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L10 C04-0-
T ION - S E OItl A-C F, PE RMIT NO.
*ILLAGE`
INSTALL [ 'S NAME i ADDRESS
i
S U I L D E R_ OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED � _ �3 �
1
i
'i '
Mr./Mrs . Archie Swarztrauber
60 Old Mill Rd.
Osterville, MA 02655
' September 15 , 1988
TO: Barnstable Board Of Health
We the owners of a single family residence located at 60 Old Mill
Rd, Osterville,;Ma. wish to add `a 24" x •26 ' livingroom/master bedroom
addition along with` a' two story garage. The second story of the
garage is to. be utilized as a study/library area.
E
With the new addition and changes to . the existing structure, we
will have three bedrooms plus the library/study above the garage.
We will occupy only one of the bedrooms, allowing us sufficient addi-
tional sleeping accomodations should they be required for family and
guests .
We will not be using the library/study area for sleeping accomo-
dations ., k_
ti
Sincerely,
,
No................ r Fps....1 10.00......_
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Town Barnstable
............................OF_.....................................................................................-•
ApplirFa#ion for Uhipaii al Works Tanstrnrtiun ramit
Application.is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
Sy tem at:0 Old Mill Rd. Osterville, Ma 02655
................_--......_...................................................................... •---.....-•••-••......•••••-•••-•----•--•-•••-•-------••••---••-••-•-••--•--•---•.................
Weeber Location.Address same or Lot No.
Owner, , Address
A&B Cesspool Service �, �i 128 Bishops Terr. Hyannis, Ma 02601
� ----•.................P...---•----•--•----•--.........---......._ ------.....--•--•---
Installer Address
Type of Building Size Lot----------------------------Sq. feet
Dwelling—No. of Bedrooms.......3..................................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—T e of Building No. of persons.........3................ Showers — Cafeteria
Pa 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 ( )
Percolation Test Results Performed by...........................................................•-------•----- Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
pSand-----------------------------------------------•---......-----------•---••-•--•--------•.........................................................
Descriptionof Soil.......................................................................................................................................................................
W
U -----•---------------•-•--------••-•-•...•-•--------•-----•------•--•-•-•----------------......-•---------•-----•-----------•......--------...---------................................................
UNature of Repairs or Alterations—Answer when applicable.._.Install_a__1000_.gall on-sept ie..tank,.........
----Distrabution box..�.....L.P.---100.. leach__pit.•----------------------------------------------------------------•--•----------•--•............---
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iITI.L 5 of the State Sanitary Code— The undersigned further agrees not to pl ce the system in
operation until a Certificate of Compliance been issued V the boa d
ign L ---- -- ..5�18�83......__
p
Application Approved BY ........... . .............•--------......-----•------•-- 5/1y� 3
. -------- -•--•--••--•......--•---------•...•-----
Date
Application Disapproved for the following reasons-------------------------------------------------------------------------------.................................
...._....-•------------------------•-••....-------•---•------.....•-•----------------•------------••----•---•-••.....--••---•---•-••-------•------•------------•--------•-•••-------•-••-------••---•---
Date
8 - 5/ 9/ 3
Permit No. --3•• .. Issued-... 1----•8----•---•--••--•--••-•••-•••••••...
Date
No� Fizz.. tta mor .....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............. own------------------OF...Barnstablei........--------------------......................_..._..
Appliration for Eliiplaii al Works Tongtrnrtinn rranit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
...b4•--0�e1-. I•� ..Ie Y• s a g'3}e; i�ra �}2{�5�r--.----- -•.....-••••-----•................•-•------••........-••-•--•---••••-••--•••-...................--
Location-Address or Lot No.
... .......................................... .... ------........------------------- ......
-• t$8�93c..--------- --------------• S$2f1� .......
Owner Address
a ...��..�BSS�fBU�• •...............................•°:.;,� '' U�S fresh F
dType of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms.......3,..................................Expansion Attic ( ) Garbage Grinder ( )
Other=-T e of Building No, of persons.........3-_------------- Showers — Cafeteria
Otherfixtures ---------------------------------------••--••-•---••--.-----•-------------------------------••--•---•-----••----------------------•---•.......-----•--
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic 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.----------------_-____.
f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ----------------------------------------•---•-•----.........................................................................................................
0 Description of Soil.......gand..................................................................................................................................................•.....
x
U ----•---•...••----•--------------------•---------------------•-•-•-•---------------••........-----------------------•-•------•-------•------••......-••----------------•-....._..--••--•----•-----------
W -•-----•-•----=---------•---•------•------........
ions—Answer when applicable.....1=t&II:_a---kM--galiorr-sc'ptic--taTik;..........
---Ifttrabution--- ....-tQOtY--ieacfi••pYt=--------------------------------•-----•----------------------------
_....--•••---••••......••-•••--
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLL 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 bf 1
FSigner� ��_f�-, -- ...............
•--•
Application Approved By.....��-•-�-=---`--=----•--.....--•-•...........................•---..._...----•--- ��-
f a�(3
Application Disapproved for the following reasons:------•---------------------••--------------------------------•-------------•--•----------...--•---------......_
-------------------••---......---•-------------------------------•-----------------...---•-•------------.-----••--•-•-----•---•-------------------•-••------••--------•------•------------••------------
Date
PermitNo......8-3-,.......................................... Issued......5/1}/gut----•---•--••--•-•---------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
mowe.............................OF......�a metr . e....................................................
Trrtifiratr of Tuntpliaanrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X )
by----A--& •-Za-sspa4l---�x-uice---J?s 3 s+)ep-'•s--1 erg: 1�nt��S7;--i�-a---&260t---------------------------------------------------
at.._...fi0_ rld..ririll Rd Oste�cill�, T'; .--026 5--m----------?°l-aeber---------------------------------------------------------------------------
Has been installed in accordance with the provisions of TITLE Qf e State Sanitary Code as described in the
r"
1 application for Disposal Works Construction Permit No.____F8.3...._._-_�..,................... dated-----5/ig{s3---_-_-___--_.-._-_-_---.--
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE. ._..,mac���$3......... Inspector
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
`pys ..............................OF........pa=et. bl&........................................
FEE..$.J.®•:4E�
UWpos al 10ork.5 Cnnn#r ivit rrntit
Permission is hereby granted..A&I�.-Cp-ssp=l--Sex--v!4.o e
Construct ( ) or Repair (X ) an Individual Sewage Disposal System
at No.60--02devill--id-....Osteru ���..r=4 •a2b ---� ee e ------------------------- -----
treet
as shown on the/applior Disposal Works Construction Permit No _„�----.______ Dated-__-5/1s��s?3......................
---------------•--•------.------.----------------------------------------------•-•---•-........------
Board of Health
DATE------... ........................................
FORM 1255 A. M. SULKIN, INC., BOSTON