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Home My WebLink About0069 CLIFTON LANE - Health 69 CLIFTON LANE, CENTERVILLE A=247-157 I� I� I i UPC 12543 No..._.. 53...�. `� 'J� HASTINGS MN 3�a8�/7' � �� w q� � �� 0 ��9/a6�� 1 /Z'le No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in co uteri Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 4plitation for Disposal 6pstem. Construction permit Application for a Permit to Construct( ) Repmoo<pgrade(dl"Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No.ell C'`j fl�Cf - Owner's Name,Address,and Tel.No. wed' er v L`l!e Assessor's Map/Parcel -- Installer's Name,Address,a d Yel.No.,J;-a4P- 7 7-4-"Z Designer's Name,Address,and Tel.No. ,4;�k l Type of Building: Dwelling . No.of Bedrooms j Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 3 C9 gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. 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 Certificate of Compliance has been issued PbLilkis Board of Health. ` i Date Application Approved by 116WZYZ, Date Application Disapproved by Date for the following reasons Permit No. Date Issued No. Fee " THE COMMONWEALTH OF MASSACHUSETTS Entered;ncornautYes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 01pplicatlon for MispoBal *pstrm Construction i3ermit Application for a Permit to Construct Re air rade Abandon pp ( ) p �'- pg (AT Abandon ) Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address,and Tel.No. �'c?f,d�•r��✓ r Assessor's Map/Parcel Installer's Name,Address,dd Yel.No.j vbl- 7 7:0 ",*'Designer's Name,Address,and Tel.No. ��l ,btu✓f/7 ,,dfi 47." 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(min.required) .3 U gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) �o�� 's fi�9' S'r�-t-i //%d e. i Date last inspected: t 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 Certificate of i i Compliance has been issued bv this Board of Health. f el .,_bio' DateaV Application Approved by Date , Application Disapproved by Date for the following reasons Permit No. /� Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certifirate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded(!/� Abandoned( )by r at has been cons cte acco d with the provisions of Title 5 and the for Disposal System Construction Permit No. d'at d Installer 6 Designer 1 #bedrooms Approved design flow//y{ gpd t The issuance of this perrlit shall not be construed as a guarantee that the system wi l fimctio as desigAd. Date 2 W re7 Inspector I -------------------------------==---- -------------- --------------------------------------------- No. Fee THE COMMON',YEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION`-BARNSTABLE,MASSACHUSETTS J ]Disposal-§�petem Constrnctio i3ermit Permission is hereby granted to Construct( ) Repair( ) Upgrade( Abandon( ) i System located at /' 7/ and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction 4 be c1plete within three years of the date of this permit. Date Approved by Health Master Detail Page 1 of 1 .'r//+PR iv1fN sab r8w.0.5k ' Logged In As: TOWN\health Health Master Detail -Tuesday,March 28 2017 - Application Center Parcel Lookup Selection Items Parcel l Septic Perc I Well I Fuel Tank Parcel: 247-157 Location: 69 CLIFTON LANE,Centerville Owner:CARPENTER,DIANNE E S TR Septic changes have been saved. Septic 2,3/28/2017 i Septic 1,8/12/1996 I New Septic... Permit number: 2017-084 Permit type: New Construction Complete system: El Issue date : 3/28/2017 Complete date : l -� Septic tank size: Type/Size of SAS: Installer: Martin,Paul C.,Cape Cod Septic Services v Card on file: ❑ I/A service type: 1.Select service,v Innovative/Alternative Technology type: Select IA type _ v Variance date : Abandon complete date :F Abandon permit number: Repair deadline date : Repair notification date : Keyword:�- Comments: 3 BR max Lie re air and install new line from addition to existing tank l r Delete Se tic� II New Inspection... - --I Number Inspection Date Inspector Result l �0 r- RR,JSelec.t Inspector � v, Select result v j Received Date Comments 3/28/2017 i Sale Septic Changes� ; Returneto Lookup http://issgl2/intranet/healthMaster/HealthMasterDetail.aspx?ID=247157 3/28/2017 No. 0 ee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 0[ppYtcation for Mtgool *pztem Cow5tructton Vermit Application is hereby made for a Permit to Construct( )or Repair( an On-site Sewage Disposal System at: A Location A �ys� Lot No. O er's Name,A ress and Tel.No. (,P 1 Installer's Name,Address"S TANCO Designer's Name,Address and Tel.No. 350 Main Street 1//14 W. Yarmouth, MA 02673 Type of Building: Dwelling No.of Bedrooms r►,SnJ 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 Description of Soil Nature of Repairs or Alterations(Answer when applicable) Z/►.N /J OD —eo LzC f A4)1C -�o � /�� o R 'f o ��"�/1 F i�'f'ri4�-d f S l..)