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Home My WebLink About2877 FALMOUTH ROAD/RTE 28 - Health R 2877 Falmouth Road,(route 28).;- . Marstons Mills F/R - - - �A = 121 016 ��M TOWN OF BARNffSTABLE �C :� LOCATION � , t kt � SEWAGE # �lmSXIN% A'`►SSO a�b VILLAGE � ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. U /0 SEPTIC TANK CAPACITY 00 S.r LEACHING FACILITY: (type Hl C,,m (size) � B�X NO.OF BEDROOMS BUILDER OR OWNER :4A--N \ PERMIT DATE: 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 leaching facility) Feet Furnished by ��%�'�'"l�` V •� I 0 f ..h �h , ((�� No. Zoo) 11 / ' �, Fee � ` THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Application for Migpogar 6pgtem Congtructiou Permit Application for a Permit to Construct( )Repair ,O Upgrade( )Abandon( ) $Complete System ❑Individual Components Location Address or Lot No. ? * I-Oq Owner's Name,Address and Tel.No. arf tAW-S"to�y -z g}4 Gt Lt tAIZ-1 Assessor's Map/Parcel /,;I- f Installer's Name,Address,and .No. �f Designer's Name,/Address and Tel.No. Zo,xLI C. rd 06L C Ivv/r Kok p33-,2-7-7 Type of Building: Dwelling No.of Bedrooms 3 Lot Size,.ft. Garbage Grinder( ) Other Type of Building sip Q No.of Persons Showers( Cafeteria( ) Other Fixtures Design Flow 5_7 jo' gallons per day. Calculated daily flow S 7t gallons. Plan Date #,,P-02- Number of sheets / Revision Date Mail/-r-_ Title Size of Septic Tank i�S-1J7� Type of S.A. .7 1 - /,clip Jn ,1 d Description of Soil � S U. Nature of Repairs or Alterations(Answer when applicable) 1?P 14j,,e 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 issued4 this Bo of ea4h. Signed Date Application Approved by Date .5-a�;Z- Application Disapproved for the following reasons Permit No. : O o)117 Date Issued Fl—U 1 ��V� —/ / r ._ �` Fee ,+� x ��4 No ; 1t fir-, Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS � - - Yes „PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication for Migponl *pgtem Congtructfon Permit Application for a Permit to Construct( )Repair�O Upgrade( )Abandon( ) Complete System ❑Individual Components Location Address or Lot No.; J"7 7 Fdt *0 /UO' Owner's Name,Address and Tel.No. Te F/t C A,A✓21 Assessor's Map/Parcela cel � 6 8,1A, J 1-v�e e A14 Installer's Name,Address,and T_d.No. Designer's Name,Address and Tel.No. e(d J Av1.tA�y jP.�.c e S.t.0 06C �ox y9d 7.�s!/.e MS 026VV Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building S- /e MAY No. of Persons Showers( ) Cafeteria( ) Other Fixtures `"' Design Flow S7 gallons per day. Calculated daily flow �70 gallons. Plan Date "F- C)-2- Number of sheets / Revision Date Nov t Title Size of Septic Tank /SOU Type of S.A. p z�i6 -x,S - Description of Soil S)? Nature of Repairs or Alterations(Answer when applicable) P��/�Q p ��-1 C!� t4�' 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 this Bo Signed Date 7' 2- Application Approved by w _ Date Application Disapproved for the following reasons Permit No.7 GO'1-I-r7 7 Date Issued S__, rU — --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS 1 BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(r*')Upgraded( ) Abandoned( )by &U5F7i@td SA✓J��-►�L_4 SQiJf4-0- 2Nc at Z-F 17 Ft ljk&, A X d - oS Fee-a-r ffe- has been constructed in accordance with the provt ons of Title 5 and the for/Disposal System Construction Permit No. 20 o 2-/f7 7 dated 0�- Installer�IcWSA/f t/c/ ? ✓y L,M e Designer C7 g C- E 4-V/ The issuance of this ermft,�jl lI not be construed as a guarantee that the syeN will f cl'on as de ig,ed Date " Inspector ---------------------------------------�— No. ) uq2V97 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1igpogar *pgtem Congtructfon Permit Permission is hereby granted to Construct( )Repair(:X)Upgrade( )Abandon( ) System located at fw liyia4 -1-4 �ca 0�'�2✓�/�-C. 3 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 th' ern Date:�. � Approved by w_ `r TOWN OF BARNiiSTABLE �C' LOCATION � � �0 1'� Kf °�$' SEWAGE #Qt 1�7 VILLAGE .°� c ASSESSOR'S MAP & LOT 12 I r 016 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILrIT: (typJ7H 4-n (size) X /� NO.OF BEDROOMS BUILDER OR OWNER ' � `��"'� PERMITDATE: [R 1®�'- 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 leaching facility) Furnished by o �SF4AIVMLE LOCATION xw— SEWAGE # VILLAGE ASSESSOR'S MAP & LOT IZ " r n ups INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY e LEACHING F (size) NO. OF BEDRYX D BUILDER OR OWNER PERMITDATE: 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,Lea 4ng Facility (If wetl exist within 300 feet ty) Feet Furitishe y a a oo / o l 4� wQp 6� ASSESSORS MAP : TEST HOLE LOGS /vo PARCEL : /C,� 1 76 r�Troo, FLOOD ZONE: /�G 7 " ��` �� SOIL EVALUATOR: /�� f,,��7? WITNESS: 7�1 REFERENCE: `- /�C�'S/ �/7 DATE: h/I"Z.t-i r `y PERCOLATION 'RATE;: ,k4 � 71 r � � G D L -t�✓ TH- TH-2 C�.ti`�c�n �� 1 r f cv t- 7Z ay. s-L ff L4 t o _ 0 PC �� to /rr e !/e T��f�r t�1.�?`/o►� /✓o LOCATION MAP�ISI l;", � I��, ^ G �� •• % ii�,, e �L� L J r a� - lT cal- 5 11F.c, y/f 1 . l �/� RL -S' Cry . w•�. + , � ln J r .SEPT I C SYSTEM DESIGN C, -76 G /Y� p � FLOW ESTIMATE r DROOMS AT //D GAL/DAY/BEDROOM - 349 GAL/DAY - - SEPTiC TANK t t 1 _ �' � 7AL DAY x 2 DAYS -/06-C AL t� r USE ; GALLON SEPTIC TANK SOIL AB ORPTION 'SYSTEM �1YA ..r—• �l • I SIDE AREA: X � I ► 3 �2 21 BOTTOM AREA• C SYSTEM SECT I ON . - T : .°° Lt ,' 4 �l im lo! !3557-N r �" D-BOX GAL �. `' �1 •r � DvtgC.s>,,� Wu��jf�tttjyy ts._L-t�i—�- � ; SEPT I C TANK3� OF ` T S 1 TE AND SEWAGE PLAN FF4 LOCAT ION : //;7b 7Zl 4.. PREPARED FOR : " SCALE W DAV I D B . MASON, DATE : 9•�"'��-- DBC ENVIRONMENTAL DESIGNS EAST SANDWICH . MA DATE HEALTH AGENT ( 508 ) 833- 2177 W Z