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HomeMy WebLinkAbout0909 MAIN STREET (OST.) - Health 915 Main Street Osterville A = 117043 ` 1 j �j _ ! Fas.....$....3.0.s . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for DijrVaiial Vork,i Tomitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair (X4 an Individual Sewage Disposal System at: 915 Main Street Osterville .........--•-•--------•.......................•-------•-----•-•------•----••••..............------ •------------•-------------•------------------•....._.......-••----••-•-••-••••.....-•--......--•- Location-Address or Lot No. Sheila Griffin ------...--•----•-•---------------------- ---•-••------------•••-------•----•-----------•-•-•-••------•-••-•--------....••••..............-- Owner Address W J .P.Macomber Jr . . Installer Address Type of Building Size Lot............................Sq. feet Dwellingg No. of Bedrooms_________________2-___-_____________-__.._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............................................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 •-----------------------------••--------•--•---------------••---•------------•---•--..........------......................................................... 0 Description of Soil........................................................................................................................................................................ W Sand & Gravel V .....•-•------•----------•-----------------••----••--•-------•--•--•-•--•----•••-•-------.......-----••---------------•-------------••...•---------------------••-••--•--•--------•........----•--•-•---- W U Nature of Repairs or Alterations—Answer when applicable------------Omit e e s--pool . Install ....... 1__-_1000-..gallon...tank.... nd...one 1000 gallon leach--pit...pa-c'�ed...in st:on _ 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 Complian has beiss d e boa o health. Signed -------- {. .... 1.0/11/o 4. ---------------------- Da Application Approved BY -<`^�.-.. ------------------------------------------------------------------------ / v -ice y Dale Application Disapproved for the following reasons: .... ....... ........ ....................... . ..... .............. .............. ....... . ................................................................................................................................................................................................................ ................Date.................. Permit No. .....9...Li-- .�........ ...... Issued ................................................-- - Due 7 t_ No... .:..� R Fic$....�....).0...00. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphration for Mvjip ial lVorkii Tomitrnr#inn remit Application is hereby made for a Permit to Construct ( ) or Rcpair (X13 an Individual Sewage Disposal ,System at: 915 Main Street Osteryi_l�le ... ..........----........................................................ ................... --------------------------....----------•-----....-------•----------------.....--•---....--------- She i t a Griffin Location-Address or Lot No. ......................-.......................................................................... -•-------•----------•-----•.....----..........-------•-----------•----.......-----..........------ Owner Address W J.P.Macomber Jr. --------------------------------------------------------------------------------• •- --------•------------------------------------....-----------------•....--------------•--------•--- Installer •- Address Q Type of Building Size Lot............................Sq. feet Dwellings No. of Bedrooms.................. -----------------.....-.Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. -of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -------------------------------------------------------------------------------------- .............................................................. 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.....................--- �r4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ 9 -------•------------------------•------•--------••.....•---•----------•--•------•----------..................--------------------------....--------•--•------ 0 Description of Soil........................................................................................................................................................................ x Sand & Gravel U •--•--••••••------•--------------------•-•-----------------------------------------•----.......-----------------------------------------•-----------•---•----•-------•---••..........------.........---- W •------------- ---------------------------•------------------------•----.........------------•-•-------•----- .....-----------------•-------------------------------------••----••-----------......... Omit cesspool . Install U Nature of Repairs or Alterations—Answer when a plicable................................................................................................ 1-1000 gallon tank and one m 10�(� gallon leach pit packed in stmnae 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 Complianp has been issued b he boa y health. Signed ... ...... -.�! 1/ 10/11/94 'J�..///^//e... .. .._.......... ........ ..................... Dare ..... Application Approved By ........ ^"' .. .. ^' ""= ------------............................................................ 