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Home My WebLink About0192 TANGLEWOOD DRIVE - Health 192 TANGLEWOOD DRIVE OSTERVILLE A = 121 - 064 LOCATION - SEWAGE PERMIT NO. VILLAGE X s/z ,evl e-z L ,NSTALLERS NAME & ADDRESS R OWNER CJ�G-��l� Imo• �=�L�- ode DATE PERMIT ISSUED /z 7A-6 A-?DATE COMPLIANCE ISSUED 3 _�� t7--L� - r, ASSE, SORB AP NO: 2 1 PARCEL NO.: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH fob Appliration for Btipuaal Workii Tonotrurtion Errant Application is hereby made for a Permit to Construct (),�t o � ) an Individual Sewage Disposal S stem at �_ . —/9Z 1�2iv� v�� -�_ ..ar ... _ ocation Address /� No. _.._..... ....._._..._ .._... ._.. Owner Address w � � �L � S �_ ��vrzc Installer Address Q Type of Building Size Lot____________ _____________•Sq. feet Dwelling—No. of Bedrooms.__ _____._ ..........................Expansion ttic ( ) Garbage Grinder ( } pa-, Other—Type of Building ...... No. of persons........____•............... Showers ( ) — Cafeteria ( ) a' Other fixtures .............................................................................................................. W Design Flow..................... ............gallons per person per day. Total daily flow____..__. 8.®•.....................gallons. R: Septic Tank—Liquid capacity/ _gallons Length................ Width................ Diameter----------------- Depth................ Disposal Trench—No. Width.................... Total Length.................... Total leaching area___-__--______._____sq. ft. Seepage Pit No............ Diameter---------RI....... Depth below inlet....... Total leaching area.... ®5;�....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---__________-_-__--__-. C14 Test Pit No. 2................minutes per inch Depth:of Test Pit----:............... Depth to ground water-___-_____---__--__--_-_ ------•------------------------- .........•...................................................................................................... 0 Description of Soil..............................-•-•-......._ _.4.. x DESIGNING ENGINEER MUST SUPERVISE v ....---•--•-----••••----••••--•-••-•-•-•-•._-----•-•••••--•--._......-•••--•---•••-•--•--•.....--•---•-•-INST_ALLATIO.. AND CERTIFY IN IINRITINt3 W - ---------- - - - - - -- ------------------------------------ - ---- - --------------- -------- ------ - - - --------------------------------- x TFiE SYSTEM WAS INBTALLED IN 8TRICT U Nature of Repairs or Alterations—Answer when applicable_: . .��iyRDANCE-Ti'h --------------------------------------------------- •�ai:Alit; --•----------------------------------------------•- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iT_t..,.. ,of the State Sanitary Code—T undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issuedZbyheoard of health.� ` l°` ..._ A lication Approved B .... ............................... PP PP Y---••---------- Date Application Disapproved for the following reasons--------------------•--•----•-------•---•----------•-----•-----•-------------•-------------------------•••------ --•-•••-•-•-•••--•--...•---•--•-•----•••--•-•-•----•----•--•----"--.......•--•••----•---•••-•-•-...-•-----••-•----••-•-•----•-•---••--••----•------------•----•-------•-•-----•-----------••-•••-•-•--- Permit No........ Issued.................... Date Date t Fina L1..........._ THE COMMONWEALTH OF MASSACHUSETTS ,�.. BOAR® gF HEALTH Appliration for Disposal Murks Tonstratrtion Prrmit Application is hereby made for a Permit to Construct (k-) ,r—_ — ) an Individual Sewage Disposal S stem at: -- -----(�--f -v/L s- _ Locatio Address .. ...G G'!2/-•--•.. G L -'�Z .. OR ner Address .o 'c-sT.....�=� ---------- Insta:ier Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms__ _._----.�...........................Expansion Attic ( ) Garbage Grinder ( ) .-I Other—Type of Building r�:�s ------- No. of persons...___.-?________________ Showers ( ) — Cafeteria ( ) Otherfixtures .----•------••• •-----••------•-----•-•--•-•-•-•-••------•----••--••-•-•••-••••------------•---...--•-•----•---•-•--•-••...--••-----•-•............. W Design Flow........................5 .r.............gallons per person per day. Total daily flow........-30......................gallons. WSeptic Tank—Liquid capacity/ ..gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—NTo/................... Width.................... Total Length.................... Total leaching area_--__-----_--_••--_sq. ft. � Seepage Pit No------------ Diameter......._...... Depth below inlet......;i........ Total leaching area...OPG?.....