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Home My WebLink About0050 ALTHEA DRIVE - Health � �� h 0 e ,. �{ W K � _ t - F ti; .. 0 ,. .. y � n ° .. 'F1 _ '�� L [ .. ` • .. _, i 05/12/2000 08:25 5083940955 NORTHERN PAVING PAGE 01 w1w THERN 20 CANOI.PWQQU tN15r On t. MA 026,*4 1 (800) 257.9474 1El. 07,URt 398 g47.4 rAX t 50P1 39n 0E)S" rAX TRIINSMZ ,'rAL FORM DATE: May 12._.2000 TO: kata4,Zna COMPANY: Bannb.tabte Heatth Dept, FAX#: 790-6304 FROM: Donna/Ray Ca te2ao Number of Pages (including cover) : 4 COMMENTS: Tngo on Lot 4, #50 Atthea Ati.ve, Cummaquid you ,cequebted. If you do not receive all of the pages of this transmission, please call (508) 398-9474 as soon as possible. 05/12/2000 08:25 5083940955 NORTHERN PAVING PAGE 03 a r �� gc j 1 saw No Fee ( P 6-?o V THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 0[ppYication for 33igpozar *pgtem Construction 3permit Application is hereby made for a Permit to Construct V)or Repair( )an On-site Sewage Disposal System at: Location Address or Lot No. Owner's Name,Address and Tel.No. ,51 AI= 'b12-,gS 60AAM A&V Installer's Name,Address,and Tel.No. Desi ,�dr�s, d Te�lo. p S r am. ff K� 4`7�_ -1(3Ila Type f Building: Dwelling No.of Bedrooms 1.3 Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures g Design Flow �7 gallons per day. Calculated daily flow J gallons. Plan Date 9 , I o A3�r� Number of sheets °�.. Revi ion Date l—_ '�- Title L �� 6 #- ►A w►Aay_iD f z. a7 Rejz e 3 va: /� Description of Soil ®` Jd!�Vi�1 !X i..JZp l_��6 f mbo,S,/ uo Ats +SFyy✓eg; 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,#f the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has'been iss y t oar f Health. _ Signed Date h) VA Application Approved by Application Disapproved for the fo lowing reasons Permit No. 9 7- 661 Date Issued ——————————————————————————————————————— No. r / ...fib f-� _ ^/Vi AP •. 3* Fee THE COMMONWEALTH OF MASSACHUSETTS ' ` PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS r 0[ppfication for ;igpogal *pgtem Congtruction Permit Application is hereby made for a Permit to Construct )or Repair( )an On-site Sewage Disposal System at/ E PP Y ,7 h Location Address or Lot No. Owner's Name,Address and Tel.No. COMMAQUI Installer's Name,Address,and Tel.No. Designer�'s Nryam�e,Addr s nd Te.No: i 471�-1131 Type of Building: Dwelling No.of Bedrooms Garbage Grinder( �„ Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow .7 Jy gallons per day. Calculated daily flow 7 gallons. Plan Date I C> ' Number of sheets 2... Revi ion D to Title 1• -. GUnn n4A ) '- ��----1: 14,- Description of Soil D-�D" IV A-KI t SDK_•• -40 Ga /y Z,L'440 FIVES +j7 0.� Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: fl 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 5of the Environmental Code.and not to.place the system in operation until a Certifi- ` Cate of Compliance has been issued)by th'sB f oard Health. Signed /!y __ ; Date �1 Application Approved by v 7 i Application Disapproved for the ollowing reasons Permit No. % 7. (� Date Issued �r THE COMMONWEALTH OF MASSACHUSETTS { PUBLIC HEALTH DIVISION- BARNSTABLE, MASSACHUSETTS