� �� cS 7�DyCe Gvfbii ri�O /� />7►,c�r r 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 Board of h.V1, SignedDate Application Approved by Application Disapproved for t e folio ng reasons Permit No. �� Date Issued ——————————————————— — Y 77A No. THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEs MASSACHUSETTS ZIpplication for jDitpoal 6potem Construction permit Application is hereby made for a Permit to Construct or Repair(wfan On-site Sewage Disposal System at: Location A s� Lot No es N t �;on , 1A tu_ W. N Y, 0 0 ;r'A arne,Address and Tel.No. N rpee ic r- IVO Installer's Name,Address,and TA&B CANC6, Designer's Name,Ald&pss and Tel.No. 350 Main Street W.Yarmouth, MA-02673 Type of Building: Dwelling No.of Bedrooms mw- Garbage Grinder Other Type of Building No.of Persons Showers Cafeteria Other Fixtures Design Flow 950 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Description of Soil Nature of Repairs or Alterations(Answer when applicable) 111VA _0 j 02 Ci rc /ol Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal sposal 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 Board of It. Signed Date Application Approved by %Adnn.. 40G.N. J-1 Application Disapproved,.for,tVe folINIng reasons Permit No. & 3 S<6 Date Issued ----------- THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Certificate of Comphance THIS IS TO CERTIFY,that the On-site Sewage Disposal System installed or repairedheplace d(-o )on by ( A A.),C c3 for I CA/ pl ie as (o 1,A lAkLe- has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated P-/�Z Use of this system is conditioned on compliance with the provisions set forth below: No. SIT Fee '1(c) THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Misspoal *pMem Construction permit Permission is hereby granted to Oft V to construct( )repair(-,Ian On-site Sewage System located at 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 1-�, A% cai K= 350 Main St. • W. Yarmouth, MA 02673 9775-6264 Division of Canco Energy Corporation Septic Services • Pumping • Installation b d 1 CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WOHKS CONSTRUCTION 1'EItMlT (WF1'11OU'F DESIGNED PLANS) I, CiqnTTev-\ , hereby certify that the application for disposal works construction permit signed by me dated concerning the property located at 6 C t-& meets all of the following criteria: ✓• There are no wetlands within 300 feet of the proposed septic system There are no private wells within 150 feet of the proposed septic system The observed groundwater table is 14 feet or greater below the bottom of the leaching facility l• There is no increase in flow and/or change in use proposed There are no variances requested or needed. SIGNED : yC _ DATE: LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER [Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. I TOWN OF BARNSTABLE LOCATION 5�� N L� SEWAGE# VII.LAGE 0�r/� \/'. Ye ASSESSOR'S MAP &LOT�� INSTALLER'S NAME&PHONE NO. AB&VC6 _n5_Qrd3 SEPTIC TANK CAPACITY LEACHING FACILrTY: (type) � F/��7'i4�D1'�S (size) _�?y)(7)( NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: 9=lv7,�Zmj;!� COMPLIANCE DATE: — �— � 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,wedands exist within 300 feet off leaching facility) Feet Furnished byl�i �. .' Cl qI) IjR15 �� r TOWN OF BARNSTABLE LOCATION / //r/4 L N SEWAGE# -� VEULLAG UZOAW� ��' ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 4 1A44 7l4Ar (size) -?oX X)l NO.OF BEDROOMS BUILDER OR OWNER PERMI TDATE: 2-p 20' COMPLIANCE DATE: 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 wet?ands exist ''""``within 300 feet of leaching facility) Feet . Furnished by " Q G TOWN OF BARNSTABLE L9CA I'IC'v Co 61( ✓t La-4 t-e-- SEWAGE # VILLAGE�i m l5' a c---f VrXSSSESSOR'S MAP & LOT �V 7-157 INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) S a (size) NO.OF BEDROOMS BUILDER OR OWNER � 11e PERMITDATE: COMPLIANCE DATE: 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 t .. I /�� ` � _ D � � b � - .: .�Y .. � - - _ � h-' • , �- z, ,y _ a d - - .. .. �i�� -. � o t.. I ,. . _ -. 1 + i i � ` �. � e n - � .. r - - k -� _ � - ,. 9., r c a � f9 .. � � 'L u �. .:1 ,,4 ; � y,a �.. r N r _* � - . a � a a�t • U � 4 O _ ' o � �. t _ -. .. - A a. .. r _ G 1 u 4 _ - ... � - n � A _ �. 3-9 X 4-4 FIXED 4'-5" 4'-5" 3941FX 2 2-0 X 4-4 DH ti °A 2-0 X 4-4 DH w IJ p FAMILY ROOM g U o HDWD = 6068 SLIDER ti ADD 2 DBL HUNG5 2-4 X 4-2 m EXTERIOR WALL TO BE REMOVED (5EE ENGINEERED BEAM CALG5) )DH LI263ODH I i O ? 824R I S833 IBCBI6RIIT ° ' o m N� J] G1 -n % a EXISTING N ry REMOVE DBL HUNG o0 o IL O ti BATHRM 70 4 N TILE W_ 0 m /2"HARDI U ERLAYMENT/ 2-0 X 3-0 CS MT r. U1 ALIGN FLOOR ATH ONLY Z w HEIGHT5 6 EXISTING °N rSB3022 I -- I a o I n }Jl N ® EXISTING CHIMNEY REMOVE EXISTING I� WINDOW O ADD DOOR .PEN CARPET BY OWNER 2865 INE-LIGHT REMOVE O.H. DOOR ADD 2 DBL HUNG5 2-4 x 4-2" WITH SHUTTERS 2442DH 2442DH . 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