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Home My WebLink About0188 OCEAN VIEW AVENUE - Health /29 ocean VdeAA) �r�pueJ ` TOWN OF BARNSTABLE LOCATION I��S QCectKi U ev. SEWAGE # L .. VILLAGE �S ASSESSOR'S MAP & LOTA-3 INSTALLER'S NAME Cz PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) do 1— (size) 600 NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER R X W 2 0 S DATE PERMIT ISSUED: DATE .COMPLIANCE ISSUED: ~a VARIANCE GRANTED: Yes No ,/ r cr N5 ASSESSORS MAP NO: 44 n No.----0..7 .Lja 9' PARCEL NO: `� 1 Fa$ ....c®............ THE COMMONWEALTH OF MASSACHUSETTS 4' BOAR® OF HEALTH -- .......... ...........OF_...... . ... ......... ..... .......................................... AVV iratiun for Uiuputtl Works Toutitrurtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at, ...... 1............ ..... e �.--_...I...e....................... : .................................n. ............................ cation-A d ess or Lot No. .-.---- - -.-•-- - - C� `l Owe � - 11 dress � �! :-T ..........�---..LS..r. ...... ..... �is�_�.�'� *• Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................... '! '._.Expansion Attic ( ) Garbage Grinder ( } aOther—Type of Building ---------------------------- No. .of persons_...._._.........._......... Showers ( ) — Cafeteria ( ) a DesignFlow............................................ allons er t er xtures ....................................... We rson per day. Total daily flow............................................gallons. PG 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........................................ a Test Pit No. I________________minutes per inch Depth of Test Pit.................... Depth to ground water..................... __- �Zq Test Pit No. 2................minutes per inch. Depth of Test Pit.................... Depth to ground water........................ Description of Soil______________ � ---------------------------------------------------------------------------------------------------------------------------- - x --------------- x --------------- ---- ------------------------------------------------------------------------------•--•- --- ..... V Nature oof_Repairs�r AltelatioC s—ArU�wer h`enn applicable �c e�9 (I _I �` ....... Agreement: . The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of is T E t p 5 of the State Sani r Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha s n issu d by the boar of lieaaf h. 0 Signet ^"'� --- ........ .._.. Date Application Approved By------.... �� •-----------. ------------•• Date Application Disapproved for the following reasons-------------------------------------•-------------------------------------------•............................ -----------------------------------------------------------•---------------------------....--------•--...--------------------------------------------------------------------------------------...•----- Date Permit No.......?..2_ =----Lrt.o--�?•-•.............. Issued....................................................... Date —� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. Appliratiou for Bispnottl Works Tonstrurtinn Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at f� ocation- ress 0 or Lot No. t ( Ala r P r+ - �. Owne J ..._•.......................ddress . w = ` 1• c Z-S 1 ........`n�1G �S Installer Address Type of Building _Ex ansion Attic Size Lot_Garbage Grinder feet DwellingNo, of Bedrooms................. 1 T No. of persons............................ Showers — Cafeteria a Other—Type Type of Building ............................ P P ( ) ( ) g ( ) Q' Other fixtures ..................... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 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 ( ) aPercolation Test Results Performed by...........................-.............................................. Date........................................ 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........................ x �* --------•--- -•-...........•---------------------•-'----•----•-------•-•-•-•••........................................................ ODescription of Soil------------` -` :^ � -----------------------------••--------------------------•---------------•-•-------------------•--------------------------- x U ......••••••••••-•••--••-•-•-----•------------•-•-••-•----•-••••--•-•----•••-•----•--•-----------•---••-----•-•••--•-••-_....._..-•--•-------... ........................................................ UWc -------------------- Natur�of Repair or Alt ations—A wer when applicable��1 `_�...._C_Azs7 `: j ` ..........'- ..............................��.......................................F� � ------.I---------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of 1: L I—E o> the State San are Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance s BV1en issu d by the boat-d of h th. ..s Signe� ..k' —g o ........................ ------------------ Date Application Approved By---..---- - -------------------- ..................................... -------------------- Date Application Disapproved for the following reasons:................................................................................................................ ---•-•---•-••---•-•-••-••------------------------------------------------------•---......._..-------••----••---•------------•------------------•-•-•••------------------------------------•------------ Date PermitNo.---- = ` 2------------------ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .- �........OF........ ..................................... %rrtifiratle of Toutplinnrr THIS IS T-0 CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired ( ) 9t by � • Installer tp has been installed in accordance with the provisions of T i T Imo': 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....8.2Z_"._t?Z0..9.......... dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT rHE SYSTEM WILL FUNCTION SATISFACTORY. DATE..."......................................:.................................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r NO.......l.::_..I----f•- ............... .:........OF ......................................... .� a FEE._......._.............. Disposal Work$ Tnnntr uan until Permission is hereby granted.........-r14"kn.......N,. .----------------------------------•--........-----........................ to Construct ( ) or Repair ( ) an-Individual Sewage Disposal System atNo.......... '-4>.....©5_r-: ..