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Home My WebLink About0147 LAKESIDE DRIVE - Health Lam i dL bn._iJu2, toa - gay - tvl- �nn ��s TOWN OF BARNSTABLE LOCATION Za-t ��e✓ - �.� SEWAGE # VILLAGE /44,5 ��j�G/�S /�' &S ASSESSOR'S MAP & LOT OR INSTALLER'S NAME&PHONE NO. laid, lea SEPTIC TANK CAPACITY LEACHING FACII.TTY: (type) Lv/fe c- Rt[At4e yrd f 33iV(size) /a�X ur 5" Y a NO.OF BEDROOMS 3 I—ILDER R OWNER PERMTTDATE: 0 -IQ - 9 1 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 feet of leaching facility) Feet Furnished by A W�01 0 74 JR'l� r 3 ,w 3 g" -; Ll 39' '331 3 s7 3 aed Za kr 5',je 9(0 — -No. 9 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 2pplication for Miq;pozal bpotem Cowgtrurti01t 3permit Application is hereby made for a Permit to Construct( ")or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. - � ii Owner's Name,Address and Tel.No. i-A�,MRS b ,lam� 1�� GTk 2,GC Q" Tz a b ecr a A N OP mm dui ,o LIAR L IgNe eeti yaUA L-b17� Installer's Name,Address,and Tel.o. Designer's Name,Address and Tel.Nq. . 7� /Y /�a S�� y2�5 ��rig -aAc + � f Type of Building: Dwelling No. of Bedrooms Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date 1°) . 199& Number of sheets `Z_1 Revision Date Title L' pi,- Pt, W Mk 5U, 4S M IL� Ilt=10' 13AX� � W9 Illy' Description of Soil b-2- 14 Am 06 l 1 M NO 4vwaIF '1- �44_ 6 SQ'W_c� 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Boar f H lth. Signed Date q7 Application Approved Z Application Disapproved for the following reasons Permit No. 1(�2 Date Issued t R hjp. _ .., !" - .v * ... .-�""`f."�w.. ., _ ��`.._.X. .,' i��r_�. ..._ .�.;.R..r .. _.. �ir.° .�,ri.:.,",.. ....bc.=nl ].:• No. Fee Y THE COMMONWEALTH OF MASSACHUSETTS _ PUBLIC HEALTH DIVISION-TOWN OF BARNSTABLE., MASSACHUSETTS is 0(pplication for Migogal *pgtem Congtruction Permit Application is hereby made for a Permit to Construct( V<Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. + Owner's Name,Address and Tel.No. O GA it4 t )Z4V� 1 4 Grte6c P. ize b eccA t;ri e�SoN /1��'1 C A" 1 n tw I A 0, l< to rre c e n,9 aE'=61 76 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.Nq max .. + *tom t �r /a •s Mfrs >ig 1t/I A .Er , Type of Buildings Dwelling No.of Bedrooms �3 ` °. 'Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date 11 . 1�1�l. Number of sheets Z• Revision Date Title 6QL Pe,ff dIJ M AlP 1 L./►Cs t r�20, �+X W'�1. e /iIG'/ Description of Soil 6~2► 14 AKA +I Via '� 11"b 94,*40 �o yw g 11 4-11 40495E 000 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 Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this Boar f H lth. Signed Date 3�`zo'! 97 Application Approved 2 Z O Application Disapproved for the following reasons Permit No. !�O �O(� Date Issued /2 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced( )on by for as has been constructed in ccordance with the provisions of Title 5 and the for Disposal System 9'Construction Permit No. 6 10�� u dated 2 L D Use of this system is conditioned on compliance with the provisions set forth below- 1„ No. �10 T ll/1��S Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Xigpogar *pgtem Congtruction Permit Permission is hereby granted to 'To to construct( )repair( )an On-site Sewage System located at Lei cl jv_ n 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. All construction must be completed within two years of the date below. Date: _ Approved by -t 5 N ,.- •.,..w�z-+,�;.,� }il n_� nn Ny111 I��i P-6144- - 9B i� Lis I'DE -D L I I too-too ,T AeWFrxorz 1 b A � l 0 ,�rxoTpi Tic _ 1 tl I I � I 101000 OF OF suu R atCkxM j NO.29733 exx�rER M CIVIL 40 WKS BSI L+-i DATA �i1 U6�� FAti+�t.�{ � Qt�a�K r�E t'La tit. otil BAGS uWZX-� -92 M(t-(fi S�TtG TAWL �t7'c?co fdUO EP9 4'PvG P1Pri- CULTS-- NAK+DCZIASTpJG 1>11;,7. - DPP UGbT1oN AtzF�► Dr%eo w Pi.a►J 15AM8Ee5 51tEwAu- A1�A= 51 x-2x2-146SF T'oTTOM AZn.4 = ii>«4��= FwIsN 4¢a�c. Mlv .IF,iU-1 2 p�Goc.�Tll I�TE Z SOIL f i I , sro.+t= N o a Cut_TF� 2 a P*sc-g ' 330 0 ° , _ sToNc �ytH OFREHARD 1(�� ..r .• � �M SULLIVAN A �!- NO.2I co IV e�R 8 CIVIL �2055-SE�'('la'� F: G l AM3� tn.., AL a 7 Ffo-ia;, TK-t0l c , -( L�ocr- E�=q9 �• u r� �,�,� +Sttsct�- I►hL `t6 A fib 11J1 IAA t i Pain GI 1.r11«i CKAMs�czS w1 YI it- �'�-`rlL, 15vo u7'0 �. vm 54M JSMC;Fi�lr LI1. TAW- �. C�AviSE �• iSrsufl '�, II '�'VEI�OP4D PItOFIt.� CE11�1 � �LDT t�' s:�g LoGAT toN /'1112 +�S I`I(t lS_ p 1.V��— P A 44- U04 c yr 24,M93 I = r-%y 1pAT 'rNl: �F c�tPLjy w il-A TF siDEUN A1� Lor i 4`i PL Tv- i38 ��. zS 5675AZV. ZWUIZtiMG T D'= T14s -*O KJ4 of /4f ,Y 10E P��— i�d- `Sa1i,a STa► A►-� t s h(t r LQc..T� I n-t I I.1 e BA X-rt� A HYM I WC- . j 1•I {� C) � oST*oZVILLrw t-"TZom 501 Leo l wl ; 4Lj0� NOT' B Fs AFFLJ G4M4 uSCD Tb �'17�Eu�►-i PRCpEtz•Ty LiQV4. _-- TOWN OF BARNSTABLE LOCATION Z,2 Hq �G'I`�(eP.tL/��n `� SEWAGE # VILLAGE, ASSESSORS MAP & LOT O '/9y INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACELITY: (type)3 L„/te 33 c R<<�tir yr�f �(size) 1•? NO.OF BEDROOMS 3 UII. R OWNER �`- -a PERMTTDATE: 1n — 2-1—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 feet of leaching facility) Feet Furnished by r ��L r� v