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Home My WebLink About0185 OYSTER WAY - Health 185, OYSTER WAY OSTERVILLE �r A.=_07.1 - 010 U a TOWN OF BARNSTABLE LOCATION �' ��Y jE 4 461g "� SEWAGE VILLAGE 7,, A41R,04R ASSESSOR'S MAP & LOT O 7/- 0/0 INSTALLER'S NAME & PHONE NO.4&G/4 1-7 6 SEPTIC TANK CAPACITY l S 0 d LEACHING FACILITY:(type) �� M/D/T (size) l do y Gam`/ NO. OF BEDROOMS7 PRIVATE WELL OR-PUBLIC WATER BUILDER OR OWNER a 5 0 t)oos DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: � � VARIANCE GRANTED: Yes No / � . �l .n p(♦ fir` w 1 6� �V j 021 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ---0l,✓..-rl.............OF...Zgq Wrx ii hL...------...........---•-----...............-- Allp iratiou for Di-sposal Works Tomitrurtiun Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Locdrjon-Address or Lot N . -ems ................................. ••-••••.... .� .... e Owner .- Address Installer Address d Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms--- _--__Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type of Building No. of ersons.......... ••.............. Showers Pa YP g ---------------------------- P � Cafeteria ( ) Q' Other fixtures d ..........................................................----•-----•----••••--- W 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-----------------------------.......... aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water--___-_-___-_--___•-_-_. fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ ---------------------------------------------------..------------------.-------------------•-•------------------------ ---------------------------- ••••-- 0 Description of Soil........................................................................................................................................................................ M .........................................................................................................................................................................................F_ ---------- —Answer when applicable._____._.__ U Nature of Repairs or Alterations _ __ .._, .__-___--- .__ .....__. -------•-------------------•--------------------•-------------------•--•-----------•-----------------------...----------------------------------------•--••-----••••-•••••.........................•... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iJ. i:2W. y g g p y�of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has eetisued.by and ofSigne _.... �ateApplication Approved By-•••------.. .... ......................................... ........ Date Application Disapproved for the following reasons-----------------------------------••-------•-•--------•------------------------•---•-•---••--•--••-•-•-•----- --------•---••••••-----•••---•-----••-•••----•--...----•------•-••-------•-----•-......•••-••------....--•-••-•-•----------•-----------••-•••-•---•-•••--•••---•••••-••-----------•••••-••••-•....----- s-� q� Date PermitNo........ ../. r............. Issued....................................................... ti No... .. :. ..r� Fx$......6.......- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -S -- D.."" .�"t..............OF... :Y?S�T.W . Applira#iun for Biiipusa1 Works Tomitrurtiun jiumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Locat:on-Address ........................... -or•Lot P • ° . Qs__ ................................. �.�.a.:`K �-- `.. l✓ C5$.... C Owner �+ Address a ..................Az�k °�^S 1Yt fI!G i---n................. Installer Address Q Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms------- ...............................Expansion Attic ( ) Garbage Grinder ( ) '04 4 Other—T e of Building ---------------------------- No. of persons..........._ Showers — Cafeteria 04 Other fixtures ---------------------------•... - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Ix 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.it. 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...-.................... rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 •--••-•----------------------•••-••••••••-•••••••-•••••••--.........-•-••-..............----..........-----•-••--•......--•-•.............................. 0 Description of Soil................................................................................................................................................................_...---- x W ----------------------------------------------------------------------------------------------•-....----•-------------------------••••••• ....................... 0 Nature of Repairs or Alterations—Answer when applicable.......... ... . °0 <„ ' ----------- --•--•••••••---••-•••••••••••--••-•••••••••••---•••-•--•••••------••---•••-•••••••••._.........-••---•••-•••-•-•--••••----••----••••••-•••-•--••-•••-••••-•---••••••••••••-•--••••-......••--••......... Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of TIT L- EE 5 of the State Sanitary Code— The undersigned 'further agrees not to place the system in operation until a Certificate of Compliance h s ben issued b e board o"h h. Sill ................. ...�_'" G "._-*.a._•-,._.___ .............._ _. G 7 Cry l YZ ate Application Approved By............. ........................................... ----•-.e.......a- --S--. Date Application Disapproved for the following reasons:.........................................................................................................._.._ -•----------------------------•••....••-••••-•-••••••--•-•-••-----•......••-•••.......---•-•-•---------'••-••••-•----•-•--•••-•--•-•--•-•-••--••--......••----......----------- ....................- Date PermitNo.----- 2-'----5----—----------•--. Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ -". .........OF......... ,f-. -ta a' r.: r................................. %Trdif iratr of Tuutpltunrr THIS IS T CETIFY, That thg Individual Sewage Disposal System constructed ( } or Repaired} f Installer has been instailed in accordarXe with the provision of T i TIE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....:;5�� 6--- ........ dated------------------- --------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS RITE® GUARANTEE THAT YHE SYSTEM WILL FUNC ON SATISFACTORY. DATE__.........-•---•-•---••-------'=--�-------•---�•----....:.....------ Inspector......... .....-•--- ------------------------------------------------------ �-. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4 c �� ........... ..� .........OF......... �,ra r......-...........t..........-..-......-............--. No.. ._.... .._ a Disposal Workii Tuni#riun rruti# Permission is hereby granted------..... ...... .................................................................................... to Construct ( ) or Repair j(-\() an Individual Sewage Disposal System atNa............ .......... =�'1 = =- -�-- ,a.-[x---�-------------------------------•-•-•-------------------••-•-----------------------------•---------- Str eet ')) as shown on the application for Disposal Works Constructio Permit No�')- _2_ Date?---:--.3.1._-.- c�.� : Board of Health DATE:4------------------------------•---•-----------.........•......---•--.......--- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - 9/7/21, 10:09 AM ShowAsbuilt(1700x2800) TOWN OF BARNSTABLE LOCATION/Y-S dySTc 2 �9!' SEWAGH#�7 S VILLAGE O- 7eA h4,Q,D0,2 ASSESSOR'S MAP&LOT07/— O/L INSTALLER'S NAME&PHONE NO.A261" 7 7-f �6 SEPTIC TANK CAPACITY /S O O GDQ LEACHING FACILITY:(type) 4ycry/iT (size)/c>oa 6.9� NO.OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER 4"? BUILDER OR OWNER C,J S /V O DATE PERMIT ISSUED: r -5/ fF7 DATE COLIPLIANCE ISSUED: VARIANCE GRANTED: Yes No 1 r7 OLP6C GA https:HitsgIdb.town.barnstable.ma.us:8431/Home/ShowAsbuilt?mp=071010&sq=1 1/1