40--=1_2i------I C/ Daw Application Disapproved for the following reasons: ................................................................. .......................... 11 -----------------------------------------------------------------------------------------------' .........................-................ -- ............ ........................................ Dace rwPermit No. ........�.... ..... ...,. Issued .............. Date -------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C�Prtifirate of C�ampliance T 1 S TO CE T F That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) J.'.Iacombe� f. by ..... - ------------------------------------------------- ------------------------------------------------- Insrdlrr at --915 Main Street Osterville ----------------------------------------------------------------------- ---------------------------------------------------------------_------------------------------- ------------------------............--------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ._��...._ �� ------ dated -------------__------_--------_ _._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BEf CONSTRUED AS A GUARANTEE THAT THE SYSTEM W14 FUNCTION SATISFACTORY. DATE........,----- .------------.Z............. ... Inspector ......... �-�- ��...l/....,. ------.. �' ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4 TOWN OF BARNSTABLE 30.00 No. ��.-..J��I. FEE........................ Mipcoat Worhp Tomitrudion "amit J.P.Macomber Jr. Permissionis hereby granted---------------------------------------------------------------------------------•------------------------- ................................. to Construct ( or Repair (X) anOslnn ividuallewage Disposal System 915 Min Street atNo...............••----....-•----••-------------------•-•....--•------'-----•-•-------'-....------'-------------------••--•------------•--------------........................................... Street i C as shown on the application for Disposal Works Construction Permit No.Iy:S_. Dated...... ...... ....................................... --•--•-------------• f ............................................... � DATE............. ---------cy-,--1 ----•- oard of Health FORM 36508 HOBBS&WARREN,INC.,PUBLISHERS N/F N/F Susan JMcinerey - Richard R Callahan TR - 18200/029 188901222.. - - REFERENCES he ce/DH Assessors Map: 117.. Patio 6 CB/DH S89'S9'15"E. he Fnd O(f "Stop \ Parcel: 043 Fnd p 3 ss.2§ „ Deed Book 9007/028` Stone Wo 0.,2' Over. 7C ... Side Yard Setback ZONES. RC (RPOD) BA I Setbacks. Setbacks: Fron t: 20' . Fran t.. 20' " Side: 10' Side: na i Rear:' 10'. Rear: no I Wellhead Protection: Overlay District 73.7' o0 I I yZZ . Ilk, I C I nro 0 I 3 I N o I N� I � N o n N I O 1 v i Cesspool of �I" 120' From I Cello , ' Ma;n trees .ant - �¢^ of 30.7' l7 2Lcl cl Deck. ' IL a— i FF=25.2' w I _ o m� ' c I Z. I F \�� i \ i o N Legend: #909 } sty, w�f Light Post Dwelling , - -- 5e�bo�k I I� 0 CB/DH.." 5 one 11 .. Utility Pole. . . . 1.. porking 1 Overhead "Wires Side Yord Setback - 12.8' °hH 1, I ohw - ohw CB/DH 86.00' ------------ Fnd N87'02.55••E CB/DH I CB/DIi I ____ Fnd I Fnd `'— -----— Private: (12'..Wcie) Way N/F 1 - .. Cathryn A Wright , Stone Drive 18827/117 j To Moin Street__—— N/F NIT Mory M Crawley :.. Zllpho R Wright 9209/162 PLOT PLAN AT r 909 Main Street BARNSTABL.E" (Osterville) MASS, NOTES: DATE: 301NOV106 SCALE: 1"=20' 0. 5 10 15 20 30 40 FEET -1.), The structures shown: were located on the. ground . IF by conventional,.survey' methods on 031NOV106 I PREPARED. FOR: 2.) The property information shown hereon was Sheila E_Griffin compiled from available record information. 909 Main Street 3.) This plan is not for recording and is not Osterville MA 02655 . Lj to be used for construction layout or deed PREPARED BY: description purposes. C a e S u rv.„ 7 Parker Road Osterville MA 02655 (508) 420-3994 DWG #: C341_2gl FIELD BY: WHK/DSS / 420-3995fax g t I - r 1 ---�tTr`F�.cva-nnyl "[�^S[F�:1-4�1111TEL-ri� F�I��•' _... GOn--9�4 AeGiel"S'C- (•c)a.�Tn'�ems. _..--- ' I :�3o I A Ge �\ ur a ry • X.Ml' • ..EOUO'BzaC70'N4C':.... � N. �C�"�� ..:__ I ..' 2•ri�USC,Es'Er '.vsusre� ., �pQ[pS.,.W781.L. LNAEfL 1 -� ..FC.:SbTS:Ve¢rfll 61[l Tdr 3sts. 4. -z ,r Fl1.46f1�i�ZV 61 IT. [fir-wv�c�f2zft ar,xrta I r I r w I i' 14 I • .EEQ WL1tr � TL drt Ip ncs+is y s g 710 f , �'Hpav-Fot7.�'s7Ai:Lto:FE- `�=•-•� �yelzD�SC�ti) _7H4(i.TS? BS�LV�ASQ:__.: a A".C'"PT POST'__._ —.......U.e.in-.cJA _ i eEoMnnwa5 w' 7•li iQtCME _. . --CONY. lEAO l II E Maw, 15 v i "�7FT -rrj= lL1JYa"Js��� _ Ix AJ 11b.a,smrq:aao) zz-e- r aszs.._. _ 1 l f rtrlclf"�lTr[S�t"(gZ7�IL._(Vh"-l.o� M IaeT=+m*+cExs' r--:2.10 PT.7LTl. I lQ'.�PT d111 lY`S� -'lbtl.cGMMcu!NbL�. - I I I 1' 1 Plur,�smao- �. �, faF_G�."SF��CfC,T.fl7i-lo�. SCle.-ft =Sme-,fSTDL�ETL�I� i (rh-I:o') 1, i I , 1 -S,ECZ*"VW LAPVEC ir.,GEA bLL --c..c..•r,c.crnw�r I I { 1 (O BD.ua ctwc_aau @5�.1.1 _ I �irr if �i��Q9S'a�1�n �{iLI"'rp �75P Ef�T:PlA1E-z 3TUp e-dw4ecTION 5 : .ai �1^__ 7Da�.'PltfE �Jli-1:0'� SC�IIVE �TLL31 Tr coin fL-SZl7D , 70ter III i 3 9a / TOWN OF BARNSTABLE LOCATION " SEWAGE VILLAGE U s*9 ✓/L.14 'e ASSESSOR'S MAP & LOT//�Z- � INSTALLER'S NAME & PHONE NO. A C 0A4 y9f9-+ S U.- SEPTIC TANK CAPACITY 6 G O LEACHING FACILITY:(type) 11�21 r (size) NO. OF BEDROOMS -:2, PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: i DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No fv� 3 t 1 3A� / 3 o �. r i I