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Home My WebLink About0060 WALNUT STREET (M.MILLS) - Health ,0 MALNUT:.S`�rCs,e-r MARSTONS MII:LS. A'= 149 014 1 � 1; i No. Fees50 / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2pprication for Migozar *p6tem Construction Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon( ) El Complete System El Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 60 Walnut St. , Marstons Mills John Helm Assessor's Map/Parcel / _ 1 �/ Installer's Name,Address,and Tel.No. / Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service P O Box 1089, Centerville Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) 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 Size of Septic Tank Type of S.A.S. Description of Soil Sand Nature of Repairs or Alterations(Answer when applicable) Title-5 septic system consis- ting of a 1 , 500 gal. tank, D-box and 2 precast leach chambers with stone all around. 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-Bo of Health. Signed Date Application Approved b Dates Application Disapproved for the following reasons Permit No. Date Issued �� No. /Z��'' Fee$5 0 / %.. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYication for Migpogaf *pgtem Conmruction Permit Application for a Permit to Construct( )Repair(X )Upgrade( )Abandon(;,) ElComplete System ElIndividual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 60 Walnut St. , Marstons Mills John Helm Assessor's Map/Parcel /4/ /t/ // I I r �• c. Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. t_ . Wm. E. Robinson Septic Service P O Box 1089, Centerville a'�pe of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) 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 Size of Septic Tank Type of S.A.S. Description of Soil Sand r r. Nature of Repairs orAlteritions(Answer when applicable) Title-5 septic system consis- ting of a 1 ,500 gal. tank, D-box and 2 precast leach chambers with stone all around. 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 Bo d of Health. Signed +' mow-' Date '-azByG l Application Approved by;._. Date 44�:e Application Disapproved for the following reasons Permit No..470Z ._' � Date Issued , THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Helm Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( X)Upgraded( ) Abandoned( )by Wm. E. Robinson Septic Service at 60 Walnut St. , Marstons Mills has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Perr't�if9&0/- dated d-` A tF-_ .! Installer Wm. E. Robinson Sr. Designer The issuance of thiwerdiit s all not be construed as a guarantee that the syste Y'func on an-Date 2 (7 Inspector No. -71Gl3< - "I-- Fee $5 0 THE`COMMONWEALT,H OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS_-_� "`0 Helm lwigpogal *pgtem Congtruction Permit Permission is hereby granted to Construct )Rep_air( )Upgrade( )Abandon( ) System located at 60 Walnut St. , Marstons Mills 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�r6t. Date: 4 Approved`by✓ T 0`WN QF B ARNSTAB -'LOCATION Q W a:�n�?-� SEWAGE'# ASSESS VILLAGE 011ar s+�5. ASSESSOR'S MAP..& LOT �'b/y INSTALLER'S NAME&PHONE NO: nS -' rl' +. SEPTIC TANK CAPACITY LEACKNG FACILITY. (type) W a (size) NO. OF BEDROOMS . BUILDER OR OWNERlQ 1 e74J'- a�OQ:f PERMITDATE f CONDUANCE.DAtE t�'1 Separation Distance Between.the Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility. Feet Private Water.Supply'W01und Leaching Facility (If any well ;exist r on site or::witlun 200 feet'o:f;leachin'g facility) Feet 1 Edge of Wetland and Leaching Facility (If any wetland exist k ithin 300 feet of}eaching facility),. a , w ; eet Furnished by � I p E 1 F a 'E r i xsze x � r �. I4 f (a- r TOWN OF BARNSTABLE LOCATION 6 0 W a d nQ l S . SEWAGE # ?6�f � 91 `VILLAGE M ar540m5 i1h iIS ASSESSOR'S MAP & LOT L `Y'0/H INSTALLER'S NAME&PHONE NO. Rafo i n 5&-✓,- 'ITS -V7 76 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) Q Y'Ni W E i (size) 4 9 13 x Q-4 NO. OF BEDROOMS 3 BUILDER OR OWNER ` �/e- I•ti. PERMITDATE: 4 o® 1 COMPLIANCE DATE: 2 6,01 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 �j 11P 1f310 �� VYt fiIOTICE-This Foam Is To Be used For the Repair Of Failed Septic Systems Only. _ CE'I�'l'II+iC.i►'1`ION OF S AZiD�►P�°LICA'1gON ROR A DLSPt)SAL WORKS_CONSTRUMON R114ff(WITHOUT DESIGNED PLANS1 L William E. Robinson,S%u-eby catify dm do appfication to co �oa pelt w si prA by we dated Z the property1ocatedat 60 Walnut St. , Marstons Mills meets A of the following criteria: • The&dad sys m is eonncoed to a nod dwdbag udp. Than:are no commercim or busiam amiadand wkh the dam soil is classi wd 3S CLASS i and tLe pewcoUdm rate is less opu or squat 10 5 minutes pa inch c src no wedamb wKhin 100 fact of the proposm srpnc a}'slew — • c sec so pdvaec wdb wd a 150*a of the Pmpwd ScPdc SYMM1 is no increase in Raw aadkc chaaW in of ptnpmd • are on variances axpegad or oeede& bona of the E -11-Ly will>&be k,,Qed less than five fiat abam the ntavttttun t> a almdon:IJIjrjmt*gtomtdtgmter law Ting the Frimptor method when ref If the S?►.S.will be kcal with 2%€=of a0;vegmcd vrq>inds,the bottom of the pmposaf I hia2;facib9 wdl gA be bKatad km den founeat 1141 feet above the mariroum adjtuuxf gaoundwaoer ubk dcvatiM Pftm a cam4gete the hums L, ) Top of Gm and Sus bm E tviiag us k&gmmian, H 1 G.W.Elevation +(he MAX. ffth G.W_ DIFFFlu-xc>~eErwmN a aua a SIGNED DATE: O PrOPOwd PbR O sum on ba&j. .K h—k folder a= r 1- 1/ � a f ~ l� (L