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Home My WebLink About0240 MARSTONS LANE - Health 240 MARSTONS LANE, CUMMAQUID A=;49-045 o t _ } . • a I r �i I x ; n s > p + v y. r r Y r a TOWN OF BARNSTABLE LOCAON .rya /��IiPS/ors .L.v SEWAGE # VILLAGE C ymA I am o3 ASSESSOR'S MAP 6z LOT 3 Y%- ys- INSTALLER'S NAME & PHONE NO. A-&-B-CM4QO 749-4264 SEPTIC TANK CAPACITY /000 cC,®Z- LEACHING FACILITY:(t-VW) T (sue) /tea NO. OF BEDROOMS PRIVATE WELL,OR UBLIC WATER BUILDER DATE PERMIT ISSUED: -3-16 .S DATE COMPLIANCE ISSUED: Sro;T-c VARIANCE GRANTED: Yes No Or 4 I' I 0 2-G Q .37 0 J OCAT10-N SEWAGE PERMIT NO. 2 !�,o /YA12,566AIS VILLAGE C'tis� A I N S T A LLER'S NAME i ADDRESS. BUILDER OR rOWNJA � F`Al 7- DATE PERMIT ISSUED DATE COMPLIANCE ISSUED- � t TOWN OF BA.RNSTABLE LOCATION ® o elk -� SEWAGE # VILLAGE ASSESSOR'S.MAP& LOT - INSTALLER'S NAME&P ONE NO. 8 (�� t -r SEPTIC TANK CAPACITY LEACENG FACILITY-. (type) (size) NO.OF BEDROOMS BUILDER OWNS f ARMI'TDATE: COMPLIANCE DATE: L62 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility, Feet Private Water Supply Well Leaching Facility (If any wells exists 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 1 Furnished by rc0 1? 2 „ y d ® a No. ��1 'I�� Fee_ � THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS ZIpaplication for ;Digpogar *p6tem Cow6truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System Individual Components Location Address or Lot No. -54 'v V,(S;W" —CE Owner's Name,Address and Tel.No. �JtM,WII GZs..�� -ANCeN` Assessor's Map/Parcel okke- r.��c Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. kc-w�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 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank S�Zp't►--�-- `C57�7 Type of S.A.S. Description of Soil C 'a 50 Nature of Repairs or Alterations(Answer when applicable) __%7y�JS5VVQ \, --16>6-r, �F ak� 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 issue Sign d k Date Application Approved by It Date \5--J.0 Application Disapproved for the follo mg reasons Permit No. Date Issued No.. 0 Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ` - - Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS ZIpprication for Migpoga[ *pgtem Cougtructiou Permit Appication for a Permit to Construct �"")Repair( )Upgrade( )Abandon( ) ❑Complete System �dndividual Components Location Address or,Lot No.��(Q w�C S�UtiS Owner's Name,Address and Tel.No. C,...;vv�vv►a C�s..�� .,�11�+G-�P--l Assessor's Map/Parcel 9�_ Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Alt C_ o_V-4 Type of Building: Dwelling No.of Bedrooms 1.) Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures ` Design Flow g gallons per day. Calculated daily flow gallons. _ Plan Date Number of sheets Revision Date Title Size of Septic Tank ��c i r \M`" D Type of S.A.S. kAkt2V\Ca DG k"� H ��e(_k Description of Soil Nature of Repairs or Alterations(Answer when applicable) \ G —T--jV _ o .� ,.,.Date last inspected: Agreement: r The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system to accordance with the provisions of Title 5 of the Environmental Code and not to.place the system in operation until a Certifi- t! cate_of-Compliance has been is �Y- (. {' Si n;d Date Application Approved by Date \$-•10 �� ! Application Disapproved for the follo ing reasons Permit No. - a- Date Issued `i THE COMMONWEALTH OF MASSACHUSETTS ` BARNSTABLE, MASSACHUSETTS (Certificate of (Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired( )Upgraded( ) Abandoned( )by `' y\U -C.1P+r Qom-S Eon-4c__ at :2-A(o C , y ,W,Qj,' has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 9f- a-23 dated Installer Designer ' The issuance of this permit shall of be o strued as a guarantee that the Sys function as designe Date Inspector f No. Y 9 - 1 7 3 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migogal 6pgtem Cougtructiou Permit Permission is hereby granted to Construct 1, )Repair( )Upgrade Abandon System located at � __^S`'( / IF-- 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 must be completed within three years of the date of this permit. Date: - � Approved by L R TOWN OF BARNSTABLE -AqLOCATION C3 �11 SEWAGE # VILLAGE ui ASSESSOR'S.MAP & LOT INSTALLER'S NAME&P ONE NO. f6 t1 sDw+, .TS SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) i NO.OF BEDROO S i BUILDER `OWN PERMTTDATE: 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 j 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 I I o. i 47vl� 1/6/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only.: - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, hereby certify that the application for disposal works construction permit signed by me dated J�� l concerning the property located at a- I "�``�S`� meets all of the Lv�-wlT�sLcs 1� following criteria: V• The failed stem is connected to a residential system s dential dwelling only. There are no commercial or business uses associated with the dwelling. / soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. /The ere are no wetlands within 100 feet of the proposed septic system • e e are no private wells within 150 feet of the proposed septic system • There is no increase in flow and/or change in use proposed There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than five feet above the maximum adjusted groundwater table elevation. [Adjust the groundwater table using the Frimptor In od when applicable] If the S.A.S. will be located with 250 feet of any vegetated wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: A)glop of Ground Surface Elevation(using GIS information) �o r B)'G.W.Elevation 150 +the MAX.High G.W. Adjustment.�L R DIFFERENCE BETWEEN A and Be�� SIGNED : DATE: [Sketch proposed plan of system on back]. q:health folder:cert cJ a r X`. Fy t y. 4