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Home My WebLink About0114 KING ARTHUR DRIVE - Health (2) 11.4 King Arthur Drive ':• Osterville y - Ll45-045 • :i o ,. A J .. .. a it a - . c ti - ry P, _ • a � w w s = - r ° n - . `f.,p. n � � t ., :. +� b / .. ., •a � �� .., -, .. • - ." � � � �'.. �� a o o _ A . ° N Y 0 to/ LOCATION SEWAGE PERMIT NO• VILLAGE INSTA LLER'S NAME V ADDRESS ot&== � . C119 C'o/vs� BUILDER OR OWNER DATE PERMIT ISSUED - � DATE COMPLIANCE ISSUED �� ' 313 � �Z � \�� ' I � �� THE COMMONWEALTH OF MASSACHUSETTS BOA R F H E L H C? ................OF........... ... ....:.........---------- .................... Appliratiou for Dhipoii al Vorkfi TonotrUrtinn Prrutit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal Systemat: � .... -----------------•--•-- ------ ..........................--- ......... ..�.--••--- ion.....dress o- t-No ----..... �:.�,.�s...... .O r Address w ........................................ ............... .....••-------.-•-•----------------------------------------------------------- taller Address Q T of Buildinu Size Lot.................... .....Sq. feet U Dwelling l No. of 'Bedrooms..........,�................. .. .Expansion Attic ( ) Garbage Grinder ( )< aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures •-•-••-•--•-•-• -•---•-••----•--••------..... w Design Flow............... '.�—_._._._..___.__gallons per person per day. Total daily flow......,,, .�.4f..................gallons. WSeptic Tank Liquid capacity gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—N ..................... Width..._............... Total Length.................... Total leaching area............ .sq. ft. Seepage Pit No______ _____________ Diameter.._..._.._.... Depth below inlet... ............ Total leaching area..;? � q. ft. Z Other Distribution ox ( ) Dosing to Percolation Test Resul Performed b . ...... p4 .._. Date..1�_"_�`?�:. . ............. y � - aa Test Pit No. 1�.t_';�-"minutes per inch Depth of est 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 w U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ----......._ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iI'= 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issue b the and of health. Signe ................................ -- --/ ate... Application Approved B --•-••......--•--•-•---••-•-•-••----•-•................................... Date Application Disapproved for the following reasons:............. ._......__._._ ..................................•--•-...........-•-------------•---•----------------......-•------...---•----•-----•---------•-•-•--------•---•--•--•--••-•-------•----••--•-------•--•-•--.....•--•-- Date PermitNo......................................................... Issued_---••----• `3---I ........................... Date NI ....................7AX .. . Fps... ............. ... COMMONWEALTH OF MASSACHUSETTS tiny _ A R F HE ..........OF..... ... .. . ........ ..... ..................... Appliration for Dispasal Works Tonstrurtion "pamit Application is hereby made for a,a. Permit to Construct �(w�or Repair an Individual. Se74ge Disposal System At* ..................... ...------------------------ ...........------....... ..................... tior dress 0 t N .... 7............. ............. . A............... .... .1....... '10*........ Address ........ ....... ........ . . ........................................ .... .......................... ......... Itt' ................................... T", Address T of�Build* Size Lot-----------------------------Sq. feet Dwelling—No. of Bedrooms________________ ..........Expansion Attic Garbage Grinder Other—Type of Building ...............................No. of peiions............................ Showers Cafeteria aOther fixtures ................................ ...................................0.............................. ................................... IN. Design,,,Fl, ow .... ........:j;", gallons per person per day.,t�Total &; ily ..................gallons. Liqtljq�,kapacqy. s............gall6n , Length_____ f�Vidth............... Diameter':_._ P. .. i � ...... Depth____.__.._..._.. 2, DiiPosaP.T.- fench o. .................. Width .......... TotalLle%ngth, Total le;iqhing area__________ sq. f t. Seepage ,Pit No... Diameter........ _�.... Depth below Total leaching area.-.2.-n;�41q. ft. Z Other-DiAiribution box Dbs%* g ta4k Percolatioq.Test Res is Performed b30-64VA0M.!..:! ..........0.........� Daiel!_�-./......7.7.............. Test Pit No. 1;r,=...minutes per inch. Depth of Test Pit ground 7......... Depth to ound.water........................ fZ4 Test Pit No. 2..................nimutes per inch'��Depth of Test Pit____________________ Depth to ground wateri.'..'................... ....... ... .... ...2.�.... ..... 0 Description of'S'Soil.................................. ...... .....................................9..............I------44-V......4.1*.ft. U ............................................. ......................................I..................................................................................................................... ........................................................................................................................................................................................................ .'U Nature of Repairs or Alterations—Answer when applicable.............................................................................................. --------------------7...........................7....................i.............................................