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Home My WebLink About0020 BAY STREET - Health �� -�� b�� - V TOWN OF BARNSTABLE LOCATION AO e14 y 57" SEWAGE # VILLAGE oSTex vi L L e ASSESSOR'S MAP & LOT S6 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY D OD LEACHING FACILITY:(type) yOl (size) O OD NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER RIAMOMR OR OWNER L DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 3% 0 '7 No...............AP COVED Fics.....�0..0 0........ rnualAgConswvatronDepartfnglNE COMMONWEALTH OF MASSACHUSETTS 41 4t BOARD OF HEALTH Date WN OF BARNSTABLE Apphratiun fur Diuplaml Works Tomitrnrtiun rumit Application is hereby made for a Permit to Construct ( ) or Repair I�Xy, an Individual Sewage Disposal System at: 20 Ba ...._Street Ostervi 11e-•-•-•---••-•---••---•-._....-- -•-----•--•-•••---......•-•-•-•---•---....----•-----•--------•---•-------•-•--•...............••-- ..... ........ Location-Address or Lot No. Wr .gh;l...._._.........--••------------•-•----•---•-••----•.............•-------••------ ................................................................................................. Owner Address W J .P.Macomber Jr-. Installer Address Type of Building Dwelling XYQNo. of Bedrooms-------------2-_----------__.._..-.__...Expansion Attic ( ) Garbage Grinderq feet ) U Size Lot........ aOther—Type of Building ............................ No. of persons........................--.. Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------------------------------ 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. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ W ,.a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water....................... Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 .............. -------------•----••-----•--•-------•------••------•-•--••-•-•------••--......--••••.......................................................... 0 Description of Soil...........................................Sand & Gravel --------•-••--•--••---------------------------------------------------................................................. W x ••• ••----------------------•--------------••--•--------------.....•-----------..........-----•---••----------•----------•-----•------•--•---•--•-----------•-••••-•--------•--•---•----••--••----...... U Nature of Repairs or Alterations—Answer when applicable.......Om i t e e s spools . Install 1-10 0 0 -----------------•----------_-- Dk...1_-distribution___box••-1-1000 gallon leaching pit. 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 be pipued by the bo rd f health. Signed ...... ... ......... .. . . ...........-- . -----.6�.1194.....:.... Dace Application Approved By ------------ _ -------- `� -, �o".�--. -y ---------------------------------- ---------------------------- Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------------------------------------------------ -------------------------------- ---------------------------------------- -------------------------- -------- ----------------- -- Dace Permit No. -L/--- Z .9.�^/-------------------- Issued ........................................................ ----- Dare �q_ qy No.... _ .. Fxs.... 0.00........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Mirpm3al Wnrk,; Towitrnrtinn jiumit Application is hereby made for a Permit to Construct ( ) or Repair KXX an Individual Sewage Disposal System at: 20 Bay Street Osterville ..--------•-••--------•-------------••-•----•--------------•--------------------......_.......-•-- --------•--•-•-------------••-••-•----•-•--•••---•-------•---•---•-•-•----••--•.......--•-•-•--••- Location-Address or Lot No. ..i-q.11t......_...................••----•-••••••-•••--•----•-----------•--•............._ Owner Address aJ.P.Macomber Jr . Installer Address UType of Building Size Lot............................Sq. feet DwellingNo. of Bedrooms.-_-_--•___-_2_____________________--------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' 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. I----------------minutes per inch Depth of Test Pit_----------------- Depth to ground water....................... GLt Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ P+ ----•----•-------------------•-••-......•------------------•---•----------- •---••---•-•----••••---•......................................................... O Description of Soil...........................................Sand & Gravel x U ....-•••---------------------------•-----••-----•---••-••----------------------------•-••••---••---------------•-----•-----••-----••-----•--•---------------•--••-••-•-••••---•---•-••-••-•-•-------••--- w U Nature of Repairs or Alterations—Answer when applicable-------0 m i t c---esspools. Ins t a 11 1-16b d - ----- ----- --- allon. tank_ 1-distr_ibution...box.... _-1000 gallon leaching 1' ". 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 of health. Signedr � _ .�................ ... 6/.1/94------- Dace Application Approved By --------- j .. .... _g ..-..%.y. Application Disapproved for the following reasons- ----------- ------------------------------------------------------------------------------------------------------------------------ ............ .................................................. . ................. ...... ............ .-.........---.....----------------------------------- ........................................ Date PermitNo. ...........Y.v---- --------------------- Issued . ................................. ...... ..... Date ——_.—_.----_-----_.---- _.—--------,-----— -----. --———— ———--.--- —. - -- ----,-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE' C�E1tifirate d 11amplianve THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( XX ) TM J'r. by ------------------ -- -----------_------------------------------------ ---------------------------------------------------------------------------------------------------------------------------------------- m}t:�uet 20 Bay Street Osterville at ........ ...................------------------------------------------------------------- ------- -----------------...------....--- ------------.-----------------..--------------.-----.._......--------------------------------- 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. .......€-- - 9 ----- - dated _................_-----------------_----- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �.-- � ---' DATE............ .--------- -- / ------------ � "✓ Inspector --- '�., ---------- ------------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � C,L TOWN OF BARNSTABLE 30 00 Rappiinl Vorko Tnnitrudion rrmit J P Macomber Jr. Permissionis hereby granted -----------------------------------------------------------•----------•---------•-••.-----•---- to Constr>c (B a)y or t r e e tl X s t e r lI l l e l Sewage Disposal System atNo. ----- -------- ---- •. ..... ... Street ! / �r as shown on the application for Disposal Works Construction Permit No._...I__, Dated------7.y_-..�9.y........... ............................................... -. --' ------------------------------ G r G ----------------------------------------- U Board of Health DATE.............. �•- FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS