HomeMy WebLinkAbout0909 MAIN STREET (OST.) - Health 915 Main Street
Osterville
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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
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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'
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Ilk,
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n N I O 1
v i Cesspool
of
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Cello , ' Ma;n trees
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a— i
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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
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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�
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