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HomeMy WebLinkAbout0149 LAKEVIEW DRIVE - Health 149 LAKEVIEW DR.,W.BARNSTABLE A = 214 058 TOWN OF BARNSTABLE LOCATION _ P SEWAGE # VILLAGE ASSESSOR'S'MAP& LOT 2 — O INSTALLER'S NAME&PHONE NO. G-Gi//T//I /�G'� v��✓ 6 Z G .�� SEPTIC TANK..CAPACTTY / .(�C�g LEACHING FACII.TTY: (type)—�3 (size) _ t NO.OF BEDROOMS ell BUILDER OR O 1 y/ I'�`. y�C{ 1 /J /( PERMTTDATE: ' 7 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 � -- D CpAC4s No. N Fee � G THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes m 1 � PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE. MASSACHUSETTS \JN�� Application for Zig oml * gtem Conotructiott Permit Application for a Permit to Construct YRe air( )Upgrade( )Abandon( ) ElComplete System ElIndividual Components Location Address or Lot No. L.R t V,',e 4/ /ate; Owner's Name,Address and Tel.No. Assessor's Map/Paz� .� Installer's Name,Address,and Tel..No. /, / Z(a 2, Designer's Name,Address and Tel No. Ci -.;t-- 4-J, �J Type of Building: Dwelling No.of Bedrooms Lot Size ' q ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow J gallons per day. Calculated daily flow d gallons. Plan Date Number of sheets / Revision Date Title Size of Septic Tank Type of S.A.S. 3 Q d 14_4 Description of Soil r 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 de and not to place a syst m in operation until a Certifi- cate of Compliance has been issued by this Board of Health. Signed Date (fL Application Approved by e 4-go-0—-t Date - 4 Application Disapproved for the following reasons Permit No. 91,. 4�r Date Issued "No. - ' .:w, . Feed= r ' THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: = Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,MASSACHUSETTS Ipplication for Mtgpogal *pgtem Con.5tructiou Vermit Application for a Permit to Construct Re vr( )Upgrade( )Abandon( ) ElComplete System ❑Individual Components Location Address or Lot No. 4R * V Owner's Name,Address and Tel.No. Assessor's Map[Paxel x rQ G Installer's Name,Address,and Tel.No. x` Designer's Name,Address and Tel.No. OvAx 8 °`� Type of Building: _Dwelling No.of Bedrooms Lot Size . ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures /-Design Flow ,... 3 gallons per day. Calculated daily flow i s �gallons. Plan Date 1 Number of sheets / Revision Date Title Size of Septic Tank a Type of S.A.S. f 3 d y Description of Soil 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 ode and not to plat he system in operation until a Certifi- cate of Compliance has been issued by this Board of Health. 00or Signed Date dhlllo�� Application Approved by . �66�b Date - cf Application Disapproved for the following reasons Permit No. q-- ✓ 6 Date Issued ———————————— ———————————————— ——————— THE COMMONWEALTH OF MASSACHUSETTS - BARNSTABLE, MASSACHUSETTS Certificate of Compliance f THIS IS TOPCE TIFY,that the On-sit ,Sewa s .Sy stem Constructed(/�)Repaired( )Upgraded( ) Abandoned( )by L//"/'� at ` 99 has been constructed in accordance with the provis' ns of Title 5 and the for Dis osal Sy tem Construction Permit No. '.!