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Home My WebLink About0146 TOWER HILL ROAD - Health 146 Tower Dill A Osterville A= 142 - 019 v a 3 n < ° n TOWN OF BARNSTABLE LOCATION ^16' A,9 SEWAGE # r- o VILLAGE 65 ASSESSOR'S MAP 6a LOT INSTALLER'S NAME & PHONE NO. )9�3 (",,,,ccg 775-4J4 y SEPTIC TANK CAPACITY loo c) � I LEACHING FACILITY:(type) Pik (size) /mod � NO. OF BEDROOMSPRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER /Sc DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �/ fir' 35� 32 � as, Q� �� P.O. Box 534 No.._. ... Hyannis,Massachusetts � I Fiz$ �......_......... THE COMMONWEALTH—OF--MASSA SETTS BOAR® OF HEALTH D . �l town.................0��rrtis`lc............................................................ Appliratioo for Uiip.aiia1 Mork.6 Tooitrurfiort runfit Application is hereby made for a Permit to Construct ( ) or Repair ()*) an Individual Sewage Disposal System at: .-V. I:1to............................ Location-Address r Lot N . ....th ...........................------------------ ly(a.__I�s,:c�_�t�ll _&4jnjAJP _....------------......---- Owner kkddijess a ------------------ - ------------------------------------------- 50 °__`_'n �- r .......................... Installer Adds Type of Building Size lwot...........................:S . feet U YP g q Dwelling—No. of Bedrooms_________________ ______________________Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of persons........................: Showers Pa YP g -------------•----••-------• P --- ( ) — 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 ( ) Percolation Test Results Performed by.......................................................................... Date..................................... 'Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-----------------....... �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..--_____--..--•-_.__--. a = -----------------------------------•--•----•-------•----------------------------:.----•---....._.... ------------------------------ _------------------ 0 Description of Soil.........................................................................................................................................----............................ V ----------•--•-------------••--------•------------------------•---------•-------•-----------------•--------------------••-•--------•--- --------------------------------------------------------------------------------------------------------------••-- --- ----------------------- ------------------------------•---- U Nature of Fepairs or Alterations—Answer when ap licabletl ....1�_04 ?_.C� ..Sa fzc` ►+k�_.laAa. Q_..___. Agreement: - The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TAIL Ti ?: p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beenissued boy the bo rd of health. _- Signed,. .... -• -- _-- . . -- •............................................. .......... \ Date Application Approved BY----------- ..... ....._.... -------- v�p Date Application Disapproved for the lowing reasons---------------------------------------------•---•------------•------------------•-----•---......----......_..._. ------•-•-----•-----------•.....................•--------------•-•----------------------...._•--------_...._.._.._...._......------••-------•---•------------•--------•---------•---------------•-------- Date Permit No...........F.I:-'-....3.0.3.............. Issued....................................................... Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M A�C(� I DATA No.--- ............'.... .............�............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............!............................OF.._7.................! Appliration for Bi-qvno�al ork� Ta"notrurtion nutit Application is hereby made for a Permit to Construct ( ) or Repair (j ) an Individual Sewage Disposal System at: ...................................••--•---------------------......--•--.............---•-----.... _...•----•.....----...._...--------•-------.....•-----------••----•...._...._................._... Location-Address or Lot No. i c . t W I� Owner _ Address 1. Installer Address co Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) PaOther 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. I................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' ----•-------•---•------------•••--•-....-•-----•-••-----------------------•--..............._------...................................... -•----------------- 0 Description of Soil...................................................................•----•--•------------------------•------------------------------------------•----•---...------.---... U -------------- ----------------------------------------------.................................................................................................................................. W -------------------- ----------------------------------------------------------------•------•-•-•--------•-...---------------•-----------••-•••---•-------•-------•---••••......••-••----------------- UNature of Repairs_or-Alterations—Answer when applicable;-_=_..................L_.._.........._.f__......:_...._._= _...__......._.______..._......._.. 1 I 1 .....-----•---'..............:'---........_.-:.=--------------•---_._..---••-------•--............................. ----•----.........---•-•----•..................__........._............__...... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of E L T u y g g p y of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. Signed...........=.........................................................................I Date Application Approved By. ._.•- ��,:_.. :.,.; , r Date Application Disapproved for the f olowing ons:................................................................................................................ ..••••--••-•--•-•---------••-••-•-----------•-•--------•-•-•-•-•....................................••------........._....--------------•---•----------•----•--•--•-•---•--•----•-•----•---•---------... Date Permit No........... _ Issued------------------------ -Z:2- il•'e THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ~..........................................OF...........I........................................................................ Trrtif iratr of TootliliFanrr THIS IS TO CERTIFY, That She Individual Sewage Disposal System constructed ( ) or Repaired by (� ) /� Installer p yC' _at...........tq........ . " has 1 been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................7c�-----•---•--•-•------•------------- Inspector.......................�,.:-. ---------•-------------•-----•---........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH C _J. �........................O F_:.....:................ NO.... . ..:.. ... FEE........... ..... iopos al orko f onot ion Trani Permission is hereby granted............. ----- a Z- r= 'r .. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No. {```�` ....-----•.6 -------. --•...... --- •--• -------------------------•--•-•••-••••-------------•-•-•---•-•---•...... ------------ -_.•. ... 1 " Street {i(' � ' as shown on the application for Disposal Works Construction Permit No'..........`'7.._ Dated.......................................... ....................................... ..........................••-...••• '•--' ----------------------- --------------------- d DATE.------------------------------------•--------------.......................... Boa�i 'of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS it j