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Home My WebLink About0053 EAST BAY ROAD - Health ME 53 EAST BAY OSTERVILLE A= 141-110 { I j 6 i 1 i 10-08-1997 08:34AM CENT DST FIREDEPT 5087902385 P.02 Fire Department retains original application and issues duplicate as Permit. fZG�� Jr a/�CG��C'ne��'4��rixe��us�,a.— ✓c�4aa�o�C.�rire ✓%i ..�4--��c�,-�-,;-�-c�J APPLICATION and PERMIT Fee: 10.00 for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: Standish A. qti n 7Address e(please print) x s.g/iatwe rr ap yag 1prAemflr 53 East Bay Roadg Osterville, MA 02655 Street Gay State Zip Company Name Enviro-Safe Corp. Co. or Individual Enviro-Safe Corp. RIM Prnr Address P.O. Bow 304, Saxamore Beach, MA Address Prim nnr . Signature (if ng r it) Signature(if applying fcr permit) IFCI Certified Other XIFCI Certified = LSP;* Other Tank Location 53 East Bay Road, Osterville, MA 02655 Stoat Addres Gy Tank Capacity(gallons) 275 Substance Last Stored #2 Fuel Oil Tank Dimensions diameter x length) Remarks: t Firm transporting waste Enviro-Safe Corp. MA-329 a"' P 9 State Lic.# Hazardous waste maniiesvll E.P.A. # Approved tank disposal yard Turner Salvage Tank yard# 002 Type of inert gas Tank yard address Lynn, MA City or Town Centerville FDID# 01920 Permit# Date of issue October •6, 1997 Date of sxpiration OnLoher 20, 1927 Dig safe approval number. 974001218 Dig Safe Toll Free Tel. Number-800-322.4844 o Signature/Title of Officer Granting permit 1i O After removal(s)send Form 7-77-2908 signed by Local Fire Dept. to UST Regulatory Compliancs Unit,One Ashburton Place, Room 1310, Boston, MA 021 08-1 61 8. FP•292(revised 9/96) :�'rt i G TOWN OF BARNSTABLE LOCATION 3� /t ,6AI W0 SEWAGE # "/ ` C 8 VILLAGE Oc �& ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY p®d LEACHING FACILITY:(type) /�7,tA�"o f (size)4 /,Yoh®/ NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: l2zgz9& DATE COMPLIANCE ISSUED: zf VARIANCE GRANTED: Yes N{o x9 (L r No..------�_- .. Fps.... ............. THE COMMONWEALTH OF MASSACHUSETTS / BOARD OF HEALTH ,1/ TOWN OF BARNSTABLE Appliration fur BiuVu!3ttl Markii Tomitrurtiutt run it Application is hereby made for a Permit to Construct OO or Repair ( ) an Individual Sewage Disposal System at: *.-_..5.3...EM ..-`6A -•---- a..................... .................................................................................................. --•- Owner dress AdOW �-RdQN...---• --..... . -.Pl� -•-------------------------------------- ........................... .--......-------- Installer Address UType of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms.... ........................ .........Expansion Attic ( ) Garbage Grinder ( ) `4 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. WSeptic Tank—Liquid capacity.16 0-gallons Length-------------_ Width.--.---.....---. Diameter--._--_.---.-. Depth................ x Disposal Trench—No. .................... Width......----.---.. Total Length...90.......... 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. I----------------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........................ 0+ -----•---------------------------•-------------------------•-------•-•------•--••--•---•-•----------......................................................... ODescription of Soil--...................................................................................................................................................................... x U ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ ------ ------------- --------- W ------------------------- ---------------------------------------------------- -----------------------------= U Nature of Repairs or Alteration— nswe w n applicable._. - ' �'C>�` �5... f.-... .. . --- --- - -- - ------------------ ' � / - �l- �Mf/ �---.u�-...... .. 'v ................... Agreeme 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 been issued by the board of health. Signed -- - ------------------ - L . ------------------------- ENO,/, ��. y. Date Application Approved B .. L = - - ��1� ......... ........................ .......................................-y Date Application Disapproved for the following reafonf. ..... ........ ............... .............---------------------------------------------.............................. ............................ .. ............. -- ----..----------------------------------------------.............------...