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Home My WebLink About0017 BRIARCLIFF LANE - Health 17 Briar Cliff Lane Centerville ' � 1 A = 208 — 112 - i /// S M E A D Na 2-MLOR UPC 12M snsed.me • We&In Um ♦.Wo- TOWN OF BAR.NSTABLE LOCATION /Itv (� iI�F �h SWAGE VILLAGEjen/ _ ASSESSC ill& P INSTALLER'S NAME & PHONE NO. � , "'Ac,cotm far -rjpYt Inc. SEPTIC TANK CAPACITY LEACHING FACILITY:( ype) (size) .. NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER _ DATE- PPRMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 14 Z i II �T� 333� No411 ..._-- o2D�- 1t 2- s$ A Fps........ ._.3r�..CC rq p THE COMMONWEALTH OF MASSACHUSETTStablb p R 0 BOAR® OF HEAL Tvatjon C°D TOWN OF BARNSTABigne 'ton Appliration for lispnoal Workv Tontitrurtiun rerun�,, zj . a Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 17 Briar Cliff Lane Centerville --- -_-- __............................•....-----...............--••-•.......•--- -••--•••••--•••----•--•••........-•••------•-•••••--•-•-•--••••-•-••-•-----------.............---- Location-Address or Lot No. xQr1117-----------------------••---------•---•------------•--------------.. ..........7------------------•--------• ------------------------------------ J.P.Macomber Jr. Owner Address a Installer Address QType of Building Size Lot............................Sq. feet U Dwellings-No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers — Cafeteria a' Other fixtures -------------------------------•-•--•--•...... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity------------gallons Length................ Width---------------- Diameter--.-----..------ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--_---------------- Diameter.----------------.-. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------•-----------•-•--•---•......---------•---- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit..--................ Depth to ground water-.-----------.-..-..,... G4 Test Pit No. 2................minutes per inch Depth of Test Pit--.................. Depth to ground water........................ a ----------•---------••-•---•------•--•-•-•---------•--••-•---•------------------•---•-•••••..._.............................................................. x DescriptibRaV & Gr6,v2l---------------------------------------------------------------- c.� ---------------•--•----•--•------------._.------•--••----------•------------------------ ..------------------------------------------------------------------------- -------------------------------- .--- W -•-•---------•--••------•--------•--•-----------•---•-•--•----•--••------------•-•-----------------•----•------------••-------------••-------•---•---------•------....••-•••......••-------------_------ UNature of Repairs or Alterations—Answer when applicable............................................................................................... ............l l.50.0....taak--------2...shomt...Pit s------------------------------------------------------------------------------•--•-----------------.......-------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compli ce ha b n sued by t e boa of health. Signe . - e 8/7/91 Application Approved By ---- y......... . ... .. .... .......... /'- b.. Application Disapproved for the following rea n.r- ------------------------------------------------------------------------------/-/.V - / ------: ----------------------------------------- ------ ------------- a ---......... Permit Issued9 / 9 te ----------------- ----- .... L L_ ) > :� � (' c�- - Fss 3C.O J n THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH-1 TOWN OF BARNSTABLE Appliratiun for Disposal Works To crutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 17 Briar Cliff Lane Centerville Location-Address or Lot No. Ki.rk.S?rj-a n....................................•---.._...........-----------...... ..........--..................................................................................... W J.p,,Ma.comber Jr. Owner Address ••-- -------•--•----------•-------------------•--•----•-••...-------••-••---•--••• •....---------••••••-•----...........••-•-•-•...............-•----•...............--••--•••.••--•• Installer Address � feet Type of Building Size Lot...........................S q. Dwellingx No. of Bedrooms................ ..........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) p' Other fixtures .........................•----- .. - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ t Disposal Trench—No- ------- ---------•- Width.................... Total Length.................... Total leaching•area......!:............sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area............. .:.sq. ft. Z Other Distribution box Dosing tank '-� Percolation Test Results _,Performed by.......................................................................... Date........................................ _a Test Pit No. I-__._.-•___-____minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit---_. -.----_------ Depth to ground water------------------------- ..0. -----------------------------•-----•----•-----------------...........---•-------•------•---------•----------------•-•........................................ Description of Soil............................. --------- - x 6and & Gravel U ---------------------------------------------------------------------•------------------....-----------------------------------•--........---------------.......--------•------....--------- -W .....................V\---••-••.-......----•----------------------------------------------------------------------------------------------•----•-----------------------------------..............•- UNature of Repairs or Alterations—Answer when applicable......................................_..___._•..__........._._.........__........_............. ..........................••--•-----------••-----------------•-----• Agreement:_ Thndersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board'of health. } Signed.._- #�' ----10�� ----- ----------------------------- =-=��7��-1----------.._�� /etc I Application Approved BY - -'��...-�.T--......;_/..(!_ 1 L 7/�7-�=----------------- .. i)O&V Application Disapproved for the following rea- ns- ---------------------------------------------------------------------------..---...�..------------....-------- ---- -------------- ..................... . n ---- ------------------------------ ------- j //a f Date Permit No. ........`, / .-... .... Issued ------.L; /))///(/ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE (fertifirate of (�IIntplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired �XX J ) by J.peMacomber r. ------------------------------------------------------ ----------------------------- --------------------------------- --------------------------------------........................ Installer at .........17 Br Ar...C11ff...Lane....Centerville................. ..................... ------.----- ------------------....--------.........--------.----- has been installed in accordance with the provisions of TITLE 5 of he S,t�e 'nvironmental Co e a /described in the application for Disposal Works Construction Permit I ..... .. "�.. ...�............ dated ...� �'.. ....................... THE ISSUANCE OF THIS/CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SAT ISFACTORY. 1 � c DATE..................................... .... !.:/...1...._... ......� .......------------. Inspector .............----------- ��li � ......./ . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE 1 0......................r FEE..•:....3.n..z.e...ra ... Disposal Works Tunutrttrtiun "rrutit Permission is hereby granted J PMacomber Jr, •-•--•--•--•------.......---....----•---.....---•--•--•-•-------------------•---........ to Construct ( ) or Repair (�X) an Individual Sewage Disposal System at No.J ..Briar Cl ff..DanP Cf?ntar`�i 11A �. r =......•. ....--... - .----- -•--•-... Stree as shown on the application for Disposal Works Constructi n PPermittNo.=.!_! _?_ . Dated...!�f� !� ------------•---- .................. .........r............................... fboard of Health DATE e k ............................................ FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS