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0151 ROBBINS STREET - Health
151 ROBBINS STREET Osterville A = 142 125 7 `\ i AsBuilt Page 1 of 1 TOWN OF BARNSTABLIw LOCATION O /NS Sr SEWAGE @ �/� VILLAG& Q STC�Q YY�'L 2 G , ASSESSOR'S -MAP & LOT I'y,�'-/ •� :INSTALLER'S NAME PHONE NO. .T/ A,4 G 0,'A ffe f t SOA SEPTIC TANK CAPACITY _(,oap �� �' �lJ LEACHING FAC1LITY:(tnx) 11T (size) /o 08 NO. OF BEDROOMS .-T PRIVATE WELL OR-PUBLIC WATER i RU4h$WOR OWNER M Z,4 f_7 ^ DATE PERMIT ISSUED: / y DATE COMPLIANCE ISSUED: "" VARIANCE GRANTED: YesF No r f4 so O O Ale kJ http://issgl2/intranet/propdata/prebuilt.dspx?mappar=142125&seq=1 8/2/2019. f No. ` Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yam/ PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Application for Misposar *pstrm Construction Jermit Application for a Permit to Construct( ) Repair Upgrade( ) Abandon( ) ❑Complete System ividual Components Location Address or Lot No./.5/ eQ061-3i.#J $-�' Owner's Name,Address,and Tel.No. w fix;z�2® I"zoo Assessor's Map/Parcel/ - 9 llyb- Z)&- 5.0-M A,�l.lJ3a Installer's Name,Address,and Tel.No.C449, A,14C Designer's Name,Address,and Tel.No. Type of Building: br-c-2)Dwelling No.of Bedrooms Lot Size sq.ft. Garbage GrinderOther Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date. Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) I46t J , irSrCl�t iG�v c. Date last inspected: Agreement: The undersigned agrees to ensure the const ction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Env' onmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board o a Si ( Date Application Approved by Date Application Disapproved by Date It for the following reasons Permit No. -a"16 Date Issued Awl, j No. �! Fee �J THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Y PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Rpplication for Disposal 6pstem Construction Permit Application for a Permit to Construct Repair/ `/U�rade Abandon Complete System Individual Components PP ( ) P U/1 Pg ( ) ( ) ❑ P Y Q' P Location Address or Lot No./,/ Owner's Name,Address,and Tel.No. Assessor's Map/Parcel.'ly✓ lla 41y� Installer's Name,Address,and Tel.No.(74,0,,/jI46 �s�s� Designer's Name,Address,and Tel.No. - ..Type of Building: f Dwelling No.of Bedrooms �i �� Lot Size sq.ft. Garbage Grinder( ) i' Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd i Plan Date Number of sheets Revision Date Title a Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) f f r\n o`�s^c rn l,4196"1r r n 4" rF✓./�_ r��i � cjo� Date last inspected: Agreement: " The undersigned agrees to ensure the constr ction and maintenance of the afore described on-site sewage disposal system in ' accordance with the provisions of Title 5 of the Env onmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of, ea Signed , l - ��` Date c , Application Approved by Cti. -.Date / Application Disapproved by Date for the following reasons Permit No. G Date Issued y/ rk � t THE COMMONWEALTH OF MASSACHUSETTS Avlx, BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site S/e,�age Disposal system Constructed( ) Repaired(✓) Upgraded( ) Abandoned( )by �/���l,�igC. (��57�G C 4 * at �323;/S y�. has been constructed in accordance with the proviis em siions of Title 5 and the for Disposal System Construction Permit No. G��/�� dated Installer ("A�''�N/� C.�srlS?, Designer f #bedrooms Approved design flow gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. 1 ) Date <��� / ,„r Inspector _ �' 1�_, -------------------------- No. _ ©. t GJ _ ��f� Fee S� THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION- BARNSTABLE,MASSACHUSETTS Misposal 4§pstem Construction Permit Permission is hereby granted to Construct( ) Repair(k�-) Upgrade( ) Abandon( ) System located at NL$ 57� 0511nQ V,1& , ✓�I �, i t and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. 'Provided:Construction must be completed within three years of the date of this permit. j Date / /(` roved A b PP Y , ,v TOWN OF BARNSTABLE LOCATION SEWAGE # �/� VILLAGE ASSESSOR'S MAP & LOT 13V,? -A INSTALLER'S NAME & PHONE NO. ,T: AA G o M,6cg I- SaAl SEPTIC TANK CAPACITY /o" 9 "17 is LEACHING FACILITY:(type) (size) /D G a NO. OF BEDROOMS 3 PRIVATE WELL OR PUBLIC WATER RU4 $ OR OWNER Z7 DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: "" VARIANCE GRANTED: Yes No— '� ,R .S v \ � Z o. w, O No.....l..l�= L1 r Fss....3...:...... ... APPROVED THE COMMONWEALTH OF MASSACHUSETTS Iva-112s 9emsteNe Conservation Department BOARD OF HEALTH ............ �7 le 5yJOWN OF BARNSTABLE s� ned Alip irtt 4t for Diuvitial urkg Tomitrnr#ion ramit Application is hereby made for a Permit to Construct ( ) or Repair �X]5 an Individual Sewage Disposal System at: 151 Robbins Street Osterville,Mass . •••-•...............