HomeMy WebLinkAbout0989 SEA VIEW AVENUE - Health 989 Seaview Ave
v Jsterville
A 090-009-001
7 _
C
/A
THE COMMONWEALTH OF MASSACHUSETTS
APPROVEDBOAR® OF HEALTH
Barnstable Conservation Department /� d � a � �0
TOWN OF BARNSTABLE
'e 9 Appliraf i for Diripuual Our1w Towitrnrtlun ramit
pplication ' errrebb i a�ie or a r'nli nstruct ( ) or Repair �X] 44n Individual Sewage Disposal
System at: SI�� rru
•986 Seavi ass .
..............................................:.......•---------------- ................... ----------------------------.......-•-•------
Good of Location Address or Lot No.
......----•---.........................•-----•------------------------......-------•-•-----•• -•••••••-----------•---•----•------•••...........--•-•-------••-•.............._...............---
owner Address
W J.P.Macomber Jr.
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) —.Cafeteria ( )
a' Other 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.
3 Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
. Z Other Distribution box ( ) Dosing tank ( ) t
Percolation Test Results Performed by........................................................................... Date........................................
aTest 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........................
Pd ...................-.........................................................................................................................................
x De�crgon of Soil.........................................................................................................................................................................
atC1l
v -----------
W - --------
.•--•------------------------------------------------
••-----------
•------
•-------------------
•• •----------
••••••------------------------------ ------------------------------------------ -------•------------------ --.-• --•- -------•••.........-••-----••--
t8 000 gallovat e o Re�ir or �ionAns � en llca e. c n septic tanks,...............
xe sakecinstone _ ..-..._.•� i a .
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 ;eegjls by the oar of health.
�
Signed .. . :...... ...............................................................................-- ....... ��21�93...............
Dare
ApplicationApproved By .................... ..............��-�.: - 1----------------------------. .................................. ................................-.......
Dace
Application Disapproved for the ollowing reasons: ....................................................... ..................................................... ... ..............
..... ................................ .. .......... ......... ......... ... ..................... . ... ......
Dare
Permit No. ,�------`6Y......................... Issued ........................................................
.....
Dace
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
CiTErtifirate of C ampliance
TIC'S IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XXX)
� .EIVIacomber Jr. _.....
..................... .................. ........ ..... ..........
by ...................................................... . h�:�u��
qP6 Seaview Ave Osterville,Mass .
at ..................................................-----------------------------------------.---------------------......... .................... ..................................._...... ...._....... ..........
the application for Disposal Works Construction Permit No. __ - ...-._l_Ff-cl..._..... dated _. _
has been installed in accordance with the provisions of T1TI,E 5 of The State Environmental Code as described in
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTE
_.._....................... ................ . Inspector ......._�- -.----- ------......_
DATEM.WILL� NCT�ION SATISFACTORY. p
------,®e _ -------------------------- ------------------•----------------
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
cc� / TOWN OF BARNSTABLE
No......1. :>.:..1.q FEE.. ... ........�....
J.P.'acomber Jr.
Permissionis hereby granted------ -------- -- --------•-----------...-----------•-----•---------------•---•---•--------------•-------•--------•----------.............
to Constr ct ( ) or P e air :CX) n Indivi l aa11 Sewage Disposal System
r t% Seavie a Ave Uastervi�lle
atNo------ -----------------------------••----------•--•--•-•------•--- --•--------•----•----...--.-------- --...-- --------------------•--•--------------...-------------...----•---.............
Street
as shown on the application for Disposal Works Construction Permit No.7,3-/1=y___ Dated...........................................
Q; ----... -- --
Board of Health
DATE.............
FORM 3830E HOBBS A WARREN.INC..PUBLISHERS
tr.,j•.. . `� �. -r v v u.J y U+ • u -!V +if"\f-u w� 4.4x ... . w� � v v w -. v..v.....,y _d• •-
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No...!-,03.=aH.. FRz ....3gt.! J....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH �
TOWN OF BARNSTABLE
:n,Q Apphration for Diripmml Wor1w Tonfitrnrtion: rrmit
Application is-hereby, made fora I ermit to-Construct ( ) or Repair �M�x n Individual Sewage Disposal
,t ystem at:
986 Seavi ..-•A e._.0zter -ice e...ass...... --------------------•--------------.............-•---
} Location-Address or Lot No.
Good of
Owner Address
.P.Macomber Jr.
Installer 1 Address
UType of Building v Size Lot............................Sq. feet
Dwelling— No. of Bedrooms................____________________________Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building ............................ No. of persons.............................Showers ( ) — 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.
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........................................
aTest 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........................
a •----------------------------------•------•------------ .....................................................................................................
O De
t*on of Soil........................................................................................................................................................................
V .---------------••-----.....----------.....•------•••-----•-----------------------------•-.....----••------•-•-------•------•--•-•--•----••-------•---•-------------------------•--...------•....._---•--
W ••-••• •----------------•----------------•--•------------------------------------------••---------•------ -----••..........
U ature o Repairs or Alter ions Answer en a lical�le___.- 000 :gallon septic tanks,
rr .
�-als riouLior� o�xes ,h inzi`lyat��s ackedf...in stone
••-•----•------------------------•-------------------------•---•--•-----------------•---••-•---....---------•-•--------------------------------•---------------------..........----•-•-•--••........----
Agreement:
t 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%issu=bytheoar of health. -
Signed .............................�.................... -- ....� ....................:. 21 93.........:....-.
