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Home My WebLink About0032 BAY HEAD ROAD - Health 32 BAY HEAD .iaor , MARSTONS MILLS A = 030 069 A TOWN OF BARNSTABLE LOCATION 12 P Ay�Q 86A 17 SEWAGE # ROW V 712 4VILLAGE 114,es&iJ' ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 56./a f(C 7 7 5- 7 7(, SEPTIC TANK CAPACITY 1 . O�Cse LEACHING FACIL=: (type) (size) a?'-t I NO.OF BEDROOMS -3 BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: 3Ia6/o2oo� Separation Distance Between the: Maximum Adjusted Groundwater Table to the 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 ? � . ., :� a � y� ��.� I' �� L.., •ti..,._ � , ��. �. � ¢ !2 Z TOWN OF BARNSTABLE LOC_*IATION3.2 ZRy 44 Rd - M.1014 SEWAGE # • R030 VILLAGE �Rg� NJ ill g. ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY /O 0 d LEACHING FACILITY:(type) Pi (size) /v o C) NO. OF BEDROOMS PRIVATE WELL OR BLIC WATE BUILDER OR OWNER Qv DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ?�sr° r9 No. 7 t Fee $5 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye� PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS 01ppitration for Mtoogo.f bp!gtem Comaruction VCrmtt Application for a Permit to Construct( )Repair(X)Upgrade( )Abandon( ) O Complete System O Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 32 Bayer Head Rd. ,Marstons Mills Paul Lavoie Assessor's Map arcel jJ 6 30" OtO 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 1 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 Sa_md Nature of Repairs or Alterations(Answer when applicable) T i t l P—5 1 P a(--h G t em c-nn s i s t of a gas baffle, D-box and 2 heavy duty leach chambers 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 this_Board Health. Signed >_ Date/� Application Approved by Date Application Disapproved for the following reasons Permit No. z V- 7 Date Issued Z` 7—0-orv;"c) No. � - c- . " Fee $5 0 _. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes / PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS � 2pprication for Mi!5po-gar *pgtem 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. 32 Ba Head Rd. ,Marstons Mills Paul Lavoie Assessor's Map arcel 0,30- 0611 Installer's Name,Address,and Tel.No. 1 Designer's Name,Address and Tel.No. Wm. E. Robinson SepticZ Sbrvice J P 0 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 R nA ! Nature of Repairs or Alterations Answer when applicable) Title-5 1 Pa nh s m s t e m consisting of a gas baffle,/ D-box and 2 heavy duty leach chambers with stone all arou Date last inspected: y t. Agreement: The undersigned agrees/to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the pro isions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has b en issued by this oard Health. Sig ed Date /Z 2 Application Approved by Date /Z Application Disapproved for the following rea ons Permit No. Z rr" - 7 Date Issued / Z '" 7-Z-troz> ---------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Lavoie Certificate of (Compliance _ THIS IS TO CERTIFY,thaf the O sit Sewage Disposd-System Constructed( )Repaire (' ')Upgraded( ) Abandoned( )by Wm V. obi n on Sept ic Se v{sp- at 32 Bay Head Rd. , Marstons Mills has been constructed 'n accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ' 611' 7/� dated Z � Installer Wm. E. Robinson S r. Designer The issuance of this p rmit s 1 not be construed as a guarantee that the syste,�ill fu ck-1j n a'ss designed Date Z 6 Inspectort No. —U" Fee c�(� �G ,0 6 p THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Lavoie x1i6pozar *p�tem Cou5tructiou Permit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) Systemlocatedat 32 Bay Head Rd. , Marstons Mills -r 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 mut. / i Date: -� Approved by i 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 PERNIPr(WPTHOUT DESIGNED PLANS) I, William E. Robinson.S%ereby certify that the application for disposal works construction permit signed by me dated concerning the property located at 32 Bay Head Rd. , Marstons MIlls, MAtneets all ofthe following criteria: • The failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. . There are no wetlands within 100 feet of the proposed septic kystun • There are no private wells within 150 feet of the proposed-septic system There is no inc/ease in flow and/or change in use proposed • There are m uvariances requested or . • The bond of the proposed leaching fxiliry will nQt be located less than five feet above the ma..,d adjusted groundwater table elevation.[Adjust the groundwater table using the Frimptor meth when applicable) • if S.A.S.will be located with 250 feet of any vegetated wetlands.the bottom of the proposed leaching facility will nett be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: / A) Top of Ground Surface Elevation(using GIS information) B) G.W.Elevation _ +the MAX. High G.W. Adjustment _ _ YZ ?, DIFFERENCE BETWEEN A and B SIGNED: r DATE: [Sketch proposed plan of system on back). P +health folder:4-en �� ,.,, `rl � '� d . � `` "� f _._.____. ___.___._ . -� i� �� : e ,., �� - ; TOWN OF BARNSTA.BLE LOCATION k8 n SEWAGE # CDO 7/f VII-CAGEa��EaiJ' j'1),//t ASSESSOR'S MAP & LOT c7-UrC INSTALLER'S NAME&PHONE NO. ? � 7G SEPTIC TANK CAPACITY t . O C� LEACHING FACILITY: (type) — L7�y L:,r- (size) ;,Z�t-,;?y-�;t$ NO. OF BEDROOMS_ BUILDER OR OWNER PERMIT DATE: i 17/CSc'� COMPLIANCE DATE:._ Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility. Feet Private Water Supply Well and Leaching Faciht (If any wells exist p y on site or within 200 feet of leaching facility) Feet I Edge of Wetland and Leaching Facility (If any wetlands exist within 300 feet of leaching facility) . 'Feet { Furnished by . ii _ sF 6111C -