HomeMy WebLinkAbout0026 CAPTAIN ALDEN'S LANE - Health 26 Captain Alden`S
Osterville E
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I1St a CogSeNati O.epa eRt HE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
nod t)ata TOWN OF BARNSTABLE R I q(O 09 a
Appliratioit for Bi-tipwial Wor1w Tomitriirtion Vamit
Application is hereby made for a Permit to Construct ( ) or Repair PM an Individual Sewage Disposal
System at:
26 Captain Alden ' s Way Osterville
...........................................................•--------------------------------...... ------•------ ---------------------------------------------------------------.---------
LaMagna Location-:\ddress or Lot No.
Owner Address
r--..................................................... ..................................................................................................
Installer Address
d Type of Building Size Lot............................Sq. feet
U Dwelling--X No. of Bedrooms.................3---------------------.---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........................................
,_l Test Pit No. 1--------_.......minutes per inch Depth of Test Pit.................... Depth to ground water........................
G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
04 ------------------------------------•-----.......•-•--•--------•---•-----------------------.................•---•------••-•------••-----------.....-----•....
0 Description of Soil................................................................................................. ------------------------------------------------------................
x Sand & Gravel
U ---•----------•--------------------•------------------------...-------•---------------------------------------------------------•-----------------------•------------•-••--..........------...........--
W
VNatu e of Repairs or Alterations-Answer when applicable--.... ........................................................................................
1-1b00 gallon leaching pit. Addedto existing tank & piY.
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 Complian e has b n Zof ealth.Signed �� 6-/21./94.......
^'i — ..-'— .. Dace .....
Application Approved BY /' V..-� ....
Date
Application Disapproved for the following reasonr- ----------- -------- -----------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------- ---- --- ------------------------------------------------------------------------------------------ ---------------------------------------
Permit No. .......... .. ...,-......c Issued --------------------------------------------------------Date------
Date
t
No.... F:c$..$...N 00
�HE COMMONWEALTH OF MASSACHUSETTS
6. BOARD OF HEALTH r� ja
7 TOWN OF BARNSTABLE �1Co Og
Appliration for Uinpoiittl Workii Tonotrnrtion tirrutit
Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal
System at:
26 Captain Alden ' s Way Osterville
.............................•--•---•--•--••--.......---•--••-------......._-------•--------_--••• -----•--------------------•--•---------••-------••-----------•----•--•-••---••--------...------•--
LaMagna Location-Address or Lot No.
Owner Address
aT.r.P.-Ida.Lamb.ex---Jn..................................................... ----------•----...----•-----------------------...--•-------------......-----------••--•••••_-•----
Installer Address
Type of Building Size Lot............................Sq. feet
.. Dwelling-X No. of Bedrooms-----------------?-------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons------.-------------.-..---- Showers ( ) — Cafeteria ( )
Q, 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. 1................minutes per inch Depth of Test Pit-.----.-.-.-..-.---- Depth to ground water..--....--..............
LX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.....----...............
9 •---------------------------------------------------------------
----------------
------------
--__----------------------------
•-------------
-•__•••••_.........
0 Description of Soil...............................................•S-d- nd & Grave].
. --------------------....----------------------------------------------------------•-
� a
U ••----------------------------------------------------------------------------------•-----------------------------------------------------------------------------------------......-------•------
W
U 1 a �e00 galls on lleaching Api`t. wAc�nde lto le exis ............. ank p1
-----------------------------------------•--••••-•--------•--------------••--•••-----------------------------•-------------------------------•-•-------------------------------------•--.....•••---•----
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.n isfs�ue�dl by the board of ealth.
Signed .dh1�t� �` /�� t' 6/2--/94
- --
... g........-...
Dale
Application Approved By .........- "� ,->� �,. _.p..< , .. ....-...- �.-..`.. ..
Date
Application Disapproved for the following reasons- -- ---------- -----�.-------------------------...-------------------------------------....... .........................
-- . ............................................................................................... . .......................................................................... ---------------------------------------
Permit No. ...........
. Lf... ------ ... Issued -----------------------------------------------..... .to ....
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate of C vrayfiztxure
THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( XX)O
J P.Macomber Jr.
by ------------'------------------------------------------------------------- . ... ....... . ... .. ........................._..............................................
26 Captain Alden' s Way Osterville
at -----------------------------------_....---------.............---...--------------- -------------------- --- ---------------....---------- ---------------------......--------------..-...---------------
has been installed in accordance with the provisions of TITLE of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. 31-1 --- j3- -..�_..---------- dated ._----------_----------------_---- .-._
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT RE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................. .... --.------------------- Inspector �o! ...
----------------------------------------------------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
C� TOWN OF BARNSTABLE $ 30.00
No....l.. ....�a3 FEE........................
Owpi al Workii TomArtu#Uan "rrntit
J.P. Macomber Jr.
Permission is hereby granted------------ -------------------•------------ •-----------------
to Construct ( ) or Repair (xx) an Individual Sewage Disposal System
at No.?6.-Caot.ain...Alclan ...V 0..st. Qx_Mili-e--------- -------------------------------•--------..........................................
Street ,
as shown on the application for Disposal Works Construction Permit o.-l�X: 33. Dated----/ -= 1 ._�.......
------------•--------•-
� Board of Health
DATE--------------- --� ......-•--------•---
- .•
FORM 36508 HOBBS h WARREN,INC.,PUBLISHERS
TOWN OF BARNSTABLE
LOCATION 16 C h/Of A /N /(1-g�eAl$' GvAySEWAGE # 4 --73
VILLAGE p stet v 1'LL e ASSESSOR'S MAP & LOT(I Za-y-OY�Z
INSTALLER'S NAME & PHONE NO. P M 4 C d M �79
SEPTIC TANK CAPACITY
LEACHING FACILITYAtype) // (size) / op.:;)
NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER
B9-E-R OR OWNER ,
DATE PERMIT ISSUED: "�
DATE COMPLIANCE ISSUED: `
VARIANCE GRANTED: Yes No
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: THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
R
Tok)_N...._....I......OF........ ltf'1. _ - .!�► r..................................
Apphration for Bh4posal Vorkg Tnnitrnrtuan Vamit
Application is hereby made for a Permit to Construct (am ) or Repair ( ) an Individual Sewage Disposal
System at:
... ..... U'�...... . ?sy' �'"��✓�L.s� `-•... ........... .- ........................ "„
. • .......................
ocation-Address or Lot No.
.•. :� -------------------------------•--•------ -- ----•--•-•-----..------------------.-.--.- --• ..........................................
wAddress
Installer Address
Type of Building -., .. Size Lot/.S. .��J........Sq. feet
U Dwelling—No. of Bedrooms.__......._,..I............................Expansion Attic ()oco Garbage Grinder (t�)a
7
p, Other—Type of Building ........!!N/A........ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures ............................... ..
oDN!
W Design Flow........./10........................gallons per er1 per day. Total daily fl ....... ....................gallon.
WSeptic Tank—Liquid capacity/! d..gallons Length�....6.._.. Width_°_/V. Diameter________________ Depth_�._.d..._--
x Disposal Trench—No. .................... Width_................. Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No___ _____________ Diameter-_._...:......... Depth below inlet--fit:..._.._._..... Total leaching area_.. O2tx...sq. ft.
Z Other Distribution box (&I") Dosing tank ( )
Percolation Test Results Performed by-_R-Ob1h.4 .. 9_•... _ r! '.. _ : Date__ .40_19�....&1,0>S
,'4a Test Pit No. L___/.......minutes per inch Depth of Test Pit..fa..'........ Depth to ground water..t1_JV_d..,__.
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a,
................................................................................................................
----------------------------------------
Description of Soil ? ._. ..`�''..........G. .._.e !.�'1�! r1/ 'at --------------••-•-----•-----•----.....----
U ..-.----.-•-•--------------• . ------------------......--------------------------•-•----------------------------........--------------------- ...............................................
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 TITS.^. 5 of the State Sanitary Code— The ned further agre ce the system in
operation until a Certificate of Compliance has been issued the bo d of healt
-- - - ---•--- ----- ---------•---- - -- ................................
late
A lication A roved B �A -- . ....... ••-- .... .... ... <
PP PP Y > Date
Application Disapproved for the.f ollowing reasons:................................................................................................................
-----------------------------•----------•------.....------.....-•----------... ... --------- -- -----------------
Date
Permit No.....,.. --•-• .
......---•-•........-- Issued: �' :..
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O� EALTH
(Irrtifiratr of T amplianrr
THIS IS TO CER Y, TW the Individual Sewage Dispo&ql System constructed ( or Repaired ( )
.by-------------------- .i ----•-------------......_........................................................
sta ..................
at----••...... .... . . ........••----. . .......--•------... .:_..-- --- .. �' ...........................................................
has been installed in
accordance
with the provisions m The State Sanitary C _ idinthe
application forDispoalWorksContruction Permit N A I : . ded14F_n� _ . -
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT TIME
SYSTEM WILL FUNCTION SATISFACTORY.
� P DATE........... ... • --..-• Inspector ..... _._...---
-."..... — v .. �_ ...
THE COMMONWEALTH OF MASSACHUSETTS
BOARD ALTH
�d" ( /. !":..�? .!rw'. OF........... d!....� .'!
N •---••-•................. FEE ..........
mi Di ,attl n n ' tt
.. permit
Perssion is he granted..._-•-------- ----- -r_ ........................................................................
to Construct ( or paw( ) an Ih ' .dual Sewage Di yst t
atNoC;Po ..................... ........................................... --- ------ ..............................................................
Stre
as shown on the application for Disposal Works Construction P t No............ ... Dated_ A.."" h�'." �.....
.............................
Board of He
DATE;......------ ........... ........... -•---• .............
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS �
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