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Home My WebLink About0019 OLD OYSTER ROAD - Health 19 Old Oyster Road Cotuit _�_�__ A= 020-017 TOWN OF BARNSTABLE LOCATION l? Q/b Q�= 130 e SEWAGE# VILLAGE 0-A // LT' ASSESSOR'S MAP & L0780 O/ INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY OUO Gj4f- W,77C LEACHING FACILITY: (type) /0V3 64f— �f �(size) NO.OF BEDROOMS 3 Ri7 BUILDER OR OWNER 66C41-h +/G4tF/U M)ffl Ssc PERMTTDATE: 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 -Ty eoyc."fir I a i { 3 y I Fuic../4............... THE COMMONWEALTH OF MASSACHUSETTS s BOARD OF HEALTH 0 J17 ...... 'i-...........OF......... Applirtation -for 43i!i wiFal Nork.6 Tomitrurtion Vrrnift Application is hereby made for a Permit to Construct (-V� or Repair ( &-Y'-an Individual Sewage Disposal System at: n Lo on/•/{p�dd�re(sj //��p /y/'s ,/.t��/ ��jor��7y' No. L-/__..._-_.•......._...•............ ....L_Ll..(__.^-!-. _L.._ /.__.S_______....______.___._______________._.._. �^ 61v Owner Address --- --------------- - Installer Address Type of Building Size Lot-Z yXS_!'G-------Sq. feet Dwelling—No. of Bedrooms--------I.................................Expansion Attic ( ) Garbage Grinder ( ) a, Other—Type of Building ---------------------------- No. of persons_..'L----------------- Showers ( ) — Cafeteria ( ) Q' Other fixtures ----------------------------------------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------- WSeptic Tank—Liquid capacitylQAO__gallons Length---------------- Width.--------------- Diameter----.----------- Depth................ x Disposal Trench—No- ____________________ Width-------------------- Total Length.................... Total leaching area........_._...------sq. ft. Seepage Pit No.../DO.�q---- Diameter____________________ Depth below ' et......--_- ._..... Total leaclin : e. .. --------sq. it. Z Other Distribution box ( ) Dosing tank ( ) c , � 'sC aPercolation Test Results Performed by----------------- ........................................................ Date------....... -------------------- Test Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water---------------.-...__._ (Xq Test Pit No. 2___•_-_-____•__-minutes per inch Depth of Test Pit____________________ Depth to ground water-..----------------- 9 ---------------------------------------- j� ODescription of Soil-----CO-A C _��2'�,�---�-------- ----------------------------------- ---------------------- -------------------------- x W U Nature of Repairs or Al't6tions—Answer when applicable.---------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------- ------------------ Agreement: ` The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code— The un rsigned further agrees not to place the system in operation until a Certificate of Compliance h s bee ss by the oard of health. w r _G `' Y D to Application Approved By 1� 1� 7_, ----•-- Date Application Disapproved for the following reasons---------------------------------------------------------------------------------------------•----•-----•------•- ............................................................---..........................................----------------------------------------------------------------------------------------------- Date Permit No......................................................... Issued....... ` _`. -----•. - Dat ~ No.... .13.3....... FEs../ ...` THE COMMONWEALTH OF MASSACHUSETTS � BOARD OF HEALTH _ t1-n..._..._.OF......... Appliratiou -for Digpoiiat lVorks Towitrurtion Vrrnift Application is hereby made for a Permit to Construct (V� or Repair ( Juan Individual Sewage Disposal System at: a ...... .aYs--M....tva -D Lo on• ddr • or o No. ffOIits.- .-- 1.! g---------------------------•--•- +�'O?�wl j'�: , '.jo. Owner Address -------------------------- Installer Address Q Type of Building Size Lot2gr 2R.4_--_-_Sq. feet U Dwelling—No. of Bedrooms--------/---------------------------------Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building __---_-_--------------------------- No. of persons-.16—!.................. Showers ( ) — Cafeteria ( ) Otherfixtures --------•-------------------------------------------------------------------------- W Design Flow------------------------------------:-------gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Ligr.id capacity/O.P.