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Home My WebLink About0260 CAMMETT ROAD - Health 260 Cammett _Umx- �� d Marstons Mills A = 078 053 UPC 12934 Tda ttasrttacs® caw / � � �� O 4 1 A ICI I 1 y( 1 1 1 1 � r TOWN OF BARNSTABLE LOCATION 2C4 ��-al/ I�� SEWAGE # 104o5 —y� VILLAGE /�/G�'/'�J 7�hS' �1� ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 4'O8 ei20 SEPTIC TANK CAPACITY /<0a / LEACHING FACILITY: (type) � —�Od ZXw, r g� 15 (size) .33 X 3 NO.OF BEDROOMS BUILDER OR OWNER !� s�`P_/!4 < ��Z PERMITDATE: 9—!2.�'—O_� COMPLIANCE DATE: 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 leac " g fa ility Feet Furnished by + �/ r II � o a � ,� `� — a��Q i 1 r r ,A ' � No. 2 3— Fee �0 a THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: AL Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Zigpooal *potem Construction Permit Application for a Permit to Construct( . )Repair(4,4,;Cpgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. li O (fjgsifAl,G jT /2d,W Owner's Name Address and Te No. 4ylsgrsroys /y1�"//s 'l�l��'c�,� �v�' Assessor's Map/Parcel 51 W,115 In taller's Name,Address,and Tel.No.SOS= �/20— �`7�$ Desi er's Name Address and Tel.No. �o3'tpGiIJVl4�'!G'l:D 614 S"/Wr/D�S Type of Building: Dwelling No.of Bedrooms I,/ 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 Nature of Repairs or Alterations(Answer when applicable) Od G� — s•T /z Apr, 2 " ti�.S�ti% s 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 issu by this Board'of� ealth. Signed :;-Z Date Application Approved by Date Application Disapproved for the following reasons Permit No. Z06 3" Date Issued Z`/ d� k No. k 3-<<r„2 1 C� b; J Fee � THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH`DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS Yes rtcat 4on for �Biopool *pgtem Conotruction Permit Application:for a Permit to Construct( )Repair(v),'Cpgrade( )Abandon( ) O Complete System 0 Individual Components Location Address or Lot No.2 G O <f 14W,/.G 17' /2aAo .Owner's Name,Address and Tek No. yl'/��'STo�JS Illf"l/s Assessor's Map/Parcel 7AP 5-3 260 C`asyr�s TT yLl, d?il,// In taller's Name,Address,and Tel.No.,j'O� e/20— �7,1g De ner's Name,Address and Tel.No. �ajtpti �l/l4rICFD Tl:'G f� .S'G�Gl1"/O/'i.$ Type of Building: Dwelling No.of Bedrooms y 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 Nature of Repairs or Alterations(Answer when applicable) �9Srl� S Gad 0r1C Zahk G,rV Zi--.g.Li sr��-,��S r.�/�T� �/,Sr�hi= ss��av� 2 "p•�=.� Sr-oti�= 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 issuqo by this Board of Health Signed ./— ;G Date i Application Approved by G'�� Date.. 2yjG r , Application Disapproved for the following reasons, — Permit No. 2 06 3- "`7 - --- Date Issued -------------------------------, ,,------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( r.�tfipgraded( ) Abandoned( )by 45 m 12, /��arrl7S at 0 17— / na as been construct d in jOccordance with the provisions of Title 5 and the for Disposal System Construction Permit No.-2CO3-I-A-2 - dated V2 y/6 Installer oStiC_._04_ /3.