•--------•---•-----•-•-••---•-----...--•-----............----••---•-•-•....... ...................-.............................................................................. Location-Address or Lot No. Cliff Mead Owner Address W J.P.Macomber Jr . Installer Address Type of Building Size Lot............................Sq. feet DwellingX-XNo. of Bedrooms......3-----------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons----------------..---------. Showers ( ) — Cafeteria ( ) C4 Other fixtures ------------------------------ W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacitv------------gallons Length................ Width.----------.-.-. Diameter.........---.... Depth................ x Disposal Trench—No. .................... Width..........--.------. Total Length.................... Total leaching area....................sq. ft. 3 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..--..........--...--... Test Pit No. 2................minutes per inch Depth of Test Pit--------.----------- Depth to ground water.....................--. ------------------ --------------------------------------•--•---------------....••••--•-----•-•-------••---------------•-••-••------••••---....-•••••--..---- 0 Description of Soil........................................................................................................................................................................ x Sand & gravel U .......................................................----...------------------------------------------•---------------------------...--------•----------------------------•-•--....---••------•-•---- ------------------------------------------•---------...---...---•-----------------•......•-----•.........••-•-•-•--••----•••••--•...----------- UNature of Repairs or Alterations—Answer when applicable.---------1000 gallon leach pit. 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 hasO1--eissu d by th boa of health.Signed ... . _.... . .,........- 211-6-19.4 ...: Dare Application Approved By ........... ".... .. .. .. .t••---, ------------------------------------------------------------------ Dm Application Disapproved for the ollowing reasons: .............. . ..--.........................................................-::. .- ........... ...... ................. ... .......... . ........................ . ......................... ... ........................................ Date PermitNo. 1... �� .................. Issued ..... .. ................................................... Dace No....7 .6 t,/1 FHB....3.0...0)9... THE COMMONWEALTH OF MASSACHUSETTS � r BOARD OF HEALTH...., , TOWN OF BARNSTABLE 7 Appliration for Uhri aiial Wurk,i Tottotrurtiori ramit Application is hereby made for a Permit to Construct ( ) or Repair �. X? an Individual Sewage Disposal System at: 151 Robbins Street Osterville,Mass . ..............................•--•--................-------•----------------------------.......--- ------•-•-----•-----•--------------•-----•------------...----------------•------......•---......-- Location-Address or Lot No. Cliff. Mead Owner Address a J.P.Macomber Jr. Installer Address _ Type of Building Size Lot............................Sq. feet ., DwellingX-No. of Bedrooms.----_3._,,---•---------------------__--Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ------------------------------ - W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons. WSeptic Tank—Liquid capacitv------------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........................ (i \Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a -----------------------------------------------------------•--------------------•---.........-----........-•---•--•--.......------...---------------------... 0 Description of Soil--------------------- San----d grav----e-l---------------•----------_-.-_.--------------------------------------------------------------•----.----•--- x U .-------------------------------------------------------------------•-------------------.......-----------------------------------------•------------------------------•----••----•--------•--•-------- W ----------------------------------------------•---------------••-----•----------•-----------......-------------•------- .1.............................. 1-1000 gallon leach pit . 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 place the system in operation until a Certificate of Compliance has been-issued by th 'boa of health. II' Signed . -/J -<� 2/1-6/94 -''`A �� _-------------- ,............................... Date ---- Application Approved By ............_.... --1:.�-< - ^-�-- - ... -........... ......... " .r ..�27.__( '.�f Date Application Disapproved for the ollowing reasons: ....._.........._....... .. ............... . . . ..............................--..........._.......... Date Permit No. L�..� v2.-.... Issued ................................................................ ------------ -- Date E THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE QLTWE>rtifi atE of Q-11omplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX) by --- --J.P.Macomber Jr. ---------------------------------------------------------------------- Installer � 151 Robbins Street Osterville,Mass:� at -------------------------------------------_...-------------------------------------------------------------------------- ----------------.._----------------------------------------------------------------------......------- has been installed in accordance with•the provisions of TITLE 5 o The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........ . dated .------_---- ... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......----`� �^....� .. ....( _....._ Inspecto'r THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH TOWN OF BARNSTABLE ?Ll` - �- ' FEE--- ...3..:.... �i��n�tt1 ork� �nri,�tr�rtiori �rrmit Permission is hereby granted....J.P.Macomber Jr. ti ) ......-----. to Constr ct_I % Kepair (X an Individual sewage Disposal System ul5 obbi s St eet Osterville,Mass . atNo.................................................................. ..._..------•-------....------------ -----------------•----•------------•-•------•----------------•----------............-- Street C� as shown on the application for Disposal Works Construction Permit No./. Dated...t;,l— _":-;---_5........ • g �. Board of Health DATE............ ................................. FORM 38808 HOBBS 6 WARREN.INC..PUBLISHERS 4` No..........._31--- Fua............................ THE COMMONWEALTH OF MASSACHUSETTS C�+ �2 �' BOARD ,O HE�LTH 1 �rteh.......OF....... .: .. . . . Appliratiun -fur Uiipuiitt1 Murky Tunitrurtiun Permit Application is hereby`made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at J --------------- .�� �s---------c�TR�.�:�------------ .............................- fi 5 .................... -Address or Lot No. ...................... -------- — Ae----- r ddress .............. -o.�?-{.ra. _.... ....... -=- :.....---•- ..........------------------_--.!.1...L •..................................... Installer Address UType of Building Size Lot... ooG.. .....Sq. feet Dwelling—No. of Bedrooms__.__3_. .......................Expansion Attic ( ) Garbage Grinder) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures --------------- ---------------------------------------------------------------------------------------------------------------------------•------- W Design Flow.........:.............0 ........ gallons per person per day. Total daily flow........ WSeptic Tank I Liquid capacity/�ife-_gallons Length................ Width------- ........ Diameter__._..:._...____ Depth-_.__._...... Disposal Trench—No.---................. Width--- _._. . _ talN Total leaching area--------------.-----sq. ft. Seepage Pit No.......'............. Diameter ^� "`' . Total leaching area.-_-___--_.------sq. ft. t ------ t Other Distribution box Dosin ate o �" �� 7 z ( ) /� ( grab '~ Percolation Test Results Performed by._.. .�. __ .�._.. _ - - ..:................ . Date.__. --_�_`�.�.._........ Test Pit No. 1----------------minutes per inch Depth o "Kest Pit.................... Depth to ground water........................ f4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__.-------_-_---_-__-. P4 Description of Soil------------- �..-." .y—__ Z i ,. - •-- ...I-A.................................. x w ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------- V Nature of Repairs or Alterations—Answer when applicable._.-.---------------------------------------------------------------------------------------- - -------------- --- - -••------- --- -•.- - Agreement: _ The undersigned agrees to install the aforedescribed Indivi ual Sewage Di osal SyACn--accordance with the provisions of Article XI 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 t e ar f health. igned. �. - -- 4 -.--77----- Application Approved B Date PP PP Y - Date Application Disapproved for the following reasons ._'.. __..,fl___ __.------ _�N �a ......................•.•.. - -------- -- --- ------------------ 4 Dattee� Permit No-------------•--.......------......--•'--------=----•••-- Issued..--,/`< ` 7 Z_---/----Cy ----•-- Date Ae No........ - *.. THE COMMONWEALTH OF MASSACHUSETTS BOAR® O HE LTH -- _OF...... .. +.......................... Appliratiun -fur 4iupuial Works Tomitrnrtiun Vanift Application.is hereby made fora Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at --------------- .°-.... :.._/..'....----. .. ::............................................ ............................. _.-.. - .................................................. cation Address or Lot No ..................................� -fig ----- •------- ...... ................................. 14 ner fi ddr 20 Installer Address d Type of Building Size Lot... .....Sq. feet Dwelling—No. of Bedrooms----- _-u?__��"� c'____________________Expansion Attic ( ) Garbage Grinder ( d, per, Other—Type of Building ___________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------------------------------ W �Desi n Flow_ ________________.. ._. . _...__ Mons per person per day. Total Bail flow._.__...____.. gallons. g •4� g P P P Y y .: g� WSeptic Tank E Liquid capacity/ild-gallons Length................ Width................ Diameter-----.---------- Depth-.-______-_-_--- x Disposal Trench - No_ ____________________ Width _ tal en t - Total leaching area--_.._.___......._.sq. ft. 74 Seepage Pit No __._ ............ Diametet� �- -_ lw : i Total leachingsiren. = sq. ft. z Other Distribution box ( ), Dosma ;n ( �" . "" '-' Percolation Test Results Performed by. Date___-„� -_..__ - ... Test Pit, o. i________________minutes.per mch Depth o >.a'est Pit_..__._.__.__.__.__. Depth to ground water`:-___--____--__-____. (� Test Pit No. 2................minutes per inch Depth of `Celt 1 it.._...___._____.._-_ Depth to ground.water-----------___-____- .- Pd -G . `escrptonoo I �F ' x V --•----------•••-------------------•- ....... ---------...__.._____................................... ......... --••--•-•--•---------••--- W _ _` VNature 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 Article XI 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 t e ar, health. igned_ �} ------ ---� ��r ,✓Date Application Approved BY ... - 01 -- •------ -- ., ---__ .,_4 ?r--��--- Date Application Disapproved for the following reasons:............................................................................................................... -1 -------------------------------------------------------------------------------------------- ---------------- ate Permit No. Issued..... ..-..... ------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF ALTH ......... . . ... �� OF................ :. �- ' ", - ........................ aT wrtif iratr a W&Mphaurr THI 0 CE 11IF. That the Individual Sewage Disposal System constructed '(, ) or Repaired ( ) by ---- - ... _-• -- ........•• --•-• ----- _-___.•- /� at ---------- ------- --�--- -'� ..w-----Inst �i --- � !�.. C4 has be installed in accordt�hce with t e provisions of t/ XI of-The State Sanitary Code a described in the application for Disposal Works Construction .Permit No. .._... ............... dated_-!_""_- - ' ___________________ THE 'ISSUANCE OF THIS,-CERTIFICATE SHALL NOT BE.CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.......... l ` 7 Inspector .................. �: THE COMMONWEALTH OF MASSACHUSETTS ,.,,, y. BOARD OF,4HEALTH No._____-•-.v FEE---•f-�----••----•-•- t u or T Strurtiun Vamit Permission j5.kereb iiimted---- 80'_ ....... `........................................----- ____________ to Constr t. :�.r r ( ) or ( a I v al ewag tsp fial ystem . -- .. Street �J as shown on the application for Disposal Works Construction. P r ' No----- -:__ y ed___�''_ ' ------r_.......... �f 7 Board of Health, i DATE.--- . -.,:,, t FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS_. 1 r I.ab ! r:: s t,:. is ,u"y + , +,4ti ._ { } + y 4 . 11.1� ? ' f �xr {#' �t+ I r�.)�,„ �wI 1 1 a'M I I,. d, t: eg'hsexe S 11 J �+ ._ ,j. { ' E }, ' �;n ♦ f.t�:'�i-5 A pk to 1-)t r i YCx^1 1*i I r�' i L + _ T [ rt., r t 4` t `�' f- 0"! ,�a -Fir I J„ + F 41 ;.':. k` ,. '!. yy. fi ", yS A d ti + , i 'i?C ➢ -+ �1 s t.:� d,y }'tk+ ( x1 ti _ '.}*99 +, ,ti. (`91.,- �L k a,. t <S , T I if y-i , -1. ., , J�t x ( b'; r { I y� Ifs�iklQ"ati +Y..%.' ' 4 h D 1 r GY'{ I 2}} iJ It "'z`' C t ' r { r +� 1i�3 �, u - 9 t•►i dz i lati r��i ' Is1 a t' , r 1 r o t k l ++ # Ili g: l_f �y � s E re £ba 3 t e !} 4 1 9J K� tf k .r. .{ T. f tJ 4, 1:LR k` 1 1. % 1 ,. t o S,yJv , e I J r 'sLLLL °. '�,� a1r} ",}..3�. i ,_' ,}' I 1 .4'6C t..:.7G0 :a< ` , -t y ✓,k't��r..,.n, �'Y� kV, S�' ��� aP i((y I+ 7 1'(jaw I ."�'t.. t I 1; --R'� A �,j I --aI '_^'r;'_;". 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