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Home My WebLink About0185 TIMBER LANE - Health b lka r l� 1 No. 1033A 2-153L MAnF IN USA GrT C)PG.ANIZED AT SMFnD_GOU TOWN OF BARNSTABLE LOCATION % 8(S- / r.(VI beC L-+l) SEWAGE#o20,9l 017 VILLAGE XACZN}-ai1!& &k l[[,tiASSESSOR'S MAP&PARCEL O 7 INSTALLER'S NAME&PHONE NO. �,� )��0 w 1 �c•� SEPTIC TANK CAPACITYI�— LEACHING FACILITY:(type) A CO-Ocal H-�ZO Cb6t�S `(size) 25— NO.OF BEDROOMS 3 OWNER Cr,c 10 'L z, I PERMIT DATE: 12(, 1 COMPLIANCE DATE: { 2Z l Separation Distance Between the: NU C,w fy� , 1 cPr� 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 A o qg �p No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ftpliLation for Mispo8al *pstrm Construction Permit Application for a Permit to Construct( ) Repair/Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 185- ��A b(,S 1" Owner's Name,Address,and Tel.No. Assessor's Map/Parcel l Cyr z Z Installer's Name,Address,and el.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building i j No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required)-_ix gpd Design flow provided gpd Plan Date e5a —Number of sheets Revision Date Title Size of Septic Tank t_—4 bY4 Type of S.A.S. 2 C� �� Wl �L � f��✓Y Description of Soil Nature of Repairs or Alterations(Answer when applicable) ;4 ' /U n1 " 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 Certificate of Compliance has been issued by this Board ed Date / j Application Approved by Dat/ c,,./ Application Disapproved by Date for the following reasons Permit No. (�� Date Issued . Fee THE COMMONWE'ALTiH OF MASSACHUSETTS Entered in computer: Yes ' PUBLIC HEALTH DIVISION - TOWN�OF BARNSTABLE, MASSACHUSETTS 01pplitatiott ;for Disposal *pstrm Construction j3erinit Application for a Permit to Construct Repair t�U rade Abandon pp ( ) p ( pg ` ( )'Abandon(( ) []Complete System ❑Individual Components Location Address or Lot No. /65 /r'✓l bP/ 1,.,J Owner's Name,Address,and Tel.No. Assessor's Map/Parcel °4 A r4llo Installer's Name,Address,and•Iel.No. Designer's Name,Address,and Tel.No. -t�ka Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building !P5OPAYJG� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided }y „_ gpd Plan Date 13 Af f/ J'� Number of sheets Revision Date f Title '/ Size of Septic Tank X.K /Nf Type of S.A.S. Z 00 5u1/ 1Y-la/ ,•,,�I'jf�i/i,� y�f�tr✓Y Description of Soil r Nature of Repairs or Alterations(Answer when applicable) Lei c 17-QQ rAcjo1Q -1() rb,vtJowls (,) 6 IV 5i0A)r An,' 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 Certificate of Compliance has been issued by this Board o Iealth. / Signed /'f_/ ----- — - Date Application Approved by P Dat//fib e 1 Application Disapproved by Date for the following reasons _r Permit No. tom' 1C) '— I Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS (Eertifitate of Compliante THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired Upgraded( ) Abandoned( )by J/, i �.��✓ at If S has been constructed in accordance FF with the provisions of Title 5 and the for Disposal System Construction Permit Nd r' M-Q/`7 dated Installer _ j�; V t/ 1 AZ_ Designer bedrooms '7, Approved design flow ' gpd The issuance of this permit tshall,not be construed as a guarantee that the system will fund ion asad'esigned. Date ? f Al Inspector No. , Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS '4 Misposal 6pste Construction i3ffmit Permission is hereby granted to Construct( ) Repair,(. UpgtaOe( ) Abandon y r, ti mf r. ? �°� 1 ��s,tt�v& r'�i�i•//JC S stem located at! � ' and as described in the above Application for Disposal System Construction Permit: The,applicanfrecognized his/her duty to comply,with Title 5 and the following local provisions or special conditions. . i Provided:Constructi/on,must be'completed within three years'df the date of this permit. ! Date °` // / Approved by ot L .r s _ 4 F I r E • i i E -. Town of Barnstable Regulatory Services Thomas F.Geller,Director `s B Public Health Division �_ i0sa Thomas-McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 509-9624644 Fax: 508-790-6304 Date: / 2 Z Sewage Permit&M 61 Assessor's Map/Parcel 1311f Y7 Installer&Designer Certification Form n Designer: 2*4rPj5, ` Installer•_Address-Address. �,(5 • I,)C� �� 26 ,. oJ�. was issued a permit to install a to (mst or septic system at Ids- T�h ` L ZO w i +' based on a,design drawn by (address) lQV�_ ?J•1�1*iytJ�1T, dated esker certify that the septic system referenced above was installed substantially according to 'the design,which may include minor,apRroved changes such as lateral relocation of the disWi on box and/or septic tank. Stapout(if required)was inspected,and the soils were found satisfactory. I certify that the.septic system referenced above was installed with major changes(i.e. greater than 10'lateral relocation of the SAS or any vertical relocation of any component of the septic system)-but in accordance with State&Local v- 'Qnons. Plau revision or certified as-built by-designer to follow. Stripout(if rP- %ted and the soils were found satisfactory. �ytH OFS •+� DAVID y ` ler's Signature e y ` i .. -..-.__ ._ _.. vas.-�-_r._ .._,-;;._..: �reny:•,. ._,..:.. -+-awl:` .rs>_.-r.c..-'......-vax9t.,c>-s. ..xs•rs�eaa.-. ....x+z..... .. ...._-�a..v ass._ -.cwons.w. .. n._y�.e«-1.-.n.a-,.,.-.r.r�r+•+..�+.�.�.w.�..•r�4e•- � _ ..mow, rs-...^s.-srr'w��.� ram..-+.n.•.._.._..._.. .._.. _�...�� _.__ � ._-•-:_u...-._- - ._ _..c....ri..✓ ... -., -__�._. __"_. ,-__.. ._"",er_`_.__w .. IF ? "TC.-'(�. -+v�-i € �.. ' C \��`f, �• � y t ?�. L. �`-� 'rz• <' itlsta; G: :' S�ii3t= _ 2tr: t y,,ti�{l lR:?f?t ': i)wn ard septic � n cP.;, !; t ' -i 'z ! .. !i =e(� inb�%#1!f:Stcl:lc^r nt , " not oe its e es a pro a nu w-TN Femit frnrrt ti1?ap r! ,� r • f ,%]r tO Installation, the lOcdilCn 1 t. > ; exisrir r i,. installaJor.