Certificate of Compliance - THIS IS TO CERTIFY,that the On-site Sewage Disposal.System installed( )or repaire&replaced( )on by for as�g 7: r has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 2,7— fZ/ dated Use of this system is conditioned on compliance with the provisions set forth Below: { No. `! ' 6 / Fee 0 o THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Digponl 6'pgtem Congtruction Permit- Permission is hereby granted to to construct( )repair( )an On-sitA''ewage System located at T LI A ,L,.� . . t 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. All construction_must be completed within two years of the date below. Date: Approved by , i I Z- -51 W 4,Ls FAMIU`{ 3 5EDRLavl �E P>_a� oN BAGIL ut=rzl� GAOP3ALQ �CJQD mv— .VAat y Ftow = AL4ilw '1>a CLimmA(QaID 5'GMG TAN4 • �j��' Too%_&06RD U5F- 1 SOO GAL. LtaACI}ll.lG SYsT�t� �s�N Err• ,42� � I A4o.L TlZ0Jc4A`-$ - N _....-.. 4T LI CATION AZEA 260'1 I 6f T.> 1('�� /5F 'Y'[O dPP uGdTtoN AtZ.64, D�516 N 1 51te-WALL AM4-4d K-L x d-=39Z 5T` D�TAI l_ aF LEaGIkIuL T�JGI� Vorro/A MMA =A•D x,4 = (NSF r t•yj, -TarA. AWA s 7 I'Z5F 4u—, RE¢Co c.AT WTI �,TE L 5 M,v/i Wu{ MAX ZOII. Cl.b� L -- 4`2„ ��8'_/i STo►1E ' OF p PETEZT, SLUR enxrEa NG►.2:?733 — So 24W CIVIL -��SGrioN or �� S•i'� �. '.��.` r FG•=� TK j� 'f# Nam -=�5 Ffo=B , L-v,4m �� SG¢D i itity Sf133501� DKf �N�c �►u iNv � �3 �o Q45 L -11zE►.IcN �►� "' Box tromp �. Mob gM-f�: Tam Gz �iaF y>`y�� PlzoFt� '7HIJD h40 45+GAL.� 13' � ' , CECI RGD PLOT PLAN! SATE Cl 'to13 I TI F`f THAT T-H E -b.v 6LC I J(fi Si4ov4 PLA�1 lZ Z S'`)7 F}eowN C4M PL.-1 S u/ITµ T AA- SI DELI Ne AQt> LoT. �� oD P� '5-1- V- ZWUIZF-M DF TIE 'TOV/N of 13 $i ABLE ,4►-Iti l 5 t1ar' MAP' Pal 42. 1.�UG,AT� 11J l T"I.1•I N A R&Vtso� LA V 4t1RVE''= • Qq&lN6W � 5, t�i7 oF"F52Y'S MOM BVIL.TJIW.6 5PotXD NOT' DE-1 Q('pLIGaN'1�: USED TV 96T74'5WSq PgopE—Vy LiQ54. CC•�`.,MO 1'TtZINO t CVWV CATB2J►J d &V• -Z.5,17 w) 1 4 68 solz M N ` T44 P-5908 �S. 8 Y.f f jN Of tygss�C �LF.f0.4 TA o� yG . PETER o _.._ ss• o� SULLIVAN IG-� i� ca W 90\ '�� 24 t r, PRp�os�D M 2d�t b9• r" N0. 29733 r n Dud t L.0 IQ Co . 53 �Fss/ONA L100 4 Ci 12S.ov d g TOWN OF BARNSTABLE q� LOCATIOI�I.; �[.. SEWAGE # / W �i VII LAGS x ` ASSESSOR'S MAP & LOT INSTALLER'S"NAME&PHONE NO. —. SEPTIC TANk CAPACITY d _� LEACHING.FACILrN: (type) l a_kz tyly^,r,, (size) NO.OF BEDROOMS _3 BUILDEROR.OWNER ' PERMUDATE: A C ? COMPLIANCE DATE: 9�— Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 - If fi I, 1' t f cv m w 0 a THE COMMONWEALTH OF MASSACHUSETTS W PUBLIC HEALTH DIVISION - BARNSTABL.E. MASSACHUSETT: 0 Certatrate of (compliance THIS IS TO CERrFY, that the On-site-Sewage Disposal System installed( )or repaired/replac - by _ _ for #bas been consw as witthe provisions h of Title 5 and the for Disposal System Construction Permit orthflow: 7 c / dated Use of this system is conditioned on compliance with the provisions set Cn co LO ri co m m m m N N m 58so2 m N 0 T14 F-59og �S. 8 OF Mqs� rLF.�•�.1� P¢er•Y. TQ� �' rA„K- o i 1 tv 1 PETER _�- SULLIVAN ��-e, f' No. 29133 " 90. �� Ott �,�pRo�os�T� CA . 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