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Home My WebLink About0132 CLIFTON LANE - Health 132 Clifton Lane Centerville A = 247 - 013 Na 2453 R UPC 12534 enwed.com • Mode In USA No. 2002"S(4 0Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: - Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 01ppIication for �Dtoogal *potem Construction Permit Application for a Permit to Construct( )Repair O Upgrade( )Abandon( ) EAlcomplete System ❑Individual Components Location Address or Lot No. 1 32 Owner's Name,Address and Tel.No. Assessor's Map/Parcel 2 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. j6FN se04C-IA h (;OX 4 2oFc�e.;76 -(e C/�-S7 rAV7� F33 °Z/ 7-7 Type of Building: Dwelling No.of Bedrooms Z Lot Size sq.ft. Garbage Grinder( ) Other Type of Building Si4l e-i aW No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 33 Z gallons per day. Calculated daily flow 3 Z gallons. Plan Date Number of sheets Revision Date 0/1 -2 Title Size of Septic Tank t.So6 A- Type of S.A.S. �'t2hC Description of Soil e P A-to1 Nature of Repairs or Alterations(Answer when applicable) D(Ak-Q eS SPA( s w 1 /I C� 5Y X t(1� 2 �C r.e,n t(rr 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 b Board HCtiitiq/ Signed Date "`Z °` Z Application Approved byC49W-Z Date It- 27- U Z Application Disapproved for the following reasons Permit No. 2-00 2---5 G Date Issued ! 2? o'L Zo02—04 .4 a;�� k,i� Fee /No. THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Ziopogar p5tem Construction Permit Application for a Permit to Construct( )Repair Upgrade( )Abandon( _) EAComplete System ❑Individual Components Location Address or Lot No. 1 32 C(, 4 , L..4 n$4 'P Owner's Name,Address annd Tel.No. . Assessor's Map/Parcel '� c.f 7 (• Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. ��c/S"t' � �� ,�/1/i�-�A rc./ SE'i u e r e ��L 2✓1 U i � jqn• S�gas� ar• Ror t�(q2 �vi^�Js?��Q C o45 S/�✓!� ��& zoro F 33 7/ 77 Type of Building: Dwelling No.of Bedrooms 'z Lot Size sq.ft. Garbage Grinder( ) Other Type of Building S'�A e r,44A No. of Persons Showers( ) Cafeteria( ) Other Fixtures t Design Flow 3 3 2 gallons per day. Calculated daily flow 33 Z gallons. Plan Date Number of sheets Revision Date on -e Title Size of Septic Tank 1 5-06 91. A I I Type of S.A.S. T/P h C k Description of Soil S-e P R(.4-✓1 Nature of Repairs or Alterations(Answer when applicable) R Q_a(Ac Q (i Q 3 5000 1 5 w 14 ( SbV A- TA/1 4,7 C4 S y X q V 2 -r`.-e C_(^ Date last inspected: s 3 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 b Board H Signed % Date It-2 6 Application Approved by V Date 1/-- 17- U 2- Application Disapproved for the following reasons Permit No. 2-PQ 2-S C2 i Date Issued / Z =r , ---------------------------------------- i THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,(MASSACOU;SETTS ( - Certificate,of C"omplianciv, THIS IS TO CERTIFY, that the On-site Sewage g disposal Syst��59 r�trticfed(('lyt�'kepaired (X)Upgraded( ) Abandoned( )by, f�' y<. S�, �o Cl Sf! i t � -' k -et C at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No/2,100.277 ., dated 11- 7-'7-O'2- Installer Aytu Des gne i'1 C �ha t The issuance of this p rmi shall not be construed a as guarantee that the system w' [ i/ Date 0 [' Inspector r� ---,,------------------------------------ �7 No. -00 2 ` SIC, Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS Migoaf Op5tem Construction Permit Permission is hereby granted to Construct( )Repair(x)Upgrade i )Abandon( ) System located at 132 C ( , 4 rt L A/1 -2 C -e^4<o-w I I-e lM !!;. 