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HomeMy WebLinkAbout0040 SOUTH BAY ROAD - Health 40 South Bay Road, Osterville = 093 - 062 o 0 10� K o n G Y ko Fee �✓ t THE COWWONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS Rpprication for Dtgoar *p9tem Con.5truction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) El Complete System El Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. e(o So ll i-6 RZ.11. Assessor's Map/Parcel R K4 9 G 6 S$le Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. AR vAR- S ASS Pe_ Type of Buil ing: ijt 92 uf 6f by t r1rAV e a !e:::: Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grind� Other Type of Building Co No.of Persons 3 to( ) Other Fixtures Design Flow Z _.�, d gallons per day. Calculated daily flow gallons. Plan Date '0WaAe_4 ;9 Number of sheets Revision Date Title Size of Septic Tank �4 �r Type of S.A.S. 1 ,_ Description of Soil ��► l7 C -c Nature of Repairs or Alterations(Answer when applicable) e e S >(?©� ( t 4 Nt< �/ 7- v Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the prooissuoard he Environmen and not to place the system in operation until a Certifi- cate of Compliance has be of Hea Sign DateCd/��Application Approved by Date Application Disapprovedons Za Permit No. 62 Date Issued S v " No. r \ Ok Fee , 4 THE MONWEALTH OF.MASSACHUSETTS Ente d`in eomputer. Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS ZIppYication for 13t9pooAY *p5tem Cowaruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components r.. Location Address or Lot No. , ; s t Owner's Name,Address and Tel.No. �� Sov.;�� 1��1� 1 � O SACY' C1 t(1 c`. Assessor's Ma /Parcel I �.5 S r p P f Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. UA (,l' _s, S Type of Building: 3 L-1 2 2 uf r by �,/'f o� rr u r d P %k r✓ Dwelling No.of Bedrooms Lot Size , sq. ft. Garbage Grinder(�� i Other Type of Building Go# No.of Persons Sh�werc(l�Cafeteria( ) Other Fixtures II Design Flow 3 30 gallons per day. Calculated daily flow gallons. ,,Plan Date `�AAe-4 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) 5 5 a o t `' h r `'� `N y > Date last inspected: tt Agreement: The undersigned agrees to ensure the construction and maintenance of the afore`described on-site sewage disposal system "in accordance with the provisions of Title 5 the Environmen "and not to place the system in operation until a Certifi- cate of Compliance has been issu oard of Heal h. Signed v Date f Application Approved by o Date I ,A Application Disapproved or the following reasons Y i t � v l --•A•••� Permit No. ..� s Date Issued V THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( ) Repaired( )Upgraded( ) Abandoned( )by at 2Z constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system i,l funct ion as designed. r ' Date a �� Inspector No.-- �!---------------------- Fees--- — rY�_J THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS wigaar 6pgtem Construction Permit ylPermission is hereby t to Construct )Re (` Up ad( a ando System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construc on lust b completed within three years of the date of t Date: Approved by 'a TOWN OF BARNSTABLE t LOCATION o�. J dl {` /� SEWAGE# :VILLAGE .Q r r" �� '�' ` ASSESSOR'S MAP&LOT 0�• -� `INSTALLER'S NAME&PHONE NO. P 5 7A VA iZ r, s SEPTIC TANK CAPACITY �^ LEACHING FACII..PTY: (type) -rrk (size) . :NO.OF BEDROOMS _ %BUILDER OR OWNER ph r C.*vJ 1 PERMTTDATE: _COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet ;::Private Water Supply Well and Leaching Facility (If any wells exist Feet .::on site or within 200 feet of leaching facility) .:':;Edge of Wetland and Leaching Facility(If any wetlands exist thin 300 feet of leaching facility) .� Feet :Furnished by ^. I 40 �f -410 TOWN OF BARNSTABLE LOCATION SEWAGE# S- VILLAGE- & O-e rat l-o— ASSESSOR'S MAP &LOT - Q/, a INSTALLER'S NAME&PHONE NO. 4 Y t v.4 it a SEPTIC TANK CAPACrrY Ewa LEACHING FACUA TY: (type) 1 A Pd `rr4 (size) NO.OF BEDROOMS q BUILDER OR OWNER R PAP r PERMTTDATE: ! 01 7% (COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility ' Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) tj A, Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) ,.3 0 0 • Feet Furnished by �3 IS' s a k"i LO CAT 10 p SEWAGE PERMIT NO. V I L L A G /�-> oT - fiC 11 INSTA LLER'S NAME i ADDRESS if e U I L D E R OR OWNER DATE ' PERMIT ISSUED _,� 7,9- DAT E COMPLIANCE ISSUED r ;� . � ��'!O ' O poi _ .. i I. �� � _� °� � � � !o , � �c2e4:n� ��eh�� � � � — � . , �� �3'g _ �.._ �a ( TOWN OF BARNSTABLE LOCATION �a, SEWAGE # VILLAGE � ASSESSOR'S MAP & LOT Ul 3 - 6 0- INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER RTITT.DER OD OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED:e� I f vie N SO 0 rt+ 9A aza ,.. 'No:. :.., y ?y . Fxs.......�......1�.�.�... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH HIV �GQ /..(�lLv OF.... /.arc-W ................................ Appliration for Di-qus al Vurkg Tonstrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...............•. ..... .. ............../..............•-- - . .--........ --------•-----------------............... Location-A ress or Lot No. t2X Owner Address a ,�ulaAL LC-wis .............................. -•-• ......................................_...................• -•--.....-••••-•-----......-•-•--••-•----........-----........_....�.....-----•....... Installer Address Type of Building Size Lot.... ---73._._.. t U Dwelling—No. of Bedrooms......................... .._..Expansion Attic V.)O) Garbage Grinder (e G ---.-•- No. of ersons-•-•-••• •---•-•-•-•-- t a Other—Type of Building p � Showers (OGj — Cafeteria (/6) p'' Other fixtures . .. . -•--•--•---...-•••••-•......•••---------------••------------ ---••---- W Design Flow.....................sit....___..__._..gallons per person per day. Total daily flow........�J--. ..._.._.....•..•....._gallons. WSeptic Tank—Liquid capacity �Q...gallons L7ngth... __(..... Width..�j0.. Diameter................ x Disposal Trench—No. ...I.............. Width......../......... Total Length....._............._ Total leaching areaJ.�-. ......sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. x Z Other Distribution box Dosing tank ( ) aPercolation Test Results Performed by........... :�lT -��-----..� --... Date....Y/e��/� �.__..,. ,.a Test Pit No. 1.V...&7_minutes per inch Depth of Test Pit__!7✓....... Depth to ground water.._?c.5.......... (i Test Pit No. 2................minutes per inch Depth of Test Pit.7_6..._...._. Depth to ground water.__7a_�............ f� -- , 0 Description of Soil.... 1e1.�Ci_I�Y,Y� '.....................••--...................................................................................... �.�4 a . U .. ----•-••--••......-- ....... . ----•- - ------- {�� -------------------- ------- •• •-•---•-�?!.-- .... . . --- � - U Nature of Repairs or Alterations Answer when aplicable.............................................._..._.............................._..........._.. ----------------------------•--------------•---------------•-------------------------•--•-•---...................---------------------------•--•------------------- .................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beenAissubthe board of health. Signed--�4,,. 3. .... Date Application Approved By.....:�:...._ Date Application Disapproved for the following reasons-----------------------------•---------------------------------------------------------------------------------- -•-•-•--•-••----------------------•-•-------•-------------.........._...-•------------.............----•- -� �j' ------------------- L Date PermitNo............ ----Z,(....--•................. Issued............. --••-••-•-------•...................... Date 140............3,11 tnr 77 # ........... FEB THE COMMONWEALTH OF MASSACHUSETTS BOARD OFHEALTH ..... .. ....................................... . ............0 Appliration for Dhipasal Works Tomitrartion ramit, ­w Application lis;-hereby made for a Permit to Construct or Repair an Individual Sewage `D!Wdsal System at V, ......................... .................. .................................................................................................. Location-X�lress or Lot No. Z.. ..... ................................... .....................Ir " .............. Owner Address .............................................. ..... ......I......................... .................................................................................................. Installer........ Address IC Type of Building Size Lot___.-t 4.z---;x'! eet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder (46) P4 Other—Type of Building ........ No. of persons........4=............... Showers Cafeteria 66) Otherfixtures ..................................................................................................................................................... Design Flow...................._4St.'.7.........._.....gallons per person per day. Total daily flow........ ...........................gallons. C4 Septic Tank—Liquid cap,,ic.itv!ft.} '" _gallons Lpngth.-?... ..... Width.Y!•_ .... Diameter................ Depth..'I.-..�­... Total Length.__.____.....__..___ Total leaching .......sq. f t. Disposal Trench o." I................ Width_.___..!..______.. ...... Seepage Pit No____________________ Diameter____.__.._.__-_..... Depth below inlet____.___.__________ Total leaching area..................sq. f t. Other Distribution box Dosing tank, Percolation Test Results .............Performed by........................... .........f5i.r ............... ..-............ Date. g b.j ....... Depth to ground water..... ........... Test Pit No. per inch Depth of Test Pit-, fi Test Pit No. 2................minutes per inch Depth of Test Pit.—F-_"........... Depth to ground water._..''_%'____.._.__... ----------------- ----------- .......... ---------*--------------- --------------------- ........... ....... 0 Description of '1V - ................................................................................................................................................... --------------------*---------------------------------*------------ ------------------------------------------------*------------------------*-------------------*------------------ ........................................................................................................................................................................................................ 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 Sanitary, Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b the board of health. Signed. :2z;L. 4 -------------- .........&"'�............ ................................ Date Application Approved By....j%.... Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date Permit No......_ ....................... Issued_............. Date COMMONWEALTH OF MASSACHUSETTS fig/ &.41 A BOARD OF HEALTH ..OF................................................................ rfifiratr of Toutpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by....*................ ...........MA1111 ............................................................................................................................................. Install &/ at.......... 4e.!�'s........ .......��7...........�_`.......................................... ................... ---- .......... 7:7�74---------- ------------ has been installed in accordance with the provisions of TITLE 5.of The State Sanit"a'ry"'74E ode pas-described in the Ir':4 application for Disposal Works CWtr4ction IV.1. !_­'l I T ............ ........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE... Inspector..........-------------:7--------------------------------------------------------- -----------*....... .. .... ..... .... ............ . THE COMMONWEALTH OF BOARD OF WEALTH 4 e ev ... ...OF.......... No....... ... ............. ........................................................................... FEE........................ . Disposal Workii Tonstrudion famit Permission is hereby granted............../-,- At'KA........4&el I'll ...............................................................................................�­.. to Construct or Repair an Individual Se rage Disposal System ......� I, 5r System sre-'4 e atNo..._.....49.61...✓2 3........... .........................?:.............................................................................. Ae as shown on the application for Disposal`Works Const ul iQ..li"erinit No........ Dated....1.6................................. ...................................................... ........................................... -7 ,7 Board of Health DATE......... .................... ................ FORM "BS WARREN, INC.. PUBLISHE Q.6 1�111 -;R S • Nr 104 T 10 err r RAXTER & NYE, INC. Registered Land Surveyors 32 Wianno Avenue/ Osterville, Massachusetts 02655/ Tel. (617)428-9131 WILLIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President _.r June 4, 1979 Town of Barnstable Conservation Commission Town Hall Main Street Hyannis , Massachusetts 02601 Re : D. Forbes Will, Little Island, Osterville, Massachusetts Gentlemen: This is to certify that the proposed septic system shown on _a plan for D. Forbes Will and dated May 11 , 1979, revised May 22 , 1979, revised June 4, 1979 , is designed as "floodproofed" in accordance with section 1910.3e of Chapter X. title 24, (National Flood Insurance Program) . Very truly yours , i Alan W. Jo s , P. F: AWJ/nd S. MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS I AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS No.- --- - �"' Fee---f��----------- BOARD OF HEALTH TOWN OF BARNSTABLE ZIppiication-*rVell Congtructioni3ermit Application is hereby made for a ermit to Construct (kol, Alter ( ), or Repair ( )an individual Well at: -— — --- --- -— -- —- ---- Location - Address Assessors Map and Parcel / N/I Sb ?!� - ' --aSl4fJ�lGr - --- — - -- - -- —-- — - --- - -------------- Owner Address e-(-[ -------------------------------------------- ��-- vWi/t7 J tJ �t&s e,e- Installer - Driller -----------------------------ss---��-- - ---------------- ASSESSORS MAPS._,._._._._ Type of Building Dwelling------------------------------------------------------ PARCEL NO' Other - Type of Building No. of Persons---------------------------_____ Type of Well— -r�J --—----—- Capacity-------------------————— ---— Purpose of Agreement: The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to place the well in operation until a Certificate ot C-orppliance has been issued by the Board of Health. Signed ------ �_�� date Application Approved B - ---- '� -- -—— date Application Disapproved for the following reasons: --------------------------------- —_ --------------- — - ---- ------------------------------------------- --------------- ,'/ ,_ date Permit No. ®'y� -- Issued--�—� -— -- — — date BOARD OF HEALTH TOWN OF BARNSTABLE (Certificate ®f Compliance THIS IS TO CERTIFY, That the Individual Well Constructed ('f, Altered ( ), or Repaired ( ) by--- __ !�A N4 (( ------- -- --— — -- Installer has been installed in accordance with the provisions of the Town of Barnstable�Board of Health Private Well Protection Regulation as described in the application for Well Construction Permit THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY. DATE------- —- -- Inspector-------- -- ---- -------__ Fee-- --- BOARD OF.HEALTH �` TOWN OF BARNSTABLE apPlka,06n­*OVP`11 Conitruet on erne f Application "is:hereby.made for a permit to.Construct ( Alter ( ), or Repair ( )an individual.Well at-' — sses y s Asors Map and Parcel t " 4 k Location Address , r + i P a �l/ �� SS�II it Owner. �� Address )A S cU N e �( - o �1 '`' �s-�,��-e ---- ---------- --- — - ----- --- -- - Installer - Dnller 4ddress 4 , Type of Building, ;Dwelling %'—= ----- ------ - ' Other ype of Building_--_----::- -'- - - -------- .� o. caersons---— -------- ----------- �- ZUZ4 Type of ell—5!. __�`) -- --- — Capacity=�'= --— -- — Purpose of Well Met („ to --- — r ' 3 Agreement: �. �he undersigned green ao install'the aforedescnbed`individual\well in accordance' wi ahe provisions of Th Town of Barnstable oard of Health Private Well Protection Regulation The undersignMj ther,agrees not to 91 P.lac the well. in operation until a Certificate,o Co plia ce has been issuea by the f Healt . " Signed date r Ap ication Approved BtC^, � date lV pplicati Disapproved for'the following,reasons A-rA — °� - ---L ------- -- - ---- -- - - -$ date. Y rmit N — . < �--' - Issued---`� ---- � --- --�---. ------ Q -- date J EYe!.t2dtL, ssi,Ale�It►454iM e t-fie Tafoee.Jee +•attix.:��ea�.ed!'d9m±a_eoF tu�h�z+ •raaavgeas +}esa��aeasse:eaemewfse..easabaecsm¢�e.Y-�+we+i,�r.aPeas:ealaw it:d+s�+v.+.a:,r:�3kq':-r«sate BOARD OF HEALTH:. : "'TOWN OF BARNSTA;B�LE Certif r'to Of. Compliance THIS IS TO CERTIFY That the Individual'We11 Constructed,(�;.Altered (';), or Repaired by - -- n__SC�•�-max -- -- - — -- - --- — Installer - /l at. y > � -. ���f�%U l GA has been installed in accordance with the provisions of theTown of Barnstable-Board of Health.Private.Well Protection E Regulation as described in. the.application for•Well.Construction Permit N�'Y---!, � �pated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL SYSTEM WILL FUNCTION SATISFACTORY DATE- --- — - — Inspector.— --- , ----- -- — ---. yli+6e:!:Bed:•ae:va�:KTae:2Mi�:ls9aey+.:�:"g'6 Kaaaer•F.ps�s�.erreesGe��eavaeovaea4waR•�,�'p�a�%sfss�bersvea=asa�a;st•d?.w4a w ,±a+!e9SrRCAalK_a.ae:,!�+s i�•#ti'awei.�waaes.is+:• BOARD.OF HEALTH. TOWN; OF . BARNSTABLE vPit Cootruttionvermit NO. r -G Fee Permission is hereby granted 0 '.C'to Construct (�), Alter ( ), or Rep (.`') an Individual We11,a r (( r street as shown :on the ap licahon:for a ell COnstruction.Permit Dated • --=� -ter-'-�_-_---------------- - " DATE _ i Board of Health ! ! i ! , F l I IR ? , t } i A k i i r A v i A Town of Barnstable P# Department of Health,Safety,and Environmental Services Public Health Division Date j� 367 Main Street,Hyannis MA 02601 + BARNSTABIE, ! r ' .1 s r, P -s�* MAW Fee Pd _1n2> -� °i ►� 'Date Scheduled � Time !'• v 1 .. 1w3., '+ 'c,,.--------------- Soil t 4y• i 1� Suitability Assessment forrSewage Disposal Performed By: .1t�E' �� T 1' I�f 7 we4" .•i Witnessed By: LOCATION & GENERAL INFORMATION Location Address' I S a l h Owner's Name//,,.� (� Address `To -6 . t6 A l Rd• / Assessor's iViap/ arccl: 09 3"— 0 b_JL, Engineer's Name NEW CONSTRUCTION REPAIR X Telephone# Land Use 4'�L4!!q& Slopes(%) Z Surface Stones do Distances from: Open Water Body r'✓0 D ft Possible Wet Area ft Drinking Water Well -- ft Drainage Way ft Property Line 2D ft Other 1:SlICQ2 VdlAd SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes) s ¢or G0TtAC%6 sou -rE+ 6Ay RoA r�> Parent material(geologic) oU jm N Depth to Bedrock N LA ,l �o Depth to Groundwater: Standing Water in Hole: �:X) Weeping from Pit Face Estimated Seasonal High Groundwater t) n p�iY V UK V, !tiG ri r nNrlrrA Tr F irl SEASON NCH :':'A�""L Method Used 6 S• 0A S Depth Observed standing in obs.hole: in� Depth to soil mottles: t'o 'f in. Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft. Index Well# Reading Date:_ Index Well level Adj.factor C> Adj.Groundwater Level_ PERCOLATION TEST Uate =;Time Observation Time at 9" Hole# Depth of Perc �f'L t1 10 +U Time at 6" Start Pre-soak Time @ Time(9"-6") End Pre-soak _ �'G• �a . Rate Min./Inch .t Site Suitability Assessment: Site Passed A Site Failed: Additional Testing Needed(Y/N) l�l Original: Public Health Division Observation Hole Data To Be Completed on Back—� Copy: Applicant ` ' ...... DEEP OBSERVATION HOLE LOG Hole# 1 Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency,° Gravel) D _ 4 p — /o yR- ¢/3 n!0 Nn q e4 1 A6073 ¢ - ro wu.Q. sa►td 10 YA 'VI ire Sa-d ro- 32- said ra ya s a 7"7-_ S " C, , wtd. sak4 2+s y V* 541r_ a¢ CZ SCtkc� 2+5'y ��4, e5` °�o' itG�lP.Q DEEP OBSERVATION HOLE . Hole#' Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(m.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.° Gravel) w DEEP OBSERVATION HOLE LOG Hole# . 6cpth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistencv.° Gravel) DEEP OBSERVATIO1 HOLE LOG:' Hole# Depth from Soil Horizon Soil Texture Soil Color. ? Soil Other Surface(in.). (USDA) (Munsell) Mottling (Structure,Stones,Boulderes. Consistency.° Gravel) Flood Insurance irate Map; , + Above`500 year flood boundary No X Yes- t Within 500 year boundary" No_ Yes X Within 100 year flood boundary No_ Yes Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil absorption system? e l? If not,what is the depth of naturally occurring pervious material? ` Certification ` I certify that on q 5 (date)I have passed the soil evaluator examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required trai ,exp i e and ex er'ence described in 310 CMR 15.017. lkl,�- -1z--0 SignatureDate 7 TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYYSST1 VS NAME ADDRESS G �' VILLAGE �, ie 7 9/a Inc/ ®S�ry v✓i /% LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL ! u>1cle.- f'Yo�s� 1.� w„ ,`,LO©c`a �2 FytlO.� �Yec (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 7- 79 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS D. FORBES WILL 125 TURNPIKE STREET CANTON, MASSACHUSETTS 02021 828-6300 August 15, 1980 Board. of Health 397 Main Street Hyannis, Mass. 02601 Attention: Mr. John M. Kelly, Director of Public Works Dear Mr. Kelly: We have enclosed. the card on underground storage tanks. #1 The 2000 gallon fuel tank und.er our front lawn was installed before we purchased. the property. Mid.-Way Garage keeps the tank full as it is used. for heating oil to heat the house. #2 The 2000 gallon fuel tank was installed in August 1979 and. filled. with 1500 gallons of #2 fuel, This was installed to use to heat the new barn that ha.s not been finished.. There is no heating system installed. at this time. This is a new tank that wa.s purcha.sed. from Mass. Engineering. Very truly yours, 4, D. FORBES WILL DFW:en Encl. SMEADI KEEPING YOU ORGANIZED No.9®SU 2m153L WME IN USA GET ORGANIZED AT SMEAD.COM .. .. ...� 6 � -s e.,�..,i< .�..m,.yra�r:..._as:.,..,...,m�.;.:,eu.::.k:m..am`. �3 ::6r--- -" ,.. .r,cw�.�...�..._ a__:.�r_ _:�;�;iS:.o...,. - .w.r;mv...,, ... _,.__ ........._.._ _ _ .. _ __. ......_ n �TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME Edward W. Varnum ADDRESS Box 521�, North Brookfield, MaVILLAGE 01535 LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: -Al/ 240 North Bay Rd . OR CHEMICAL Oyster Harbors, Osterville, Ma. _2,000 Gallons Fuel Oil 1 Year Steel (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 3/79 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: . PASSED DID NOT PASS S M E:A d KEEPING YOU ORGANIZED No.10 2-153L WME IN USA GET ORGANIZED AT SMEA9.COM i ------------------------------- - I • i I I I I I I I I I T � I •pp 1� 0 I tl o 'I N o I o ggm 9 Fil� I II � p II 01 rn I � yy p 0 D _ -4 p�f ° A10c I ® - I r O z 8i I e I � I ------ ----- ------ - - g \� _ ..... e Mo oow TI b rn 2� 211 0 SFT L r O I ' I rn -E-- -°- - 1� lnn7 ' � � p• w I 9'-0' � I rn (4 I I } N N O ---------- W 1 rn r (� Z y O ______-___ ____-___� L___________________fir_____ m -0 az g O O Z � popp ;s 40 I.I SHEET NO. 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