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Home My WebLink About0156 EAST BAY ROAD - Health 156 EAST BAY ROAD Osterville A- 140 -165 7 i 0 0 TOWN OF BARNSTABLE LOCATION /5'41 SEWAGE # 7- j VILLAGE ASSESSOR'S MAP & LOT/At__Z _�_ INSTALLER'S NAME Cz PHONE NO._d,1,&ttj SEPTIC TANK CAPACITY j,�O D LEACHING FACILITY:(type) (sue) NO. OF BEDROOMS_ OR PUBLIC WATER BUILDER OR OWNER -Al DATE PERMIT ISSUED: DATE .COLIPLIANCE ISSUED: VARIANCE GRANTED: )W No �h � �- Q O � � rc �r,, U1 - �d�, � � � � '�''- C� �` �� -� 4 �� . ASSESSORS MAP NO: ? No... .7.:. �. PARCEL N0: f Fes$. . ,.5..... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH h .........................................OF..._.....................................----.-----------------------................_.... Appliratinn for Di-qVniia1 19orkii Towitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (k"*)*'an Individual Sewage Disposal System at: �� .. .e -4._.................. 0 ..... B� - ............... Loc ati i-Addre _ o o .... er --- ---- ------------- owner ddr s a .. ............................•-•-----------.--- ......... � �.... � Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms-__1.....................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity------------gallons Length................ Width................. Diameter................ Depth................ Disposal Trench—:\To.__-_-__-_-_-_-_-- 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........................................ aTest Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water..................... 0% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 •------- --------------------------------------------------------- •---------------------------------- --------- •---------------------- •..... •------------------ 0 Description of Soil........................................................................................................................................................................ x ----•------------------------------•--••---••-•••••.......--------•-----------•--•......--............ U Nature of Repairs or Altera ions Answer when pplicable___:. .....0 Se` --- `------'�+�1t�. ............................. :. . Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i:.TLi: p 5 of the Stare Sanitary 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. Signe --------------•-------- /at Application Approved BY ------------------ --- Date Application Disapproved for the following reasons:__ ___ ________________________ ____________________________________________________ ----Date-------------- PermitNo.-----. --------------------------- Issued..................................--.................... Date No.................. ..... Fps............._............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF......................................................................................... Appliration for Uhiposal Works Toustrurtion "ermit V Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ..............t. ... ... .......... ..... ..................... ....................... T No .....iv, Add,L ................................................. .... Owner 'Add s ........okckv�AZ�XL.....N-vN4.*...................................... Installer Address U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms-.A4......................................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers Cafeteria ( ) QI Other fixtures ...................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid'capacity............gallons Length................ Width.........._..... Diameter__---___--__-__- Depth.........._.._.. Disposal Trench—No. .................... Width_..._._._...._...... Total Length......._..........__ Total leaching area--------------------sq. f t. Seepage Pit No-_------------------ Diameter.__........._....... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box,( Dosing tank Percolation Test Results Performed by.......................................................................... Date........................................ 4 o-� Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water..._...._............._. o_4 44 Test Pit No. 2................minutes per inch Depth of Test Pit...............___.. Depth to ground water......-_.__........._... P4 ............................................................................................................................................................. 0 Description of Soil......................................................................................................................................................................... W U ..................................;...................................................................................................................................................................... ------------------------------- ---------I.................................................................. ---------- --------------------------------- U Nature of Repairs or Alter tions-7 DO Answer when applicable..- ------ -----Vi.-W-C................................ ------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T"'_ 5 of the State Sanitary Code—The undersigned 'further agrees not to place the system in 1_- I operation until a Certificate of Compliance has been issued by the board of health. Signcif- 6; ------------_--------- ...... --------- atE Application Approved By....... A-_4 ........................................ Date Application Disapproved for the following ...... .............. ......................................................... ........................................................................................... --------------------------------------------------------------------------- Date PermitNo......91 2.-..1. ............................ Issued L....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......�' 6 ........OF........ -.(..................................... TAft ntifiratr of bout liunr�e THIS IS' TO CERTIFY That the Individual Sewage Disposal System constructed or Repaired by................ � .......r em_..._..._...._..-----••--•-------...................................................................................................... Installer ...5_6.......... . ...... . ........ at .....has been installed in accordance with the sio Yrovi.!PA ..................................................................................................... ns of TTTIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.- 2_... ......... dated________________________________________________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH b, .'a.�'e i�'L"4........................................ 'a.S ........ ......OF....... Disjunial Works TZInstrurtion "truth Permission is hereby granted_-------ok....... P. --—--------_-----------------------------_--------....................................... to Construct or Repair (,>,-) an Individual &wage Disposal System at No....... ...... ......r&e-4-V.......4- __I .............................................................................................................. Street > — as shown on the application for Disposal Works Construction Permit No0Z_-._i.5./... Dated__________________________________________ ............. .... ... ----------------------*--------*------- Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS AsBuilt Page 1 of 1 . TOWN OF BARNSTABLE LOCATION SEWAGE#0�"3S� VILLAGE t ASSESSOR'S MAP & LOTZ,6t INSTALLER'S NAME & PHONE NO. r SEPTIC TANK CAPACITY 11500 , LEACHING FACILITY:(rype) 3 JT�p, (stze) /t)+3a NO.OF BEDROOMS_ nOR `` PUBLIC WATER BUILDER OR OWNER ,4G c 'r✓ DATE PERMIT ISSUED: DATE .COUPLIANCE ISSUED; VARIANCE GRANTED: 3W No o �a` tp 3s I bti � u k,cx a i O 1 http://issgl2/intranet/propdata/prebuilt.aspx?mappar=140165&seq=1 1/16/2018