�1^vvS Desig=-14D V#Oe/_=O r2cck �� ar'idhS The issuance of this p rmit shall not be construed as a guarantee that the syste u �(jo i Date �i e-3 Inspector ?� �t ——------------------------ �— No. �r7 Fee —'5(/ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION . BARNSTABLES MASSACHUSETTS 1wi.5poof bpotem Conotruction Permit Permission is hereby granted to Construct( )Repair(G.�U rade( )A andon( ) System located at 2 GO ll•�.2s�s tam 5 I2'l.%/s . 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:Cons ctionpust be completed within three years of the date of this pe Date: / /03 Approved by r t 5/25/01 Notice: This Form Is To Be Used For the Repair Of Failed Septic Systems Only PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, H -� -�6J� � �T hereby certify that the engineered plan signed by me dated 9 12 0 ,concerning the property located at Z 6'Z� Lb it A P meets all of the following criteria: • 'This 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: The applicant may use historical data to conclude this fact or may conduct. preliminary tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will be located no less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater_table using the Frimptor method when applicable] Please complete the following: A) Top of Ground Surface Elevation(using GIS information) B) G.W.Elevation +adjustment for high G.W. _ DIFFERENCE BETWEEN A and B SIGNED : DATA'.j 2_ 0 NOTICE y Base&upon the above information,a repair permit will be issued for_ bedrooms maximum. No additional bedrooms are authorized in the future without engineered septic system plans. q:health folder:percexmp f TOWN OF BARNSTABLE �.' # �,do3^y� LOCATION °1 G O ��-� SEWAGE ASSESSOR'S MAP & LOT VILLAGE INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY /5r 7 LEACHING FACILITY: (type) 3 ^3 Oa � �f^5 (size). 3 3 X NO.OF BEDROOMS BUILDER OR OWNER PERMITDP►TE: 9-2 0-4 COMPLIANCE DATE: Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility 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 leach' g fa ility Furnished by l i } 1 lf a 2�Ws �- �-1°'^ .-.�- IV) ,yr \h Y\ 1D o y J I 1 vv\ vvi e-4 V is r �0� I C-ei ' � alt �lec.`�cceSL w�✓�'^ 1 YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates (cost $30.00 for 4 years.) A Business Certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.I.- it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. Fill in please: Date: 09 APPLICANT'S NAME: 'C kzr G�,A S a : r YOUR HOME ADDRESS: 26C) Cc.mwie� o� (�kr,t S- ra C 1`�� MIA- b 2(.q q # q" BUSINESS TELEPHONE # Z 3 8 ZS� HOME TELELPHONE #: I-7 q Z 3'8 7-5-0 a NAME OF CORPORATION:_ , NAME OF NEW BUSINESS W b n TYPE OF BUSINESS 9- IS THIS A HOME.OCCUPATION? YIESI N ADDRESS OF BUSINESSL2 -CyiNie o-�,� ` M`u�5`F�n 5"M+"�'l 5 .. .�` D.Z6 `�i'MAP/PARCEL NUMBER 6S (Assessing) When starting a new business there are several things you must do to be, in compliance with the rules and regulations of the Town of Barnstable. This form is to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. 