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Home My WebLink About0134 MILNE ROAD - Health 124 Milne Road Osterville A= 119-065 LOCATION � SE G E #ERMIT NO. VILLA E a j INST LLER'S AME i ADDRESS BUILDER QR OWNER DATE PERMIT ISSUED zlo_ z2 DAT E COMPLIANCE ISSUED 1Js �� ILOCQTION #SEWo,C,E PERMIT MO. VILLAGE IMSTNLLER5 VJ&1 AE ADDRESS `u�• lie� �, 1_� �.?�-5'�°� — — — — — — BUILDER 5 Q &V.AE ADDRESS E DATE PERIv�1T SSUED O ATE COMPLI &&ICE ISSUED . '_ �� .. . �� l�� t ® � ,3`°'! ,, is � 1 �� _ _ ,_ :�;� No.._ Ficis.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD C HEALTH ----- ...OF........;0.-d4,vL----------------------------------------------------- Appliratiou for 0hipatial Workii Toustrurtiou Vantic Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ..............tlL_J_AILR .......AD,....j��Wcf .................................................................................................. Location-Address or Lot No. SVIR0 L—------Ki ------------------------ --------- ........qs........................... Owner Address I.—Wax .... pi.......................... .................................................................................................. Installer Address TypS, ,ng Size Lot............................Sq. feet U (12f ms............wt�.............................Expansion Attic ( ) Garbage Grinder��Iin ' No. of Bedrooms.._........ P4 Other—Type of Building ............................ No. of persons__...__...__._.......______. Showers Cafeteria P4Other fixtures ........................................................................................................................................................ Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity------------gallons Length................ Width_______-_______- Diameter__-_____-___.___ Depth................ 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. I................minutes per inch Depth of Test Pit.._.__........____.. Depth to ground water_-_-_-_______:__- -_._. Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water._...___--_-_-_---_.____ a -•---•----••--•-•••-•••--------------•------••••-•--•••..................................................0:................................................ 0 Description of Soil........................................................................................................................................................................ U .................... .............................................................................................................................................................. ................ ...................................................................................................................... ....... . ............................ U Nature of Repairs or Alter;tio A er when apy9:able__—__A._&_ ---- --*...... ----------7---- -------7-Y,--------- ...................k. ...... ........ .................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI I TA11 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until Certificate of Compliance has been issued by the board of health. igned.... .. .........I.. ...............I...................7..................... ................................ Date Application Approved By---------- ------- Date -Application Disapproved for the following reasons:............................................7-------------------------------........................... ...........................................................................w............................................. .......................................................................... Date Permit No.._.. ............................. Issued....................................................... Date L �1 fg -16 N4o .f_ �p�t� THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH tAA!� ... :-1....OF......... Appliration for Disposal Works Tonstrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ...........-+ `.._... 1. .'.---. UF -------------------------------------------------------------------------------------------------- L cation-Address or Lot No 014 Owner t Address ......_�VL.- ....... ----- - . ----- -------------------------------------------------------------------------------- °�,... Installer Address UType r g Size Lot............................Sq. feet Dwellin No. of Bedrooms........... ............................Expansion Attic ( ) Garbage Grinder ( ) a'4 Ot er—T e of Building No. of persons ....................... Showers YP g -----=---------------------- P ( ) — Cafeteria ( ) dOther 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.................. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..............r 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........................ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •-•---••---•---•------•-••---•---•-•..................•----.....-•••----..........--------•----•--...-•---••-----•-----•--•----........--•••-......---•••.... 