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Home My WebLink About0063 HICKORY HILL CIRCLE - Health a 63,Hickory Hill circle Osterville P 120 068 a o ° I . . ° a r o r-- TOWN OF BARNSTABLE LOCATION C« SEWAGE # VILLAGE ASSESSOR'S MAP & LOT /jQ, b(o INSTALLER'S NAME & PHONE NO. �ca -•� L '2 ? 17 SEPTIC TANK CAPACITY LEACHING-FACILITY:(type) -- `d t, (size) 16-y NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER'` BUILDER OR OWNER `�� , ✓�� DATE PERMIT ISSUED: r,4 DATE COMPLIANCE ISSUED: ,/�—,;Z C—5 -3 M.,. VARIANCE GRANTED: Yes No s.✓ �� Il � �v .; �� a /�� ;. !! � I .�� so � � _ -� :�� — � .. _ vv��a �� ,, u to No............APPR... $3 0 0 0 F a s.............................. Barnstable Conservation Department HE COMMONWEALTH OF MASSACHUSETTS //1 -` BOAR® OF HEALTH nad Date TOWN OF BARNSTABLE Appliration for Ui�ipwml 111 lis Ton,itrnrtiun ermit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 63 Hickory Hill Circle Osterville ..........--••------------------------------------------•-•-•-----------------------------•-...... -•••-•----••-----•-•••--•-----•-----------...--------••---••-••---•-----.......---•--.......---•-- Jay Lynen Location-Address or Lot No. W W.E. Robinson SepoY c Service P.O. Box 1089 C`�'Wfbrville Installer Address UType of Building 3 .- Size Lot............................Sq. feet t Dwelling— No. of Bedrooms___________________________________-_-__-_Expansion Attic ( ) Garbage Grinder (1.4 ) A4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------------- - - Design Flow............................................gallons per person per day. Total daily flow...........................................I-----gallons. W 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........................................ aTest 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_....................... a ----•-•--•-•---------•---------•--•-•••----•--._....•--•---•-•-••-•-•-•-••-••------•---•---•••--•-........-•----.......-•--•-----....•-•........•-•--•..•••-- 0 Description of Soil......sand........................ ----------------------•--•---••---•-•---------. V ------------- .......... •--------------------------------------------------- ---------- -------------- --------------------------------------- ••........... ----.--------------- W -•-•••-•--•..............................•----------•---------••----••--.....-----•-•--•---•-----••----•••--••••----...-- --------••--••-•.-•---------•------••--•••••--•--•-----•---•-••-•••-•......... UNature of Repairs or Alterations—Answer when applicable.-............................................................................................. install1_l_QOp pptic tank------------------------------------------------•----•-••------------------•-•--...-•----•-------.._........-•--- Agreement: 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 .................... ....... ................. . ......---...... .. . ................. ........................................ Dare Application Approved B ..... �`� d.. "�................ ............................... .........%1... ..vt.(P..-� PP PP Y Date Application Disapproved for the following reasons: ............... ........................... . .............................................................................. ............................................................... .................... .. ............................ . ..................................................... .... .. . .................................... Date PermitNo. ......I..� ..-... ..cf. ........................ Issued .................................................................... Date ��,-...-...jry v�v-v,.-� �...... ;....1 -•�.. ..�...-w- .-oat' ,._o` '.l- -�: .. -_!-..,. _...-. r.r- ---. -- =ti...- � 1.. � _.. -. - -- r� c/ / Z D C) $30.00 No.. Fas............................_ THE COMMONWEALTH OF MASSACHUSETTS _,BOARD OF HEALTH TOWN OF BARNSTABLE pphrativn for Diripatial Multi Towitrnrtiun lirrmit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at: 63 Hickory Hill Circle ®sterville ................-................................................................................ -•---•--•---•------•-••-----------------••......-----------------•-•--•--••---•-•-....--•-........ Jay Lynen Location-Address or Lot No. ......................_....................................... -------•----••-••-------......---- -•-••••••---•-•--•----•••-----------..........----•-------•-•----•-•-•--•--•..........---••-- W W.E. Robinson Septi c Service P.01 Box 1089 C�` fbrville Installer Address d Type of Building 3 Size Lot............................Sq. feet Dwelling— No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) al Other fixtures -------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid capacity............gallons Length................ Width---------------- Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 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........................ L% Test Pit No. 2................minutes per inch Depth of Test Pit-_---___•---_____.._ Depth to ground water........................ �+ --•-•------------------------•--•--•••-•-•--•-•--••------•---•--•....------------------............._...............••--•-................----............_. 0 Description of soil....... and...-•------•------•--•--------------••-•-•---•--------------•-•-••------ V ...............••...••--•---•-----•-•-----•-......•--...-•--•--•----••••----•----•--•-•-••-•••--------•--------•---•---•----••--•-•-•---- W --•-------------------------------------•--•----•-•---------------------......---------•-•--------•--------•-------------•--.........-•---...-•-----•••--•-•--•---..........••.......................--- VNature of Repairs or Alterations—Answer when applicable............................................................................................... install a 1,000 vial septic tank ---------------•--•••------••-------••----------•-•--••---•-._.....••-•----•-----•--................... Agreement: 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 ...................... . ................ --. ................................:.............. .................................... Date Application Approved By ........... \� _............... - ......... L.. aU- Date -3 Application Disapproved for the following reasons- ---------------------------------------- - -----------------'................................................................... .............................. .......... .......................... . ... .........................._........................... ........................................ Date Permit No. ......73-------4�.Y.9---- -------_---------- Issued .............- ............. ......._.. ..........._..... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE k"Ller#ificate of (11omplittnce THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( x ) bW..... ..E.. Robinson---Septi.c....Service------------------------------------------------------------------------------------------------------------------------------------ y ..... . .. . Installer at ..6.3..-Hickor-y Hill .Circle---- -.0s#Iry lle......------------------------------------------------.............,_.........--------- .............. . ...... has been installed in accordance with the provisions of TITLE 5 f The State Environmental Code as described in the application for Disposal Works Construction Permit No. __.. 3.......�..y. dated .. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATIISF�ACTORY. DATE_.............. ........_�.�._'.. ..._1�.._....._._... .............. Inspector _..... ,�. .-a).. ............_.........._..... .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH c� TOWN OF BARNSTABLE $30.00 No. �•3.:.�o L/a FEE................. �is ,a�ttl nrkg Tnnitrustinn "rrmit Permission is hereby i c...Serui_cs----------------------------------------------------------- :} to Construct ) or Repair (x ) an Individual Sewage Disposal System at No..63 .Hickory••Hill-Circle .-0ataryi,l lP--------------•.--.-•-...... . 1, Street ++ 93 rya ' as shown on the application for Disposal Works Construction Permit N -------- Dated.......................................... li .. .f ....................................................... 1 f _ I Board of Health DATE.---••----_:_..-----•---•---.(.�:.----.--•}'-�-------------------------------• 'I FORM 36508 HOBBS&WARREN.INC..PUBLISHERS