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HomeMy WebLinkAbout0026 CAPTAIN ALDEN'S LANE - Health 26 Captain Alden`S Osterville E i A = 146 - 092 I I f f NO.... �J3 Fics.. ....30:00 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 L A6 O w No.................. Fss.: :j : 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 � - LOT: 4 , A LJC US -2 /9 78 a , l ACJL.` l�911RR Y= TIi�SP� TOR � •. � to �, _, 1p7 ,a4 , 'LOAQM AND - 43r. 07 L07 -3" 1110 1,vATLeR ENCOU&T•ERED ., Ld /S OGO .o: 1 TOWN WATER JS AVAII-ASIX LDT n-II/v 11L4 U ff T3 u/L D//vG S ETL3�1 G� �G-Q-Ur,�E:i�IF /T,5 S C�4 L I _ 30 F20/V T •P2o,ao SED SE P T/C 5 y5 TAM ,COn/S T2 L1G T/O�/ SHALL COnlF02M TO MASS C)C=5 n.l. 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I D L -i ��__ /_6 JEST=,�L r' Q' A - /` 1 `ERTIr-Y 7// EXIST//VG <J.�r`:iL;A 'rv, �E:Slvnl LOC�-T-/UN /S � "t: C- /t' �ts'or�. -^ + �; � .`,-h`�?!�..'/ti Ali'� / J DOES L��" i... /�'.f i :,.1:'�/y f r+f.} ---- 1 I S ET r3%�L if l� C �!IE E ' E�l S `?, ':# #� 'LOW, JR. O