The URL can be used to link to this page

Home My WebLink About0905 RIVER ROAD - Health 905 RIVER ROAD, MARSTONS MILLS A=045-025 1\ Y TOWN OF BARNSTABLE LOCATION �G 5� /P! ��ff' /J SEWAGE# '- VILLAGE7cr/V_C' ?Yl�SESSOR'S MAP&LOT S'- INSTALLER'S NAME&PHONE NO. r'/ -C cy -778'-*'- SEPTIC TANK CAPACITY / J I C> &a z: LEACHING FACILITY: �1. f� G' �- size(type) �� L - - (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Z Separation Distanc 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 ,� erg 0 � � � � � _.-.� -- �3®X � � `.. t � �� -� J .� v AssEssoRs MR Na � �� . No. / �^�7 PARCEL 4 — Fee 4 0 .0 0 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 0(ppliCdtion for MigPoga1 *pgtem Co gtruction Permit Application is hereby made for a Permit to Construct( )or Repair(x )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. 905 River Rd D. Magowan Marstons Mills Inst r' am A dress,and Tel.No. Designer's Name,Address and Tel.No. 1nson Septic Sery P.O. Box 1089 Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder(no) 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 Description of Soil sand Natu f Repairs Sr Alterations(Answer when applicable) install a 1 , 500 gal septic tank, c'��ox an c� 3 stonepacked heavy du y infiltrators . Pump & fill old cesspool 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 and Health. O Signed ) °' Date r Application Approved by Application Disapproved for the following reasons Permit No. r A Date Issued No. /A r gg,�r Fee 40.00 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 0[pplication for Zigpogal *pgtem Cougtruction Permit Application is hereby made for a Permit to Construct( )or Repair(x )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. 905 River Rd D. Magowan b Marstons Mills l Inst r' am A dr ss,and Tel. o. Designer's Name,Address and Tel.No. . '. to��nson Septic Sery P.O. Box 1089 Type of Building: Dwelling No.of Bedrooms 3 Garbage Grinder(no) 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 !� I Description of Soil sand i 1 Na f Repairs rAlter tions Answer hen a licable) install a 1 ,500 gal septic tank, Dox .anc� 3 s�one�ackedw he Vy duty intiltrators. Pump & fill old cesspool t 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 ar Health. Signed J Date Application Approved bye Application Disapproved for the following reasons y I Permit No. Date Issued THE COMMONWEALTH OF,MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS (Certificate of Compliance - - F THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed( )or repaired/replaced(x )on by W.M. Robinson Septic Sere for Ta Magowan as 805 River Rd _ ills has been constructed in accordance ' with the provisions of Title 5 and the for Disposal System Construction Permit Nogdated � �,e� Use of this system is conditioned on compliance with the provisions set forth below: 40.00 F No. Fee Magowan THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS 1wfigpogar *pgtem Cougtrurtton Permit Permission is hereby granted to W.E. Robinson Septic Service to construct( )repair(x )an On-site Sewage System located at 905 River Rd Marstons Mills ' i j 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: G✓ Approved b d CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT(WITHOUT DESIGNED PLANS) I, Gii / 57 , hereby certify that the application for disposal works construction permit signed by me dated '�_S 9 , concerning the property located at �j'd ,S' e t/e n meets all of the following criteria: t • There are no wetlands within 300 feet of the proposed septic system • There are no private wells within 150 feet of the proposed septic system • The observed groundwater table is 14 feet or greater below the bottom of the leaching facility • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. SIGNED : DATE: d LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. bia � �� no ^ t