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Home My WebLink About0023 HAVEN LANE - Health �3 144ven (A., armilb" �IOC!'O�VS 111�MOl10130 yonmwm e� 03UA,7M1i91 rum d�l�6dJA611/d LOfiO L "ON 4 G3ZINtl0a0 nOA ONIMM ••■. owYIa9o7jsfUtn%06 SAM wir o. qD jadll » salnuiw 9 I oz - V13Z TOWN OF BA'iNSTABLE L0(.'ATIO o=.n [ h SEWAGE # VILi,,AGE Y444,vl4f ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.� �'1')ac w�6P/` Sc1y+ J 2�• SEPTIC TANK CAPACITY ,e..4-jjr LEACHING FACILITY:(type) Z,2 9 j j&1�5 (size) NO. OF BEDROOMS `PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: ai VARIANCE GRANTED: Yes No �/ d ~ j3j�"' 37 i No..,/ 1-in••••• FaB!...3G..GG..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphration for Diri.pnual WorlaiC�ngt trnr#inn uttt Application is hereby made for a Permit to Construct ( ) or Repair �X4 an Individual Sewage Disposal System at: 12 Hagen .Lane Hvannisport .Mas_s . -----------------------------------•-------.......'_.•-••-•---•--....---•••-•-•--....••••--...... Walsh Location-Address or Lot No. ......................_.......................................................................... --•••--•••----------•••-•-•---•--•--•••-•---------••-•-•-.....---•--••-•--•--•••••..........-•-•-- W J.P.Macomber Jr. O%"cr Address Installer Address UType of Buildi>g 2 Size Lot............................Sq. feet o-. Dwelling— No. of Bedrooms.-------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ___________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) 44 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........................................ 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........................ aSand--•• Grave Z------------.........................-............ x O Description of Soil Sand W ----•--•---------------------------------•-------------=------------ ---------- x L..pump Chamber;Zl ht` & ATa:rm U Nature of Repairs or Alterations—Answer when applicable............................................................................................... dist u ion box th ee i fi trators . acked in Ston ':;T is. s be in ,e ..=tb...e�zs -ing---nta�,-R-- a7e�•••-ar 3 �i3 fix. . . . ��; e�eae�i��e �:....................... 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 Compii nce has ee issued by the oard f health. Sign e ,.. 5 12�93.............. . ............ Date Application Approved By .... ( s........,�....... ............ ...il`'�-..L.7�-..�'` ..... Dare Application Disapproved for the following reasons: ....................................................... .............................................................................. ................................... ... ..... . ...................... ..... ..................... . . ................................... ........................ -......... q Dare PermitNo. ........../ 3.-...DZ...(/............................. Issued ------................................................... Dace �..- a.�•'a^v.-'_'y'^^'�«...-✓-�r_'^•.-.�,+^,r=Wi-.�,�.. �...�.+�:.-..--+.:...�...wr,..-� ...'a c,tJ^`fL•'^.t..+.«.A+r......+�w..�.a.w.ro,.`.N,;.+60..,,.�,;,:,}....�.:rpit,.,a+,,,......�...w�..=�n.,�.�..:4,�.e..,�...h,.wvr,;�+w._....e-.,.s.+....,,.,,a.-..y..y 1 a 7-/d3 $ 30.00 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE _ Appliratinit fur Diripaii tl Workii Towitrnrtiun rfrmit Application is hereby made for a Permit to Const;•uct ( ) or Repair Y(.X� an Individual Sewage Disposal System at: 12 Hai,en Lane HvannisDort ,Mass . ..........................................Location.Address or Lot No. " � J.P.Macomber Jr. Owner Address Installer Address UType of Building 2 Size Lot............................Sq. feet ►, Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _..______----..-__-______ No. of persons---------------------....... Showers ( ) — Cafeteria ( ) Otherfixtures --------------------------------------"-.._-----------.--.------------- W Design .Flow............................................gallons per person per day. Total daily flow............._._.___..__...._...............gallons. WSeptic Tank—Liquid capacity............gallons Length---------------- Width---------------- Diameter................ Depth................ xDisposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by---------- ---'---'---"------••----"•'-------------•----'---•----------- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ fZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W pSand...&---Gravel.....................................................................---......---•------•-•-------......._.........----•-•---- Descriptionof Soil.......-• ----------------------------------------•......... -------------------------------------------------------------.----------------------------------------- V .....'-••'-"'-'--"-'•-••'•-"'-•----------------------------------------'---""'•-------------...-----'---------'-'--•-"'---'•-----'----•----------"-----•......................................... W -------------------------- - U Nature of Repairs or Alterations—Answer when ap licable1'-PL1iTip"""clldmbeY`"�21 Y1L` 8c"'1T�ciIiY';"""""' distrjl a ion,box.three infi�trat� rs. �'acked- 1n stop li;��s ITs beln .__._..... �_._ _:n.x.... ter_ }.A_Js�_^• 'a-^�.'C •. a-i�Ill�G' on--Go :Xi I"Ttl q7 —t-&r ...................... 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 been issued by the board oard of health. Signed- . ....._,....., ..-...a ...................... .5/1 /93....._:...... Date Application Approved By ......... .... .. ``. ..�.a.-.. '. ................................................................................. Date Application Disapproved for the following reasons: . ................................................................. ..................... ................................. ... ........................................ ................................................... . ........................................................................... .. . ........................................ �-± _ Dale PermitNo. ........ ........ .....��.......................... Issued ............................. r Date ------------._-------'----------.-----.---------------'------------ a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CIle>r#ifi atic of C�om littrtcP . THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed( ) or Repaired(XXX�[ by .... ...P.Macomber Jr. ........................... ................. Installer at ....12 Haven Lane Hyannisport,Mass. ...... ................ ... ....... ..... ................................................. . 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.................6..... ..._................_._..-.. ........... Inspector ---..--)1. .... ._......_................................................... ------------------------------------------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE $ 30.00 N o. 3= FEE........................ Difipvoal Worb Tomitrurti.an "ermit J.P.Macomber Jr. Permissionis hereby gran(tteed-----------T. ---' ....--------'------'--------•'---•------•-----------•-------•......................'---'-'--'--......----....-------- to Const cthaV)elol La`C1C Yt )d>�rhjat vCi��l�l5,%,w UDisposal System atNo.................................................................. -"------"••......................-----------------------------------------'•--................................................... Street as shown on the application for Disposal Works Construction Permit No.9,3"_j�jl.. Dated............................... . " Board of Health DATE........ ------------- FORM 36508 HOBBS et WARREN.INC..PUBLISHERS p LOCATION SEWAGE PERMIT NO• IMLAGE INSTALLER'S NAME i ADDRESS s.U1LDER OR 'OWNER _ /IA/?4L ldzA � DATE PERMIT ISSUED DATE COMPLIANCE ISSUED V F b CJ r.. It G THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..-----...)0W r?.............oF........ ...a1.m>la,W ............................... ApplirFatiun for Uispvii al Turku Tomitrnr#inn prrmff Application is hereby made for a Permit to Construct ( ) or Repair:(e.-) an Individual Sewage Disposal System at: ............ ....................... .................................................................................................. rnrLo tin-Add i. ............. l �C� or Lot.No. ..................... O d: .............................. �011- •-• e ---- Installer Address Type of Building Size Lot............................Sq. feet U Dwelling-No. of Bedrooms........____--------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria Q+ Other fixtures . -- --------•---•--------------------------- W Design Flow.............................................gallons per person per day. Total daily flow--.-_..___________..__._______._._........_.gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ 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-----•-------------------------•-_---- aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ LL, Test Pit No. 2.............___minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---••-•••• • "--•--•-••-••-, r ODescription of Soil...................... .. ... ...--•-----"-----"----------"----•-------- •---•---- -----------------•-•--•.---."- U •••-•---•-••• •-•••••••••••-•-••-•-----•••••••----•-----------••-•--••-••------••-•------------•---•-•----------------------------------------------------------------------------- VNature of Repairs or Alterati s= nswer when applicable_.__.- '1OOO..�..al.-_ �}2�......�._.._..,� ....1 - - -1�------- C�Z .. . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TiTi:,a. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate.of Compliance has be issued by the b ar f health. '7 Signed.__ - ...... Date Application Approved By---------- _ - � � - - Date Application Disapproved for the following reasons:................................................................................................................ ................"---•---....--------•--.......-•-------------•-------------------------•-----------..........-•---------------------------•-"-------"--"------------=-----------------------•-•.....---- Date PermitNo..................................................:...... Issued_----:_.................................................. Date .. THE COMMONWEALTH OF MASSACHUSETTS yy BOAR®.OF HEALTH ..s lz 1 , ...... 1 F � - 1 t o Applira#iun for Uiipusal Works Chun.5trurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( F-•) an Individual Sewage Disposal System at: 1 Location•Address' _ or Lot No ...............3..°;.dl i .............. ..f.�.L...f ............. ...... .................. { fI ..� ..f..:.. •..�.....�...................... ........ .� ,✓ t +_ Owner ' 4 Address - i.r P r Z.,A�'a s e A ................................F ..F . ....f Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms-----------------------------•---------.-:--Expansion Attic ( ) Garbage Grinder ( ) Other—T e of BuildingNo. of ersons............................ Showers — Cafeteria Q' Other fixtures .................................. W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. 9 Septic Tank—Liquid capacity............gallons Length---------------- Width................ Diameter---------------- Depth................ 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_-_________-_-__-_--,__. Gz, Test Pit No. 2......... ......minutes per inch Depth of Test Pit.................... Depth to ground water........................ c ,, O Description of Soil.......................:...: ? ......_= .`;..r... r. ..1 U .......................--I ---------V ..t,1 �"--•--- ........................................................................................................................... UNature of Repairs or Alterations—Answer when applicable_.._ _.....%�'_ _ ==___ .......�T_ ... _ .___.....f................ -•-•---• .••---•---.----- --•-•............... .......:.......•------•-••---•----•--........•----...---•-••••--........._...----•----•--------... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTT712 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beffernil issued by the board of health ,,•: Signed..... �,d' ....}_ r .✓"'t+�4 -- -----} --- -----^� .•-- /Date Application Approved B - % >. "'' ,'�` •--•• '/ d' �-... Date - APPlication.Disapproved for the following.reasons:-•-•-•.......:.........•------•••-•-•-•••-------------•---•-•-..._----•-------. - _.•.................•-•-•--•••-••----••••••-••--••••-••-•-------••--•-------------•--...---•-••-•----•---••---•---•-----•--•----------•••--..._....--••----••-------•... Date- PermitNo.......................................................... Issued-....................................................... .._Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................} ;>..r f: . ....OF..... '. `~ .......................... Tnrtif irat r of Tniz phattrr THIS-IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( _ Installer y• r . , f, r ,,. �, t � r at.......•_... .:_. r................................................ has been installed in accordance with the provisions of TITILE 5 of The State Sanitary Code as described in the application for-Disposal Works Construction Permit No----46 .n.Sf.y.............. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. y DATE.................................................. -t�� Inspector-1 ....'---...---------•---•............................-•---•-•---e:..... THE COMMONWEALTH OF MASSACHUSETTS �-� -- BOARD OF HEALTH z .�.: ,......OF....:1..,_ .:: #. .J..... .........................> ............ 7 a No.. ...... �. !.. FEE............. ........: Permission 2s hereby granted =" ...................................................... ......... to Construct ( 1) or Repair ( ) an Indvidual Sevt_,age Disposal System 1 - ft a atNo..... 1�L_u .....1..?U. Jf{j...... ...................... ............ ...... Street Cr+If." as shown on the application for Disposal Works Construction Permit No...............:...... Dated......................................... ---,G 'Q ......................... 1145'7d of Health DATE.--•-•-•-•--••--•-•......•-•---....."I-110L.................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r