--•---------...................•---------•-••-------•---•--------•--••----------------------•------.......... Street as shown on the application for Disposal Works Construction Permit No.-22:Y0_2. Dated.......................................... .............. .,�`.--------------..-----' Board of Health J DATE...................................................-............................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS L'Q--C AT ION SEWAGE PERMIT NO. Vl,'LLADE I N S T A LLER'S NAME & ADDRESS less BUILDER OR OWNER _ DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � � �� g , s e1�U• i. V� All No. :1. t... ' F�s..k.-�.....� THE COMMONWEALTH OF MAS$ACHUSETTS BOAR® OF HEZALTH --- 0'' 0�° ........0 F.. ... �l ,� lir�a�i�aat for Bispnsaal Works Towitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( Individual Sewage Disposal System at: �f d.......1�- ....�=!'►`••'• ...0-0:?�:..- - "• -------•----. ---•------------------------------ • c ion-Address or Lot No. ... ... -- Ow r ...........•..................Address-- � �a'—' "-staller Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type 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................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-_------------------ Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. JZ 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........................ fT Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Pd ------------------------------------------------- ------ •....... --.-.... ------------ •......................................................................... 0 Description of Soil.............................................................-................................... .................................................................. 0 •------------- ------------------------------------••-----------------------.......................• ... •• U /Nate of Repairs or gations—Answer when appli b _________ ___ _ __ ____ ___ APp..... ... �_..._.............. '� as- t ...= .................................. ment. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL is 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b ssued b the boar Yheh. /`� Signe .. �...... .2 r---------------------- ®�' Date Application Approved By........... --.. .. U.... � ........................ ...... -- - ------- Date Application Disapproved for the following reasons------------------------•-------------------------------------------- .......................................... ..............•-------------•--------........-----------------•-••--------------------•----•-------•--•--------......-----------•-----•••-•••----•----------•--•---=----••----......................... Date PermitNo......................................................... Issued--!t ---. ••-- -------- ------- Date 7� .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H LTH 72_�_,,w---------- ....... .... .......................... pplirFatiun for Dispuiial Marks Tome rurtiun rantit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at . 0. i .............. '.... . ....... � . .---........--- ----...........................•-------'- -_... c ton-Address or Lot No. o ............... _:. .. --•--• ---------------- �i4-................... -----•....•-•---•--•••--•--•................._...•.. W I&1• `"��„'_ s x Address ..................... y ... staller ""'Address dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...............:............................Expansion Attic ( ) �. Garbage Grinder ( ) Other—Type of Building ............................ No. of persons. ::. Showers ( ) — Cafeteria ( ) a ., � Other fixtures ------------- ............................................................. W Design Flow..........................................441pris per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity_....._._._gallons Length.._.__-------------Width---------------- Diameter i�:..._..... Depth................ x Disposal Trench—No. .................... Widih.._ .............Total Length.................... Total.leachmgf••area..------------------sq. ft. Seepage Pit No..............:...... Diameter ... s Depth::below inlet.................... Total"`leaching area..................sq. ft. M z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by. 1 a........................................................ .__ _..._.. Date_------•------_•____.•-•---------------- aTest Pit No. 1................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........................ ODescription of Soil ---------------------------------------................................. ................................................. x W ---•-•---•---- ------------------------------••----------. ---------------••--•••--•--------------- ----- -----------_.... VNat e of Repairs r X4eirat'ons—Answer when appli b . = 4 -�� -- . 410reement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T IT .;;:. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b sued b the board of he h y Sign e r�� •� '-c " '-•-- q. Date Application Approved By...................... _ '... 464-14_ .-----------•------••-- F -. 1+ Date Application Disapproved for the f o•lowing reasons:.............................................................. ----- ':-------_----- Date PermitNo..................................................... `,. -Issue(L....................................................... +4 Date Q THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH CIrr#ifiratr of CuutpliFanre T TLCE IFY, t the I ividual Sewage Disposal System constructed ( ) or Repaired'by....._ ---- Onstalle ��at _ ::Gay + W- has been installed in accordance with the provisions of T "' r 5 of,The State Sanitary ode as described in the application for Disposal Works Construction Permit No._. _._ 1� dated___. "" ' ............. PP P +.--------•- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM W1,4 FUNCTION SATISFACTORY. DATE.......... ) 3 ' - --------c TR 'COMMONWEALTH ----- OF MASSACHUSETTS T{. BQARD OF HEALTH "� ................ .................................... .... C 74( M FEE ?.................. 1 ork1iB of uarttnt Permission is hereby grante .. .........................................................3 ,,,.. to Construg�� o�I�epa>r ( �Ind>vldualw isgol System Street as shown on the application for Disposal Works Construction Permi-NM .._. _... . a .t .....---- c DATE. d s oard otH Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS_ '*.