Loading...
HomeMy WebLinkAbout0162 HOLLINGSWORTH ROAD - Health lCo� 14-DIIl'yetsw0ram, 112 df U, ' No..l_.®_:.!(aL Fss.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apptiration for Minpnsal Works Tonstrur#inn Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ,(DV an Individual Sewage Disposal System at: .f�cr�rc�`�_.... t✓1.1. !!�' 1 .fGlr�-r -- -----•--•---© � -•----------------------------------------------- cation- ddress � t No ..._.�..._ _ --- -- -_.._� .._.-------cs�' ----------------------- owner Addr ss Installer Ad dress � �_ -� d Type of eet Dwelling—No. of Bedrooms_______________......................Expansion Attic ( ) Sizgrinderq f ) aOther g Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) 0.' Other fixtures -----------------------------------•-------------- w Design Flow..................... ............gallons per person per day. Total daily flow........5--Ya.0....:................gallons. WSeptic Tank—Liquid capacity_ allons 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........................ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ---•-------------------------------------------------------•---•--------......:-•-•-----•-----------......................................................... 0 Description of Soil...............................................................................--------------------------------------...-----------•------------••--------•--------•--- x U .......................•--••-----••-•-•••-----•------------------------•--------------••-.......----•----•-•-•--••-------------------------------------------••-•---------------.........------••-------- w -- ----------------- ------------------- °" U Nature of Repairs or Alterations—Answer when applicable.__,.,. ._.__,lQdd . ............................... _ram r .............. ..------•----•-----•--•-•----•------...-•------------•----------------•--•-------------------------•................................................................ 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 h e issued th and of health. Signed ------------ -------- ----- ------- -- � - Xte Application Approved BY ...-.. ... ��'� �*.-" Q..... Application Disapproved for the following reasons- ...................... ----------------------------------------------- --------------------------------------------------------- ---- ------------------------------------------------------------------------------------------- .......................---------------- p� L/ / Date PermitNo. ! o------i �./------------------------ Issued ........................................................-ate t THE COMMONWEALTH OF MASSACHUSETTS •� BOARD OF HEALTH TOWN OF BARNSTABLE Appliratinn for Disposal Works Tonstrnr#inn thrmit Application is hereby made for a Permit to Construct ( ) or Repair kK) an Individual Sewage Disposal System at _- - ---f - ------•---•--- •-• . . .................. •--- ,/,�.�-7 Q can-Address - f of-No. e Owner . ..... Installer Address f Type of Building Size Lo .-..Sq. feet Dwelling—No. of Bedrooms............... ..................---....Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria p" Other fixtures -------------------------------------------•-- W Design Flow.................... ---•---.gallons per person per day. Total daily flow.....•-�25:. .....................gallons. WSeptic Tank—Liquid'ca.pacity.� allons 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........--.............. (14 Test.,PjONo. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....................- �+ ---•-----------------------•----------•-••--•-•-•-----------------------.--...... --------------------------------------•--•----- ---�- O Description of Soil... ------------------------------- ---•••••--••••-•--. , ' AA^^ -•------------------- U Nature of Repairs or Alterations—Answer when applicable-- -'M4.....-��J.dd�............� U °`1....... - l ................. ...... 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- issue the, f health. Signed........ ..-.... .----- - .------� --------- ---- jG....-- Application Approved BY ------- .. e. -- DatApplication Disapproved for the following reasons: ............................ -------------------------------- ---------------------------...................................... /'yi .. U 3 _ / S Date Permit No. /y/--- ----- f------------------------- ------------ Issued ---------------N----- ....,Dare � . _ c 4 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�ertifirate of CLlOmpliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (>< ) by - 1511� .-...e4;�1.5'........,.. Installer 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. .... ....0....... dated .........'>............................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI It F1U/NCTION SATISFACTORY. DATE.---� zV.l Inspector -... r....r ................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH U TOWN OF BARNSTABLE No�D:....Y..3..! FEE... ........... Disposal Works Tonstrudinn "Vrrnti# Permission is hereby granted................. ?'---•--•f­'e..an6 !`-=.........._................................................ to Construct ( ) or Repair ( Van Individual Sewage Disposal System atNo..................... -2 ................QS' Street 9q UU as shown on the application for Disposal Works Construction Per No!_�`�_1...-_.