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HomeMy WebLinkAbout0037 CAMMETT LANE - Health 37 CAMMETT LANE, MARST.MILLS A=099-026 'I �f TOWN OF BARNSTABLE V { LgCATION �SEWAGE # VILLAGE44,Q �� 2%1_ ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS-, ? PRIVATE WELL OR PUBLIC WATEggj"V BUILDER OR OWNERI,j�L�(�� CL��1/�IL� DATE PERMIT ISSUED: �/ DATE COMPLIANCE ISSUED: d& wvGr� VARIANCE GRANTED: Yes No r TOWN OF BARNSTABLE Or• a LOCATION G 5 h ry a , SEWAGE # 98- 333 V LLAE ,WA Ta3' s?iJ�/lS ASSESSOR'S MAP& LOT Of O�ZG INSTALLER'S NAME&PHONE NO. Y�7-o�4Q ✓us u�i Ci,br►ro S SEPTIC TANK CAPACITY l SOa LEACHING FACILITY: (type) 41 V x I AI/i"r5 (size) NO.OF BEDROOMS�ti BUILDER OR OWNER PERMITDATE: .0�2 7 - 91 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 fe t of leaching if ility) Feet Furnished byu.Gt,�✓ ' - 1 ,`. • � M ,� 0 • . „��U , � T $�, �0�/1 �� �+, c����� way ,,. No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer- Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Migogar *proem Congtruction Permit Application for a Permit to Construct(4.- Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 37 69,w,"-,-7f` tt Owner's Name,Address aaA�d Tel.No. 4118" $*1/qG ryi,�rs tda� /?'�:ds L,/grrY <'Yl�Uoti Assessor's Map/Parcel 3 of n Installer's Name,Address,and Tel.No. W77— d 3 0? Designer's Name,Address and Tel.No. ,/bs-e_pti DK Qxrho s AA grails 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 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 S&A�z Nature of/Repairs or Alterations(Answer when applicable) Ll K/ (f/_,Irr> �sAhcl ro 15,rwZZ 6,&1. Sr �✓ !?�,�txi.ti,ii—ps t.�i r-�, � ' Sr�dl,� f�rOdr! 2 " P4- S roe,-c 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 of Health. Signed Date S--2 �v8 Application Approved by Date .S"-; 7-q� Application Disapproved for the low reasons Permit No. 3 Date Issued - - - - ————————————————————————————— -- - TOWN OF BARNSTABLE I OCATION 3 7 t SEWAGE # 98- 3j3 "VILLAGE ASSESSOR'S MAP&LOT DQQ- 0 STALLER'S NAME&PHONE NO. 5177-03 yip ✓as U�, U �3.►N�o S SEPTIC TANK CAPACITY :LEACHING FACILITY: (type) `✓' /Y1 V A I ilrS (size) VO.`OF BEDROOMS .2 BI1IL OR OWNER Mr. `�PEkmrrDATE: t-^2 7 - 91S COMPLIANCE DATE: :S.epiration 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 fe t of leaching fa ility) Feet Furnished by ii i 1 160177 f�7-!tijls�bl i • ,�0, is , Y i No. Fee — TO�6sONIMONWEALTH,OF=MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS ZIppricatiori for Migqsar *pgtem (Con5tructton permit Application for a Permit to Construct(6-TRepair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Add qd Tel.No. 4113 S,?q6 � Assessor's Map/Parcel 3 9 Ci4rttrrl �/ 99 O 2 (o �1za/statis lyl %%s Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. J6s�e_,o4 D. i9 orr0 s J161AWt*&17 kol 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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date z Title Size of.Septic Tank 17 / Type of S.A.S. Description of Soil Nature of epairs or Alterations(Answer when a plicable) F/� /�X/ . . SSAGD� K/ir4 S7'p Date last inspected: Ji Agreement: t 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 of Health. Signed 7/-e Date Application Approved by Date Application Disapproved for the(dllowi4 reasons �7�Q G� Permit No. y 1 — J Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of C6MPItauce THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed(e.. Repaired'`( )Upgraded( ) Abandoned( )by ✓o - i 0, at 50 (f Ao o r-.,- 77" L a vr= has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. — 3.3 ? dated Installer o Designer ✓astp6 L7c 13,40r0S The issuance this permit shall not be construed as a guarantee that the syst m will function as designed. Date q $ Inspector — �---- ------��"-- -----�.. --^---- G .D'& Fee V� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Af° 1igpo!6_ar *poem Cow5tructtou Vermtt Permission is hereby granted to Construct( "j'Repair( )Upgrade )Abandon( ) System located at J7 Gl4•rro rt9G � /?�liarSToN-f !'Lii%/� ICI 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: — �. — ! 15 Approved by _). + - n z # n y7 'IC � l�C�. #M`I'lllis¢ blitrl sx 3e i lsed:Fior the RepMe Of FgHed } tie,: ystents tn� ► 4 f1 - '{ i 4 r CEI�Tt 'YCA'ftIV ( SIE" C IAIVD°APPLIIATIl�1�101 A y U1SI'OSALVVt �CQ1SfiJ 'fI(j�V PEItiVIIT (�WI'1'itOUT Diu . 7 M*. sr lot 0 ^`-x was ,is ?e+• 7 $ 2 L } ir•{i;t { ;,t rr P#"�' «'• 1 -_ a ply 'r Y ' k r " ` heteb rr Hi that the applicetidn for disposal Works 1 /sti Y n /, 1.. eoneerrhittg the pertriit sig�htd h�me dated2? 9.8 !� cons ruction _.£..: i t r { meets tilt at the P I F property located�t 3? ` h �s�-G" h h r `j rr�a�.x4 -} ch r ,�•r r,d r��`�'.� r a ! r. - r� �, s��� �t ,�','z��`i r` Mang et dos fr 7 t r ! i rc r} °f;�^r 1 "� S - �rS' B �' ��e t 4eili �' "fher�ere ho wetlands�fcc ed vVlthlri I00 feet of tlt6 pttipd�s ieitctiing!'� h+ - -� MET- 7 r} „ ���,, �74 .✓ "t A TT:ti,x T k.S:.r a '73 t f > + 4• # .N`,ryy,r ,g�, , n'E -g• my., F iv_� j',r i {• tars ax ! a :rJ'y' :f tai- a`.t ..rir t 9� r I,. Y > There Ore io privat+s 14t�ti�within 56 feel fif'tlte pt`tipose s$titic sj+stetti {i{ } ;7 �..,( �.-3 syk t,'Y+ i'r k^t P•Ai a}•kx 3:p k.a °:' £r`r!, ,`�( �'�c ds i 4 � .Ix ' h � 6�. low , z ''there is rio int;t�te ii t�oi 6f chnge it�8 ptbpbse ,+a s.,� ;. �i�•� 1 , c �# r �„� 1 • MR MF R, peg t re ate no varlances regtiest�+ or rte�ded x w r ,r7Y,F 3 t r 'Y°Ji9"t�„ 7F ,zs i a 5,4,a'q 11• �xy t _ .. ` Si etn„u _. �f� ; ; >• t <{ ,.t w d# .?#f'j'�,°$+�,�nl'� y� Rv c °��d"�' s .� 7 '.y r:'L : . j • '� � It[he ptbposed i cuing iddiltty will btu located withlttU feet neri wetleitd§,the btfctlt baths i` '� ' ft�77ptopbi;ed Iret HittgftiGllitVill he loc>te�18s5 ihett fouHeeii(lA)Ceet above the itiaitltnUfii idjusled r e y � e ct gtoundwalt tableeltvOtidN �f ` jx , *+i "� _t '4 S b Wl• a yef ;.e S t K - � r:. P1e3�se ctbtnplefe ttte folittit+i��f � '. cF't *v�tl "W Ix`"" t 1 „.: ., etin'Division r t A)Top ofirievellon(dccord'ig to the Rog g p � -- z. sr nxr s }fi ta4i �s ° iAry r7 cs �," -_R4� 4.;,Fr ,$ K � g bbseWed tli=aun��vetet'Fable Elevation(eecbrdtng to Health Division well map) ^ 4fk r " f r� � L • ro J , ' txa{n f �� - �1 Sy�x���1(� a F r. 4 `7�Y��fl'.t �,e a'•r�;�3 5 '�'Jrh i "¢t•Y: ..rr a f1t t i �. jI.' f y, f fir. J r .�,F e :px'1,r 1, -- t,♦Te- F -'i, y ., " 'a� 7::'a t'eri. Ti tit ��7 i,. X Y ':'F e s^y ,7 4»€+�"t` d"*1't'� er y •... t " n SEt' i�SYS T�ivt IN5TALUP.IN'1&TOWN OE BAtt1VSTABI:E)ttjt4lBER,gy . Lii✓E:�ep '� 5 - a •taps 7#'+yyt g�=F ?fi' :7 z l.X; ,�ri�'`�u' F 4ir Ft #. t . x c`-'+ �' n J + j v y��.`�kyy .j� �ryk,,, w,ta� U�{��t•�r'$ir #S` �'#': wry. �� ..; r �;✓����� .:w � e a t s s: �tyE �Attech O sketch pleri of the pitoposedaj+ateM Allta iftitd ii6Oiis�bd inetailer posrsses a eLffitied plot plan+ ,this plan should be submitted] w , t q:health folder:cert ��� �'x'Sr`�� C�ss�'o°l O � �STO�v.� �rmay� ._.., a ;a ..� <