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with •/"',,,-,.,the provisions'of TIT LIE 5 of the State Sanitary Code The�tffidersigned further agrees not to place the system•in operation until a Certificate of Compliance has be issue b the andof health. Sign . ....... .................... . ...... ............. .. ....................... ..... ...... ........ .... ate, A ........ . .... .................. .................... ... ..... --Date Approved By....... ............... ....... Disa roved for the following reasons:.. Date .........................................�.7................................................................ 'k ............. ......................................................................................................................................................................................... Date PermitNo........................................................... IssuedL.................................... ......................... Date • THE COMMONWEALTH:.QF MASSACHUSETTS BOARD OF HEALTH' . ................................ ...............OF... fit upwrtifiratr of Tomptian' tr 7�THIS IS 0 ER FY, TEhat 'J.ndiv'i, Sewage Disposal System constructed Repaired TA, .. ... ..... by----------------------- .................. ..... ................ ..........;N....... .. .................................................. ....................................... nstall < at.......... ......./............. ........ .... --- 1 -1 " i ig THIS nd,v ................ r.vis. . . .... _i, �o has been installed...in with the rovisions'WTTILE 7 5 of The State,,Sanita4-C4A__ a d cribed in the . .... application for Disposal Works Construction Permit No____.............................. d-.I.ted-. .. . ........................................ THE ISSUANCE OF THIS CERTIFICATE SHALL.NOT,BE CON STX0,E*D')'AA5 A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY A ...... 7 DATE................3.... ......... .................. Ins pectbr............. ...... .......................................... : THE COMMONWEALTH ,OF MASSACHUSETTS BOARD�H..EA .................OF ....... .... ....................... No......................... FEE............5......... To iitrudion "pantit Permission i h leby granted-. .. ... . .......................*---------------------------................. to Construct air n Iridivid Dispo�System at No.... 4 . tr eet as shown on the application for Disposal Works Constru t DPd ....................................... is .a . ................................................................ 7 ...1.............. ..................- Board of Heal DATE..46 _e-/ ..... ............................... FORM 1255 HOBBS & WARREN. INC.. PU13LISHERS Y' THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) IM ��C C DATA �EF�t-I G TAti11C = =3 5C�. iS C '�o ILI 4-9 USE_ t C•C.-)G) E•/S L . i IT - uSa= (moo GAL j' �C�WAIL A2EA = tSD - BnTTO�t/l 42S ToTQ t.- D,di L•�{ !=l..l�W = .-� ! ., _T , PE&/GDLC.T10t.1 CCI�TE` ("I�.1 Zktl►J 02 Lx--%. 's - r i i 4 If`L Top ioc�.o , r �Octj 1Wv. D7 T. SE TaN►t i060 i I14 I j tY '� STONE � C.'.Tti—IFD ---�—�L�T �•� i L o A T 1 y t-.J r 1 ! ►J o `="_�=ALE:- _� _... - , IvJT �, .i D E- L i►-1 G- V 6Jti,'LMi__uT`y t= 1'►af 1 f /1�l-'�i_ 17 Iti.,r'1 I..1 t,.J �l)1. Tt'•dl-�� I?t._!�+—! , Ir, �.IUT L'.4•;i=L; Uc'-� l�c..J v•�'TECVII_L.L= c� /v{r>5�. `� T,t -, _ �.i>l.jt._.l r.► �i T f THE COMMONWEALTH:-OF MASSACHUSETTS BOARD QF KEALT,H ........ . .......... ...............OF........ ............................... ............. T, S-I OC R That the Individual Sewage Disposal System constructed (4—or—Repaired by... .. .. ..... ....... ......................................... .................................................. Install 4.4.4................ ........ has been installed in accordance with the provisions of T 5 of The State Sanitary Code as described in the ---- --------��X application for Disposal Works Construction Permit Nwt _�/............. dated-.7 _--.74of ---------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO TRUE® AS A GUARANTEE THAT THE SYSTEM W1 L.FUNCTION SATISFACTORY. ... ....... DATE.-- Inspector._.. ............................... ..... ---------------------------------- J r - „' % PTO. .. ...1,�.... « Fxs.. ...... `THE COMMONWEALTH OF MASSACHUSETTS i BOAR® OF HEALTH ------.... -' ...............OF..........................--............................................................. App iration for UWpoia1 19orks Tomtrurttun 1hrutit Applicatio ' ereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal Syst ................................ Loca dress s -r.or°E`Lot N o. .... . ...... . .....�.... 0� j .........-.-.-.-_-.-.-.-......................... ......................4VC.4al-N-Z.... --- Are - Installer Address Type of Building Size Lot___ f.(? _F?...Sq. feet Dwelling—No. of Bedrooms......................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ........................... . Design Flow......... l..� _........_.gallons per person per day. Total daily flow_______--_-__---?J�.............gallons. P4 Septic Tank—Liquid capacity/t gallons Length................ Width---------------- Diameter---------------- Depth................ W Disposal Trench—No. .................... Width..._._......._.__... Total Length. Total leaching area_._......._.__......s . ft. g g x P q - Seepage Pit No../?'4'7�..... Diameter.._Co<..V.... Depth below. ml ...... ........... Total leaching area._?04--.sq. ft. Z Other Distribution box ( ) Dosing tank ) �� 1% a<V //'-/ -/-77 Percolation Test Results Performed by-... : _ .....___..a.................. Date.._ :`-/t-Z �............. aTest Pit No. 1....4........