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HomeMy WebLinkAbout0215 OST.-W.BARN. RD - Health Oct C� jai- oq)I _ - l i I i S M EAD KEEPING YOU ORGANIZED No. 1033A 2-153L MADE IN USA GET ORGANIZED AT SMEAD.COM TOWN OF BARNSTABLE 2/5 LOCATION (�� c�r`U9��G �✓�S% 1�(../'s�_S�. /N� � VILLAGE ASSESSOR'S MAP & LOT �a INSTALLER'S NAME & PHONE NO.s1 , l , :.Me, fJcm 442 SEPTIC TANK CAPACITY v LEACHING FACILITY:(type) PIT' (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: `�- -7- D • f DATE --COZIPLIANCE ISSUED: — q VARIANCE GRANTED: Yes N� %� _ � j _�� ` {r�/�'v�/,� V r i ;COS � • 20 00 - a No...................... Fps.. ................. ; THE COMMONWEALTH OF MASSACHUSETTS Tog BOARD, OF HEALTH •ti Town OF.........Barnstable ------- -------------------------------------- Appliratiuu for Diupuuttl Wurkg Cnuuutrurtion rrmit Application is hereby made for a Permit to Construct ( ) or Repair �X) an Individual Sewage Disposal System at: 215 Osterville West Barnstable Road Osterville ................_--.............................................................................. ------•-----........•------•-•-•-----•-----------------..._..•-•--•---•.....----•----•._....----•- Location-Address or Lot No. James Coll, - .............................................. --...------••----•........-------•---•-•--------•--•----. Owner Address W J .P.Macomber Jr . Installer Address d Type of Building Size Lot--_---.._-_----_--------Sq. feet Dwelling XXNo. of Bedrooms..................3 .......................... Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria04 ( ) W Other fixtures _ Design Flow. _______________gallons per person per day. Total daily flow_.__........__..._.....__...._.........gallons. d 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........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water....................... LTq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-__________.____---__... 9 -•-•---•-•-•----------------••---•..........--••-•-------------•-...----------------.........._.........•----•-----•-•-------•-•-••--•-------•------------•- 0 Description of Soil....................................................................................................................................................................... W Sand & Gravel U ---•---••••••---••-------••-----••--••-------------------•--•-•---•-•--•-••••---•----•-••---•-----------...•-•------------•-------•-•••••-----------••....--------•--•--••--------------••••........... W -------------------------------------------------------------------------------------------------•-----•----------------------------------------------------------•-----------•----------------•-----•. U Nature of Repairs or Alterations—Answer when applicable.------------i__ _5_©©___ 1.© -_.tan-k .............................. -----------------------------------------------------------------------------------------------••-•---••-•-•--•--------•---•-•--------••------••-----------------•------•-----•••---•••................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTLE y g g p y of the State Sanitary Code—The undersigned further reel not to lace the system in operation until a Certificate of Compliance has been issued the board of Leal h. Signe ..tssu %% l 2/20/89 Application Approved By------------------ --- -------•--•............•---- ......--------- Date Application Disapproved for the following reasons---------------------•-••-------•----•------------------•------•------------------------•---•------....._-------- -----------------------------•-••-...-•--••--•--•-------•-•-...--------•---••-•--------•-•-•-------••-•---••-••-----•-•.....•-•-••---------•------•------•------•-•-•--•--•---------•-•---•------------- C; I Date Permit No. ..='_.._L-•----•.1...................._ Issued-----...--- Z l -��- aL THE FOLLOWING IS/ARE THE BEST � IMAGES FROM POOR QUALITY ORIGINALS) I A , �- - m / LI DATA No. ------------------- FE$. THE COMMONWEALTH OF MASSACHUSETTS �1. BOARD OF HEALTH �-' To:wn... OF........Bar..........r.......statIe Appliration for Dhgpootti Works Towitrortion Vrrtttit Application is hereby made for a Permit to Construct ( ) or Repair ' } an Individual Sewage Disposal System at: ., Barnstabi-e Roa:3 ��t^r� i�1 Location-Address or Lot No. J _;��:.._jr,n I ?a:a• .................................... -•-•- . ------------....._------_----.........------•----.........__.._._..--------------------- Owner Address .......a.:.p_zt11 aP 0l?1ber...Jr t.............................................. Installer Address Type of Building Size Lot............................Sq. feet Dwelling-X-I.(No. of Bedrooms................ ..........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Otherfixtures ----------------•-------------------------------•------•------------•------••-•---•--------•-------------------------------.....--••----------------- 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. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water_-___-_-___-_-----._.__. fs. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ............................................................. -------------------•-•----------------------------•-- -------------------------------------- 0 Description of Soil............................................................................. ------ x Sand & �ravcal U -•...-••-•-•--•-•••-------•-------••--•--------•--...--•-••---•--.....-••---------------•••••------------•-------•••---•-----•------------- W U Nature of Repairs or Alterations—Answer when applicable.............i..,__50_0___g 11S2T1.-_tank. -----------------------------------------------------------------------•--••-------_--..............-•-•-••----------...-----------------------------------..--------------------------•---............ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with f`1T P+:� the provisions of A.i .:•. of the State Sanitary Code r�The undersigned f -mer agrees not to place the system in operation until a Certificate of Compliance had been ins W�by'fhe.,board i alth. cti �. f��1ea•cA�Vi4L � 2/20/89 Signed -------------- Application Approved B `..... r Date Application Disapproved for the following reasons:.............................................................................................................. ----------•-----•----•-------•---•-•-•------•------------•--------•-------...•.............•-•-------------....------------------•--------•------------------ ----------------•---------------••---•--- ! Date Permit No....... :..� .... -! -----------------••--•-- Issued.------ LS-., THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ..........................................OF.................................................................................... dw wiertif irate of Tootplittttrr XX THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by----------J,-n=Macomber r . ct �1 7St• r Barr Rd 03 , Installer at--•...--•-_...:A.?--------•-----••--•--------------•--.....^-••-.--------------•-----•---------......-----•--•---....---•----_-_----...--------••-•----•---•--•-•-•-•------------•••-•-••---- has been installed in accordance with the provisions of LITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................?...�_ ... ................................. Inspector.... --•----------------------•---------------•------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , r 'U Z ...........................................OF.............._............................_.................-....................... i r�0 No......................... FEE........................ Disposal`T o �a����_J1 AWion rrotit Permission is herebyrante . ------------------------------------------------------------------------•••-•-._.... to Construct ( ) or Repair (` - a Igdividi8Lk)§S .wage Disposal System at No 0st -•t _ r-•---•.-•--•................. street as shown on the application for Disposal Works Construction Permit No.......... ....... Dated......................................... .........:.. ..•-------_---. -------.....--_-:__----•- `� Board of Health ' DATE........ -- r t ----------------•---------•----------•---- FORM_1255 HOBBS & WARREN, INC., PUBLISHERS