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:Constructh-on must/be,co pleted within three years of the date of th'ui� ; P•. Date: t`� _ Iv Approved by f g ti wl I NOTICE:Thk Form U To Be Used For the Repair Of Failed Septic Systems Only. - C�RTIItiCATION OF SKE'f(�AND APPLICATION F08 A DISPOSAL WORKS CONSTRII('rION PLItUff(VYtTHOUT DESIGNED PLANS) L Will iain E. Robinson,S> y comfy diat the application Lir disposal works coutrtmntt�semd by me dated -''4 �—6 " .conoesning the property located at 63 Barberry Lane, Marstons Mills meets all of the following criteria: • The failed symm is eonnamd to a omdoun l dweUmg ratty. That:are no commercial or buswm uses asswimd=- as dwd5 n& The soil isCLASS i and The penx*adm rate is tew Man or equal to 5 minums per loci►. Thus are.W w�Vkhin 100 fea of the propowd SCPt[C stratum • Then:art no#nvatc wells wWnn 150 kd of the prapowd seWuc S}'SMI I • There is m' to fbw andkc C�In mw poposed • There are vanaam nYp eswd or nm7dc& • The of the prgfOSEd leaching�wtQ W—�toca ed less than five feet above the ma. table devatioti(Adjust the gmuttdWrrter table using the Fritnptor mitiod hen del • if the .A.S.will be band with 2M hart of any vcgpmed wgyn.the hoaotn of the proposed t be ft will nRt be located km than founern t 141 foa above thr ma, mum adjusted table dcvaliort, cwmpkfttbeftUwhW A) Top ofGround Sod=Fkxmim(taming Gig inktmat on) � p B l G.W.Elevation +the MAX. F igh G.W_ t _ DIFFERENCE BETWEEN a and B SIGNED:- / ` DATE: ` [S mch proposed plan of system on badd. .x deaNh faldc aert i I 7. V r r1�� ' ^v�� !h`•, y,�,r,h TS. �: " _�p,s � s ��7� yh�Y�� t a,4�tty'.t.�- t Ic- Av F.. ..d`' TOWN OF BARNSTABLE LOCATION A x g r .o SEWAGE # a' '.Z'Z _ VILLAGE ' ,%//+ i %` ` ASSESSOR'S MAP'&LOT&Z INSTALLER'S NAME&PHONE:No. ci�i`✓wed l-f i �- �7'7 t :'SEPTIC TANK,CAPACTTy ' A 6'b LE:A'CFIING'FACILITY {type) , �!_.• �„� ;, (size) NO. OF BEDROOMS . B[III:.DER"OR OWNER' - PERMITDATE o O' CO:MP.LIANCE DATE -/ �4' Separation Dtstance`Between the.' • _ r s Maximum Ad usted_Groundwater Fable fo the Bottom of Le ing Facility, Feet Pnvate Wate Supply Well and Leaching FaciLty ;(if ;wellsexist + on site'or within:200'feer of:9eaching,facility) Feet .: Edge of Wetland.and:Leaching Facility-(1f:any ,.etlands east W within 300 feet of leaching Ni ty . Feet Fumished by r :I