HomeMy WebLinkAbout0007 CAPES TRAIL - Health 7 CAPE TRAIL,W.BARNSTABLE
A = 088 008
•No. (�� , Fee
V
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
A_0�"()1_003 aVVIiration for Mi0po0ar *pgtem Construction Permit
S�pplication for a Permit to Construct( e U grade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 7 � IL Owner's Name,Address and Tel.No.
( � '� rV �j/aILNSfAjj(.t �oc.��/J(ZS� .Z2 V P(�
Assessor's Map/Parcel
A _26
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In taller's Name,Address,�nnd Tel.No. Designer's Name,Address and Tel.No.
5s-v w�1Ia� Areet -S 5A,� t- �t
D
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S�NOw%<1-\LAj(gnnr&r s On o
Type of Building:
Dwelling No.of Bedrooms Lot Size53;'S sq. ft. Garbage Grinder(A])
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures /� f
Design Flow 4 `T40 gallons per day. Calculated daily flow +1 gallons.
Plan Date 10' f -CONumber of sheets Z Revision Date
Title u IO �+(l�-
Size of Septic Tank 1�O Gr,l I o n - Type of S.A.S. 3-_ 81f Z ' am r-k
r�t•� cf Fes' 6� 5�.�C
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 Certifi-
cate of Compliance has been issued,by this Bo d f Health.
Signed Date 3 '> 7 o
Application Approved by Date
Application Disapproved for the following reasons
Permit No. Date Issued
l
Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OFBARNSTABLES MASSAdAUSETTS
` °r0$ -ova-aaa lication for Mi aaf * gtem Construction Permit
/0 kplicati6n for a Permit to Construct( e ai U rade( )Abandon( ) ❑Complete System El Individual Components
Location 6L Address or Lot No. C I&I L Owner's Name,Address and Tel.No.
- a I i - w ��NSTA3�r ' k C-%-4ARD P .1-2-UT")
Assessor's Map/Parcel T t�a
s Name,Address,od Tet,No. Designer's Name,Address and Tel.No.
1=
So
5.5'0 U.."I love �t'leC� �117VA/�l�',U -°ri=.C►1 t�.'f�o n+
- ' Gn is an o �z . 5p�yt?N��t� MA
Type of Building:
Dwelling No.of Bedrooms Lot Size53a5C, sq.ft. Garbage Grinder(A�
Other (Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixturees' /' n
Design Flow 4� gallons per:day. Calculated daily flow 'T��LL
�� gallons.
Plan Date 10- ( _C19 Number of sheets 2- Revision Date
Title IGO
s Size of Septic Tank 1 iy0 Gu l I o q Type of S.A.S. 3-_5-X gX 2 C'cnc r-k C
� •' Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
h
Date last inspected:
Agreement
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage diosal system
in accordance with the provisions of Title 5 of the Environmen2l Code and not to place the system in operation until a Certifi-
cate of Compliapce-has been issued y this Boqq7of Health.
X Signed 1A Date 3 •/ 240 J
Application Approved by Date
Application Disapproved for the following reasons s
Permit No. Date Issued
-------------------- -----s— ----------
THE COMMOl4WEALTH;OF MASSACHU&T'S
BARNSTABLE,'MASSACHUSETTS
; . Certificate of Compliance:
THIS IS TO CER i3that the -site wage sp al S t Constructed )Repaired ( )Upgiaded( j )
Abandoned(
at has b structed in accordance
with the provisions of itle 5 and a for Disposal System Construction ermit No. Y ed
Installer Designer
The issuance of this t s all not be construed as a guarantee that thjsgste�,,ill function as signe , o
Date Inspecto /G t! s.
—— — —————————————— ` '———————————
No. 1175 Fee
1111 THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
igogaf pgtem Congtructiot ermit �
Permission is hereby anted to truct( Rjjj )U gr de
System located at vV 0 4
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 Ast b completed within three years of the date of thi e it
Date: Approved by
TOWN OF BARNSTABLE
LOCATIONf SEWAGE # Oc)O
j VILLAGE rA
f ASSESSOR S 1 & LOT g
INSTALLER'S NAME&PHONE NO. LU/LL//f/liP
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type)
NO. OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: COMPLIANCE DATE: 0ep
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
j on site or within 200 feet of leaching facility) Feet
j Edge of Wedand and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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o Es-r:ptS'PosAL SYsT'i�M To sa Coh1s�--rzVC-rED I S1RtcT /
CCO�IDANC.E OF (7, OmN(_ or 1�ASS. F-Nv' jRoy-I. Coce-TI-r ==- ��• ,�, ! /
Z. REMbVL ALL IMPERVIDU5 MATtR)ALS 5' AROUND SY37FM- OF
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