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_-____--_-_---:-------- 44 Test Pit No. 2................minutes per inch Depth 4of Test Pit.................... Depth to ground water_-_-._..-_--:__-.-___-_- a •--••---•--•---------------------------------•---•-----......--•--......_------....---••----._...----•-...........••-•------•-......•... ..._........ Wx .. Description of Soil...............................................................................................................................................................-------- w •------------------------------------------------•----------....----------------------....--------------.------------------------------------------------------------------------------------...._.._. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ................................................-....................................................................................................................................................... Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisions of i=T sE ; 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 th board of health. 41:"A eA /_�� ..... .----------------------------------------------- Application Approved BY ---{ ---ww- Date Application Disapproved for the following reasons-----------------------------•--•----•--•----•--••-------------•------------------............................ •----------- — e ��- Da t PermitNo.............;... 7. ..�- .... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH UGI//�..................OF,. �..� .,/..�9..../r�51'.. -........................----- Vrrtifiratr of TontpliFanrr THIS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( } at :{:----��/�------ ----•-��11��2_U/G4L u..---------------------------------•------•----------------------------------------------------- .�.. , PP Disposal accordance with the provisions of iTi1 j of The State Sanitary C de as des ribed in the application location for in sal Works Construction Permit N ..._ ..�_.... dated--- __._ -r7 - -- THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANIVE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................ -------•-----------------•-- Inspector......................................��....--••-•--•--••••....-•--••--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , �� ./ ..................of i9 /✓ST/� .......................... 1e •.......... o FEE........................ Dispoo fiorko .'aonstrnrtion rrntit Permission is hereby granted----- -�`� . Z�-��''�--- to Construct ( ) alr� ) an Individual wage Disposal SyArm -c.1-� or at No.... - ----- N 1 �!.t'�C� ....... .t 11 ''` �!?Cv/ll ,C Street as shown on the application for Disposal Works Construction Permit _ 2 Dated 2 l - j .......................... •- - --- t-7 Board of e DATE • f �� ;. FORM 125 HOBB`'& WARREN, INC., PUBLISHERS ' BAXTER & NYE', INC. Registered Land Surveyors and Civil Engineers 7 Parker Road/Osterville, Massachusetts 02655/Tel. (617)428-9131 WILLIAM C.NYE,R.L.S.-President RICHARD A.BAXTER,R.L.S.-Vice President PETER SULLIVAN,P.E.-Vice President-Engineering March 9, 1987 Town of Barnstable Board of Health P.O. Box 534 Hyannis, MA 02601 RE: Lot 11 Tanglewood Drive, Osterville Installer: P. Lebel Permit: 86-629 Dear Board: In accordance with your request, I have inspected the installation of the above referenced septic system. The system has been installed as per the approved plan with respect to location, components and grades. Very truly yours, Peter Sullivan, P.E. Baxter & Nye, Inc. PS/bc PETER C3 SULLIVAN No. 29733 " ADO '-ISTS FFSS�O,V A L MEMBERS OF CAPE COD SOCIETY OF PROFESSIONAL ENGINEERS AND LAND SURVEYORS/AMERICAN CONGRESS ON SURVEYING AND MAPPING MASSACHUSETTS ASSOCIATION OF LAND SURVEYORS AND CIVIL ENGINEERS `! / ,.c-•{ /��.-./ c�"`�7�^ �Cf ,G.....•M 1�+,�C.r^i{.••l"'1 � � ��.f Y G.--- (^ -r-"'T". .� �'Y h+� R.,_...C91'�.,;� 1 ._, -._..... ,�-�---" _.----_ .__-- -- -�•-•-- •Ids.» T' __.__ ry C Or Ar r / , U/ --'�M;. ,r+'d�ww.. Ape- VAI4 ,C �� ' f+'M'`,-°-�'./s ->'�•. _...._.. ,,y. I -37 10 G..-� w.._.T. l'�" .� �� V -�" '""t� i.-w' �,� r'('r,t'�..� i 4 �.�..[�,dlr�/' p .ti r_ � �" rd ✓�'�•a' '�' Ate'. � �i r�+'..J/R...... 4;'�•1.. i WA t ' iscl i ��{;,.1./(�..��r''C: -fF �..a+'-7C'✓�fi`'i'�� /��„!!�'i�::�a:':c .�+'4i'''' �✓��. � i ;?...'��- �''"'�G�'G�-'P't.''r �".:.�•''c-.... ,�,,.�:�..�fr>.;.5'."7 �1 '�.c.�..`-•=. .e�� -A-:-s,.��.1_��f' ',:.} k.:»-�:-, ',��, i - 1 1 �r( •tom 1 . ''• .ir��C.•- ' ��—(= ..r.G. Y°V\I�'�4�j v.. kw� 2 f ?L1ce4,,,17 i k /