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Home My WebLink About0035 CEDAR LANE - Health 35 Cedar Lane Osterville A= 118-065-002 LOCATION SEWAGE PERMIT NO. VILLAGE 4��,C,q./> fir. INSTALLER'S NAME i ADDRESS R U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � � / t '� ice. mil' 1 :� / � �' o Fps............................_ cir+� THE COMMONWEALTH OF MASSACHUSETTG i•. BOAR® OF HEALTH , ^owcJ................OF.....r4i r._........................................... -Av nuv�fr Appliration for �spaaal Works Tonstrnrtion amit Og- Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: m..... N+< ..Ely.LL•� Location-Address or Lot No. Owner Ad ess f--••• �ON a.......................... sTA�3�� Installer_ Address d Type of Building Size Lot..-.�_'1_0 _�__._Sq. feet V Dwelling—No. of Bedrooms.......A................................Expansion Attic (kW Garbage Grinder (%b 'PLI_l Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures -----•------------------•------- - w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. W Septic 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 ( ) '-� Percolation Test Results Performed by........................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......... ... (i Test Pit No. 2................minutes per inch Depth of Test Pit---.........---..... Depth to ground water........................ i ---•-----------------------------••-•---------------------•----•-...................---•-•----•--•----....-•---------•---•-•-•.......--------•--...---_----- Descriptionof Soil........................................................................................................................................................................ ................................."----------------------------------------------------•------------------------------------------------------------•-•----------...................................... 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 iITL% 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b qn Qissued by the board of health. f4gned D ------------------------ Application Approved B ... .................-....................................................................... Z ��. ..:.......... Date Application Disapprove or, e following reasons:.................................................. ........._.__ LDate PermitNo.......................................................... Issued....................................................... Date Note � ---•-- � F�s.._�..�..�1._........ THE COMMONWEALTH OF MASSACHUSET;5'O -•.ram BOARD OF HEALTH _...............OF.... . ........................... Applirtt#ion for Disposal Works Tontrnrtion rMi# Application is hereby made for a Permit to Construct {) nor Repair ( ) an Individual: Sewage Disposal System at* Fw.�...._.. !�;eg ...........................JC�.111LL „ ....... -•••-•-- .........:...•---------------•-•----••--•-•--•--••-•----.......•-•-• Location-Address or Lot No -•----------------------------------- ''^ { �� Owner Argss ►W-a • +�01��1 k l-•-- '"?JL"lT1 ......------• 4i� 1+ 113'r' C C � �I►K• . -------------------------------- Installer Address UType of Building Size Lot.._..a'2 �. _ .....Sq. feet Dwelling—No. of Bedrooms------�.................................Expansion Attic 4kf.% Garbage Grinder (N i� `4 e of Building a Other—T yp g ____________________________ No. of persons__..__.__.____.-_______.____ Showers (�L) — Cafeteria ( ) Otherfixtures -------•---•------------------------------------------•••------•---•----------------•••-----•--•••.•••----------------•-••-•-------.._..--•--------- 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 ( ) Percolation Test Results Performed by.... -------------•---•----------•-•-••----•--.-...---•-----••------------ Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f14 Test Pit No. 2..........._....minutes per inch Depth of Test Pit.................... Depth to ground water......................... P4 -------------------------------------------- ---------------- •...... --------------- •-•-----------•----------- •----------------•-_----------•_----------- 0 Description of Soil........................................................................................................................................................................ W V .._..-•••••••---•--•-•--•-••--••-------------------------•---•-_.__.:.•-----------...-------•-••-•--•----•-----------•-....-•-----------•••-------•••-----=------•._.._._..--•------•--•------•----•--•-- W 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 TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b n issued by t e board of health. Signed *--- ------------ ------ Application Approvell B --. .......................... " f----------------------•--•----- ------------------ 1 Date Application Disapprove .or., e f ollowing reasons-------------------------=----=------------------------------------------------------------ a.t.e............- ...................................••-•----....-----------------•--•----------------------------•-•••---•---•----••--•---•--•••-•----••--_..._ Date, PermitNo...................-...................................... Issued-....................................................... Date ,;THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HEALTH ..........................................O F..................................................................................... 01 f Tntifirttte of Tnutpliatt it T� S IS T CE T That the Individual Sewage Disposal System constructed ( or Repaired ( ) by---- -... . ' ..------.n�r -------- ------------------------------------------------------------------------•------------------- ' Itllat.._... -----•-• ---- ..----••-- '•--------------------------` -------------------------- ----- ---_-------------- has been installed in accordance with the provisions of TIT F 5 9f�.� e State Sanitary C Cr in the application for Disposal Works Construction Permit No.___. -__•__._�......_......... dated....................... _______..___.____.._ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE C;;.ONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATI F TORY. DATE.....................................1 .,�r YV/.---•--....----_. Inspector................. ........................................................... THE COMMONWEALTH OF MASSACHUSETTS I BOARD OF HEALTH No.. ...................... FEE........................ iraa Ton#rnrtion .tram# Permission is hereby granted---- ._._:.. - �..........-•--------------------------••----------------........................................................ to Construct ( orr ( ) an Individw a Disposal stem at No - Street as shown on the application for Disposal Works Construction Permit o__ ________________ Dated.......................................... gym-- r�o-�� DATE----••-•------•-----•-------------•---••- ...................................... Board of health FORM 1255 A. M. SULKIN, INC., BOSTON 1 C,t-E FaM t r`-.Y --4oA, Mid l b a.P.R SeQTt ute 1 SQL �9/�L� ; ► ; i ` , ' ` . �ACJL 4. �SPC7F�AL PST 1J�i�'L � 1.. . _. .. . < - � .• -. • . . . - 23Cix2;v = 4_S'Zl�p � . � Or i ;�':.:. • - 1 �,� . _ ;.��6 y . $ aoT-foA A r-A ► 1' 3 ! . . 1 y. 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