-gallons Length---------------- Width................ Diameter................ Depth................ x Disposal Trench--No........ .......... Width-------------------- Total Length__-------_---_---__ Total leaching area--------..._..------sq. ft. Seepage Pit No.../4Q.d_.... Diameter..----__-___-_-_--_ Depth below ' et__________ _______ Total leaching t e ---------s(. It. Z Other Distribution box ( ) Dosing tank ( ) 4 "'�,,.�. V 1 a Percolation Test Results Performed by-------------------------------------------------------------------------- Date.............. -------------_---- .. Test Pit No. 1.................minutes per inch Depth of Test Pit.................... Depth to ground water..----------------------. fzq Test Pit No. 2----------------minutes per inch Depth of Test Pit.-_-_-_-..____-____- Depth to ground water----------------------.. a ------------------------------- ---••-•-- D Description of Soil-----eb>#M___y4W--9!'"- --- C •----- ----------------------------------- ---------- ----- -------------------------- x W UNature of Repairs or Alterations—Answer when applicable.----------------------------------------------------------------------------------------------- ------------- ------------------------------------------------------------ ................................................-•......................•---------------------------------------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The unjersigned further agrees not to place the system in 01 operation until a Certificate of Compliance li s bee is;Wjgd-by theAoard of health. ��' Sign e •«. ---------- D to A lication A roved B , PP PP Y - J !�/1• G l� Z"7-1•------- Date Application-I isapproved for the following reasons:. ................................................ S: ......................................•.-....................._.__._...._...._..._._._.._..__._._.._.____..'_...........d'._____---__------------____-_--_.- z d Date . Issued........ == Permit No.. -••-•-•-••••. ...... ........................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEAL H ...... ......OF......... . ... .... ..: .. ....... ............. ....................... der#if iratr of 01l1mpliatta HIS S TO eC �FY, That the Individual Sewage Disposal System constructed �/) or Repaired ( ) by.... ---- ----- J. ++�Q . stall at it... �. li '�` �'�' •_'�" 4 -- e_... ............................................ �. •_ i has been installed in accordance with the provisions of ,Article XI of The State Sanitary Coe de cribed in the application for Disposal Works Construction Permit No------- ................ dated..... j_. --,T�/ t -------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS GUARANTEE THAT THE SYSTEM WI�L ,. TI N SATISFACTOR_ Y. DATE............ /2� •• - - =••- --•- - ,y Ins ector ------- THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEA TH ........ .....4t. .........O F......... ....... 2'3, -•..... o-A No..... FEE ---..._..... 01i 1 Marko- ngrurflon O"rrmit Permission is e.,eby granted.._. _. -'e. :...._....... :_____ �� ----------•-------------•-•••--••-•-•--••-•••-•----•---............. to Constr1irt ('�) or Repa' ) an I vidual Sewa ' po 1 'Syst' at No.... �P. � .... st et as shown on the application for Disposal Works Construction P t No. zted_.�j /�/ '� ..........: I `---- Board f Health alt ,._...... _ r oar o ea h DATE......... -------............................... FORM 1255 HOBBS & IWARREN. INC.. PUBLISHERS No. _../O"s.-------' Fnic.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -ti ...... -- .0F.....9J. 4 rc.1.�c-_--_-----.......................... , pphratiuu -fur Diupuutti Worko Tuuutrurtiuu Vamit Application is hereby made for a Permit to Construct (LOP) or Repair ( ) an Individual Sewage Disposal System at: ®-gnA.0Y37ER RD, -c®7-ui-r 114SS c-®RNER-LELa1,9 PoIVO ae__1_�__. �y /� +pL�ocat/��•JAddress �j / (A� ( /�p� or Lot_N/o. p� ® r, ......... - k�am[7. ..../.n....[...Y.._ ."'._....."""""-'.._ ../....1Fa_ .YY_ !3 ..lS6Ja.... .e�6.o 'd!!�.T"' .(J-51a_.®bl _ : Owner Address a .................A-4-----5s.c_Iqi-t..