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Home My WebLink About0588 BUMPS RIVER ROAD - Health 588 Bumps River Road Osterville / _ ' ----- —— A= 144— 028 -� , LO CAt IONS �SMG E. PERMIT, NO. .t� v t v C VILLAGE /�j/ vat - IN.STA LLE'R'S // NAME &;._ADDRESS r'ch s- B U It D E R�OR OWN R DATE PERMIT ISSUED , � {.;�, DAT E CO-MPLIANCE ISSUED. _s i�3nt M +� .. /�. f3 �. .j� j� a � . . f � � .; No...7...Z� �� , . .� s Fps..... .' .. THE COMMONWEALTH OF MASSACHUSES _ BOARD H . Aptiration for Uhi naal Workfi Tomitrnrtion ramit Application is hereby made for- a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: L� Q�v d►ti, .3.._.91 !L -1 G �57��1�t G ......3.............................. ...............-••--- -••---- -----••-- - --......--•••----------------•-•••------------ J J� L on-A ess f or Lot No. /9` " .. !.. ._... .0... - ---•--......--•--••---•-...._.... 1.(d't----.. _ .. —.-•----•----• ---�,?_.... Owner s= ---- --- dress - - ------------------------------ --------------------- In-s-tal-l-er----- Addr s dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms_____________rs7 -�...................Expansion;Attic 6wo Garbage Grinder ( ) Other—T e of Building, No. ofpersons-.......................... Showers — Cafeteria Q' Other fixtures W Design Flow..,,�_l�___...........................gallons pe �a per ay. Total daily flow_.___.__~2-- ...................gallons. WSeptic Tank—Liquid capaci 42 gallons Length___.S.�___...... Width___._:.________ Diameter________________ Depth............... x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area________ ........sq. ft. Seepage Pit No.....I_____________ Diameter_�G7r__,4'__. Depth below inlet____._.......... Total leaching areat, /,__1_/sq. ft. Z Other Distribution box ( ) Dosin tank ( ) _ _ //' '-' Percolation Test Results Performed by, � 1 .....F!U� ¢�YG ...... ___ Date__il_911Y -----4----?� 7,7 aTest Pit No. L_______________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........................ a •••••---•••--------••••••••••-•-••••-•-•-----••--••••...........................•---••----------._.........--•----.......................................... o ., 1,• .....---.... Description of Soil.........................................................a . .-•--------•-•---------------•--------------------•------.....-------..._....-•-•---••----------•----- + -----•• ---• -- •••••••------•••...-•-...•---•-----•••••-----••-•-•- ` �c / 71 VNature of R airs or Alterations—Answer when applicable............................................................................................... Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of ilTj.�. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b iss ed by t e boar f health. Sign d ---�1.1..� /..._._ . --- --- Date Application Approved B _ _• ...................... .._- =-2-�7:.; -:- �' Date ApplicationDisapproved •-••-•--••----=•-•--•••--•---••---•-••••-•-••••---•-••-•------•--•--•••-••--•••---••----•............. PP pp pproved for the following reasons:_..:__..__ --------------•--•--...----------•-•-------------•..------------------------------------------------•-------•-•-------------------------••••-- ------- ---------- Date Permit No......................................... -= Issued__ • ................. �,.� �at � AJ* No........................ ............................. THE COMMONWEALTH OF MASSACHU-S&TT-S,, ' OF BOARD H, ;046to ..... .. ........OF............. ...................... ------ ..................................... Appliration for Elhqpaaal Por' k,5 Tontitrurtion Vamit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: A- ------------ .............................. --------..... . a .or Lot .No. .. ...... --- - ------- -- ......RT----------------- ---------------------------------- 7 vw Ad ass . . ........................... ............................................ ...... ----------- Staller 'i ze Type of Building Size ot............................Sq. feet Dwelling—No. of Bedrooms.............. 4Expansion Attic Garbage Grinder ( ) ------------------- Other—Type of Building ............................ No. of persons............................* �howers Cafeteria ( ) Otherfixtures ..................................................................................................................................................... Design Flow..... ...........:................gallons perA(LzS.0yuwvAay. Total daily flow.__..._..__ ..................gallons. a Ler Septic Tank—' squid I — Mid capacity lions Width..... ..... Diameter-------_--_--- Depth....... Disposal Trench—No. ..........i i�idth.................... To Fai Length............._......- Total leaching area--------------------Sq. f t. -i below inlet_______ q. f t. SeeWe Pit No. Diameter. Depth Total leaching area. _i�;---------I �c osing tank Z Other Distribution x 0', Percolation Test Results Performed Date.. 7 - -4 ....Z.27_ Depth to groun _-Wer------------------------ �4 hat 04 Test Pit No. I................minutes per inch Depth of Test Pit___.__.._.___..__._. f4 Test Pit No. 2................minutes per inch Depth of Test Pit____._.........._._. Depth to ground water____._._...._._....__._. ............................................................................................................................................................. 0 Description f SOR ..... ................................................................... ---1-7-------------------------------------- U W -i........................................................................................................................................................................... .......... U Nature 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 7 1 TTLE 5 of the State Sanitary Code—The undersigned,further agrees not to place the system in operation until raCertificate,of Compliance has been issued by the board of health. e ... ......)i........ ....................... S�r? Application Approved 13 .... ..... .. ..........0........................ .. ...................... ........................... Date VOK Applicatl6n Disapproved for the following reasons:.......................I......................................................................................... ........................I............................................................................................................................................................................... t. Date PermitNo--------------------------------------------------------- Issued..................Date............................... THE COMMONWEALTH OF MASSACHUSETTS BOARD 0,Pr HEALTH a� ............OF...... `7 ^51 ....................................................................... Tirtifiratr of Tomphaurr aired IT is 70 CERTIFY, That the. Individual Sewage Disposal System constructed �or Re a- ed....................... ....... .....................- ----------------- IT ........... -- - -------- �A taller � .... .................................................. ........... a -- - - --- ------ ------------ez------3 * ..................... .. ...... /..... ri, . d has e installed * accordance with the provisions of of The State Sanitary deNes 5V�n the applicatip.n for Disposal Works Construction Permit N ........... �F............ dated---.----__..................................... THE-ISSUANCEOVTHIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM"WILIL-UNCTION-SATISFACTORY. ................................... DATE........... ..........74..7.................... inspector; THE COMMONWEALTH OF MASSACHUSETTS BOA H ;L"o 0 F ................................. .�. ....... ---------------7................. FEE................ ........ or 1#.,Tj=ArUrffVn Per I' si --�ere �ted.......... ............&v b Kai r -------------------------- ------------------- -------- -- ----------- - t tr ai to Itt ai an, f u ewa isposal S Const *6r _R L - & at No........... ............ ........... ...........x. ----- ---- . .................................. ... ...... .................................. act .- as shown on the application for Disposal Works Construction it N -- -_- ated ........................................ ..... ---------------- ------------------------- ------------------------------- --48 ------ ----- Board of Health DATE................... - ----------------------------------7------------7777, FORM 1255 HOBBS & WARREN. ANC., PUBLISHERS /_ � 4 ;� �S 7D P PC L �P lxvFG � 910 41 10 /1A j Mt►J�� MIS 5 /_-.a Tz _._ /Ntl. _IV oj 275 ... 14.4. c$>TTOdI �x�.0 PLO-" 1..A V• r - - '41 t 4EP f At,*1,1 VJ ,oiJc-,, P -e.,,llle4w -Tb P�.-AQ IQ�- '<- .L,S,