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........................ x �. ------._ . ....- ---- ----- - . Description of Soil-----------lf:`.t �,-. ..------� � � �� x W UNature of Repairs or Alterations—Answer when applicable.................:....:........................................................................ ..........-............................................................................................................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with ' the provisions of'11= 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has en issued by the bgKd of h lth. Si e al . .... = ® Application Approved B PP PP Y l .-:......................... --•-T--°2--- --•--------•-----•...................................Date Application Disapproved for the following reasons:..................................... ._......__.___ ...........................•---------......------•------------------------•-----------••-------------•----------•-•--......•---------...-------------•-•----------------------------------•--•---------- Date PermitNo........................................................ Issued........................................................ Date No.................t..... � F�s..�.�._............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. ...O F..........................._...........----------------••-------"--------------••--•------ Applira#ion for Disposal Works Tonstrnrtion Wrmit Application is hereby made for a Permit to Constructt(4--)or or Repair ( } an Individual Sewage Disposal System at Locati n Add(ress J // or Lot No. P.tl... .._ . ..... .6_....__ i G"'�1 � z a.w J.:: ........................................ ......... ...__ .�. 1 _ ' � ^�j � Address V._y Installer Address ( f r3CF P� .5 feet r h" d Type of Building Size Lot.... q. Dwelling—No. of Bedrooms.........`c-�................:...::.:...:.Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria aOther fixtures._ =-------............................................................................................... Design Flow.---•-----{=a- - .' ................gallons per person per day. Total daily flow..................Z ............gallons. W •----------- 1:4 Septic Tank—Liquid capacity;/a-"M•"agallons Length................ Width--------------_ Diameter---------------- Depth................ WDisposal Trench—No. ...................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..;Z.r"?'"�_----- Diameter C�..V.... Depth below ml ------ ........... Total leaching area.... l..sq. ft. Z Other Distribution box ( ) Dosin ,t,-ank. ) 0.4 Percolation Test Results Performed by.... . "�a................. Date....1l:'lJr'".._77............ a minutes per inch Depth o'f Test Pit No. 1....4........ Test Pit____________________ Depth to ground water-----------------_...... f% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x t •- O Descri Description of Soil............. :".!3 _":_._. ............ x U W UNature of Repairs or, Alterations—Answer,when applicable............................................................................................... Agreement The undersigned agrees to install the _aforedescribed Individual Sewage Disposal System in accordance with the provisions of iiTL 5 of the.State Sanitary Code—The undersigned further agrees not to place the system in j operation until a Certificate of Compliance has been issued by-the board of Health. Signe `-_ !r afire %1° -_ .'.._......:'. !- nat............... Application Approved By---•-• l 'L`l��- �� '�� ............. Date Application Disapproved for the following reasons:....----------------------------------------------------------------------------------------------------------- Date PermitNo..............................................--••--•... Issued-....................................................... Date zc THE COMMONWEALTH OF MASSACHUSETTS p�4 BOARD OF HEALTH r Trrfifirtttr of Tompti nrr , I dg Disposal System constructed ( ^') or Repaired ( ) by THIS IS TO CERTIFY T at t IVVid .rSew Dis o...---------•..................................................••--•--.-------...._ / Installer has been installed in accordance with!the provisions of T 5 of he State Sanitary Code as described in the application for Disposal Works Construction Permit No. _. _.__._.% ,. .............. da.ted_..:1"` .`._ `"---___--_.-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. /� 0. •---•---•--•----•• Inspector.. DATE.... .................. J........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '1 . ,(�/ .......... � .........0 F.(�. _............................ S.� No �Mr�i.... FEE...... .._.:. Disp, I arks 0-plontr ua orm Permission is he y grante .... -- ►"' .•.. � � .............................. to Construct ( or Repair ) an I ividual S r ge Disposal System atNo...�4,Z l.••• `�'j-• •- - ----_------- ----------- -- ------------------... -------------•--•------......................................................... Street as shown on the application for Disposal Works Construction ,PepR9 No _....._ .....,.. Dated..2 a............................ _ Board o: Heal w 4. DATE....... .` ...............•---------------•••-••-. ., ' .. FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS - �I�1G4� onnit_� - 3 �3»7tZiDoM �. K.►4.iG l�auI�Lt`V LAO "GACZECAGC— Grit�.1U 1Z 1 1-1 G TrC11�1 IG = 3�O.t 1r7 C� % • r7.6 P �(p� F r ^ ( V , £, ,. tjI5Po5AL PST - USE loco uev,/A LJ- AZEA. - lc•7D S.1r. I S-7S 13 ,r5.F. �c DIA f��.5 + SD - TOTAL, -C>ESl6Kl'4 4SS G.-P.D. ToT&t_ 6P.D J11 PcWCloL&T%oQ 04-M- �•��1 2M4 Ns.OR lF-yS 1-- �} `mi r ; } ' i t 1. , _ t •,f Q.+ �! a .� >,. 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