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Home My WebLink About0106 OLDHAM ROAD - Health 106 OLDHAM ROAD Osterville A = 120 - 115 I ASSESSORS MAP N0: PARCEL NO: THE COMMONWEALTH OF MASSACHUSETTS G BOAR® OF, HEALTH APPROVED ` $arnstabte Conservation DepaRrt=14 TOWN OF BARNSTABLE 7 -IZ Applira#ilaaa for Ripon al Works To trur WR mi# Application is hereby made for a Permit to Construct (✓�or Repair ( ) an Individual Sewage Disposal System at: � t�.. I R , CASf�r✓r ll� L° 9 Q..[�1�!!i _........ ......................... ---... �--`3-----------•------------- -----------------..--.-----------..------ Location-Address or Lot No ... 5 -- au ?r:�-----------------------------------•--. �?��Y!�m_�d....ras.�t'vslJe_.................................. ��] �• caner n ^ Ad l..- / D. . ...... 'T.'. ....... Installer Address d _Type of Building Size Lot...1Soo4-----------Sq. feet U Dwelling—No. of Bedrooms---.�.�....................... .. .....Expansion Attic ( ) Garbage Grinder (r ) aOther—Type of Building S! No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -----------•--- ----------•--•------•----------•----.-----•--•--------•--•---------------------••---•---------------.....------•-----••--•-------. WDesign Flow........ %0........ .................gallons per person per day. Total daily flow---------33-0........................_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..(o.X-!a.__..... Depth below inlet...(_............. Total leaching area..................sq. ft. Z Other bution box Dos tank W PercolationrlTest Results ) Performed by.... aC. � }- --_--_-•------------------------- Date.�'?�!o l --------..--------.. Test Pit No. 1.....;k------minutes per inch Depth of Test Pit.lO�............. Depth to ground water.AUW------------- (14 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ ..........................-............................................................................------•--•-•----•-------.........-----••-•----•------- O Description of Soil.. 1=5(4�1 C?.!.�._._l_:� r ./37Q!�l!U d......................................................------•-••----------- x W x ----••-•------------------------------- •-•----------------------------•---•-•--•---•---------•--------•----•------._.....---------•-•-----•-----------------•--•-•-•--•------•---••-•----------....---- 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to pl ce the system in operation until a Certificate of Compliance has en issued by the o rd health. Signed . ....... ....... - °Z . / e Application Approved By ..--------( u -- ....... ......... 41 --- ... Dace Application Disapproved for the following reasons- ...................................................-------- ---- -------------- -------------------------- ---------------- --------------------- ---...........................................................-- ---------------- ----------------- ------------------ ------------.............................................. .......................--------------- Permit No.^''` ��...-...... Issued ........................................................ Dace Date V/ No... :...._� .,� / ( � FIm$........l �......... THE COMMONWEALTH OF MASSACHUSETTS BOARD "OF• HEALTH TOWN*OF BARNSTABLE �. , ppliratiaan for Uta potial 3 aarks Tnnitrurtuan ramit Application is hereby made for a Permit,to Construct ( ✓�or Repair '( ) an Individual Sewage Disposal System at `�l y.. ....':.l: > r) �_� t .•. + !�c_ ---�.t._....:_�._�....................... .....------------......------........---•- _ -.................................... - j Location_Address or Lot No. ............... ... - -•----------••--•--•••--....---._.....•-•-•-. __....---.... d ...._..._........ ..................................... ../.Pv,, er.,/.__.AJ-k:.........._..... Installer Address Type of Building y. '. Size Lot___1.:?{`�__ ..........Sq. feet U Dwelling—No. of Bedrooms___13 _________________________________Expansion Attic ( ) Garbage Grinder (, ) aOther—Type of Building _-2!0 j-lC i(YP No. of persons____________________________ Showers ( ) — Cafeteria ( ) QOther fixtures -----------------------• =••••=-••---••--•••--•--•--•---•••-••-----------•-••----•••-•---••------•••--••---•--•------•-•--•-••--•-----------....__.. WDesign Flow.......ra:O_____________________________gallons per person per day. Total daily flow...........3 Q.__._______._.._...__.___gallons. 04 Septic Tank—` Liquid capacity_J(�?l+_gfillons'- Length............. Width_..___.______.._ Diameter.___...