HomeMy WebLinkAbout0037 CAMMETT LANE - Health 37 CAMMETT LANE, MARST.MILLS
A=099-026
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TOWN OF BARNSTABLE
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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
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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,�✓
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$�, �0�/1
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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
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1
160177 f�7-!tijls�bl
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• ,�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 _).
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tie,: ystents tn� ►
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y U1SI'OSALVVt �CQ1SfiJ 'fI(j�V PEItiVIIT (�WI'1'itOUT
Diu .
7 M*. sr lot 0
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was
,is ?e+• 7 $ 2 L } ir•{i;t { ;,t rr P#"�'
«'• 1 -_ a ply 'r
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k
r " ` heteb rr Hi that the applicetidn for disposal Works 1
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eoneerrhittg the
pertriit sig�htd h�me dated2? 9.8
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cons ruction _.£..: i
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{ meets tilt at the
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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
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"fher�ere ho wetlands�fcc ed vVlthlri I00 feet of tlt6 pttipd�s ieitctiing!'� h+ -
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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 `
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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
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4.;,Fr ,$ K � g bbseWed tli=aun��vetet'Fable Elevation(eecbrdtng to Health Division well map) ^ 4fk
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" 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 .
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�'#': 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
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