-; �J , �, ~ �._ _ ►�lJ ' ;gravity sewer pipico:s to be 4 inr _hec uke 40 PVC at ii: ' - i;s> < fret o a" ! r l—f Z f':?disvibution hate sh; i!tv3 Ie.,veL All ping connections to be t- IVA �i,F,�nt qj t `Fit�v ,/_j ' !,:is septir_desion uiat i_ t :P It;: tl for property fin any oth+.• TPuf'pose otl'1+'.: th .1 the p,C);�DS�;1 �' tiyStE'rti i#15ta!ldti(l! ; E1li 1'irlr 1 �:Orrt{]ar:ent dre 1 It'„ y` SQeyi`iCafIORS. { - -.-�.. ► 3�,r, ` ��GJ1 1 3�ti i• �' ' ~, a;mint,shall be v ,-,t;ibit,f ;'�c r_, 1�,c;t,crris unfe;: c i20 ioarled. E ! f..•i�t "� ✓ ('e E }� '�' . existing leaching C,t" he pi.:Oned and fifie:� i7-,t f:1 :i:o'':i }C'r Title v within the n t 6AJ�' 1 t :ar.at3!?T�riirlr�7C£�U:z l . ^• P, �:Ut:.�i, r`i �c7:filrt,.�- (v' f,:''posed SAS sh-l: be - r,_ ! -Y,-laced with r!ean said „,e: lit,,- i icat::�ns- Y � -z rc Ccnjo elts art- rater saire line_ Seiaef l:t t t:_ : ng a water e ,9 t, t -1 t'1fE.. .'JiTh 'ti 3�7.;1 `� �� vl'1e{3ft;L-'��`�YVtt}•PRC: 'li?t: 'r the sleeve. Ut7:rtig i5' . #:'` -tr!p` V,"r^'� '-•»I�1�tilt ll!lC t r� ' - D i_RR_ *_ 1 ' n er ex. , it is to be rto� _ ,� ; &ter!� is net -gage grinder. 6. No 1066 till G �. �l�l�i�,,�,i� _ � .�f,�,�,�J� ^:��tg#,c�! to ac<�c,rnmc• . . - _ �,,r-iJr. { �� _ �, installer is resp�r! �� . . . a':aT:,.�rT aroesrt: a f '.n .,r l,e t,�, ., i :� r r 1^ 0 r lt. (fTL�Dfts - -- � J -�-► t':t ct n,the st+.11 : .tr' :t;► es,Tt i r1 aS_ ! :'1e sill ts_. }F . t,^ 1 f <.' r.hc- .rn n et:n Title-t• �1 a�..t i4 repre.,wmj 4 ;� 'ste,?� at tse i 15t21 , ��; li,' �V B # _fit: � � � :_u�airenler..s. i t -- ;� " ' ` > ►+rner,1,.A:r��'ii2�v desig„ �teria tc approvP!i':-•total num:�!'', of bedrooms ant, - � f!ot+1. lr!st;"llattr;, -of>flc:septic system as proposed and receipt,,t ;.��r,'F#t3nt for the desire :u:f§be deemed app c.;-il CJ Ow dt:niie'#critc-f:a hV the properly Owner t)' =nt(if. i f 1 �� \ Y � (� t ''��'�!�/ Lam•, va'j:;jijy of this pta!: si aft expire wi,Y the expiravon of t��;'. t:lwri inst?.ildi.;11' permit issue-' C::I plait or the,%alirlily `f ... �',:3C• sht,01 expire, i the rixpir_tj�(m o! `!le(.Nri•Ficate of rojrrjpljant, '1 rfi�rr. eXpir .s( t -1•- �Tf----_-.�-- :ed 7 1i1s_;dl?; ;•'.' {'tYn t'`•e I.- _ ! 0 { A, �lj "_�l V 41V_ ° iQ� ��.�Z� -fit l2,� �'� _ _ � i /v �f�0 -- . - - i • . ; /r-, � � I��'•��+.�^��`�t�laic` f 11 1 ii �� ;• ' 1 \.�'� 't�,{ � J V�G/ 3P +rl,:,, tlil_Jf �J/ 1 � ,r el r i DOVE, �`l ; 9 r� !_ �5 Z TC..4 107 \1 ITDAVID s9\ r~ -,.�..> _. _ .r,,.. .T �, �� •�,.. . a.,.r,.o,,.� ' =MASON � r �•, '=---ascoaas:•t:...rrs-.:...a..--.as•..o..- ..._. ...ti-_..,.,._.....,��,,,•.•:.�-.w.�_�....:u.[vr.a- ..r.._ :•�_... -..-.-_......,.__....,..:s:;rwf.a,;F.a»:-.u:..r-.=7t' - YM\-ior- '_`f tK�..c4fiY+G`�. .•�-.e•z..+iess.•e .+p7�3.."C,Arb -.ewa7YF'rd'Y*k?, �. r' -r. .,. - _• s5.�...>�I...�^�d. ...neC;+saR - .