0 Description of Soil........................................................................................................................................................................ x c, x ••-••-•--•-•----••----_.... -•--•---•---------. -•- -----------••••---•. -••••--• •... ----- --- . �" U Nature of Re�Pairs or Alteratio A er when ap ble_.`�-_.. __: `... _. ¢+►+ � "� a. ..� `y f' ' - ....................................................... Agreement: p The undersigned agrees to install the aforedescribed Individual Sewage Disposal System'in accordance'with. the provisions of TITLE 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 health. igned.... .... •---••-.•••... ----.....•-•------------------•-••----•--•••......---•-- ate Application Approved By.......... Date Application Disapproved for the following reasons------------------------------------------------------........-................................................. ................•••.....••......--------•......•••----••-•-...--•---•----••-•••-------•••••--•------•••---•---•---...........-••-•---••-•--••----------••--. ............................................ Date PermitNo.........................................••-•-•--....._.. Issued................................... .................. Date THE COMMONWEALTH OF.MASSACHUSETTS BOARD OF7HEALTH .............. .....ah? L9 F........... -- .......................... (9rdifiratr it Toutpliattrr TH S 0 ERTIFY, That the Indi ' isposal System constructed ( ) or Repaired by '.. at••-•rr�+�R ---i - 1!!! l..6►_ sta ---•-- - f/r has been installed in accordance with the provisions of 5 of T e State Sanitary Code as describe.Li the application for Disposal.Works Construction Permit N ___ _-_ --,� ----------- dated..... !ti it__"_......_ '...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THA THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............-----•--.....--•..............................•------••-----.--••-- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH :... ��....OF........ d- ............... ..•�--•-- FEE........................ t� to k Q.insfrudivit pamit ' Permission is hereby gran to .. . ........-•-•-•-----•---.---•••--•-•-•-•-••••----r----••-•-•--------•----...... to Const ( or an Individual Sewage Dispos s ~ at No.. Dyvool77 /� = l " L• ' J. ... .............. .......... -a '� Street J as shown on the application for Disposal Works Construction Per o.___....:. _ .... ated...1� _ _s . ...?....... Board of Health DATE =-----------------------------•-•---•-----------------•••-•-- FORM. 1255 HOBBS & WARREN, INC., PUBLISHERS i AsBuilt Page 1 of 1 LOCATION S E E PERMIT NO. 05 VILLAGE ' INST LLER'S AME i ADDRESS • UILDER QR OWN R DATE PERMIT ISSUED _ .�_ 7 DAT E COMPLIANCE ISSUED ty r l . http://issgl2/intranet/propdata/prebuilt.aspx?mappar=l 19065&seq=1 8/14/2012 - I No. F�$ p(9C ....... ---•-----•- ...�d.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH Appliration -fur Uitipwial Workii Tomitrurtiun Prrmit Application is hereby made for a Permit to Construct (k-'J'or Repair ( ) an Individual Sewage Disposal System at: 1 l p�,.---..._...Q�: vi c: "� L'®7-----7 Location�-A�l�ress or Lot No. R2v -T/tol Pdp ..--••- .... ---- t-ll - /t/Ys9N f . Owner Address W --••- _.:._._.. _� lam=•..... ---a ......---•-•......•---•-- Installer Address UType of Building Size Lot... --------Sq. feet ., Dwelling ANo. of Bedrooms.........Z-------------------------------Expansion Attic ({Ij Garbage Grinder (/ ) aOther—Type of Building ---------------------------- No. of persons..... ----------------- Showers ( / ) — Cafeteria ( ) Q' Other fixtures ---------------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow..........2&()-------------------------gallons. W Septic Tank—Liquid capacity_J00 gallons Length Wbe ... Width................. Diameter................ Depth-.-.-_---_.----- x Disposal Trench—NO. �idtlt__ ,___ �ngth__......___._...._.. Total leaching area....................sq. ft. Seepage Pit NoW-- ------- --- epw inlet.................... Total leaching area------------------sq. ft. z Other Distribution box (Vf Dosing tank /1— 76 ~" Percolation Test Results Performed by._----- 1 ---------------------- Date...3-_�!_`-76-------------- . W a Test Pit No. 1................mtnutes per inch Depth f Test it... __....... Depth to ground water........_-.-_._-..._... Gi, Test Pit No. 2________________minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ 1:4 -------------------- ----------------------------------------------------------------------•-.-----•.....................................................--.. G Description of Soil 6. 2' -------/fSt ---�' /C� _..5 _�{�._..- 2 " 1 r x V ---------•-----------------------------------------•--•- ............................---------•-----------•----------------------•-----------------------------------------•--•--•--.--•--------------- W VNature 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 Article \I 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 health. �.1 .v -------------------- -- - . - -�----...