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Home My WebLink About0125 PARKER ROAD - Health 125 PARKER ROAD Osterville A = 116 - 028 LO CAvT ION S MA C E PERMIT NO. VJLLAGE I N S T LLER'S NA i ADDRESS 1 It OR OWNER DATE PERMIT ISSUED 1- 2 -- DATE COMPLIANCE ISSUEDlo � b � -� Ill awl t_,�;�--.vim' . � ��- w. R� � �� t� �Q. 6 � i� ! � i ,, ,y --- ,, . /N _d�2 0 FEE- NoC911 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH i-N---- ...-... OF........' Appliration for DiipniiFal Works Tomuurtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at Loc�t}On-//Address or Lot No. Ow er <— Address a ........................................... Installer Address Type of uilding Size Lot............................Sq. feet �. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type 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 ( ) aPercolation Test Results Performed by........................................................................... Date........................................ ,.� Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water-----------_............ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ M •---------•------------•------•------•----------•-•••---•-------•------•........................•---......................................................... 0 Description of Soil......................................................................................................................................................................... x V W -------------- U ure of Repairs or Alterations—Answer when applicable___ ,._ !ff�! Na, {� f-_...4 L' ..T. �� L�"`�` -��i/a-z!z• �=�� ! !" �'.._!c -r1;:L�f� �C? A eement: � c C •�-,cy, e ,7` The unde signed agrees to install th aforedescribed�Individual Sewage Disposal_ stem in accordance with the provisions of TITA TIE 5 of the State Sanitayeissuedd C/de— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b'the board of health. ` Signed > f -'`` .: ..- ... ................. Application Approved B Date Application Disapproved for the following reasons---------------------------•----------------------------------•-----------------•-----------------._...---••-••- ........--•-----------------•----•--•----__----------•-------.._...----------•--•-•-----•••-•-------...---•----•----•--••---------•-•----------•--------•-----------------------------•••--------------- Date PermitNo......................................................... Issued....................................................... Date N = " Fxs . . .. THE COMMONWEALTH OF MASSACHUSETTS . a BOARD OF HEALTH a- ..................OF......... -Appliration for Disposal Works Tonitrnrtion .erm"tt Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at .�J ... .l...- ..... ...... ................................••......... -••••-•--••---•---••...............---_... Loc n dress or Lot No. ........................ ................................ -.................................. ....------------------....................... .........-----........--------•••••-•......... Ow r• r s •- Installer � Address ; d Type of Building Size Lot-----------------------"....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aP Other—Type T e of Building No. of persons............................ Showers 4 ` .. YP g --------•----•-•--- ---------------• --- ( ) — 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....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.............:....sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ RI' 0 Description of Soil.....................................................................................................................................-.................................. x W UN ure of Repairs or Alterations Answer when applicable �i A w' t-. -. ._ _ P- ---..._...�,. A eement: }� af l� , ' c The undersigned agrees to install th /oredescribe Individual Sewage Disposal S stem in accordance with the provisions of ii' ,;, 5 of the State Sanitayeissued de—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has hoard of health. Signed- d " D�to Application Approved B �0 , Date Application Disapproved for the following reasons-------------•---------------•--•----•--•---------------------•-------------•--•---------.........----....------ ...............................................................................................................................--•-•------••--------•-•--....----------••--•-•-----•-......----•-_-•--- Date PermitNo......................................................... Issued_--------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 11 1... ,............O F.... .. ....................'.:......._. ...... (9rrtif irate of Tontplialta THIS IS TO ERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired bY......•-••-----...-•-•---- '----. . ..------------------------•--• ----------••-••--•••••------•-..._..---...._......•-••--------•---........._-------•---•....... Installer at................................. ............. •-•--•-•---- ---- -----•--------- has been installed in accordance with the provisions of T �' 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N _ r'I...�............... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........... I Inspector.-- -�.�<l`� THE COMMONWEALTH OF MASSACHUSETTS s ,,.�•�+�+- BOARD OF HEALTH + ..............OF..... °•' GG"........................................ N -eta/ 2 2, FEE..�"r..�........ Disposal orkv Tonatrttrtion rrmit �; Permission is hereby grante�d � �. •----------------------------------------------------......... to Construct ( or Repair ') a Individual Sewage Disposal yst atNo............./ --•------ :._.. ..._•"' "'J ....................................................... Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... Boa ealth DATE ...... ---- -- =------------------------ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 80 L0,CAT- IION SEWAGE PERMIT NO. 4 S f i9/LIG 2 2 VILLAGE OSTi�/L 1/1000�� INSTA LLER'S NAME i ADDRESS 6UILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED CAN ''MSS r lnur k�11�-- _ CG JQolot i i � � I 1 y: .-,. .N.-.-..- .. 1 g• .i `"..t r .,`FL.1Y`. _ -"'?k!w-/,, +.h _ •3 ..r.' "R'> _ ... :.r''t.;..r q. ... _ TOWN OF 'BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION ADDRESS: i MAP NO. PARCEL NO. OWNER NAME: �� .a �l /` I ; .� VILLAGE: INSTALLATION DATE: Iti -- /7-- I BY: j 1 ' � CERT. NO.A DRESS: � TANK INFORMATION LOCATION OF TANK: o-1"C CAPACITY. Jz>/y,-, TYPE ��i yi-1C�ABE ; i' / FUEL/CHEMICAL r3 1 t Y TESTING CERTIFICATION C ] PASS _. [ ] FAIL DATE , LEAK DETECTION L�] CHECK IF N/A TYPE/BRAND zlr� ZONE OF CONTRIBUTION C ] YES [�(] NO DATE TO BE REMOVED, FIRE DEPT. PERMIT ISSUED C ] YES [ ] NO DATE UUNSERVATION Cy] CHECK IF N/A DATE / BOARD OF HEALTH TAG NO. ]C ]C ]C ] DATE / PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD .__._, 4 ��`� J a. CENTERVILLE - OSTERVILLE FIRE DEPARTMENT PERMIT FOR STORAGE OF FUEL OIL In accordance with provisions of Chapter 148, 0.L., and Regulations made under authority thereof. i Name ....PtWY.............. ............... Name South Shore„Heating,,, (owner or occupant) (Installer) 12� Parker Rd Ost 2 Wh t s P t Address ........ ............................r........... +4ddress 5..........,�....Pr.........�a....h..X.g=. J Burner Storage Make Type of Tank St Manufacturer .......................................... Capacity .1 QQQ.. gals. .(or) Size............ Model No. or Size .................................. Location .UndCrground.,,;,.............. Type.....:.................. Mass. Approval No. .......'........... - Permit issued ........1.01.7/19.8.1.......... ..........J.M....Farrin,gtan. .......... (Head of a Depar t ............................................................... By ... ..... ...... .. (THIS PERMIT MUST BE CONSPICUOUSLY ED UPO E REM