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Home My WebLink About0201 BRIDGE STREET - Health /t8: 201 BRIDGES (AKA 193) Osterville ` A = 093 - 036 N THE COMMONWEALTH OF MASSACHUSETTS , BOAR® OF HEALTH .� ....................OF.... .p ipJ '�, t-� .................................... Appltrttt�n for Uhipuiial parks C�nntitrurtion rrntt# Application is herr�by made for a Permit to Construct �) or Repair ( } an Individual Sewage Disposal . System at �- Location-)ddre or Lot No. ------------------ � - ........t.. 9.�- ----............ •...e�1; 1�`�' /� P............ .............. = A j ner :�_.... .... ........... dti'K�ddr_ess ...... �1...... a Installer Address , �� Type of Building Size Lot.....! '.Q.Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder �) Other—Type of Building ............................ No. of persons..............._------------ Showers ( ) — Cafeteria ( ) P-4 Other fixtures---------------- ---------------------- - ---------- W Design Flow....................... _....___._.gallons per person per day. Total daily flow._................._.._C3...........gallons. 9 Septic Tank—Liquid capacityj�&gallons Length................ Width....... Diameter---------------- Depth-------------- e th-:--_--------- W Disposal Trench—Nord---/��_4�_O.... Width _____-. Total Length....,�Y........ Total leaching area-___ O----sq. ft. x a� � r� � Seepage Pit No._.___._-._.�� i ____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (b.() Dosing-lank ~" Percolation Test Results Performed by. / (JYA2�1 _Kt'�4 _._._.. ---------_.. Date_....__��.'� /-_ .._. as Test Pit No. 1.._..&_-____minutes per inch Depth of Test Pit......... ..... Depth to ground-water----l��!. LTq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ----------------------------------•------------......--...........-------------•---•---•--•---•-••-------------••--•-•-•-••••-•-------•-•........----••--•-- ODescription of Soil-------- .------I-----------------•--•-------------------------------------------- ------------------------. ---------------------------- x -------------------------•. ------. .---.,5 `�......-•---• ---••------- eD---_-Gc l�i`%.---- --�� --------------- U ••-•-•-•--------- --------------------------------------------------------------------•--••--•--•--- --•----•-•--------•:-----...----...------•----------------------�-..._.._..--•--- ----------- U Nature of Repair or Alterations-Answer when applicable..b . ..._. _.._ -._.... -`'' -- - � Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT LZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance,hasIbbetti issued by heboard o health d Signe � � -. ......................APPlication Approved By.......... = --- -------------••--------- �J-----•-.------ Date Application Disapproved for the following reasons----------------•-----------.•-------------------------------.....-------------------••-•--------•--------... ..........................•--•-......-•-••--------•----------.....------......-------------•-•----------•---•----•------•--•-------------------------------------------------------------------•--•----- Date PermitNo......................................................... Issued-....................................................... Date No _ 9/. Jam. FEs. .,2.0.... .... t THE .COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... ................OF....�.�I'I!'.`GiTj�. � . ....----------- AppitrFativu for Dispoo ai Works C ow4rurtiun ramit Application is hereby made for a Permit to Construct Z�) or Repair ( ) an Individual Sewage Disposal System at: .- ? � 1 �" 1,L ................ . ..• •-•• -- ...15 .......................................... ............................................................ -- - Location- ddr V /� or Lot No. ..._ -------- -•---- -- ^................. ..•------•-----------•-----•-- •...... •- ••••-.. ..-- ( O•ner• Addra'ss V Installer Address D /v UType of Building � Size Lot......�..__,e._..._____..Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic ) Garbage Grinder X) aOther—Type of Building ..........! ......... No. of persons........................... Showers ( ) — Cafeteria ( ) Otherfixtures . • . ---•-•--•..................•-•--------------•------••-•-•-•-----•--•-••--••------•........ ........................ W 1 Design Flow......................Jr... .._.... ----•gallons per person per day. Total daily flow............................................gallons. IX Septic Tank—Liquid capacity/_.. gallons Length................ Width................ Diameter................ De t ..__......__. Disposal Trench—N._.�...... �7Vidth._.... ..__... Total Length-__-Zj?..._..._ Total leaching area.__.....-_..sq. ft. iF— i5Sv��S � Seepage Pit No...............:..... Iamete ._............_..... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (<) Dosi ank '-' Percolation Test Results Performed by..l :j� A7_. _.ItGG .. P ll Date aminutes per inch-', --Depth of Test Pit........fl--..._. Depth to ground water.._____'.-.Test Pit No. 1.._.�...._. � 7.._._ . Test Pit No. 2................minutes per inch 'Depth of Test Pit.................... Depth to ground water........................ ---•----•-------------------------------------------------------------------------------------------......................................................... O Description of Soil cxWj Soil.--- ........ l I = = •- ...••! 7 -------------------------- / 25� 7 - o �� - -------------- --------------- " - , ---------- -- ------------------- - ----------••----------------------------------•-....................................................--• ................r............. x Nature Re or Alter ions Answer wh n a Ic ble ° `-' U P� < , p a „ ......... .. -................................................... .............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTI.a. 5 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. Signed............................•-•-•--........................_..-----.................-- .......................... Date Application Approved By............. •-.• f ------------------------ O" ate Application Disapproved for the following reasons:............................................................................................................... ..----•---•-•.....--•--•-----•-•-...-----•---------------------••--------......_....._...---•------..._...•--•----_..----•--------------------•----•--•------•---------------------.-----•---•---•------- Date PermitNo......................................................... Issued-........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS ---- BOARD HEALTH n ......... .................OF.................. �.2rJe7��L�....._.............. %ft-Errtifiratr of Tumpiiattrr II TS 0 CER Y, the Individual Sewage Disposal System constructed ( Repaired ( $ ) �. . q I Iler ' has been installed in accordance with the provisions of T ~' r gf The State Sanitary Code as described in the IN application for Disposal Works Construction Permit dated----------- ----------- ......................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM. WILL FUNCTION SA ISFAC Y. DATE......................................�..-7 3 ••--•==- Inspector....._.. / . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... Ulf1 ............OF.:..... jT t - ................... FEE........................ M.04111 kil ialn rrmit Permission .-hereby granted-------- - ...............---.... - -------------•-.........-•--•-......_._....------------.............--•--•... to Construot�( or pair ( ) an InMual�ewage isp sal yst eetta�.� Street' as shown oii the application for Disposal Works.Construction Per t N . d..........................................i /7 • / ..........................................•_.. ........ .................................... ..._ . B of Health ---•-•---•-•-----•--•....................•....------------.---•-- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS AsBuilt Page 1 of 2 LOCATION SEWAGE PERMIT N0. 0o3 VILLAGE INSTALLE RAHN A.�AAL?&A C<HO SER R e SS vir_ 1 Kn.ti/alniif $fr88t=— _ ,West.Barnstable, Mass. 02668 ., I U I L D E R OR OWNER / DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ol rRo?,,vT , L 19 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=093036004&seq=1 9/7/2018 NMAL PLAN W,15 •rwh:r 6pRr VwR ID®E 5M.3w / ALL W.Kl=TO Z RAM*W OG MLLS5t04160:16iAY) -ND Ri:gi LCCR TO ae 6045%WOR _ of -ALL M.W415 M LF 2.c'J Y IN ~ •e,Rera x¢ao L CA-02 G4[t1RN IetaTeln EXIST.CECK m Oa P.neA IGTD QRCA'T99 �?.>garfoT ldt[ra SG LrXA.1Ql�siu» _+�"�Irc>H neelamsr n.u.4smaalu / -remade m�rTl a uaYeLr�r at crxrrRrn n s9�cr. j �scyr(+�nN•:?.mr+m¢cvnTxxs rw. - l cmnw nLre wlv IQ YAII ,a wNGN GYk!!tb 161 MiOlY:R To N�lcli ma LxrAC{MN rX.'Iy aSL\Pb4 N .1W Y tfYl H ..{{ MMLL f LC{0 yy000 {¢Q� KALL5AIDIME To // '`' • }'/' t IVo ` F s ERIC rl. 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