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Home My WebLink About0166 CHUCKLES WAY - Health ackles Way, Marstons Mills A-- 101-124 J 1 TOWN OF BARNSTABLE LOCATION 16L 6140C1-LCS WAY SEWAGE # Q(P ' 41gZ. VILLAGE rnA"TOOS MILLS- ASSESSOR'S MAP & LOT 101• IZq INSTALLER'S NAME&PHONE NO.T ArVoIM C QSM00160 q Z0- g5*gV SEPTIC TANK CAPACITY 150C &00— LEACHING FACII.ITY: (type) •90 1-flZEr004 (size) 148 tZ, S1bk)6 4 NO.OF BEDROOMS -3 BUILDER OR QWNER KEN V 161F.A PERMTTDATE/0' X*1116 - Q6 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) v�A . Feet Edge of Wetland and Leaching Facility(If any wetlands exist ri`A within 300 feet of leaching facility) Feet Furnished by�14 ;rW S C P-00P-iGC A&yP.KE aeb c, CO f' i r � .3o -ree x,N �- l a W t 2' S4b�E s � TOWN OF BARNSTABLE LUCATION fa/ SEWAGE VILLAGE f7��LL.� ASSESSOR'S MAP & LOT 'L a INSTALLER'S NAME & PHONE NO. y �®- �f5" SEPTIC TANK CAPACITY LEACHING RACILITY:(type) /186y Lv0 (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ty6q La2o DATE PERMIT ISSUED: G -- -1-7 - DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � t f r No. �� .. Fee 76 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 2pplicatiou for Migoar *pztem Cougtructiou Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. C*icr E5 f u" Owner's Name,Address and Tel.No. 01 . 441 LI.S vficrloe,4- Assessor's Map/ParcelOZ lr-'Me�L Installll/eer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.. Lika��t�/IJC� Type of Building: Dwelling No.of Bedrooms 13 Lot Size N36 Chi sq. ft. Garbage Grinder(/Y �`� Other Type of Building ��Es No.of Persons Showers( ) Cafeteria( AY Other Fixtures Design Flow o i detA 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 7 Nature of Repairs or Alterations(Answer when applicable) 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 nvir ental Code and not to place the system in operation until a Certifi- cate of Compliance has been issue this o of th. Signed = Date Application Approved by Date `j'-27—9L_ Application Disapproved for the ollow g reasons Permit No. 9��q'�,, Date Issued . JfeMr.. No: Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: v 7 Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS 2pprication for ;Jigpogaf *pgtem Congtruction Permit Application for a Permit to Construct Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. " ' . � �N� �� Owner's Name,Address and Tel.No. M . r'1 i�. s /'°A- Assessor's Map/Parcelrs A 0- Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size 01 sq.ft. Garbage Grinder Other Type of Building_ �. (N((6.off ersons Showers( ) Cafeteria( Other Fixtures t , s Design Flow A4 g0f gal)i s per d/ay..CaOulated daily flow ' gallons. Plan Date Number of de-e n Revision Date Title t r - �t; Size of Septic Tank Type of S.A.S. Description of Soil p � 1 Nature of Repairs or Alterations(Answer when applicable) rAll 1 T. n •1�.-�-� Date last inspected: Agreement: ut ° 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 "f , ental Code and not to place the system in operation until a Cert"I`` cate of Compliance has been issue this Signed Date Application Approved by Date-`!- -7-9 i Application Disapproved for the ollow g reasons i Permit No.�9 N 9 Date Issued THE COMMONWEALTH OF MASSACHUSETTS r BARNSTABLE, MASSACHUSETTS l Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed Repaired ( )Upgraded( ) Abandoned( )by 4)(0jj!E [ -jrLC Y'"9gi— at W has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. - dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will f ction as designed. Date Inspector , 1 — ----------------^— --------------- 1 No. , 4 Fee r�C� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS i Dfigpogar *proem Congtruction Permit Permission is hereby granted to Construct(_P4 Repair( )Upgrade( )Abandon( ) System located at 6 L(J 0 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. 7/�Date: -3�2 7 Approved by 1 • � 4 DATA '51w/.j-F- FAmW 3 oaaawA pLA" oN 'BA4V- u ' go 6AM3A&c. 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AppUGaNT. �clJ V 1 ,2,A c_- f • t?err Xaw V i El va r I rL ¢o wa l4, Au \ MAP l c l TNO UN � u/Q N • �iKuJ q •;t•o u�lrt�tTe.Rgfl 1paa � ( :�-- a J9 •� �► 74 r L `' �. • '% Twww 1 � 3P ti. 13'S•Ga ! ' SPA OF Q� ��, $l!l•L1VAN NO,29M. &AXM OV!l TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGElLLS ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. 1?,,A5,Vt7,e - rf � SEPTIC TANK CAPACITY , � .� (.v0 (size) LEACHING FACILITY:(type) //�6YCfl T' NO. OF BEDROOMS T PRIVATE WELL OR PUBLIC WATER P�i/,- BUILDER OR OWNER �( I/LZJi'/� - DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED; VARIANCE GRANTED: Yes No 13 r r f � r. .