8 Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in town. 1. BUILDING COM SI NER'S OFFICE This individ al has %n-info 66d an per it requirements that pertain to this type of business. MUST COMPLY WITH HOME OCCUPATION 2Aytftorize ig atur RULES AND REGULATIONS. FAILURE TO COMMENTS: COMPLY MAY RESULT IN FINES. 2. BOARD OF HEALTH This individual has been info m d of,the p r it xequire that pertain to this type of business. / Authorized Sig ture** .,� COMMENTS: '' MUSTWMPLYWMIALL S REGULATIONS 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: ( � N Look I(� E L. I og 4 T+J�p o r= 1n/H L� RC Molt I MPFRV I i,'J ' n ►"�ATERYAt S 5 1AtZO;�IIA --� Y EKI S--1 NG Gam• Et -s LoaE SYSTEM 'rot-L-": . ro ! -ACCESS Wlw 6 o1=GR• �\ 2' LEV EI_ 6�rf�1 I►J./3'M Ax c ov[�, 5o Co 1 �g-8 i , - � }-�2o�5T r + / z''pEgSI•oaE. AccE551��15 Wrr�� t �o o G AL ] i • — 1 D M1 I I , i- 9 �•� R c, cart_ I g 9 0 �' w. -- ...�� D >> 1 _ p T/�t�1 le, ( ZZ - �6 O u m o •-..O. e a a-Y C b b �---6"CRls9+i�STaNE LOG U S 2o'Mitii. 5 � WAStatD gTo►lE I N 1 N_ — I t: N1►N - �-1 lw� -►"F' tcZ?T - IQ" �1-� 0 F3LLov✓ W QTES. 1. 0I5P05AL 5\,1STEL EM ro z� C81\I5TRUCTED �r� STR1 C? I ,CCDRDHl�10E c�= C OI�1I` ). or Iv1 ASS . E IN V IRON- COD_ - T 1T'�7 �T . PRbTi `F O� Di5? 05Al- SXST ' N1 SUZVE�I �r'l J : r1Zb1`�` �l�Ndi LI�ND V1/1 � ... b�JS M 1LL� Fq� J — - ER ADD C11��D5 " D)�T ED 8-2U S_3 A'Wig CnrorroS tE) 8AR1\1STA.Y�'�.0 l�LG _or �� 1 PLAN $ K I79 ('� 53, 14 IS PLt'�)J IS i�10T 1�S�l �i��:� '�I �UT?VE`l ; r G W 1'J C 1� S lJ M 1J, r 6 . C ON T RF TO_i� _:, C -\L1_�' D I S�\�L'� r LE1\ST 7 2 1 >3EF0�� T(��'�' 1IJ U CON -? 7. Nor W 1 111 N 1 C C( o� W E7- LAw'D 3; JV OR FLdt�� BENCh MARK: TOP OF STAKE r'�J'�� _ ; _ ; s'' '� r'.1�,i. S f� ?1� 1 ,'�L I �� ELEV. i 00.00 (ASSUMED DATUM) 8- L C C A L L x 1 ST I O P I T S. ' S_ U ,5 E 1, ��<. c� C�iL\L S �-_'j 3 � T j\1\J 1 P Lei �I "T"S N TITLL u (_J S E_ �`� - S�X �'X �_' t C _ CSC jJ C_ L EjA C 3� C 1`1 A)\ I3 E)R S Wl 1 1 CO) nF W T�1,M t�� 1 'L'A' S] n rJ L 0 - co O 9 �p� 00\ti \�\ �0 Opp 1 02 // � h i l / 1OA / J EXISTING 1 STY. 05 I I IV✓D. 6 T.O.F. = 108.4 2� 0 2 APN 078 - 054 APN 099 - 059 APN 076 - 053j . i AREA 24,800± 5F - - (RECORD) L N,E:ALTM MnIE lT I4,?YF\(3VkL f�%;TC K = I OG5.2I' L = 2GO.28' PAVEMENT ROAD P, r f G�►?C.TtST ' -- - 9c — -- - I r 40� WI DE� C G I S G RICHARD s� D� - -- - ,, L-� EL , . 99:3 -- I a SH�Dy Lv6>>� I J. H�RRY N.» �' HOOD EARL _ - _ _ o KTER o �o ,. _„.. .. _ •V,;-tip i, ,u<, _ No.26575 -- 35 � �. s � l � � _� I T N � AL LAN t , � - ---- l `30� GO _ a5 t vJEtfE G R c t) A 1 F Cv iV iC�r �` L?� D 1 S P C 5 �L M _ ,. S X �,�,� s �N i�A C{ C J A 5 _ CHI LDS SRTI C ThJy'r'. CV�L. AEG I �e '�S ` 1 30' C A v','` ti , - - `'- `�-� 1 E00 5 �,L. Ttti ��V� - - - - LEGEND 1 I LE A CI =i J l ;C� l\P.E C S , l\. 5,� r,, ,. 24 PROPOseU co►�rou i z c c A,Jl'�\J�LiT F o I� � I U S E 3 — C, L . C_-� 4 S I C�IJE j �q cJS{' SsL7- -s \r\ i CX15nNC' CONTot1R C-F F ECT1v E DE T N - z �> ` r ,I _ '' 9� a— 1--r- A�VANCFD T C1-I . SOLUTI OW S j 13x YL% L. ' 3D8 *' FIt�M �oNC �L 05 CONSULT ENG'P_ F .ShNZ), MA T OT l�L CA+��.Ci i�' _ -14 1 GALS . -- -- — _ _ - � --- DATEo l Z DW G.°