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Home My WebLink About0079 FIRE STATION ROAD - Health 79 FIRE STATION ROAD Osterville A= 117-008 / "7 AsBuilt Page 1 of 1 LOCATION _ SEWAGE PERMIT NO. t J VI IIAGE 006 INSTALLER'S NAME A ADDRESS aUILDEI>t OR OWNER DATE PERMIT ISSUED 2 Z7_dSv, DATE C.O.MPLIANCE ISSUED � U f L god G c R- http://issgl2/intrahet/propdata/prebuilt.aspx?mappar=l 17008&seq=1 8/21/2019 <,�o _ S-5-7 . LOCATION �� SEWAGE PERMIT' NO. /9 /c,2 � 7, VILLAGE 60 INS/TA LLER'S NAME i ADDRESS /7a,< 3 UILDE R OR OWNER 4 DATE PERMIT ISSUED `��, DATE COMPLIANCE ISSUED -/�� U n S I mod( E. "..............._ _ 000 No......... .......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T own. ... O F..............Ba res ta:UQ App iration for Bitipwial Workii Tomitrurtiutt Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: 9..Frs_Stati o?�..Rd -------------- Location.Address, or Lot No. James Flynn----------------•------........--•--------------•--•••------•-••-------. _.79..Fir.P_..Sta Li on..Bd........ s:Ux i11e'••ZA-- .U655 .......... ..... Owner Address a A & B Cesspool_.Service ,2$.•B l�o�s••Te=a,ce_,._ iYannia,_. 1A-......Q26.01 Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms..................3------------------------Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building No. of persons.._..__._.__2............. Showers — Cafeteria 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 ( ) 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........................ a •-----•--•-•••---------------------•••---•••-•--•--•-----•-•---•----•--•----•••-•--••--•-•-----••............---........-•••••-••••-••-•._.........-•-•-.•••-- 0 Description of Soil--------------------------•••-......----Sand.................. --••--•-------------------------------------------------------------------------------------------- x -- �., ------------------------------------------------------------------ ------ W --•••-----••------ --------------------------------•--------------•----•---•---•------•----.....------------------------------....•-•-•---••-••-•-••-•-•••-••=•------------------••--••-••--••...••.... U Nature of Repairs or Alterations—Answer when applicable._-_--installatiDn--- 9 ..a..1,Q.QQ._gallon..Izre_-ca t stonepacked leach.Pit... oyerflow) '-----•---•--------------------------------------------------------------•--------------------------------...-----•------. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of,L?:L p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been i!sued by the board iealtla, Y J igned. v 211?V8o.....-.... / Da e Application Approved By ------- i. 7189 Date Application Disapproved for the following reasons:............................................................................................................... ...........................................-••••-•-••-•-•••••-•-•••••••••-••--•••••••---•••••---•--•-•---•---•---------•-------••-•---••••-----•--••--•---------••--•---------•----------••---......... Date Permit No.....80- Issued......7/1 11 Q..---..._.........--•••-......-- Date rfk, No....... F>c$. ...5h R:. ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � own b ;. _....OF.....................•�- �-le..--------------------- ...................... I - ,��lirtt�t�an $ur �t��o��1 ork� C�on��r�.r�ion .erntt� 1 f,• Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal <: System at 't 79 1...TL§ a.....'r�.031 t�(...m:.:�kr�@�i?f��r.V.. ................ .........•------------ ----••----=---••------------ k-- _._.........s -----t n.---•. ... '.Location Address or I:ot No. " ofil1C'S ............................ ....................................... 29__z'' ---tAIr 52b $ .aa � ag . .... �� Owner Address " A-fie 8 Less..00l Sere ne- ------------------•-._..._....--•-••••--•• 128•his... T a..RNM A ,-L09601. Installer Address QType of Building Size Lot,_._. _.._.:_ .Sq. feet U Dwelling—No. of Bedrooms___________________________ __________Expansion Attic .( ) Garbage Grindet ( ) a . . _ r a Other—Type of Building ____________________________ No. of persons. .__ _.___._ °Showers ( ) 7—,,Cafeteria.( J Otherfixtures........................... ........................................... - ------ --' ------------- W Design. Flow......................... _.................. per person per day. Total daily.flow _.___. _.______ __gallons. WSeptic Tank—Liquid capacity.............gallons Length-'__........ 1ATidth Diameter._ Depth x Disposal'Trench—No_ ____________________ Width.................... Total Length ,:__,Total leaching area__:_ ____a .sq.rft. Seepage Pit No--_---------------- Diameter.......................;Depth below inlet _.................... TotaVleaching-area...........:_,: sq. ft." Z Other Distribution box ( ) Dosing Tank,( ). h Percolation Test Results Performed by. ..................................__ Date___________________________.............. Test Pit No. I________________minutes per inch 'Depth Of,:Test P.f ,_:-________ Depth to ground water....................... Gzl Test Pit No. 2................minutes per inch Depth of. Test Pit _-}__.______ Depth to ground water..................... ----------------------------------------------------------------- ODescription of Soil------- ---=-- ----'�•---n..........................•-••------ -------------•--•-- ----•- --------------------------------------- V --•--•------------------•------•----•---__.------------•----•-•---••••-=----- -•--_ -------------------------•...-•---•--•- -------•----- ............................. -- ...................... ..---------------------r-- U t Nature of RRe airs o-�Alteratio.s—.Answe when applicable-___ fib __p _ _ � � k I.DY:_- 9�cas�. stone packOR leaeh Pi4 6 rr ova Q 0. Agreement - The•iindersigfjed agrees-to•install the aforedescr bed• Individual Sewage Disposal System in accordance with the provisions-of TTTLE p 5 Qf the State Sanitary Code= The undersigned further agrees not to place the system in operation until a Certificate:of Compliance•has been issued by the F o health. --,f•-- -..� '----- -- :.. ----•-•-- --- -•............. � �----------•----•-- A"pplication Approved By -.......... .--- + ---- -----------------------•_ _ __.VAf/ 0 Date Application Disapproved for the following reasons------------------............................................... ` ------------------------------------•• ........................................•--....---•----------------•-----------•-------•-----•-•-•-•---•-•-----------=-------- ---- ----------- ............ Date Permit No.•--�o..._.__.. ....•• -=-••.....••-••••=•:_ Issued..... .1./.ra, Date THE COMMONWEALTH OF MASSACHUSETTS .f; BOARD OF' -.H.EALTH T ok►mstals., :...........................O F...........................-......................_.................-................ COrrtgfgrtttr of Tompltanr T IS IS, C T FY at tli viduaI S a e Dispo al S s em o str ( ) or Red it ) - spo � i�' , � 3 sxcrj�sce, .ya s, `2�i ` sc 1 T556+� >; .,--_... -•--- -..__... ---•••• •••..._••-•- -- ------ ---•.... ........... .. f Q 'ixe Station-I ct,, Qsterrri7le, I`�9�`55 J es Flynn has been installed in accordance with the provisions of WT LE " of The State Sanitary Code, se c jibed in the application for Disposal Works Construction Permit No---------- ___________________ dated-..---------------------------------------------- _``------"___-_______________ s, THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FjJNC,TION SATISFACTORY. r; 7/17/80, DATE................ ........: ------•-••- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 8 :Town of stable 35� ............... ..............., ..._ $ 5s00 No......... ....... rt FEE........................ A Difilro11al Ivifki libifiltrntuan prfnti# A &__$.Cesspool Service Permission is hereby granted...................................... _- -•••-• ------ •-••....................... to C ri t or 12e ai ( ) a Indi ual %1a osal stem °j � i Naanr :C3 s, Os Qrve f :, :- 1' es Flynn at No = -- --•--•- r Street - . " 80 as shown on the application for Disposal Works Construction • No$��:'_._.______._ Dated.............�1 7f .41 too ....... --4T'------I ........................... 7/17/ Board of Health DATE.........---•••-•---•-•--------•-----------•--•--._...•--___._-•-•••---•....... luFORM 1255 HOBBS & WARREN, INC., PUBLISHERS