___..____ Depth_____fi---------- Disposal Trench—No_____________________ Width..................... Total Length..................... Total leaching area....................sq. ft. Seepage Pit No._I-----:---------- Diameter_.L•:.)I_/p:___..._ Depth below inlet...kr__`._______. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed bya .____ ' o_ ________________________________ Date , )IN, ____i_% - ••----•------------- Test Pit No. i_.___--......minutes per inch- Depth of Test Pit__1YN_____________ Depth to ground water..Or__r_?r___________- 40 Test Pit,No. 2................minutes per inch Depth of Test Pit____________________ Depth to ground water........................ Description of Soil.... x (� ----------------------------------- •--------------- ------------------------------ ___--------------------------------------------------------------------- ------------------- •-•-------------------- -•••-•-•--- --------••••--••---------------- ----••-- ----------------------------------------------- ---•-•---------•-•------- •-••---•---•------------------- U Nature of Repairs or Alterations—Answer when applicable._.___________________ ___________________________1_______.._._._.._._..._.______.__________.. 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 Compliance has been issued by the b"dfth. /Z/---.. �J --- ---------- 3/m.� Application Approved By ------_:= `� . ...."� ........................................................... 7Da r - ....... Date Application Disapproved for the following reasons- ----------........ -- ---- -------------------------------------------------- ----------------------------------------------- ................................... ---------------------- - �� Dare Permit No. ........ ?--1-------` .J........................... Issued ........................----- P14 do,9 Dare � ,J S � r THE COMMONWEALTH OF MASSACHUSETTS BOAF2DOF HEALTH ` TOWN OF BARNSTABLE TErtifir ate of To ttlatianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (�) or Repaired ( ) Y °>...b `--- - -.-1 -- /�O - -.-- -'Insmller----� at .................4-�? '` - �? ------- --------f! , - ..0,0------------------------------------------------------------------------------------------ -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. ----7' -- :............. dated ----------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE�.,COONSTRUE�AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION S�Aj,�TIS/FACTORY. PP�`�`,,,.,,, DATE.-/ f ` " ...---...... Inspec�to�t'�... ....... ........ ...-----. . --.....---...------------ ---- Z--. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE NO. .:1 . _ FEE---....1.!>f.'....... Disposal Workii Cuaanotr ion frrmit Permission is hereby granted.............. ..._.... � ,_!_ t' p J-----•-----•-------------------•----••-----..._..........---...... to Construct'( or epair ( NA- an Individual Sewage Disposal System atNo................ I I .-...•- _� ��1. s a.......... n .A............ Street as shown on the application for Disposal Works Construction Permit No- r�•^ �.5__ Dated.......................................... ..................•••------•--- •--• ------- -----------------..................................... L� � Board of Health DATE Q I • ................•--- FORM 36508 HOBBS 6 WARREN,INC.,PUBLISHERS- TOWN OF BARNSTABLE LOCATION ®tLO SEWAGE VILLAGE 65`refi VtLLc' ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. IJ R�dla� KtSSLtn1G SEPTIC TANK CAPACITY .1000 G 41 I'm AY';e `7"A.n1 X, LEACHING FACILITY:(type),- EPr'G4s-r per (size) /'000 Ck NO. OF BEDROOMS— PRIVATE WELL OR PUBLIC WATER ®ec3 BUILDER @R'OWNER d&A Pow,19A DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ,// ` 3'l No OCA#.4m r i_IT 6 N f�1-.. � & t j 5110 7PAi Id, S: I i SEPi l C =TAB 3 ;K►sa�'a Ts lI T 1 1 ;-I ,-� I `, t 0D -�—• ��[J'''� � II//�'�h� II �� I _I --1 k ' °-.�..�- t_, t� I L '-I -_.I ! , I I t I i _� DISpaSd i I r , , I t I Trw - L- A- o TT I •• + 1 1. ' L_L- 1 L� N� �. �1�.7}��5FI—i _-✓• I I t— I r TI , ' r—I i°r I i 'i -I I 1 1 ,� t ' Pr�.o _. p `.: .. i�s7; eJ Z E_. T 1, 1_ ` iZ o S :. � '_ I_ ?T�•1�. , OG _ —Z,pl� � •y,.7 � `h3_._l._ _ — F I I __ +: `o� ; I 77 -- If I I - I t C � , r E p ° •� i �. o f TOrAL 3.. 1 (CEP-GALA_`I"IoN_.r -- = 1 ! ao 71 i fil � icy` AFi lv� t I _ r- 7ia sag Aj j �. i-i r r, •-p� I P1o��'9133�.- t - ' r - •c �- t � '�'�c;6/'4"'t��,. r _��]'ts"}"�At _ Q��Sr ' I � , � .f, I �--t pq V• ��... 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