__ .. Dated.......................................... Board of Eealth DATE................................................................................ FORM 36508 HOBBS Q WARREN,INC..PUBLISHERS 1: TOWN OF BARNSTABLE LOCATION /lam RQ SEWAGE # Ro--y31 VILLAGE :' + Qc 7X;eoyl446 ASSESSOR'S MAP &;LOT INSTALLER'S'NAME 6i PHONE NO. jr0/&-®[0c"77 eVX4S't SEPTIC,TANK CAPACITY 0®O� LEACHING FACILITY:(type) A/7" L,.2 (size) A0 NO. OF BEDROOMS PRIVATE WELLPUBLIC ATER fH BUILDER OR OWNER DATE PERMIT ISSUED: • r DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � � i e / �� ._ ��d _ -a�-�'' s r Dbr oCATION SEW AGI PERMIT AO. VILLAGl A N S T A LLER'SS NAME i 'ADDRESS GUILDER OR OWN D DATEr PEIII MIT ISSUED -^ DATE COMPLIANCE ISSUED„`tea _ d— .Z40 t vR No.$2-.. .. ,� ^,•� Fes$..... ...5"..r.00....... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...... ........... ..Town.......O F:......Barnstable.........---­------..........._............._...-------- Appliration for UhipusFal Workii C oustrurtion amit Application is hereby made for a Permit to Construct ( ) or Repair ( X) an Individual Sewage Disposal System at: . . , 162 Hollingsworth..Rd:.,...Ostervill..+ .._.Q2655 .............................................................. .................._... Location-Address or Lot No. Robert 0`Brien „„ --•••__•--•.....................•_.._..._..__ 162 Hollingsworth_Rd•.•a•-Osterville,�MA--,02655 --- Owner Address A & B Cesspool Service 128_,Bishops Terraces•_Hyannis,.•_MA-_,_02601...... Installer Address dType of Building Size Lot.... ......... .........Sq. feet U g— ( ) ) Dwelling No. of Bedrooms ................................_Expansion Attic Garbage Grinder ( Other—T e of Building No. of persons.................5........ Showers — Cafeteria Q' Other fixtures .................................. W Design Flow............................................gallons per person per day. Total daily flow..........................n-.._-•.-_------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........................................ aTest Pit No. 1________________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........................ R+' •--------------•------------••-•--------....------------••----------•----•----.........••-••--•-••-•......................................................... 0 Description of Soil-......3and...................................................--•---•-•-•-------------------------------------------------------------------•-----•--•-•---•----- x U w -------•---••----------------------------•------------•--•---------•••--•----------------•--------------------------------------------------•--------------•----••-•------------------- -•-------•- U Nature of Repairs or Alterations—Answer when applicable...iX��a�llat—.9rl._S?#�__a.. ..�2x septic tank-to replace a cage--irk -------•--- ---------------• .......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT - 5 of the State Sanitary Code— The undersigned further agreesVnottolace the system in operation until a Certificate of Compliance has beeen issued bythe bo fSigned%!.. :.ram_-......• -•-•----•--.-� 2f 2 2.....•-•-••..... Date Application Approved By............ ... ..... . . -- -•••----•--•--•---•----- -•••--•W--2/82 Date Application Disapproved for the following reasons--------------------------------------------------------------------------------------------•--•---•----•-.•••--- ...................................................... -----•-------••---......_...........-•----.•.....-------•-•••----•--•--------------•-----•-------•-------•-•-----•-•---------•---•---•......----- Date PermitNo8 -----.............................................. Issued..................121.2182..... r �' Date No.$?-.. 6-2. FEs..... ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ ......T.i0 yaM--.....OF.......Barrbta.bl-'--_-.---------------------•-................. Appliratiun for Diupuual Works Tonstrnrttun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: 162 Holt xt [3axlib..&1»...._D t r�rdll�r 1�....022655................................................................................................ • - Location-Address or Lot No. Robert_..._:_�� Rm--•----•-•---•-•-.._ .......................................... l�i�_•H.a11�n«s�anx�r_._:ft�l,•s.�1staruil7 e:, r�4___Q2655 Owner Address aA._&__E•Cesr pool__Sexy............................................... V.8-..BJ.shsaps.TerZa0am--Eyannis.,.J4A Q.--•- 60 ----- *4 Installer Address UType of Building Size Lot............................Sq. feet Dwelling—Na. of Bedrooms........3_________________________________Expansion Attic ( ) Garbage Grinder ( ) PL4 Other—Type of Building ____________________________ No. of persons.............:_5......... Showers ( ) — Cafeteria ( ) QI 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1________________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........................ P4 •---•------------------------------------------------------------------ --•-••••••........... -------------•-•--- •--------_.-----------•----------- •....... -_. ODescription of Soil......Qa.tad......................-------------------------------------=-----------------------------------------------•---------------------------•--.....-------- x Uw .....••-•• } Nature of Repairs or Alterations—Answer when applicable_An-sta.ilatlon..of__a__1,QOQ..gallon,.._p septic--tank--1.0..rp.pjace-•a---c&ye_-in,---------------------•----•---....