--•-------------------•----------------------------- C ,u7r?�.�1_�� --z. Installer Address d Type of Building Size Lot.. O.00............Sq. feet we m No. of Bedrooms--.... ................................Expansion Attic ( ) Garbage Grinder (DC) Other—Type of Building --.--_---_---_--------. No. of persons............................ Showers ( ) = Cafeteria ( ) a' Other fixtures ---------------------------------- W Design Flow..._.5r...............................gallons per person per day. Total daily flow........X 7l -------------..........gallons. WSeptic Tank—Liquid capacity.-A040gallons Length---1!_............ Width.. '..-_-.. Diameter................ Depth................ x Disposal Trench—No..................... Width-------------------- Total Length..................._ Total leaching area--------------------sq. ft. Seepage Pit No.1b4L0.. A..-Diameter.574! ...A- th below mle ..6P .........-. Total 1 hing rea--- -------------sq. ft. z Other Distribution box ( ) Dosing tank ( -61<.Zp r - 6/CA l Z� `" Percolation Test Results Performed by--------------------V.-�'.�..'.......................................... Date...........-._..--------------------- i a Test Pit No. I................minutes per inch Depth of "Pest Pit.................... Depth to ground water......_................ (1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------------- 0 Description of Soil------------------------------------------------------------------------------------------------------------------------------------------------------------------------ x W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- UNature of Repairs or Alterations—Answer when applicable............................................................................................... ------------------------------------------------------------- ............................................•--.----------------------...............-..--•--...--•------------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article YI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. S i g n e 77 7. 0................... .....Pt�,.:2 .... Da e Application Approved By----- -A------------ ------=-1--":_e:_&-1...... ----------------------•--•-- - ---------------------- ---------------- Date 'Application Disapproved f r the following reasons:................................................................................................................ ------------------------------------------•--------------••.-------------------------------------------------------------......------•------------------------------------------------------------------ Date 1�a Permit No-----.- -.�a, ....................................... Issued......................................................t- Date No......................... FEE. THE COMMONWEALTH OF MASSACHUSETTS 1 � BOARD OF HEALTH t, � �✓_-------- -------OF.....yy- . Aliptiration -for 13iipotitt1 i9orko Tontitrurtion Pumit Application is hereby made for a Permit to Construct (If) or Repair ( ) an Individual Sewage Disposal System at: lr OL,D 0y.S a- R R0. GOTv►� 1\1AS.S -•� C.v/iMF_ k 4 �W/� /-"0I VY) .kD . LocatLt[.�1j Address or Lot No. s• ',} g _ „ Owner Address Installer Address Q Type of Building Size Lot_. Pi.4?_n....._..._..Sq. feet —No. of Bedrooms._.__ ?'---------------------------------Expansion Attic ( ) Garbage Grinder ( ) pOther--.Type of -Building -p- ............. No; of persons---------------------------- Showers ( ) — Cafeteria ( ) td Other fixtures -----------------•----------••--= .............................. :....._...:..................................................... W Design Flow......5�....... ........................gallons per person per day. Total daily flow.........-.:........._.................... allons. WSeptic Tank—Liquid capacity_/t,�t _gallons Length. _ ......... Width.v------------.. Diameter---------- Depth---------------- Disposalx Seepage Pit No.L0� __�.7A'_: Diameter{°c��'_.__.� ,,-Ije th below islet ::...........1�_Total leaching area-------------- ft. Trench—No. ......__ ._----_ --. Length1 r .______ Width I...