``� dated Installer Ci .10WA0*6 / ./ Designer .,' n The issuance of this ermit�sh ll not-beo �ytru ,d as a guarantee that thet7YjN:/tti n as desi ne/a f Date p p / g Inspectorg tl r --------------------------------------- No. '?�— ( Fee ©O t THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpo!ml *pgtem Congtruction permit Permission is hereby granted to Construct Repair( )Upgrade( )Abandon( ) System located at 31— ✓ .� 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 permit. Date: 3 1� 7 9 Approved by Q .� 1 " TOWN OF BARNSTABLE � „v LOCATION �y��`�.s� P t.�./ /•' SEWAGE # VILLAGE_-A J ASSESSOR'S MAP& LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK..CAPACITY / •(�C/Cl LEACHING FACILITY: (type) S (size) (� NO.OF BEDROOMS BUILDER OR O t PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility If an we tlands ands 8 exist g ( ' tY Y within 300 feet of leaching facility) / Feet Furnished by_� a � r ..�,Z' '00� Q • f I _ _ TOP FOc./ND AT/ON EG:3'!-0 SEW9 G' E 5 YS'T�M PROF�G F z�; S'O/LS T*S T �'E5'ULTS p F/n/�5 h� 6R�90 E Min/. �'LoPF OF 2% 900 MAN. 361'M,9X. D/ST PDX h/I ''SUMP ''MAX, O,. T/ 9 M/1✓. 3q.voY s.�.vny f If /2 M/�/, INNER MEASURE iwv. -A :0.0 36" MAX• Z GOVE,2 ar- G I9uIb L wE� ScH, �o Ptic v 8.. �✓ 20o Ts /0' Lv "07o 5 ' INV �, /¢• /NV � P G a. 171 LOAM L OAM D 4-7.19 4c.B9 /MIN ¢, 4G.G¢ 9'G %2 ¢S.9S YZ, 34"% /oYR L ZB„ - L.¢L,O 6"BED OF t:sce^, o . 631) 5006.LE4G�/ CHAMBERS f .a O $A GRL/SH�D b`s$�o ebb , mo 'oe$� Z` Fff'DFI � /VJED/USN M��/U� i. a /d YR181 15f4 T a ���� ,� USE/SOO 6,91-. /'RECAST SEWr/C TANK Z 7 410 Z „ 6/?f/li�L GRAI/�L S¢y 1�1/TN /NGET/Oc/TGET 7EES ' 60VS79,61CTEO S 9 /d " s9 -V3.9 Aee 3/0 CAPY /S•2Z7. COA/FORMANGE W/7X1 ASTiN C 1227- 93 5;q4i-t- E1, 37.90 MED/UM MEU/UM 367-7'o M aP 7E5T P/T /oYR1813 G 30' s�N.o Z SAN.o ` WASNE'D STONE.• 2 7•, ;' � s (,3J SODG LE4cH CN MBERS' lO' Z•3. d. 513V/46E 5Y5TEN/ DESIGN CHLC411-Ar10/1✓ /20" l32'' Et. 37 9 E 1. DE5/61V DAILY FLOW 6A01-1NDWR77r-X NOT eA1z5V41,A17-L52E0 1/D G P.D Fjf�'C 136D400M X 3 SDRMS. = 330 6PLD ,pE/2C, 7;C-S7- D,47E: 8- /7- 99 141- 949� PLAN VIEW OF S.A.S. Z. IZ�Q�IlRE1� AB�ORPT/ON �F�EA t3,9RN, 6.o,h! /?,5W : Z)CAW,q A-110X 9ND/ = J, .adYLE 330 ; o. 74- G&I'lzI DAY = 44e- s:F. /aE.ec, /Z9772EF < S N1/N PER /ivcrr, 3, USE (3) THREE P,eC-CAST CONC. SOU G. LE4cN CNAMBE/zs S'Q/LS TL�..+'TC/.E9L CG/-!S5 = ONE iss WITH 2-7" WASHED STONE ON S��Es� 2-3" 57-ON4 AT ENDS, g, L.EACI41NG PROV)SiON 39. L30 rom - l0' x 36' = 300 s• � LoTNo, 3 - - , zo-r60 x T07A PRaV1sIOnI = 4co s.F ti 13 r i BM.• %oP of /76 - `�, �o l 8 LESSORS r�'Jr9P 2/¢ 10q T C FZ 58 srr9h'E N4.8 a Q AP/'L/Ci9iVT: J ' I o�a:y 1✓.4y to -�P �.➢ `� IO Lr/, L39R.1/STi9BGE, M/,. OZGGB M w -•o ��' 2 9S N / X ti 14 50 41 -1000, S/72 AA14 SEWAGE PG.4N o /V/CkUGf1 S ,5�//1-D//1/6 C4. �R4POSED 3 BE.Dh'OOM ,dbv'�.GL./NG ¢B ', � �JOHN �oT moo, 3 LA.��Yr�✓,9ytivuE= Mht1�M o� a. � Bi9/P/1/.ST�9BGE� Mom• No sages sC�L.Lc, AZI6aS7- 27, /999 !♦'�`6IS'f�Q�@ GRAPH/C S'CgLE �N�� � 0, �' 80. �$ -Zd-9J /, Z>OyG TLGS TES:563-/99-¢ ,6aar s9S A/./-,4L~!/Th/ OZs 7- - - --- -T - --- - - -- -- -------- v_ _ __ - - -_ ---- ----- I I