-----------------------------•-------------- ............................................ \ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T LE 5 of the State Sanitary Code— The undersigned further agrees not to p ce the system in operation until a Certificate of Compliance h en issued by the board f e Signe ---•--- ................................................ 124.7 ,.•� + ate y Application Approved By , �f •-••-•-•--_ �� ... y j .. 2� 2�$2-------------- Date X Application Disapproved for the following reasons:................................................................................................................ -------•------------•------•---------------•------•-------------------.....-----•-•-••......._ Date Permit No$2-'................. 12 2 82 .......-•------------•--•-------. Issued_--•-----•----•-------�----�-------•-------•----•-- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................... own.........OF............Bar=A.ble.........................................._... (Inrfifiratr of Tout rliFatta THIS IS TO CERTIFY, Thatthe Individual Sewage Disposal System constructed ( ) or Repaired (x ) A & B Cesspool Service, 2 Fishops Terrace,__-_yann s. n, n6of by------------------------------------------------------------------------------ Hollingsworth Rd. , Osterville, NA InM955 — .Robert O'Brien at •-•------------••-•-•-• --••--•---•• --------•--••••---••-••-•-••-•------------------------------•-•----•-•---........-•---••-------..- has been installed in accordance with the provisions of T TIE 5 of The State Sanitary Code s d scribed in the application for Disposal Works Construction Permit No......"_-___��___...�_................. dated.......-1?� 2 $2 - THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRygdAS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. - DATE.......�J..-./82................................................. Inspector--- .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '` T own Baxtstable No......................... FEE...•_...-.-...__....... _ Disposal Works 0.1unutr ion rrutit Permission is hereby granted.................___A & B Cesspool Service ---------•---------------•..---•--------..._..•--....-.............._ to Construct or Repair (x an Individual Sew age Disposal System 162�H�lingsworth Rd., Osterville, ILIA 02(6 y H atNo...........................................-----•--••- ••-•-•-.-••-•-...........----Ro�aert-•0.BTien--------•-------------••----....._...... Street ry as shown on the application for Disposal Works Construction Permit Ne2_"............... Dated.... ............•...... .................... ... :. .. ' -- - = -------------...---...------ 12/ Z /82 Board of H DATE----------------------..---------•---------._...-•----------•-•••-•-•--••.....•-- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS .I-'` ® CATION _ ; �� SEWAGE PERMIT NO. VILLAGEf ( Z� INSTA LLE 'S NAME b ADDRESS '1001 S • Z--- BUILDER OR OWNER DATE PERMIT ISSUED 12 DAT E COMPLIANCE ISSUED � �'� �� - �. s � n.. � ., _ w; t L � �� ,r � � �� ��� . , Jy�=, I No.......... 9 -- 01r_ Fps ��......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH, .................. ... ...Torn......OF...Barnsta..ble..........------------------------.............:... Appliration for Bhivoiia1 Works Tnnitxnrtiun rrmit Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 162 Hollingsworth Rd. , Osterville ................---• •--•••......-••-••. --•-•--••••--------•----•-•-•••-••....--•-••...................•••••-----••-•------•--•-•......--- Location-Address o t No Robert J. O'Brien.- 162 Hollingsworth $C., nsterville - -•-•---•--.- .-•---•..............•---•----......_....--•------...... -••--•---•-.....•••.......-----------------------------------........._------------- .............. drem A & B Cesspool Service 128 Bishops Terrace, Hyannis ..... ...... .... Installer Address dType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..................._..._......_.....___.__..Expansiop Attic ( ) Garbage Grinder ( ) Other—T e of BuildingNo. of ersons----------_----------------- Showers — Cafeteria Otherfixtures ---------------------------------•-----------------------------•--------------.....--------------•------•-•-•----•-••-••-•--•---•-•---............... 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..................... Gx, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.................---_-_- . --•-•---•------------------------ ...............................-•.............................._...................................................... O Description of Soil.. and x w U Nature of Repairs or Alterations—Answer hen a li ble......Installation of .. 1,000 gallon yre-cast stone hacked leach pit over ow� • •.._...-• -----------------------------------------------••--•--...------ Agreement: M" The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIZ 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 the board of ealth. , .. �'`'i = 9�11�79 ate Application Approved By---... --•-••--•-•---------------•---------------------------•-•--• ..........9/17/79............. Date Application Disapproved for the following reasons:.............................................................................................................. _ .....................