__ P Total Len th Total leachin area_____________ sq. ft. I z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date-__---------------- ----------- a Test Pit No. 1................minutes per inch Depth of "Pest Pit.................... Depth to ground water...-_----_-_--_-.---.... �14 Test Pit No: Z--_•----________minutes per inch Depth of Test Pit.................... Depth to ground water--.-.---___-_------____. 9 ----------------------------------------•--------------------------•--•---•------•-------•------•--......................................................... 0 Description of Soil-----------------------------------------------•----------•---------------------------------------------------------------------.-..----------------------------------- x w VNature of Repairs or Alterations—Answer when applicable..---------------------------------------------------------------------------------------------- ---------------------------------------------- ------------------------------------------------------ --------------------------------------------------------------- ---------------------------- Agreement: � The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with , ,the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in �f-,the operation until a Certificate of Compliance has been issued by the board ofjhealh. Signed. 0"?'3'Z'�"�'3 r' ------------- lip, s Date Application A" roved B - -•---- ------- -- --------- Date' m. /1 ,c t ' Application Disapproved for the following reasons-------------------------------------- ' X------------------------------------------------- ,Date Permit No----- ° = Issued - - t a-t---------------- _ ` � , Date THE COMMONWEALTH OF MASSACHUSETTS fi BOARD OF HEALTH ..........................................OF.........I................... .................;..................................... (9rdifiratr of f IAMplittnrr THIS IS TOXERTIFY, That the Individual Sewage Dip sal System constructed (X) or Repaired ( ) -------------------------------------------------------------------------------- _ Installer o e at - --------- -------------=--------------------- ---- -------• ----- -----------"--------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for'Disposal Works Construction Permit No_________________________________________ dated................................................ THE,-ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...............4........................... ! Inspector. - - }..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - f 1'1 '� .......-...OF.....f .. .....�...' .�......`...................................._.. .......................... .. .No........ f.(`'------ FEE........................ R-sVopal Vp#ii ClIonstrurtion Vrrn it Permissionis hereby granted ' ---�-a 3------------ -----------------------------------------------------------------'---------------=------•---•----- to Construct ( v�or Repair ) an Individual Sewage Disposal System { at No.._0C_-9--......�---167 / u ..,e. C Lif,t" 4,4 fr�'r = Street 0 as shown on the application for Disposal Works Construction Permit No.-_:_---��--___-_-- Dated------------------------------------------ Board of Health DATE................................................................................ i. FORM 1255 HOBBS 8c WARREN. INC.. PUBLISHERS T c b b frL . I LYL��r � ' is Y \�• �. „ ` � PI T- 77-1 5 1 52' _ 304ODH FRONT DOOR 304ODH 304ODH existing walls to be removed .7777711111111111111, LIVING BEDROOM BEDROOM N — — — 2666 2668 `r N Co II < doorway to be filled in 2666 - - 1 DINING KITCHEN fASTER BDRM 00 Co N 100 BATH _ ToSB31oT II i I I� I 7068 3066 3040DH 304ODH 52 0 to 00 00 C� 0 0, PORCH LEGEND ,,, ,, ,„ WALL TO REMOVE l ✓� `'L t r L✓ ✓ / WALL TO FILL IN 1 GRYPHON BUILDERS, INC. Designed Especially For: C APPROVED BY: DATE � pp DESIGN PLANS ARE PROVIDED FOR THE Home Improvement Contractor ALL DIMENSIONS AND SIZE SCALE: DATE: Karen Ot Gerald Morrissey FAIR USE BY THE CLIENT OR HIS AGENT. Number 165568 DESIGNATIONS GIVEN ARE PO Box 282 West Barnstable, MA 02668 19 Old Oyster Rd. PLANS REMAIN THE PROPERTY OF THIS SUBJECT TO VERIFICATION ON 1 Y FIRM AND CAN NOT BE USED OR REUSED Construction Supervisor License JOB SITE AND ADJUSTMENT 9/10/2011 508-362-1282 Cotuit, MA WITHOUT PERMISSION. Number012414 TO FIT SITE CONDITIONS.