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 pe Date: /L 27 • 0'Z-- Approved by TOWN OF BARNSTABLE LOCATION SEWAGE #2001 SiP VILLAGE p„�� ASSESSOR'S MAP &LOT Zy� 013 INSTALLER'S NAME&PHONE NO. T / - SEPTIC TANK CAPACITY l��O LEACHING FACILITY: (type) 7�7�C (size) i NO.OF BEDROOMS 2 �� 3 iBUILDER OR OWNER i PERMTTDATE: D COMPLIANCE DATE: / i Separation Distance Between the: Feet Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Private Water Supply Well and Leaching Facility {If any wells exist Feet on site or within 200 feet of leaching facility) Edge of Wetland and Leaching Facility(If any wetlands exist Feet within 300 feet of leaching facility) Furnished by 2oN� 25 �q a 3� 0 26 w 22 i I I / TOWN OF BARNSTABLE \ / ^CATION c ' ��'P10111- _ SEWAGE #2202�Stp VILLAGE � A Y ASSESSOR'S MAP & LOT ziq—ot3 INSTALLER'S NAME&PHONE NO. TO�S_ l/r SEPTIC TANK CAPACITY i LEACHING FACILITY: (type) L (size) NO. OF BEDROOMS 2 ( eS�K 3�) BUILDER OR OWNER PERMTTDATE: t' Z O 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 G 20N M 13 25 3�a O 26 22 ASSESSORS MAP : JAI - — TEST HOLE LOGS PARCEL: pD� z� �____ SOIL FLOOD ZONE _ l in.1�jT� - �{� � � .' (� I , WITNESS : �b1 l�k D REFERENCE: 'Q GG ' v� 1� _ -- -._) _-_-__- _ � _ - ___�_ DATE: w Pf�tiiM 2 'I (3.7_1i• I �r` `J ,: .. --. J�D� �- ..._ _ PERCOLATION RATE 2 M N41 r I TH- 1 TH-2 1 r23 Z in LOCATION MAP 4f j) 3 - '17 1 K S SEPT VC SYSTEM DES I GN T � FLOW ESTIMATE 9� p ecrr �-l . 44 0 � . . BEDROOMS AT (D GAL/DAY/BEDROOM GZ� GAL/DAY _ � ►�1�'Yi w ��q( ►u� 1,SEPTIC TANK —,GAL/DAY x 2 DAYS - GAL „�'' �� USE GALLON SEPTIC TANK ' OTC yABSORPTI N SYSTEM' lo—v LX/A644 ai 1514 J.PLJ Lolry--, J. S 1 DE AREA: h�L % BOTTOM AREA: \ S IC SYSTEM SECTION K _+ a . 1LI,' q `0lop' ' !7 N • / � Y + � _"^ — ......... mil. _.((y�. • r wit 1b 0 6 GAL It D-BOX SEPTIC TANK OFvv s SITE AND SEWAGE PLAN LOCATION 1 � j 13 PREPARED FOR : GZ Y 1 l{ bbFF////"II✓'. !!1 1 !f i � SCALE: "r� IL W DAV I D B . MASON '�5 DATE: ) I 1 a2 0 Z DBC ENV I RONMEN�AL DESIGNS EAST SANDWICH . MA DATE HEALTH AGENT { SOS ) 3 3- 2 17 7 W li ASSESSORS MAP : TEST HOLE LOGS .._..... PARCEL - - - -- — _ SOIL EVALUATOR l G FLOOD ZONE: �� .1.��L�Dr(Z�`�,� p� REFERENCE c 'Qr WITNESS : Uk� 4 ! f! U - ._ : v-'� !�_..,. .�j� .. ._ .... r1��O.---��--�- �,t ._.. _ DATE. 6EIFTIW zo I OF ( r PERCOLAT ION RATE:. > 2 M 1 r ,I LOCATION MAP � .. L� 3 k - f5v2- c _ U� _ 11 gLq'a2 _� =�✓� _ Its-'Cf ��.L..,��Ll.�_ .__ "�tw!�.,�:._ _.�(�,1.)t�'h✓- � .-_._�jD�. _�-- SEPTIC SYSTEM DES I G N --� ». � 2 ::.._ �. :1 a�Ca� '► FLOW, ESTIMATE J 7qa� � �o ./' BEDROOMS AT GAL/DAY/BEDROOM - GAL/DAY TA �� 'a-oQ�� 1. �- fz ------ ,: *SEPTIC NK GAL/DAY x 2 DAYS GAL USE 5,0 GALLON SEPTIC TANK y ' �ABSORPT"l OP1�SYSTEMS / __ \ S DE AREA: x2 ,�� = 1 - BOTTOM AREA: L L a ;-- x S I C SYSTEM SECT I ON tz -�-�- , \ �` - - - I _ ! _ Noo -- Z - � �... "_` D-BOX �J� a , ,p , �� s � � GAL �J7i� b �! ?� �w d✓�bt ' cit O SEPTIC TANK b OF 5� a V ► f 4� S l TE AND SEWAGE PLAN !, LOCATION Tin, PREPARED FOR : Di-1> 0t2( t�rj�W IGZ SCALE: a - ' DAV I D B . MASON RS DATE:`1 1 1 a2 J DBC ENVI'.RONMEN AL DESIGNS W DATE HEALTH AGENT EAST SANDWICH MA _ ( 508 ) 833- 2177