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Home My WebLink About0146 PINE LANE - Health 14 (� D�}e2.�tl12. Z2- �e L 0 C A, 104? S EV A G E PERMIT a0• 11`� l VILLAGE IN-STA LLER'S NAME �_ ADDRESS. ��ilC� i U I L D E 0 OR DA- TE VERMIT ISSUED DATE C70-MPLIANCE ISSUED L a � a Q ��-.. - . _ _ � _, �L�— � ! � � (� _C� �, � �� . � a �. a ` f � �a y �a1� �, � , �` �'� ` � °'= � 1 � �i �� p �� . � �1 ��! �IIJU�u.�i�7s/ . MEL THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........................Towr.1.---.....O F...................Barnstable....................--•.._.........-------- Appliratilan for Uigpnual Works Toustrnrtilan rmuff Application is hereby made for a Permit to Construct ( ) or Repair (x } an Individual Sewage Disposal .System at: 146 Pine Lane.....Osterville....................26.5 .............. ...----- .............•--_-...••- Location-Address or Lot No. 43 Doyle _-Redding .... ..Sunset Drives..Chatham,._.N:.J:...�� 28._...-----• Owner Address a A & B Cesspool_Service --..••-.----_•-- ----- 128•Bisl oft Terrace, Hyannis, MA 02601 Installer Address Type of Building Size Lot........... ..............Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a+ Other fixtures ............................... .. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 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........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water---_--_______-_-_---_-_. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R.' ...-------•----••--------...-•-•------•-----•-----•---...--•---...--•-------------------•---__------......................................................... 0 Description of Soil---------sand-------------------------------------------------------------------------------------------------•-................................................. x -`-- -- . . - - - - - - - - - - - - - - - - - UNature of Repairs or Alterations—Answer when applicable.inst-allation--of..a._l_,.000__gallon__septie_ tank, 1 distribution box and a- 1.000-- 11on ire-cast, stone pa_cked__leach pit-__�overflow�.-__.._. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITi IE 5 of the State Sanitary Code — The undersigned further agrees not to place the system in operation until a Certificate of Co pliance has been issued by the b andrealth. 11 9 82 Application Approvedig -----....---••--• 11� 9, te Date Application Disap o o the following reasons:-----•....---•----••----•------•-----•--•-•----•-------••--••-•••--•--------•--------•-------•-••----•---•---•-- •••-••-•--•-.........•---••-•--- - . ---••----------•---••-••-----•-•--•-•--••--•------••-•••-•........---••••----••--•-----••--••------•----••••-•---•---•--••-•-•-------•-------- ---•-------------- Date Permit No..._82- 11 9 82 -------------------------------••---...-•------ Issued �*: :/ F ' No.82- u .. Fss.... ....3.00....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................ orn--......O F...................Barnstable--------•-------------•---........_........ Apli iration for Dispos al Workii Tow5irur#ion Vamit Application is hereby made for a Permit to Construct ( ) or,Repair (x ) an Individual Sewage Disposal System at: o 146 Pine Lane. Osterville. ?4A 0?6_55............. --•--•-•- -----............------.............. .................•-•- Location-Address or Lot No. Doyle----Rddim...............•-----......--•---•-----------•-----._.. .... .43..Su.........................st iv . Chatham. N.J. 07728 .. .. _......... W A & B Cess oo Owner Address p 1,-Service ..128..Bishop Terrace,• Hy.a t__MA.....02601_ a ...............- -•• • . ... Installer Address Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.................2........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of ersons.....__....4______________ Showers — a YP g P ............................................ 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fl-I Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 01 •---•----------------------------------------- •-••-------------------------- ------------ ••................................................................... 0 Description of Soil-•-------sand,•-----•••---•-•---•---••-------•-•..._........••-------•---•-•-•-•---•-•----•-••--•------•---•-••--•-•••••-•-•••-•-•-•......-----•.................. W U ._..•--•-••••-•-•----•-•••••--•••----•••-•-•--•----•••--•---•-•-------•--•-•-•--•••-•---......•--•••----•--••--•......•---•••-------•-----•-........................................................... W ------------------------------------------------- -------------------------------•----------------------------------------------•--------------------------------------------------......-•---------••- U Nature of Repairs or Alterations—Answer when applicable`installation of a 1p000 gallon. septic tank, 1 distribution box and a 1�000 gallon ire-cast, stone packed Leach pit (overflow. -------------------- ----- ------ -------- -- -- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITU 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 bgard of Health. f j /i.gnedl/: 1l�^ �-- .:.f. /�? ' �..._?..11/ 9/82. to A lication A roved �" 1/ 9/6�PP PP Y ;_:`.: ........................................ ........................................ Date Application Disap_ o yed o he following reasons:.............................................................................................................. - 1 t -----•--•----••--•----•-.- ----_------- Date Permit No....82r............................................. Issued_.......................i1..---9/-•--82............. � Date THE COMMONWEALTH OF MASSACHUSETTS \� BOARD OF HEALTH ....................T own...........O F.....Barnstable . ....................................................... .. Trrtifiratr of Tutttph attrr I I T IFY That I iv•dual wa e Disp al S tem nst gd ( ).or Repaired (x ) Ues_p��ervice, ..�8 �`..s�ops�er--ace, -HIcan�i--s, � �6v1 at 146 Pine Lane, Osterville, MA 02655I"-'ftyle - Redding ......-•---•••-••--------••-----------••------•--•--------•-•-••-•--•-----•---.....•-----•••-••--•--------------•-•--•---------------•--------------------•---_.._...---------------- has been installed in accordance with the provisions of TIT - 5 State Sanitary Code a�lA.s" in the applicattion for Disposal Works Construction Permit No------- . dated ----..... ^, THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE COVEASGUARANTEE THAT THEt' SYSTEM WI L UNCTION SATISFACTORY. 11/10/82 DATE._...-•••--•................................••----......_•-••••••--•--....._-_.. Inspector-------- THE COMMONWEALTH OF MASSACHUSETTS • BOARD OF HEALTH 82- b " 1'awn O F..---......Barnstable $ 5.00 .... .............. l........... No................----•••• FEE......................... Elispoiial rk� ��at #rttr$uan per tti A & B Cesspool Service Permissionis hereby granted......... -••----------------------------------------------------------------------------------------------------•--•••...................... to Const ( o Re air a divi%al tfm Disaoaale yste adding �` Pi�ie rLan�, Ohs �ry ie, atNo............................................................................................................................................................................................... Street �a 11/ 9/82 as shown on the application for Disposal Works Construction Permit No.- A. _ I}ated........ /........................... --•-••--••- �....---�zA -------------------------•-------•-----•----___..._.._ 11 10 82 Board of Health DATE ..�..._�--•-•-----•-•--•••••.._.._..._•-•------•-•-------• ' FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS