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HomeMy WebLinkAbout0176 OLD OYSTER ROAD - Health ,�o c��fl i i ASSESSOR'S MAP N0. '2. PARCEL 0, i 0 r A t ION SEWAGE PERMIT NO.' VILLAGE UO l 1J 1-7— . r " L J l N N S T A LLER'S NAME i _AD,DRESS AA L311[462-IF. BUIU 1 DER OR bWN ER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED � - '- — #�''',.y - / , � ,; ,� w. �t fl t_ e` a e ��� _ �� t��N /� C K �� R" !J , "" . . - _.._ No...1��.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H EALT / .... ....OF........... - -..- - = . Appliration for Uiopnoal Works Tonitrurtion rruti# Application is hereby made for a Permit to Constru ( ) or Repair ( ) Ind-vidual Sewage Disposal Syst at: , /11V.... � -9 Wd Gl .... ....... ... ...._. Cp dr orN .1-yi C- �. -------------�_. �, ,�� ........_.. .... �,�oa ------------ �Addre _:�..... Installer �, ) / Address d Type of Building Size Lot---- - — feet U Dwelling—No. of Bedrooms._._. _________________________•Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons___________________________ Showers — Cafeteria Q' Other fixtures --------------------------------------- • wDesign Flow............................................gallons per person per day: Total daily flow............................................gallons. WSeptic Tank—Liquid capacitvX zallons 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. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-------------_______---- (%4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ----------------------------•-•------•------•---------------••-------------.._............----------......................................................... 0 Description of Soil.....................................................................................................................................--------------------------------•- x w U Nature of Rep irs or Alterations—Answer when ap licable--------, --- -� rc - ._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI:I; 5 of the State Sanitary Code—The undersigned further agrees 5pt4o place the system in operation until a C rtificate o Compliance has been issue/ A /=tt�h'altlig l _l Signed............. :.... _.... D to Application Ap 'ov BY �•- -••-••----------------- ....__..._............--------------- 1 -Date ........... Application Disapproved for the following reasons--------------------------------------------------------•------------------------•-------•-------•-----•---_.... -•......................................................•-•---------------•---•-------.......------------'•--------------------•----------------------------------•---•-----••-------Date------•---•--- Permit No.------- /Z Z Issued..........................................Dat....... Date r � ss THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .....OF............. � Appliration for Dispau tl Works Toustrurtiun Prrutit Application is hereby made for a Permit to Construc ( or Repair ( ) Individual Sewage Disposal Syst at:....... �l_ � � ._......... ... ........... .._._..._.._. oca �d No .. .: _--------- ....---Instal leria� yt,�lt Addess d Type of Building Size Lot.... 1 ---Sq. feet U 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. 04 W Septic Tank—Liquid capacity.I_'�`��°�.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........................ rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' ... •------- ----------------------------- •.......... _... _-------------- •--------------------- ----- -------•••----------•----••-•--•••------ •.... •---------- --- ODescription of Soil........................................................................................................................................................................ W V -•-•----•-•••-•......__....•••-•••••--•-----•---•----•--•-•-•••-----•----•----•••--•-----•-----•-•-••••••----•--•-•-•-....--•-•------•-•-----•-.....-••----------------•--...._....-----•-•-•--•-------- ---------------------•--•---------------------------- ------------------------.....------•--------------------------------------...-------------------------------•---- V Nature of`Repairs or Alterations—Answe1r when ap icable........ _._ _ ......................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T 11'1 E 5 of the State Sanitary Code—The undersigned further agrees not-to place the system in operation until a Certificate o Compliance has been issued.by t�ad, 11 It Signed ....:::._ ......... `-----•---- 13 Application Approved BY....................GyY :--- •--._..._..._...?.:`.. ___-4 -- ............... �--- ate ....-•------ Application Disapproved for the following reasons:..............••-----........_..-------••----------•--...--•---=---------------...--------•.....--•-•-••-------- ...............................................................•-•-/.....