Dare
Application Approved By -----------------r .. -----------
Dace
Application Disapproved for the Iflollowing reasonr: ..... ...................... .........................._---...........................................
i
� Dare
Permit No. ------- 7 , �".-j6�-L�...._...... .......... Issued ....................................._............................
Dace
TOWN OF BARNSTABLE Ca
j LOCATION SEWAGE # j
VILLAG ASSESSOR'S MAP LOT
INSTALLER'S NAME'& PHONE NO. (1, P�'/���
SEPTIC TANK CAPACITY , �,Ohl/
LEACHING FACILITY:(type) .1 hrtl z/)`I�ions (size) G
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No ��
22,1
1 Co
1Z2
'
i` '
AsBuilt Page 1 of 1
TOWN OF BARNSTABLE
LOCATIO —SEWAGE #_51 j d
VILLAGE �� !f Q �+ �
�5� v ASSESSOR'S MAP & LOT
INSTALLER'S NAME 8i PHONE NO. /' 1'/�'Go.•s 6,•r �-.Sc� lac
SEPTIC TANK CAPACITY-L(�G�/G cL
LEACHING FACILITY:{type} "1 r,r,'#t/,70ri (sue)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER
-
DATE r� �
DATE PERMIT ISSUED:
i DATE COMPLIANCE ISSUED:
' I
VARIANCE GRANTED: Yes No
1 l
1-72
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http:/,'issgl2/intranet/propdata/prebuilt.aspx?mappar=090009001&seq=1 . 1/9/2012
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TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
"# AA!, ' A` OWNER AND INSTALLER INFORMATION
ADDRESS:9 c "# `a i.+ MAP NO. n9n PARCEL NOLO
OWNER NAME: VILLAGE:
INSTALLATION DATE:
ADDRESS: CERT. NO.
"" TANK INFORMATION
LOCATION OF TANK: i �1+�*,
CAPACITY TYPE S i'1 AGE FUEL/CHEMICAL -N (6A
TESTING CERTIFICATION,-'C� ] PASS C]"FA-IL DATE to fie` J
LEAK DETECTION' C ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTR I BUT I ON = C ] YES C ] NO DATE TO BE REMOVED K.i fee� V� ! J
, -7i
FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE
CONSERVATIOIV� ' IF N/A DATE
BOARD OF HEALTH TAG NO. [ ]C ]C ]C ]C ] DATE �� �P
.' ' ,, ,, ,'PLEASE PLEASE PROVIDE .A .SKETCH SHOWING THE TANK LOCATION ON THE BACK. OF THIS CARD
•
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TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER +AND INSTALLER INFORMATION
ADDRESS: MAP NO. Q PARCEL NO.
i
OWNER' NAME: VILLAGE: Oki
- ;
INSTALLATION DATE: -
� C�e
ADDRESS: CERT N
l.
-t
- � TAN.. INF RMATION
LOCA�T-I-ION OF TANK:
CAPACITY Q� - TYPE + AGE FUEL/CHEMTCAAL—'-�"a
+ . .
TESTING CERTIFICATION : C ] PASS C I FAIL DATE
LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION C 3- YES CX] NO DATE TO BE REMOVED^1Ct-'- / ! I0
FIRE DEPT. PERMIT ISSUED C I YES C I NO DATE
CONSERVATION C_ ] CHECK IF N/A DATE / �}
BOARD .OF 'HEALTH TAG 'NO. C ]C ]C ]C 31, ] DATE '02 f�(1 VU r V 1
PLEASE PROVIDE A SKET�CM SHOWING
, THE TANK LOCATION ON THE BACK OF THIS CARD
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MAY 30 '91 b7:48 CENT.OST.F;RE D FT. P.2/2
FORM F.P. 292
(rev. 9/90) q
Department of Public Safety
s Division of Fire Prevention and Re lat on
APPUCATON T j p i', FOR REMOVAL AND TRje�
ORTATION TO APPROVED TANK YARD
FDIU# r�i�`1 o . Permit Date rti-\ 9.
�� �12ri5j�3j1�'
City,Town w District -- ; C . 82 8 . d 0, .N . G . t. .
DIG SAFE PUMBER
Fees Paid: .1.LOD
91
start date rvi A,,
In accordance With the provisions of chapter 1480 Sec. 38A, H.G.L. ,
527 CMR 9.00 application is hereby made by: `-.,
Street Address & City or Town:
Signatur*"'of- applicd'n' �-
Ape ildanf,g, name printed: ZLI,4,117
For permission to remove and transport one underground storage tank from.
owner: C'c c� l Street Address: �f c�.�i Se,��i�' , fJ-u T
Firm transporting waste:
---- State''Li a.'# ►,..-. .,f,.�.:,...
Hazardous waste manifenfi. _ _ r E.P.A. #
Approved tank yards -ce # n � V�
Tank yard' Address t
Type of inert gaas _ � _.. UL .tank :
Tank capacity: Sc%o Substance last stored:
Date of issue: M A,4'1g9 j Date of expiration, , 4
Signature/Title or. officer granting permit: �)4
.'
KEEP ORIGINAL AS APPLICATION AND ISS DUPLICATE AS PERMIT