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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 -i LC 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 . 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 A l 1 / 1 I • � , - w W / I 1 S h \ t i f WELL Cb T3f-.0 t C7- OR N E J-� CV�7 1 � I S 0 \\1I ^ h o 1 I. 4 \ 1 Vf 1 N \ S '3`. ,� �%� C ATE S 9� ;r * _CL11 OF ZO LOT 7 {RJ K L R N . ! ZSY EARL LANTE )R. SIS �s yG� -' r' No 6575 026101 F C, i i m 1. � PRc�POS�� SI � A L PLN • � � � L L T 8, (- _ _ Imo_ PI �U 10 8�.. i CORNER a\)e? 150 6 9- o_ R iL w � sT ,���Ns ,T-/� ) Q� _� p7E�/ S�10E ��•: i� � i , SNOW H 1U- t ST)-\T E5 ALTVAQHC TEST-1 _ �OLUi 10,'JS i _ Fm- FLoDR -TOI 051WAU— FjN.GR CL 7 57.0 o,o - L.iS�.D EX�s;».;� GR•EL, 6 k t x xxX ACCESS W.���1 6'• -No7E vE ALL 1MQEIWlbt. S GP,- twoTEg� 1�1/Nr1=P l ILL S /ARoUl,3fD S'Y3i E,ti. LEI �So o / 9" >J .�3 Mx�: Covt�R CC- LLARFioo �D NON. ���corlc �N.,s3. F L , i�o.c� S -�-p c- I L�1� i s- IN/y, e 6„$A5E SI�,h ,N . SC1L 2°�M r/. c-HO E LbW Lt . 14 o SEE Ti-P,CL1L PLAW �VOZT, 1 = 4' PRC�1=1LE OF D1SP0SAL SYSTEM 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 3 A SSLSSOZ 5 mNp 88 PC S_ 8-?�2 >t S 9 (31V I N G" R1= " i o� HFRR rC; � 13.lh.- T.0 F v 37 G R AT E >D PA I N = 1=LV_ EP.RL 5_ SURVEY DP�1A, PLAN o-rSNt)M HII- L,ESTA-7r-Sty WE- S T BARNSTAKE, TEST Pt Ta P=RCTEST >`An-TFRY. Ja. I"I �y �OWIu Glace EN �'C _ Y ARM aU TN MA DN-T D AU6VST 5 )M7_ � � G, USE 3 - 8'�5'x2' P.G Cd)JC _ LLACIHINC-) ChlAM�1=RS w „�� 4 ' o 3J4"ra 1 %Z,. -E)( 1Mr1NCs o�ss�s WAS1 D STDIJl- w�i 2 ', or FLA STOI\�F- o1JT01�, � 1 �RAbL � �2 7_ I NS I NA-�. T"-s £ GAS 3AFFLE tJ S.T. ��� T��LL ZI /57.0_ LoBar� —I 640 G3,3 LaAMy SfwT� I S1 7 E PLA]`' _ DES I CDN ? 154,0 - SI NGLE FA-Mi Ly DWELLING PL1ZC RAT' � c'.MtivlN. I P - 53�0 ;"la C7AIR'5 A G E D PCS,4L /�AIL`j FL a-W 7 / ) a X `i- �-}1+0 G: P. D_ S1=W,�8� 1J1S�05AL SYSTEM OES1Gi\ SE P� IC TANK N RLQ�� MFi> Co sh Ill .t IY\_ 7 i�D 'F 1 7-1U Tc 40 G. P. 2 _D -FAR KC;-< ROAD i� �50 GAL.. r A-1-11< - O . )<- GRAy = L i WEST '5A7N'T7, A= MA 026�fl L � AGHityG C1-1 �1�BER S I � . d ly a P_C- CONL LAC._ + `f-" SToNE L DT 7� C1A�L-S TZ:�IL E FF E CTIVE ��p�-}\ Z_O 1 NCB"vJ h-1ILL P�-I- � 2 .0 C (0 4-���o� � � .7 4 = 133 � � 9 1 3 x 3 E k 74 30 Al�VAUCED -r-EC•H_ .S 0 L U T10NS ! 4 .�— — —152 T'OTP\L � CAPAC Y= 441 GALS. TE5TC-0' 3/2/95 Car?sv-T. tgGAR • CA E 16-3 1- q o,V4c f a319-P� Q Q s E • , d lo IN }- _ w it Y' Rj /lo`�'��• e aPW tJ•o 3 r-'7 IEN .� .a _.. t , i 1' t a dt 'Q 4 t ♦ s V 0 P--r eP 14 7'Li I i Ti I t „ i 4 ; i i