---------------.................. Permit No. ! � .._......... Issued ------------1�`..". ... .. ................ Date I No?./� THE COMMONWEALTH OF MASSACHUSETTS / BOARD OF HEALTH Y/ TOWN OF BARNSTABLE Allp iratiou for Dhip t 3al Works Tomitrurtinu ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at• ..... . ....E STs..----6 4_ ............ r Location-A ress or Let Q— ll • o. l ? / ddress W ON Y�OU AU1 OW { jU, i Installer Address -----------•. ...:........... Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms_____ -----------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _-___________________...... No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures -----------••---------------------•--....------------.._..----------------••-•---------...........__...-------------------•-•---•-•-••._..........__.. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capa6ty_.0 0gallons Length________________ Width---------------- Diameter-----.---------- Depth................ x Disposal Trench—No_ ____________________ Width_............... Total Length __d`t__Q______-___ Total leaching area....................sq. ft. Seepage Pit No.........------------ Diameter__--.---_--...___--_ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 04 Percolation Test Results Performed by.......................................................................... Date........................................ .� Test Pit No. I________________minutes per inch Depth of Test Pit-_-__-_-______-_-___ Depth to ground water_.--_-----____-____-_--- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 -------------------------------------------------------------------•-------------•-••---------•••---............................................... ---- _____. . ODescription of Soil-----------------------------------------------------------------------------------------------------------------------------------------------------.................. x U W ----------------- ----------------------------------------------------------------------------------------- U Nature of Repairs or Altgratiopa—Answe, w en applicable.-_ _ �' 5 4' �S___( /_____ ...................... j.. --•------- Agreemenl>I 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 been issued by the board of health. / Signed ..C<✓. ................ ... � �C�_/Yl- ?� - /l/011:-----.r..1.�1- Dare Dam Application Approved By .,_......-.'---- r -------------i' - -.... ............ .. ......_... .........__................. -- Appllcatlon Disapproved for the following reasons: ........................... ` ...... .. ........................................../........ ..... -............ ....... --............. ........................................ Permit No. --- --P�✓Y..L1.. J'......................................................Issued -----------/ZZ_- --. .... te...... Dare ----, —_.v—_n --.______.—,_—,--_—.____. ._______________ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ; TOWN OF BARNSTABLE C�er#iftctt#P o��C�um}�Iittrc>ce THIS IS TO CERTIF That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) b Q.b.iZ ov... ..E 1�...tr..� �I��------..._-------------------------- at _ __ ........ Installer.... .................................................................................................. .... ..... ................/ ..........................................-.......------------.............. has been installed in accordance ora ncewi with provisions of TITLE of The e State Environmental Code as described in the application for Disposal Works Construction Permit No. ' ..,/�� .----- da:ed .../ �-,�'._ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. �/,,... `of. ( a...-.. Ins e c t � N DATE.----.-, ............ r ......o P3 / -------- ----------------------------------------------- -------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE �� G No...................... . FEE.---...----...----- tt1 �r�� .au�tr�rtilau �.ermit i' Permission is hereby granted_____._ ��_?3j__Jfl�_:______/��1_r...... .S--.--.------•-•-•_...__. to Construct ( ) or Repair ( anJIndividual SewaglDisposal.System at No. .. � A�)•. �' ` 1 0S ---------------------- 9f� ,� // e— as shown on the application for Disposal Works Construction Permit No-_L---`4/ _S'Dated/_�,_-_-`.......................11...... // ----�-.............- DATE......../1-.. ............................ Board of Health FORM 36508 HOBBS&WARREN,INC..PUBLISHERS