HomeMy WebLinkAbout0588 BUMPS RIVER ROAD - Health (2) ` RU
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No. 2_1D Z2 /0 3 Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ZippliCation for Disposal *pstem Construction Permit
;(�
pplication for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑Complete System ❑I tvidual Components
Location Address or Lot No. �S�j ,( _��e� O is Name, dress a�d Tel Rio. k �� Q64
Assessor's Map/Parcel
Caller's Nage,Address,and Tel.No. (?� d � Designer's Name,Address;and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) "W gpd Design flow provided �� gpd
Plan . Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
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 Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Sim --• Date • �Z+
Application Approved by ` Date
Application Disapproved by Date
for the following reasons
Permit No. Z2� ,�� Date Issued 1 Zt7 2Z.
No. 2i0 22's/S/ Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes
ftplitation for Veiposar 6pstem Construction 3Prmit
(a pplication for a Permit to Construct( ) Repair(/Upgrade( ) Abandon( ) ❑Complete System ❑Indi*v*idual Components �o
Location Addressor Lot No. Owner's Owner's Name,Address,and Tel.No. :,� •tQj
Assessor's Map/Parcel k 4,k/fa 2-b `> i` r� c Q C w e,. At%C cr�n el.A
A '
Insttalle\\r's Name,Address,andtTel.No. j l� 6k <�3TpU Designer's Name,Address,and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder{
Other Type of Building No.of Persons Showers( ) Cafeteria( )
f Other Fixtures
Design Flow(min.required) �"" gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
E' •.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
j" v
Date last inspected:
r 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 tf v1 ironinental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
`Signed ? _ _.Date 2.--w-
Application Approved by _944 -��� Date �y hl ze-e7 -
Application Disapproved by [e ( Date
for the following reasons 9
Permit No. 2�r. �J.3 Date Issued Ll 1 00 wZ l:
r.
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS pE."'
Certificate of Compliance �r
THIS IS TO CERTIFY,that the On-site Sewage Disposal system
Constructed( ) Repaired(� ~Upgraded'( )
Abandoned( )byr
at `,��i�� j�.Xr�S �,� 1 � ,n ,`.Ny has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. , IL)IL)l dated {(f t M77
Installer � Designer
#bedrooms ^- Approved design flow '1 gpd
The issuance of this permit/shall not be construed as a guarantee that the system will funcfiomaAdesigned)
Date j��•{ Inspector C� -4-1., A-,D
V
-_ -- - --------- ---- -- - - - ------ --•---------
Noa�� f U "` SOX e -- _ Fee
E-�Y� THE COMMONWEALTH OF MAS ACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
misposal Opstem Construction 3Qrmit,
Permission is hereby granted to Construct( ) Repair(,,d)'00 Upgrade( ) Abandon( )
System located at � 7
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Constructions must be completed within three years of the date of this permit.��
Date (4 1/ /�2,1 t 7 - � Approved by � ^-�-�--
No. Zo22" I a Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
0(ppliLatlon for MispoSal Opstem Construction permit
Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ndividual Components
Location Address or Lot No. 3c V � 9_ SD Owner's Name,Address,and Tel.No.
o3t- �-0a
Assessor's ap/Pazcel
Installer's Name,Address d Tel.No.1'5 G JCS .r1- Designer's Name,Address,and Tel.No.
CL(I f �s
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repai or Alterations(Answer when applicable) -t C¢�-L, rL�Q
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 of Health.
Si — Date
Application Approved by Date /
Application Disapproved by Date
for the following reasons
Permit No. Z2 J a�� Date Issued
t� & a rAy
No. Z022_— V `. w ...._ Fee
THEJCOMMONWEALTH OF MASSACHUSETTS Entered in computer: Ye-
PUBLICHEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS c4,
4..A
0(ppliratlon for-30ispoSal 6pstrm Construction Pffmit , PIZ
Application for a Permit to Construct( ) Repairp Upgrade( ) Abandon( ) ❑Complete System &'Individual Components
Location Address or Lot No. �..� � Owner's Name,Address,and Tel.No.
Amass ss�or's ap/Pazce Lyc•-Q-) t,'
Installer's Name,Address,,and Tel.Now _ Designer's Name,Address,and Tel.No.
Type of Building: ,,�•��''"' J
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( ;J
Other Fixtures
Design Flow(min.required) ' gpd Design flow provided gpd
Plan Date mNumber of sheets Revision Date
°Title 1
< Size of Septic Tank Type of S.A.S.
Description of Soil ;
70,1
,Nature of Repairs�orAlterations(Answer when applicable)
Date last inspected: f ti
Agreement: ,
ti. The undersigned-agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in ,.
accordance with the provisio 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 of Heal-thy. I
.-:Signed'` �.�" "; Date
Application Approved by f., Date (.-/II
Application Disapproved by4001" V Date
for the following reasons
r
Permit No. 0249-72 y / O y Date Issued � ;•.� / �i^�7 A
-- .-- ----------- - - - -- - ------ - - -- -- - � - - - --------- --------
THE COMMONWEALTH OF MASSA(i HUSETTS
BARNSTABLE, MASSACHUSETTS
Certifirate of Compliarire
THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaifed( ')" Upgraded( )
f
Abandoned( )by ,: { e^�
5 .;�v 1\ 1, ..
at �_, �.,� , X� ptJ c, 'a t has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.?_rj17- f0 7 dated l f J Zl7 Z 7
Installer <�;� Designer
#bedrooms Approved design flo r� �^'�`�~ gpd
i
The issuance of thispermit shall not be construed as a guarantee that the system will fi�inction'as design�dl V.
o n
Date t o J21 Inspector .'
le
,— -- - _._ —_ .—_.--- ----—-_------- — - _—_-
No.207� -- 1 U�! 1 �= K) L.-, Fee A�-1'
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
MispoBal �6pstem-onstruction Verlttlt`'
Permission is hereby granted to Construct( ) Repair(y of Upgrade( ) Abandon
- L
System located at - A ��n � ',\ )4� �( 5
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
J
Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this perm'U �
Date � Approved by .1 4
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