The URL can be used to link to this page

Home My WebLink About0125 GUNSTOCK ROAD - Health 125 GUNSTOCK, s ` Osterville 121-108 �, r LOCATION W IT'S SEWAGE PERMIT NO. VILLAGE 0.a7- - A l z1 10 B INSTA LLER'S NAME i ADDRESS BUILDER OR' OWNER VA.* ArVC . DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 3 ` �� e/ 00, tl r THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH 1Z t _ toy Appliration for Bispwi al Works (f amitrnrtinn ramit Application is hereby made for a Per;E*t toconstruct ( ) or Repair ( ) an Individual Sewage Disposal Sys at: ItsrM - .. ..... .........f._.---- .:......... .... .. ...... catio dress . or Lot No. -•••-.. l .., ... ./ ............................•------ ........-----••-••-•--•-•-••---..._.......... ner �� '-•--•--Address 00 W a .. ..... ........ --------------------------------------- -......_...... Install Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms........._._ _--_.Expansion Attic ( ) Garbage Grinder ( ) '-� Other—Type T e of Building No. of persons............................ Showers — Cafeteria a YP g ••--� - P (� ( ) a' Other fixtures ........................ . Design Flow..S-'5- ...._ ._._..__.. lons per person per day. Total daily flow------ ..-�d✓•'-.0....................gallons., WSeptic Tank—Liquid capa( ty.lD��.gallons Length-;_ _.S._.. Wldth.V-_- ®Diameter...._ -_ Depth........_. x Disposal Trench—N Width_.. /,�l:¢..._ Total Length______________�....Total leaching area.....................sq. ft. Seepage Pit No..................... Diameter...../Q._..... Depth below inlet......---..... Total leaching area . .O...sq. ft. Z Other Distribution box NA Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date-----------........................................ a Test Pit No. l.sZ.0....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........................ ----•---------------------------------------•-••-- ........ O Description of Soil ---•----••--•-•---® � ............. -----� --------- ----------- - ------ ---------•------ x ......... ...o,... � U W ----••••---•-------•-•------•••--••-•••---•--...----•-••••-•---•---•----•----•------•••----•---•----•--•-•---••------------------•----••---•-•••....................................................... U Nature of Repairs or Alterations—Answer when applicable............... 1)-______--____-----------_-----------------------------_---.-.._.. -•------•--•--------------------•-.............-•--•----•--------------------------..................---••--------------------------------.........--------------------•-------------------------•----• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITYLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by t e board of heal Signed------ 1 ��------ .----- I Date Application Approved By....... � �, ..--••-- �� ... - �= Date Application Disapproved for the following reasons:-------•------------------------------------------------------••---------=----------------------........---•---- .............................................•--------•------...............--•--•----..........--------.._......_...._..._..•---•-••----•••••---•••-•-••-•-••-•----••---•------•-••----•-••---•••---•--- Date PermitNo........................................................ Issued..J..... , C-./..----------..........Date { ((- No... .12.._ Fim$.....3.4........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 71 .......... ...........OF......... ----------------•-......... .... ... ....................... Appliration for UispoiiFal Works Tomitrurtion lirrmit s Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...:.= :.-� ., - � ......�............................................................... - - catio dress ' or Lot No. ,....�......... ! --, ................ ......................... ..........--..................................................................................... ner Address ............................ Install Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...........3...........................Expansion Attic ( ) Garbage Grinder ( ) �_l Other—Type T e of Building pl yp g ____!Y'=t��.''k:.�._. No. of persons............................ Showers (a) — Cafeteria ( ) a' Other fixtures . �•---------------------------- --- w Design Flow..5.` �/�..?.�____ Mons per person er da Total daily flow............. ....................gallons., IIfi �,�y WSeptic Tank—Liquid*capacitvhU g gallons ength--- ..:?._. Width._�'7f__.__�P Diameter._..."""':`_- Depth....... Disposal Trench—N Width.-..ty�*.... Total Length............... Total leaching area-__--_:_-_-------•sq. ft. x4 �- Seepage Pit No---------------_--- Diameter-----40....--. Depth below inlet............... Total leaching area::AZ5Q_-...sq. ft. Z Other Distribution box O Dosing tank ( ) Percolation Test Results Performed by.................................... ..................................... Date........................................ Test Pit No. 1. . '_�....`� .ram minutes per inch Depth of Test Pit.................... Depth to ground water........................ rX4 Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ 41 — ' v O Description of Soil----•----.................................................... �"?.r-",;< l - - U .....•••---••--•-'..............•--'---•-•-•••••--•-••......-•-••-•-/ - ----- ---------�� ` :;:--------------------------- w UNature of Repairs or Alterations—Answer when applicable______________ t -____-------_-•_-_•__-----_.______-___---_----__----------_-----. ----------------------------•---......._..........------....-----------...----'---'=•"----•--_...........-••---••---•--........................ ...................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by t e bboo rd of heal . Signed - , _I..... ... ........ G%' l/.._.. < ' ... . �,,/� Date i. Application Approved By..... �•'-�#` .... .................................... ................... Date Application Disapproved for the following reasons: •-,-21, --' �•; ............................•----•----------•----------•-•-•-----•----- Date t` Permit No....:........•----'------ --...--••---••-_. Issued.....--'-••--- • -•--••-••---• •-•-......_... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT /..G ' ...........oF................ � �? .:..:...:......:.:.:. (9rdifiratr of TontliliFatta THIS IS TO CER.T FY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by............. '----•-1..........: ......... .._....--...............................................................................................................Installer at........... T-• ........ .. ---------------, ..------_........'' __----'--'•----•--------•----------•----------------------------------- has been installed in accordance with the provisions"of TI". - 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._T _..JD.................. da.ted_.............................-................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................... ..... .... ' . ....... Inspector ................ THE COMMONWEALTH OF MASSACHUSETTS " BOARD OF HEALTH ':.........0 F. ..�� .................................. crw o. 1 - + FEE....3�............. Disposal Works &niitrudiott 11amit Permission is ereby granted ------------------------------ ------------------------ ------- ._....----- or Repair to Construct du Disposal System Street as shown on the application for Disposal Works Constructi(oonnr.Permit No..................... Dated.......................................... .r.:..eL��.++�' �+•d. .r-..;,,,� -- --- ----- ------------------•---•---•----- �+JJ oard of Health DATE..................'•----•--••••-••-------•-......'...-- Z...••..........----- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS � �y,d 11�5,�}7.,jet �l'"»$r1�`.� rj � ' �.. i: •� y M;. 40' r$r� l a r 0` A„. �• rc n r^�t �� - - r8 - r b S 1... rJ'r.p' oh a s .r. ,"i'" z a r "t< c 2 c i `� - • t r9 "� ��4�`xk� �: $�•�ij+� .1�q 1. r 8a � _ (., �' ��• �.•, `s - t 1 3. t} g hxy .r pa t S, r ® K... '! pi, e Rya `a ' �>r *�� :� l 1JDIc:I'AG� �.t t��•+1`Ax�'� �a��,�T�a� �a ;^� 'q0. �r �4�f � ��'/ � e f��` {��""`s`�`"•+'t'# � d�:i CQ t "'�'$ }ts'°"• t`+ +� r,.' .. srj'r: n,: ,. , r yP515 }t� k ( f• x r S ' ` ,✓ ro ro /.�. „y k _z - (r,,p .�j�� „�.n'$'r,*��, r"��'$$Fi`I"�ti��t��7 tk F�� R��• '�..•'��CT iV fit`F� ,;�^�+� �, � j i, -. s �• _ 7' E n " p` � �:'�i �,•3 rj `� ;.. rl��y�YIYY hFa F a,�,X,(, iV�. ✓ - 1'» y F�3 -� r x r4r p , No..22162 0 Q S`� �� "��""�.�g'�f'��r ry ..+1rr u�'�r .n r r*``. S �L/ �r k:.,� �� - f � �,z"✓ I aet .T` �fkls" i .�,��1�0®.® F'wd St �.6dT®UR.® r l ice;. r.,..: r •• �,...: � .'. •.. .' j .� r •, O� J SYt4 ?�t. -Eu. ®®AR®. OF HEALTH' A , -� � , kr'�. -N +9NT SOME r> ®ATEo "�6 ,�R�� IE'��0N(F Co 0�9 CLIENT 0 CERTIFY THAT THE N�OL�®ON® �H® N ®N TPHB� P l b7 , ARE REGOSTERE® JOB N®. a LAN® _ CONF®pRy��S y�TO THE [�ZOMING ®R.® 1 OF ®Nn t1t Y,®� 0 ®� iiui s N = s �xtFT B EEQ� SURbY®R a :l t'�{712�A'(�MAIN��gygST/y�C CN. ®7= ESw Me .4` ,rZ•[3Y t }. +; •�,fV.YP�/�7Y�11J '•FV�MVV. t� .... 4.SHEET— ®�' t®ATE REG. LAND 9UR@�ET�'�#� G , Y - �� tl-, `. I A�o 7W c A� OR -M69.= 7W.r AR RaL 0 AV WAF /40 ". Xhy. C.RA PV,A 71C 777� COME a 9, ACv a tzww Cl-EAN -TANO 5A cse 4e-L- Z'LAYER CA 5 7'o F4 LD CA 4. r WA SHED 57ONAE' SEP71C rA A OW 0 0 0 0 0 0 0 411 DIS'. 0 p00 0 0 0 0 0 3 0 OF 0 0 PZ,07-," & 0 WASNjFP S7140NE 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 PP ljO PRECA57 0 0 0 0 a 0 P17 )R IAIVIERT 4EL"=VA7'1j0jV5 I * INMERT AT 0111Z-,01"C7 9-7 0 FP 77WVLA 77)OA r7 511AM. INLET 40,15TRZ01171,01V BOX 96.0 p7 CROuND WATER -rABZ-,E 0V7ZZTV/5-rq/AVW0,V Aox F7 IM4Er L-=ACWI*Va A:Pl-r -rA,&i1l-AT10H DFSICdV Cjql7'4=.d TIA -YCA L-Z A-V-WaEq0.=4 6-ED M 0 0 IVJ� awermsibm r, SOIL. /-OC7 � aOl,-L 7 IFS 7' 0-44.14A V. S01.4 -re 4rc TA -:53 D TEST'0/ SOIL 7X57702 OF LoAcmllva a/r3 A"APArA,,.'- OA'rE OF SOIL 'rZ.Sr -jr 40) So 4064CHIAfer*CPC-R pl.r. LUG A'404 C"A770M R4r& TONAL 1.ZA CHlWCr AR.-,,l ' XOMME4�g4rlY/MS AREA SO. P 7 /Z A/ 7Z /> 5 OT YC Or. Ty. if, I�t WW Mo "P? In 3- ,A to ,