-- , �fDate Application Approved By "` f=(a�--�--- c�-�-- Date Application Disapproved for the following reasons---------------------------------------------------------------------------------------•.....--•-----------_..... Date PermitNo......................................................... Issued........................................................ Date No.,....................... FRim... . .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH ........ . .. . --------OF........Al ........................... Appliratiun -fur 43iopuittl Works Towitrnrtiun Vrrmit Application is hereby made for a Permit to Construct (k_�or Repair ( ) an Individual Sewage Disposal System at: V1 J!:H E-►`n............. 1 s 7: vi c T ._ .7 ...------... ....._._ Location.AIldress or Lot No. ... = T/0/'�i°So ....................... ......= ---- /S ..... Owner. / / Address ?LJri l... _1r r /V...-•. ..............................•........................................_.......................... Installer Address vType of Building Size Lot.../I t.A_1./........Sq. feet �-, Dwelling AZNo. of Bedrooms__-.___-�................................Expansion Attic (d/') Garbage Grinder (0) Other—Type of Building ____________________________ No. of persons-----i;�-.................. Showers Cafeteria ( ) Q' Other fixtures ----------------------------------------•----------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow.........G&Q_.-_-__---__-__.-.-----_-gallons. 1:4 Septic Tank—Liquid capacity nW_.gallons Length___________ ____ Width................ Diameter---------------- Depth.____.__.-_..__. xDisposal Trench—No. ....._.. idtli._ ._ __ ___ of 1 ength.................... Total leaching area...............-----sq. ft. 1Jtk ` Seepage Pit Nol...._-:----�-__-___ 'a e er._.._.. �____ Depth ow inlet____________________ Total leaching area__.___..___.._____sq. it. Z Other Distribution box (VI Dosing tank ( ) Percolation Test Results Performed by..... -- ----------------------------------------------------------------- Date--------------------------------------- a Test 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-_.--.-.---__-._--.-.__. ......•---••----------------------•-------------------------................_.....--•--•-••---••----......................................................... 0 Description of Soil--9-X-----.w S•ul:s'-'-�=--V---MIL rp t !gip 'Z- �Z x ------------------------------------------ J --•------------------------•-•-----•-----••------•---------•----------••----------•-----•---••------.-------------.----------•--------------------------------------------------------------------- W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- V 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 Article XI 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 health. sad �- .%��... - � - zi------- i Date Application Approved BY..............--��---- --- -----•-4------- -/�---Ey<.✓1�-- ------- ----- ---��-- Date Application Disapproved for the following reasons:................................................................................................................ Date PermitNo---------------------------............................. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH .............../.C`lrirt ........OF....._........A�*.7/ii.Ae........................................... Trrtifirate of Tom;iliattrr THIS IS TO CERTIFY,,That the Individual Sewage Disposal System constructed �r Repaired ( ) by---' 1''I/ L...............................................'c '., ----------------•-------. . . at 7 , - �/ � (�!�. °��;,r% - ----------- has c been installed in accordance with the provisions of ArticlerXI of,The State Sanitary Code as described in the application for Disposal Works Construction Permit No._"__ �''._-_-.�:-Z - 7 7 ---- dated " --- ---- ... .............. THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL F NCTION SATISFACTORY. ` DATE----------- c . { �� •--------•------- Inspector --- .s- -+ter THE COMMONWEALTH OF MASSACHU BOARD OF HEALTH OF. .......................................................... �J No......................... FEE•- ,- ....... Bi_spo�ttl Nor'.11W TlotiMrurtiun Prrmit Permission is hereby granted__------- ter/_%� 1-?.._��. r�"--r to Constru t or Repair ( ) an IndividuaI Setae is System at No.. ` Street as shown on the application for Disposal Works Construction Per, '`t No. .... :........... Dated__--_3.....1--7_--7�_.......... fBoard of Health DATE........... ................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r� /�/II,G N� ��o• ro�� Ay� �O A D 1i II S h I� OfOc.iNOF�T/ON \ _ A N 0 2 -r Tes r p 2 �sr P/rDArA P,T 31,�7& NOT TC -SC.g4-E- ;' p veoe ioeoyac. LOgM 6oXT � + Z MEv. V C � VO [ CERTIFIED PLOT PLAN r LOC AT I O N - - 5CALE: -/= �• — DATE R E F E R E N C E - 25E11(4 LoT 7 D 4 T E - I HEREBY CERTIFY THAT THE BUILDING REG L 4 OR S H O W N O N T H 1 5 P L A N I S L O C A T E D O N THE G ROUND AS SHOWN HEREON AND THAT 1r -s CON FORM TO THE 0i" OF t ON t N G BY - LAWS OF THE TOWN OF WHEN CONSTRUCTC D GEORGE V �, v LOW,JR. BARNSTABLE SURVEY CONSUL. TANTS, I NC fTEv- WE5T YARM0UTH hAA5S . ® SURVI