------------.-.----•--------•------•-----------------------------------------•------------------------•-------------•-•-------- 'Permit No......... �=-••-�I9• ................ Issued.------•-------------------._..._---------Date ..... Date THE COMMONWEALTH OF MASSACHUSETTS BOAR QFF KEALTH ............OF..................................................................................... (Entifiratle of Tomplittnre THIS IS T CERTIF That the IndvidualSkwage Disposal System constructed ( ) or Repaired ( ) by :_:--------------- - ----•• ......................•---- ► 'f .......... -_.. �� Installer at.. .. GJ� ' .._.. C................................................. has been installed in accordance with the provisions of TITIE 5 of �e State Sanitary Cod esc ibed in the application for Disposal Works Construction Permit No.... ._._%w.-•-•............ dated-------j._....._.�����........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FU CTION SATISFACTORY. g -... ........ DATE G••----------------•--........_..._...-------. Inspector____-__--------------------__________---------- THE COMMONWEALTH OF MASSACHUSETTS --� BOAR EALTH 6 .............. �.............OF..........:.:. .....•--.�-�$...< . ..... No.. .... FEE.. O.....a— Dis oral Works Towitrnrtion rrmit Permission is hereby granted.....--• .. ........ . ........ r ...............'..4- '�.. .... ..---- to Construct ( �r pair ( ) a ndividual wage Di s System • Street as show on the application for Disposal Works Construction Penh-iaio '1��'_ red.____/2-:/�*r'..----- -_-__- Board of Health DATE...............\ ,... ..... .................. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS I .WITS r»sPosat- • ;W LY t=t-oW 110 x 3 4- (U5� t�j00 GAL `i•-AI�jL�. _ � / ZZ -P(sF�c- prr - v5c (cco t f•a `ror;&L g14 Gpl=> , 7fAt^. It-->&(Ly v:t-"-4gr1elPD PoLJ�Ttot_i SZ/J-r` t'' IN S. A"of " PETER ULLI VAN No:29i33 BA,"JEft N Z' S�eso�1. ��., p/ST• l�Lis/E�'i� �C,.� /iN/. :,"� ";•�'„`:) //V G,dL. 53.S •,•�•• Ptr T,Qwic D• .�.,r � . .if 3�, •t�� '' ��,2 53� C.E,2T/F/EO PG OT pLQ�✓ „ : WASuED :• �t S1roN� ;'o • ��- G•�,�� LdG,dT/O.S/ �o-�-v �i I� _.,� - �P---�. . �/—� •�GGL� \''= 6fl0 . .. �. �!-xC•,t 1►J�r:�'T�G��.t"°.�F�`�( �•T1N� /b�-�iV ���E.�FiVC� p' '� L Agg�v�C•c t.` r�r�.E� td;,4, �,7.', i°._ aEE�a��;` �� / GE,eriFY TN.QT T�/�- o�►se?4Ti�c Si/4W.V ,�,�E,�Eov GDr►IPGYS W/T�7i/�'S/.O�'�✓,�iE B.dx7�,2�',t/Y.E, /�vG. ANC,SE7'I�/�GY .e�QV/G'EN1�NT.S d� T,y� ,C�,EGisr�,ec=�,GQ,vo sli,2�Eyo,�S • -v�.�.s/r-sv,2�c'Y.4No T//E o�Fs,�r,� Ta ES?7�1�G/Sy �aT-G/N�'S n . 1 Al 1 TANV-" + � .. PRuP. ` j7 - AS 13V i L_T ?L�\N jvk Of MqPsgt, Pr:TER r ) coZ RICHARD x- o SULLIVAN —i t�q '. hio. 29133 6 E+AXTER jr>; r� F'�'`'' SL LC� t\J i i Z G ?Ui 1L 6 iU s�v I,R�u S��vi (o2S - c:•�Vti��-'T(���stu.��. / yn •••+sP t ..3_ t�Y••.,-'. ti. art(}..., a +ly`y`i° (ks '':.,r�-3• � '- 3y! +`�r�E+�d9 � rxs":�can .1 y, f g F _ y t' IY 1 q ,.*- v F i,d rr.. ;M1�S •i; i { I AXMR & NYE, Nu. . - a. - ,; Registered Land Sumeyors. and Carnl ghgineer�' 7 Parker Moad/Osteryille, Mxsyachus3ette U'166�i/ 1'el (6171�4'l�i H13 t WILLI'AM C.NYE,k I,.S:'President i IZICIlAkl1 A.HAX'1'E;N,R.I.,ti. •Viq+Preen* lens PlLllrtt 8L)L1 IVAN,P M vAM;PreNidelk( 1'npiucaruyl Novekmber} 1'1 r l`985 ' e' 5 Archi.hal.cl R.Ec11tYY_ Trust f E :r. I U I } r vt MAr b2655 , _ Y"' •..t�'_"�/J /, .(' P r. '�dA i 11 1 LY ,✓e. � t� _ {� lj, `+ RI Lots 4 &` 13 - Screecham Way. Lots` 9 & 10 := Olc! Oyster ±way , t Dear Mr . '`Arch-ibala rah F A This 1s .,to+ inform you that on, November 8}, 1985 >k a deep test hole.,,was dug anal',}a per'co1a iO'W��'test was perf4ormed on" the subject lots ' t'1 �Thett'est''lkHra�-'P witnessed by, Mr Jamesl Conlon, Agent + ' �^ L f or; t he ABarnstab�'e Bciard of '.Health, ' �~ The `:test" showed that the . soil= is acceptable, where x,s '' V' #� ' <tested ''for {Xhlle lnsta'll'ationgo ka 'subsurface sewit age .p6sa`1 system a i}r ' 3 n•.* , •e=� ;p1 ,h^ 'tS U nfort un+a t e-T`yr tl:ue to +caving of the tdsitl, holes on f' } .;,Lots 9 ; 10 &`.;1+3 :"a depth,'of €1Q; ifeet' 3could only sbe obtal ned This means:I' on these dots,: a "short:,`p�'t"4 must be used ' r a .. additional ;t`est` :hole;, Or at the time of= ins:tallation, , an ' must. be dug showing 4 feetwof;�clean drhy su� tabl�'°material `e,{ be^low the FsyCtem Th';is ,c,an be'1`done with+ a post hole =di'ggte. r at Lhe bottom of the hole:i If you} have µ'any `questions �pl,ease *contact lime 4, F' ' 2; Ve truly }yo.urs, � s r 71 "s P.eterj Sullivan, P E b , t �'''Baxter$'M& ;IV ye x It / s ' PS/fm� , f CAPE COD SOCIETY OF PRUFES310NAL 8N�1NE8JL4 AND<LAND 9URVBYORS f A iJIM AN GRB$S ON SURVEYING AND MMPING+ t MAB3ACNU9l17"18 ABb10CUTRNV OF LAND$URV8YOR5 AND CIVIL Y1VGINI�SR9 ' S�.<1 r� �.j.,:• �,.rs ,{ }}Agk,{.f 7rc V, , F '�' � d tb ssr. 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