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Home My WebLink About0110 CLIFTON LANE - Health �p CI i F'Po A LOA�e C�nfitr'vP112 Z t4 7 - ZQ$ KS MEAD No.2-153LY UPC 12934 _ emead.coom • Made in USA YJ-toy% FORESTRY INMATIVE CwdBed Fbor Sourot W ��f 4 rA TOWN OF BARNSTABLE � i3OCATION//O 0 ig-lon /,h SEWAGE CC?N-r'[(Zj jtrC..... VIL LAGS /�ly,r�nn s aoR; ASSESSOR'S MAP & LOT 7—,FOS INSTALLER'S NAME & PHONE NO.T-R �nr_oMbgr kph -Ey1C.. SEPTIC TANK CAPACITY jb0Q LEACHING FACILITY:(type)d, t�i I-`S (size) 1000 NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER tt� DATE PERMIT ISSUED: �-7, DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No l/ l ail �'' A`7 Y4 NEIJ OLD TOWN OF BA.RNSTABLE LOCATION l[O C t i .� Lga, Lkv�2 SEWAGE # VILLAGE-- W46Lv~2 V--boc+ ASSESSOR'S MAP & LOT) ''il 2 �� INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY I000 LEACHING FACILITY:(tvpe) I rn! (size) ' NO. OF BEDROOMS - PRIMATE WELL OR PUBLIC WATER BUILDER OR OWNER k" e t Evoko� wN\y.e,,. DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No r �^ J � n ,. ' � vO � r 1 ,. � + � � .e i �.rr�y' V • _ � .� �� i ._. i � \� t �. it 4� 3 ASSESSOR'S MAP N0.' -201 PARCEL 10 CATION SEWAGE PERMIT NO. VILLAGE I: NSTA LL.ER'S NAME i ADDRESS e U I L D E R OR OWNER DATE PERMIT ISSUED :DAT,E COMPLIANCE ISSUED , QV THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Dhi-Vm3 tl Workri Tonitrnrtion Urrmit Application is hereby made for a Permit to Construct ( ) or Repair XX ) an Individual Sewage Disposal System at: j.1.Q....aiftaxi... ---- -•------------•-------•---------------------------- Location-t\ddress or Lot No. Harold...C_...Wa1kex-.....-...--------------------•--------------------• --------------------------------------..--••----------------.-----......----•---..... - Owner Address a _..1?.,.M �4n1b `7x�__... ------------------------------------•---- � Installer Address UType of Building Size Lot............................Sq. feet Dwelling-X No. of Bedrooms.-__-------3------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons-_---___-----__-___-_-._--- Showers ( ) — Cafeteria ( ) Otherfixtures ..................................................................................................................................................... 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. 1----------------minutes per inch Depth of Test Pit._._-_.._---_-______ Depth to ground water......................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ------------------------•----------•---•----•-----•------------•---•---------------•------------.--•---------- .... .---•----------------- --.-------••--------- 0 Description of Soil---------- ------- -............................................................... x Sand & Gravel u •----......-•------------•-----------------------------------------------•----• =-----------------------------------------------------•----•----...------------............--••-------•---------_.. W .......................... ----------------------------------------------------------•------------------._.....-----------------------------------------------------------•-------•--.................. V Nature of Repairs or Alterations—Answer when applicable.Adding of 1 —1 000 gallon pit to an existing tank..&---Pit- ... 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 Complia ce has b e issued by the ar of health. Signed . . ................................. .........T/gAJ-9.5.. Application Approved By ... .... ..................---- ------------ --_-_------------ --�`�- ----------------- ....--.cz............................�c ..----- -------------------- Dace Application Disapproved for the following reasons: ----...............................------..-------------------------------.......................................................... ............. .. .......................... ......................................... ...... ...... ............... . -- ....... . ....... ........................................ Date Permit No. ._........... :. ...' ..... ........... ....--.... Issued -- ...... .2- 5.7..........-r............. Date 7 5 /�c� Fi$ ....30.00...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Dili-putial Wnrk.6 Toutitrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ;(X ) an Individual Sewage Disposal System at: 1 1 0 C�z£torl•_-T�� xe___iFst-_ vannisl?qrt Location-Address or Lot No. Owner a J,P.,Macomber Jr.,_ Address � ................................................... •......---••--------------------•-••-------•-•...----•-•--•--•-•---..................------------. Installer Address Type of Building Size Lot............................Sq. feet Dwelling s' No. of Bedrooms............ ------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons-----------_-----.--.------ Showers ( ) — Cafeteria ( ) d 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 aPercolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test Pit No. I................minutes per inch Depth of Test Pit--------------...... Depth to ground water..--.................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ---------------------------------------- -•------------------------------------------------------ -... ---------------- ..----.------- ----- -•---------- ------ •--- 0 Description of Soil................................................................. -...................................................................................................... x Sand & Gravel v .....-----•--------------•-•--•-•---•----. W -------------------------------------- ------------- U Nature of Repairs or Alterations—Answer when applicable.Ad i ng of 1 —1 U U O .............................................on --------•-------------------------------- -------------------------------------------------•---•--••------------------------------------...------------------------------------------.............--•--- 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 Compliance has bbeemiisssued by the boar/d,of health. Signed ...._/.� �'YI.. /y<! lL .> %-_. ...--- Dare Application Approved B � ►.,v�+. =Vie`..... /1!�- --- ............................... _t/`— .............. .......�--`...g...�.SS PP PP y ....1, .. �. �/I Dare Application Disapproved for the following reafonf. . ...... ....... ................................... .............. . .. ....... . ............... ...... ...................................................n.....^....... . ..... ................. .. .... /( , .S Dace Permit No. ...............1...... ...................................... Issued . .. Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Geztifiettte of Tontlatianre THIS I�S.TpO FERTIFbY r That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) j . by . .......... .................... _....... ........... ........ ....._............. .. _._... -------------------...---..---..------------- ------_.----------------------*-----..--------....... 110 Clifton Lane [Vest Hyannispo::t at --------------------.. ............_... .......... ............----------------------- ---------------------------....-------............----------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ...._._..._...._. dated �?..._-.':%5.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED.i S A GUARANTEE THAT THE SYSTEM WILL FUNCTION-SATISF-ACTORY: DATE. L `--6. Inspect r--- . -------.---------------------------- ------------------------------- ----^ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �1 9ey TOWN OF BARNSTABLE Uifipaasal Worb Taantrutiaan "omit Permission is hereby granted......J.P.Macomber Jr. to Construct 1(0 �Cor Rep�nl(Lane �1est HyanriisDisposal a t� system atNo. - - -- ----------------•-- ---...---- .----•- . --..........-------• -- . Street as shown on the application for Disposal Works Constructions Permit Nol Dat d......---.- C, .................. Board of Health DATE.................--........................................./ FORM 36508 HOBBS Q WARREN,INC.,PUBLISHERS THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Grtifi ate of Complianre THIS Y TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) .P. tacomb6r ,fir.. Iby .... - ----------------------------------------_.........-- ....._._......- _--------------------------------------------- at .. --110 Clifton Lane Ilest....Hyannisport _...................................................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. --i-57'..�(------------------- dated Q?..a.-':*e, ----------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY: DATE..t . ... ........ --------------------- Inspect "� - --------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE / �r.--..... FEs.$_..3.0.A.0.0 Disposal Wark.5 Tonotrution "amit Permission is hereby granted......`-P- Macomber Jr. --------------- ----------------------------------------------------------------------•..... to Construct ( ) or,Repair`�(XX) an Individual Sewage Disposal System 110 Clifton Lane 4Iest Hyannispot. Street _ as shown on the application for Disposal Works Construction Permit No.,-9 Dat d ......... ------------------------------------------- u- C C Board of Health DATE................................................................................ FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS