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Home My WebLink About0070 LINCOLN ROAD - Health \_ ,y� C TOWN OF BARNSTABLE LOCATION 20 I.j A, <- 0/A.-- � ;��Q SEWAGE # 3".S6 VILLAGE V ASSESSOR'S MAP & LOTZJ,&.y jilo,'42 INSTALLER'S NAME & PHONE NO.?o i i a s7a-z� SEPTIC TANK CAPACITY LEACHING FACILITY:(tYPe) (size) NO. OF BEDROOMS T PRIVATE WELL OR PUBLIC WATER r BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No,41-� 0 P M it f S f l /R2Fimlalt.0.0............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 'Barnstable conservation\ Department OF BARNSTABLrUrtt rrMitA pltrtt#i Y for tt� i ! WorksTai t . _24�_ F_> Daw Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 70 Lincoln Rd ................_............................................................................... -•--...------------------•.........-•-•--•--•-•-••-----•------•------------•-•--•----.....-----•-- Location-:address or Lot No. Mrs Grantham --••-•-----------•---------••.....................•---------....---------------•-----•--••-•-•--- .........................................•........................................................ Owner Address a ........ �.. Qb�rzSs�x1..peptic..Sera.............................. ------ ................................ Installer Address Type of Building 3 Size Lot............................Sq. feet U Dwelling No. of Bedrooms:............................. .. .....Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons---------------------------. Showers ( ) — Cafeteria ( ) I1a Other fixtures -------------------------------- -- ----- - WDesign 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........................................ a ,.� Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ PG -------"-------------------------------------"---"-----------------•------------•---•-.....................-•-•--••--•-•----•--------............•--.....---- 0 Description of Soil---...------ cJraVel------------------------•--•-------------------------"-...----------------•---------"-------------------------------•----•--........--•----- x U ---------------•------------.....-----...............-•--------.....---•-------------••-------------••••••--•------•--•-•-••---••-••----•---•-------------••----------•............--•••-•------•...•--- x .................. U Nature of Repairs or Alterations—Answer when applicable.......................__...__.......____................__...._................................ ...----install__a..�.�.000..� ]--tank► D-box__and..atmep-ac d---le-acbpIt......-pre-data................................. 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 a rees not to place the system in operation until a Certificate of Compliance has be is by e bo of healt r JJ Signed .... .......- .. `d...`�.��C..�.... Dare Application Approved By ............ ... ,.,,,,........................................................... ...... .. ...... are Application Disapproved for the following reasons: ................................ .. .......... . ...... . .....................................D....:.................. .......................... ......... .......................... .............................. .......................................................................... . .................. ........................................ Dare PermitNo. ........ ..��...`.`. .......................... Issued ....... ...... ................................................... Dare i �J �-« — tiv+...-+s,..rv�.. w..1..r�'.►..1✓bi `+...hw.!✓'1r..Ma..l`'�.".,v.: „�'�+-'y'�e:+G.�,Yr.^,�r^--^':�"-;..r:�a�'�.,r.e^vs.^i:-.�-.+K:.:�"L.i..t'"•-.:1".. Y� '"-.....%`w�'�•t No. --3- /� ............... D ' _ Fs$$30e00 ---•--•..._....... _ THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiuii for Diripw3al Wurbi (�vtwtrurfinu "ami# Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 70 Lincoln Rd ...----•------- -------------------------------------------------------------................... --•--••-----------......-•--------•----••--•---...-••------...----•------•--•---..............---- -- Location-Address or Lot No. Mrs Grantham Owner Address a ......../�;�t _. 0 1�5�1�_. PXI I C>'_.��.7��T:............................. ......h-e n_z. -P-,................................ Installer Address UType of Building 3 Size Lot............................Sq. feet �.. Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons------------------------... Showers ( ) — Cafeteria ( ) p" Other fixtures --_-------_- ---------------- d •-••----------------------- 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. 1----------------minutes per inch Depth of Test Pit---__-_---_-_-----__ Depth to ground water......................... (i, Test Pit No. 2........ .......minutes per inch -Depth of Test Pit.................... Depth to ground water........................ a ..........-......................................................J-.......---......................�..........---...--•---..............-------•-------.....-- 0 Description of Soil c[r vei._.......... --------------------------•-------------•. -----------------...-•-•--................---- ••-------------------------------------------------------------------------------------•-----------------------..._...----------------------------------------------------------••------•-••••------•--- U Nature of Repairs or Alterations—Answer when applicable._ ............................... .......install__a__1'000__.g tank,--.D-box--and-•stone-packed-.leach-oit-•.--(precastl................................. 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 bee issue by ' e bo .d of healt L Signed .... "........ ... ... - - � .` .... Dace Application Approved By .......... -- ....... L ..-.!..-.. ................ .... . Dare Application Disapproved for the following reasons: . .......... ........................................................................... .................................. ...................................... ....... ....................... ................................ . ................... . .....................a........... ......................................-- Dare PermitNo. ------- .3....../_.-_o.......................... Issued ..... --- . ................................................... Dare THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OFBARNSTABLE (9.Eilifiraic of TontlJtiance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x ) j Y - -6h':E... pob-3:nSE3Pi SIC oCY'vC:0 - ..... at 70 Lincoln Rd HYannis ....... ...__..................................................... . ....... . 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. ..._�.3. ............... dated ........... _........ ...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........._.......-.... ...... ..... ------- ............ Inspector ----- _ram ......... _.:... ......... ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH G TOWN OF BARNSTABLE No.... FEE.130 m 00........ Rapmal Works Tomitrutuan "permit Permission is hereby granted---.- --------------------------------------------------•--•---••----------- to Construct ( ) or Repair (x ) an Individual Sewage Disposal System atNo....................70 Lincoln.. .. ....W-armiq....................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No,73-/-FU-- Dated........................................... Board of Hcalth DATE............... -_-.L.`..�z.................................... FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS