The URL can be used to link to this page

Home My WebLink About0099 SWIFT AVENUE - Health 99 Swift Avenue Osterville A= 167 — 037 002 s. e r r TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO, L�D�y� fI ya8"gS95 SEPTIC.TANK CAPACITY I5""po3 LEACHING FACILITY:(type) P,' " (size) YX fa NO. OF BEDROOMS -3 PRIVATE WELL OR PUBLIC WATE BUILDER O OWNE �OX DATE PERMIT ISSUED: 3 02 02 � I DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No r . 1 3 P 3 30 s 4 je•^ �� Y r r(. Q 3 n n TOWN OF BARNSTABLE 1.01ATION y Cl u,,' f &e SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. A 44110 yaF- Sys SEPTIC TANK CAPACITY 0 LEACHING FACILITY:(type) P'f" (size) YX /oZ NO. OF BEDROOMS ,3 PRIVATE WELL OR PUBLIC WATE BUILDER O OWNE 'IdoX DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: "" VARIANCE GRANTED: Yes No 42rt A A g 4 x �. 3Qy s� 3 3S' 3y IAO J 6 3 4' ASSESS PVM,- 457' PARCEL NO: 037, 002 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE M/P 4-5 o3�Oo2 Applirativit for Bi-tipm3al War1w Tomitrnrtinn 11nmit Application is hereby made for a Permit to Construct ( ) or Repair ( L,,r-an Individual Sewage Disposal System at: .......... r�.... ocatton-Address or Lot No Owner A d ess ! ................... Installer Address If 2 A a, Q Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.____73,_______________________--___-.-___-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. 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........................ (% Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ W 0 Description of Soil.................................................---------------------•--------------------------•-----------------------------------------------------...-••••••..---- W U ---•------------------------------------•--------------------------------------------------•-•--------------------------------------------------•------------------------•---•--•----•-----•---•--...._. W ---------------- ---------------------------------------------------- -----------------------------------------------------------------------------------------------------------------------------••--- U Nature of Repairs or Alterations—Answer when applicable._._.E+ .9?4 4 �erwo�s___7�-------7 � ----------------------------------------------------------------------------------------------•-----••-----•---------------------•..........----------•-.......••-•--•----•••--•--•-••-••••-•-•-•.-•--•' 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 Complia has een issued by the board of health. Signed ... -------------------- 32�-9 - Application.Approved L7 -------- --- -------.—...------------ ........................................... .......-------- ....... Date Application Disapproved for the following reasonf- -------------------------_......-------------------------------------------------------------......--------------------------------- ----------------------------- /. -----...---------------------------------------......................------.------.__............ ........................................ate �� Permit No. --.. . Issued ..... .. Dare 03Z 002 � Fps U No.�i-✓......._..----. .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE � � `037 D6Z Appliration for Dhip j 3al Worbi Towitrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (L,)'an Individual Sewage Disposal System at .'qie............. -s7Pv1 t.�� ------- ....................................1"f-z 17----------......---••---------....--------• Location-Address l or Lot No. w&t�1 ✓ Q13�� .h ..... O: QS�tvc�rf le -------- Owner / Address f�v-------- St.......J�-SfdrhS.. �!!. 5. Installer Address L 7 Z QG, Type of Building Size Lot..I........................Sq. feet Dwelling,— No. of Bedrooms....._3---------------------------------.-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........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... Li, Test Pit No. 2................minutes per inch Depth of Test Pit.---_---------.--. Depth to ground water........................ a ----•-•-------------------------•--••-•--•••-----•••-----•-•----•-----•-.........-••••-•-----------.......................................................... ODescription of Soil..............................--•--•-------•---- ...................................................................... .............................................. W V .......................................................... -•---•••--•--•----•-------------•------••-•--------•--••••----••----•---•--•-...----••--•----••---••--•••-----••---•............-----••. W -- -----•---•-----.....-•-----------------•-----•-------•-----.....•---.....-----------•--•---•---•----•--------------.........------•-------------•--•-•-•-----•--•-•--••-••-•--•--•......--------•-•- U Nature of Repairs or Alterations----Answer when applicable....4!a j&,oJe--tar�. awp,6---y&-----7&•_.��.ES;xs+ft•-.. 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 Comp iarie has een issued by the board of health. -- Signed -- --- Cl . - Application,Approved. � � r .— -------------------------- ------------- ---------- -------------------- ------ Dace Application Disapproved for the following reasons: - - -.------------------------------------------------------------------__--------------------- .----------.................................... -..........----------------------------- Permii No. .....'� _ ------ Issued ..... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certifi ate of OuTompliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( L--)- by .I '� t,-/ 0------ ---------- Incaiucr at _. --------------------- .�..._Scs/.i.. f-----�v2-------------- S Pr...v/1.� ----------------------- t has been installed in accordance with the provisions of TITL of 1he St .te F nmental de as described in the application for Disposal Works Construction Permit No. ._._ .'��.. _ o dated -.�..�.�*------ THE ISSUANCE OF THIS CERTIFICATE SHALL NO BE"CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. .� Ins ect r ,� DATE ..� ......'��.._.. �� ..._�.:.--.��-.. p . . _.- - - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /w TOWN OF BARNSTABLE No.........,......�.`..�'".- � � FEE..!......---�' •--- Mspnual Works Tuni#rudion Vrrntif Permission is hereby granted-_-----_-_-------- ...... ---/I/------------•----------------------------•--• to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No.......................... 5.! � 'f" r��e -•��.f �.L -. �- ---------------- jj ------- --- ------ Str as shown on the application for Disposal Works Construction Permieet ��' to _... f.'`?-- - --- ....................... ------- Board of Health ......................... DATE-----------------------•------r%9--------�..... " FORM 36508 HOBBS&WARREN.INC..PUBLISHERS TOWN OF BARNSTABLE �� dg✓ rrr D,4,v I'd LOCATION4 SEWAGE # VILLAGE ( '' (��,�„�� ASSESSOR'S MAP & LOTfig!L. 037 I � INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) 45�16) NO. OF BEDROOMS _ PRIVATE WELL OR PUBLIC WATER /j BUILDER OR OWNER ( '' j 2 .0 S(Zj f:•---kJ iE DATE PMWAX ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No � ,i� � � �� ,. ..--�-s.:.-