-................................................................................................................................................................................... Date Permit No. 72'. .. Issued.....9L -� 'l THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 'l' 1......0 F... . tbQ.....,.... y Allpltra, for Disposal Works Tunsfrnrfion ramit 7 Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 162 Hollingswort.h . Oeterviliie Iocatwn Address 162 Hollingsworth OtS i, 00sterville t5` Robert .. 0'Brien a n ------------•---------- ----------------•----•--••-•----------..-...-----.......---------------................... W A & B Cesspool Service 128 Bishops Terra ce;dr4annis 4r ,-� •---•-------------••.••-•• - ----......................••. -•-.................................................................... --_......_ )nsiaper Address ^ r �s d Type of Building 'Sr Sipe Lot___________________ ______Sq. feet Dwelling—No of Bedrooms - ________ _______________Expansio5 Attic ( ) Garbage Grinder ( ) a Type g ............... No. of persons......_..._..........__._.__ Showers ( ) — Cafeteria ( ) Other—T e of,"Bu>ld>> 1 - - p-' Other fixtures J _ ..........................................__._.____._..............__..._._......_..._..__.._____..._..__......____.__._................ N t W Design Flow...... x; gallons per person per day. Total daily flow.............................. ............gallons k t d WSeptic Tank—Liquid;capacity gallons Length................ Width................ Diameter---------------- Depth.... x Disposal Trench �Tos Width.::................. Total Length............-_...... Total leaching area.............. .::..sq, ft. Seepage Pit No tDiameter Depth,below inlet.................... Total leaching ---,,sq. ft. 4, Z Other Distribution box;;( ice) ,u ' �:; Dosing tank Percolation Test Results "uPerformed by:.....................................___......._..............._...._.._. Date--------------- - ---••- ......... ,al Test Pit No l `mmutes per inch Depth of Test Pit.................... Depth to ground water......................... h Y YY (z, Test Pit No 2 :,_ minutes per inch Depth of Test Pit.................... Depth to ground water........................ } R+' -- .............. ••..............................•-•---•--•-••-- --- - -------- ---------------- ----- ------------ t O Description of Soil.... ` ------------ --- -------------------------••-- V _______________________________________________________________________________________________________________________________________ fr r _ {......................................................... .... . .................. .... ...__-_______...___... U Nature of Repairs or Altera >on Ans er hen 1i ble____Installation of a Z,C6C gallon p^e east stone paQite �. th pt overow`aj -----•----••....... ........................----------------•--......--------•..._........-- ••••---•-•-•-••-•----•-••••--•-----•-•-•---•....................._.._.. Agreement t The undersigned.'agrees to .install the aforedescribed Individtal Sewage Disposal System in accordance with } the provisions of TITh� 5 of the State Sanitary Code— The undersigned further agrees not to place the system in t; operation until a Certificate of Compliance has been issued by the board o ealth. Signed.c�._r!:&Atf� ------------------------ Application 9�11�74 �//ll �.. Approa ! v ed•,By �� ! .................................................. ti Date e Application DisaPProved for the following reasons:............................................................................................................. ._ ;�n S Y � Date 11 791 + Permit No .. .--------..__ Issued_. �� Date ,} } THE COMMONWEALTH OF MASSACHUSETTS ' t a BOARD OF HEALTH i'own Barnstable .................OF.............:................................. _ Terfif irttfe of f�ont�rltan re . THIS S TO CERT hat the- nc iduual SeNa giwosg S st $ cwxt-lj(goi ) or Repaired by---A-•�•...�--Cesspc i e .. .............•--�---. _. .- ' ............----°-- V ................................................. 162 Hollingsworth , fOsterville, nsta82655 -- Robert J. O'Brien at........---•----•-••---- ..................................................---------•-- .............................. . -------•---------•---•------------------•-----•------ has been installed in accordance with the provisions of TI T, � j of The State Sanitary Code��ld� ed in the ,> r 7 r� s application for Dlshosal Works Gonstrucrion Permit No................ : ..._._.._ dated_ .--..........----------------------------- THE ISSUANCE OF.THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FFJNCTION SATISFACTORY. /� l DATE...............? Inspector :rxkh, „THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 79- 'down:................OF........�----.....�?arzistat a .....:..... .----•-....... .00 No......... ,yf ♦ r FEE............ ....... r y r D'jil a snl orkg Tonofrnrfion motif Permission is hereby grant ��4 B Cesspool Service, 128 Bishops Terrace, Hyannis • ------ --- ----•.._................................................ to Cons r t 1 or Re ai �1 's` e an ivldu Mike y ew a Di s S st at No......................................�ol)ii ngsw�or r� x�l., , iA ., o j -'Robert ''..__O'Brien ... ........ .......•••..........-•-•-•••--- ....--------- . ........................................ Street to Y+ r as shown on the application.for.Disposal Works Construction Perm' o._�g_.. ...... ated_._..__9 11 7g ro DATE..... g oard of Het ----------------•--- Y, FORM 1255 HOBBS & WARREN, INC.,-PUBLISHERS -