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HomeMy WebLinkAbout0134 ACRE HILL ROAD - Health F 34arnstable .n o A 297. 062 I pi e TOWN OF BARNSTABLE L` :ATION .1,1 Y fi'�4- SEWAGE # ;2-00 2- k�,v VILLAGE 30-.v-- C. ��� ASSESSOR'S MAP & LOT 24 7 (-z INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY �'SZSC7 r� �.F�� . it LEACHING FACILITY: (type) 3 � 7 c, c�, :.., J(size) /�k K 3S NO.OF BEDROOMS BUILDER O OWNER t�'� o �-- . � r 0 3 PERMITDATE: COMPLIANCE DATE. 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 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 7V t Ll L� l N. Fee THE COMMONWEALTH OF MASSACHUSETTS� Entered in computer: • tes�� PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZIppYication for �Digoar *pztem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. jq R►ev_eNuk Owner's Name,Address and Tel.No. rV�S'�r_� Assessor's Map/Parcel aq -7 &Z Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. IA-C- .e.y C[o Nb� (2PA�Q_ S'U V.-veyk '7 7 l - Ll [z- 1,� Z -- S i 3 Z Type of Building: Dwelling No.of Bedrooms. Lot Size 6 sq.ft. Garbage Grinder( A40 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow L4 qQ gallons per day. Calculated daily flow L4 '5- I gallons. Plan Date 02 Number of sheets Revision Date A Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) Date last inspected: il 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 issue this Board of Health. Signed P> ate D Z Application Approved by _146 ) ate Application Disapproved for the following reasons S Permit No. Date Issued .'2... .. g4 No. f � '�___..,,,,,,J,,. ti x,.�T`'w r t:�."""`-�F a /°• • THE COMMONWEALTH OF MASSACHUSET_XS "~ Entered in computers • Lis x PUBLIC HEALTH DIVISION.-TOWN OF BARNSTABLE, MASSACHUSETTS Rpprtcatton for ;0t.5pozar bpotem Congtructton Permit �,.Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑C mplete System ❑Individual Components Location Address or Lot No. Ae�t P,, Owner's Name,address and Tel.No. Assessor's Map/Parcel Installer's Name,Address,and Tel.No. , Designer's Name,Address and Tel.No.. ( O Vj Type of Building:,-' Dwelling' No.of Bedrooms Lf Lot Size By, 94 6 sq.ft'. Garbage Grinder( /40 Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 4 lti gallons per day. Calculated daily flow L4 5-l gallons. Plan Date F ate- Number of sheets / Revision Date Ol/,to Title Size of Septic Tank Type of S.A.S. Description of Soil r Nature of Repairs or Alterations(Answer when applicable) Date last-inspected; Agreemenk{ 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 issue(�hy this Board of Health.' Signed ate /D / 0 Z j Application Approved by _f _ i ate Application Disapproved for the to_lowing reasons v r r v Permit No. � Date Issued r ————————————————————---—————— , --------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( Repaired ( )Upgraded( ) Abandoned( )b N `c�. da-3 sQ . at /g -;-C ,/ / halbedh constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No If dated Installer e�C o! d0v1�'C' Designer � sru ry-e The issuance rof this permit shall not be construed as a guarantee that the systemdu�t motion as-designed. Date Inspector -- � — — ------------—————————————————— No. Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Mi5pozal * gten, Cons�tructton Permit Permission is hereby granted to Construct( Repair( )Upg ade( )Abandon( ) System located at 1 3y Z Lc � 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:Consntru tion st bee ompleted within three years of the date of this - it Date: Approved b / PP Y ` I TOWN OF,BARNSTABLE j LOCATION r i? C SEWAGE # 2-00 Z-'k 6 y VILLAGE ASSESSOR'S MAP& LOT 6 Z INSTALLER'S NAME dt PHONE NO. SEPTIC TANK CAPACITY 1 � i &J/ LEACHING FACILITY: (type) 3 .37� g a/o� � Xsize) NO.OF BEDROOMS t� BUILDER OWNER A \ R PERMTrDATE:r O dam' COMPLIANCE DATE 63 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 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 Ke.V H - � 1 1 r y r7 �r 4 r era • �17d'�S•1P+�.—�e•0�7.1P�{�--�—�1r.1P 1'1•�S.IP 1!d' •e'd r / DECK e� / f �lro ro ed tr•T� / \ e r.rr-r- rdrd r.r .r_-. Tarr-1 b \ 'oX b •--jfl aarr 7 tr b _I LAUNDRY TER BATH BATH JI I ~ DINING 10'•2"xY.4' MASTER • it'x4� § EATING �1 ; u•rx134 9 �:LO5ET KITCHEN- ARE121x/ib'-1' C.O.I - d r 7-ti• •7 r BEDROOM 1' t rr, ! I 1 11'd'x 134 tg.•' II T ucerr 17-1Px 13'4' ¢ vKarcvcLlx FAMILY •� 1 b- © eto I . n 2i'•1'x73'd C.�• .� - LerO - 12.3':3'•Y a 1 ————— 7r � � ST•r toy]7i 'h"tnlT h R I '• ———— ——— —— —————— --- O 5 4" GUE Aoo•cr C.�' "_ I try. .,y�—e•.�• b.+• ts� MASTER'o.RM eELU 1 BEO OM 3 II sd'xr•tP A I7.7�13�' a 11 b 14•.rx 1Ti' ENTRY LNING 4 0,x I51-V 14'•r x 13.4' � I I . ' OPEN LOFT AREA^ A ur r0rl.un i b•.r x 1C•� � F \ e, �.. ._ �_ —arm —w• —_ — 4 PORCH { I �o 3'r•5'x r,.r I 0'd— �V-7 e'.P V-0, 'd'/ 0'�" ..10 7.1P 7.7 i7.7.�a 7.1P aI.r-4'-0' 6'4'—• --�fd: �'-0' 0'-'I' 1'-0' 5'.P--�._---5'0---- --1'-0' b'-/' 1'-0' v ( �1SC' �. 17d• � 1S4'� SECOND FLOOR FIRST FLOOR PLAN 1062 sq R a t 1741 sq R ® sCIL c o t s ® SCALE I . 7� 3 ;1- . DGS16NE0 rOra MR AND HRS ARTHUR c.VADO NOTE:The purchaser of these plans Is responsible for compliance with an STATE and LOCAL Building codes and ordinances.'Neither PLANS ALLEN B.OS600D or participating Deslgners may be held resonsible for the use of these ec� '•� AueN S.oss000 c.r.e.0 As 6.0m iuLT axz dnslAngs during wn5truction. The purchaser IS responsible to Verify all elements of these pens for design, I RE510ENt1AL DESIGNER accura and sizes,with their builder, rior tO start of construction.NOTE PLANS ARE PROTECTED BY COPYRIGHT c 2002 : 7OCfRN'•"'"pM10M1•AOorno"s u! P /uroxlcx.xerwoucrw�e .0 erwts Ieewv wlnr.w Ito: ' ro eox tse sAMCY+oI<Nw oaea m fee•N!•eeee wear nee rwe rrlwour ,1 --- - - ►ewue.o.a rww.vrsa