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HomeMy WebLinkAbout0015 LINKS LANE - Health L LINKS LANE ARSTONS MILLS = 083 '004--b(fi -- / TOWN OF BAR7TABLE �! ✓ L dC v i NF(c5 ma 's SEWAGE # VILLAGE ///,. X. ASSESSOR'S MAP & LOT 3`0a •-Uo_ l INSTALLER'S NAME&PHONE NO.—LA 6,44• s f` SEPTIC TANK CAPACITY 'q Ae:— . LEACHING FACILITY: �-JDa A ����� d � (type) (size) / �X�,3 NO.,OF BEDROOMS T BUII.DER OR OWNER PERMTTDATE: 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 Poll V w e" No. 7/ Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: V PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Yes 01pplication for Migpoot *pztem Cow6truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Complete System El Individual Components Location Address ZV,P Owner's Name,Address and Tel.No. ® 7 /ll®� l �Avks Liv, Ti2i`C< 0MC-�341d LD A14✓ - Assessor's Map/P F-3 gACC2 23 a cOy^3 d 7 pJ— Installer's Name,Address,and Tel.No. ,v Designer's Name,Address and Tel.No. BY,595- W4 An.M#-WW Type of Building: Dwelling No.of Bedrooms_ 3 Lot Size 1-1 Sb sq. ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 110 P//3DAfn gallons per day. Calculated daily flow 3 3 gallons. Plan Date -7—j)— 2 00 O Number of sheets Revision Date Title � _T WW-d- goJ- a%� ex d me-8 tt/i_b Size of Septic 16k I6760 91ftL &Y Type of S.A.S. 10'&56i C#19A4946:2 Description of Soil Q '-/0 u s4A Z f co/-m /o/, — Le�A e '^ CON4/1S5- Si�'A_44 I?" 7 2.i C-D SVOW Adifttt W112 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 z1vironmental.Code and not to place the system in operation�nfi of Compliance has been issued s Boaz• of Health. Signed Date Application Approved by Date I 6 Application Disapproved for the following reasons Permit No. Date Issued 1 T TAB TOWN OF"BARN LE.: . - r � Ca iV Ft'c5 a.,.r �1 SEWAGE # c't7`C LOCATION ,/C w i _ yam ' VILLAGE ��/• ..f ' ASSESSOR' MAP & LOT _ - INSTALLER'S NAME&PHONE NO.- -ii 6, SEPTIC TANK CAPACITY 'q�L ; LEACHING FACILITY: (type) 3_ SOa A/C (size) - �I rN gv'tlS NO.OF BEDROOMS BUILDER OR OWNER P Ak /01:1' t Z ' f e, PERMIT DATE: Z—G - 1:f,� 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 j within 300 feet.of leaching facility) Feet Furnished b ` r7 t i k l � e 3� - PIT —Flew — 71 � _ Fee i THE.COMMONWEALTH OF MASSACHUSETTS Entered in computer: es Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZippYication for Miopool bpgtem Conmruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) Complete System O Individual Components Location Address or- of No. Owner's Name,Address and Tel.No. #is 7 No, �i�ks LN, Fl rz�AT,e<<K gornl:&l U,"A✓� Assessor's Map/P el 9 3 ��eL v Installer's Name,Address,and Tel.No. .. 1 11, Designer's Name,Address'and Tel.No. O Oy T �lEF� Tf.60AJ/s1 ,7-,0oyz -s&r-/ 563 99y�- B,yt 595' �cl a � ovT�f Type of Building: Dwelling No.of Bedrooms _ ^'Lot Size 2 g Sb sq.ft. Garbage Grinder( ) --Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow))D PlObS 1'' gallons per day. Calculated daily flow 3 3 Z� gallons. Plan Date -7- 1 J- 7 DD 6 Number of sheets Revision Date r Title Size of Septic fank /4 DD G'A'l_4A& Type of S.A.S. /0 is Md,'--g s Description of Soil ''10`t S�MZ I 6-01f77//� I D/t ,_5,i=t S,-.VU t t 2-* CO, G SJAM G t t r �� tit- v Gp Z-f i 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 Ynvironmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued is Boardjof Health. Z'A Signed `` Date Application Approved by l74 Date Application Disapproved for the following reasons Permit No. 7 '� Date Issued Z --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CER,JIF-Y, tha the On-si;e Sewage Disposal System Constructed( Repaired ( )Upgraded( ) Abandoned( )by a� O .�GG I7/ at L Df I /S` G t�; Cc ) L t„ 444 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.7-62'O - 71r datedd�G�? Installer Designer The issuance of this ne it shall not be construed as a guarantee that the syste. ill function,asadesigne Date JJL Inspector r No.---- -------------------------Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS miopoaY✓pgtem (tott5tructiou Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at L y /1" L l l?k J /1-1 -1/7 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 eer�rmit. n Date: / 2/ ���"� f Approved by v V c 'd 7d101 Z7 1 � �Z I � -- _ 319 S )f I� I 'TM" r�oaa�iprvj i ^XX)BCM WRL9"*" h - ------ I* mwc4ux "Dou BMW i 1 1�M• I rl— a •rya .. l �+� +�_•--'---' � - w cis. • w o a�$=�V�a�xa Sog �3ce�� a l 61 �ar-o• h h f22� G t0 b§ t21 — ' Newt-N-Glad'o z•wi000 GpY � '� pd'Paht veM i'iraplwae 1 71,7--- F9P-4:77o I I IIwnd i i i Ow4har�0 9 1/x' • m I 0 I I I j KisYin slider s eu.e e e I I I J / �emova atiwtinq slide wnd window � -� �m � and rouss In wdd'klnn.Pwt�F window / apeniM wnd hwse door apsninq. ,ram L• owo,nenr wlndcw y. n� v•. �� e v� _m a�N55 � a Li �o� 3ro NM Is L,,PR. 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