Loading...
HomeMy WebLinkAbout0588 BUMPS RIVER ROAD - Health (2) ` RU RED" J 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 `' "