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HomeMy WebLinkAbout0164 TOWER HILL ROAD - Health 164 TOWER MILL LOAD Osterville A = 142 - 017 EBMEA®® No.2.183LON UPC 12134 amead=m • Made In USA WYQ-4) 0MMMAM Pammilp UM 4SFlLA �11ifNfYDOiAY 40�2�� o � ��� �� � �P,c�� �� r�a�,�a,��fl- � � � � � . �, "r TOWN OF BARNSTABLE LOCATION "R14Z2 SEWAGE i ASSESSOR'S• MAP & LOT • VILLAGE` S r i P INSTALLER'S NAME PHONE c SEPTIC TANK CAPACITY �iS� s l f LEACHING FACILITY:(type 0=4z NO. OF BEDROOMS 3 PRIVATE WELL Q PUBLIC WATER BUILDER O /IZAV, \ DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED• ;•, VARIANCE GRANTED: Yes i No :. —___._,.. _...., t e j,r1 S<d� tst � f5•�f�J c i i ;.,,ti, f J { 1_•�\tJ rx ��I K \ L t P-1 q3 \sf ,yI r a r a 3 ,"` � +F i��a+.Sit¢` +t^f��`a •, i tit �,: �� ';\\ ~� ti4 r �� Vh _ z '_ t `t y�y�yq 2• of� .qr\ �S'��`y1Ly`w� tiyL a o- 4r: • . .. L ,.. _ - :��v�'r��li ,+ t.i.�3 �ti�ZJ��st et TOWN OF BARNSTABLE a f.00ATION 1� &9 SEWAGE VILLAGE ASSESSOR'S MAP & LOT `` INSTALLER'S NAME 6z PHONE NO. ���/ ► / z � �� SEPTIC TANK CAPACITY y LEACHING FACILITY:(type)� f!. .( �� (size),3 NO. OF BEDROOMS PRIVATE WELL OR(PUBLIC WATER BUILDER OR OWNERRl �� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED`' VARIANCE GRANTED: Yes No i -7-7 per TOWN OF BARNSTABLE ,/o �j LOCATION l �e Lu � SEWAGE # �,/' �36 VILLAGE ASSESSOR'S MAP & LOT/M INSTALLER'S NAME & PHONE NO. 1� SEPTIC TANK CAPACITY LEACHING FACILITY:(type) ��� �� (size) NO. OF BEDROOMS PRIVATE WELL OW PUS BLIC WATER e BUILDER OR OWNER DATE PERMIT ISSUED- DATE COMPLIANCE ISSUED: ( VARIANCE GRANTED: Yes No t s � i • ..._ I� f- i o p� No Fims......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE D 1 Appliratiun for Mipnival lforkg Tonstrnrtion Prrutit Application is hereby made for a Permit to Construct ( ) -or Repair (�) an Individual Sewage Disposal Systemat. -----------------------------------•--- ......................................... Location-Address or Lot No. ......... -•..6... ...............................4.......................................... ----•---------------- --------•--•-- ....-----_------ > - � r t Address W 1 -------_..�. ----------------------------•--------- --- ..?.� _.. ............... Installer� Address d Type of Building �j Size Lot............................Sq. feet U Dwelling—No. of Bed rooms----ut....•............................Expansion Attic ( ) Garbage Grinder, ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ----------------• ----•-----•...........•••- W Design Flow............................................gallons per person per day. Total daily flow........................ ... gallons. WSeptic Tank—Liquid cap ity------------gallons Length................ Widt -. �s Diameter.............. Depth................ x Disposal Trench—No.__ .___....___ Width____________________ Total Length.( T .- 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. 1................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......................:. ........................................................... ----------------------------------------- ---------------------------------------------------­*­ 0 Description of Soil.....................................................................................................................................=.................................. x U W --------------------------------------------------------------------------------------------------------------• ...... - -- -- - ----------- - --- - U Nature of Repairs or Alterations—Answer when applicable______. _ _ _ ------ _ r_ _�_... . s.. 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 Com 1-ance has b en ' by the and of ealth. Signed.--. f-- M �� ... ApplicationApproved BY ---- ---- ------ ------------ -------------------------------------------------------------- ................ ................. Date Application Disapproved for the following reasons: ....................... ............................................................................................................ --------------------------------------- -------------- ----------- -- ---------------------- ---------.........------------------------------. - DatePermit No. In—r Issued ---- ---- re ......... _ Y� I �N �. No.. '_ �. Fps......... THE COMMONWEALTH OF MASSACHUSETTS w BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Di""sal Works .Toustrndinn jhrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at ............................................ 1 .. ------------------------------------ ------------------------------------------- Location-Address or Lot No. ........... .................•--•--------•,:r---------------------- -------•---------- � Owner (1CITC53 ..._..,`... ......... ..........................'-..........._...._.....-_-._................ ._.._._.......-__.s�-_'-__•--_• _-••_C•_�....................o Pq Installer Address < Type of Building Size Lot----------------------------Sq. feet U Dwelling—No. of Bedrooms------1---------------------------_._.._Expansion Attic ( ) Garbage Grinder ( ) 'PL,_l Other—T e of Building No. of persons............................ Showers — Cafeteria 114 d Other fixtures --------------------------------------------------•---'-----------------------•--------- ..............................In ^ .._... W Design Flow............................................gallons per person per day. Total daily flow.........._.._._._.___�.___.._.._._..._..gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width�y__a...____. Diameter__---___.._--.-- Depth................ x Disposal Trench—No..._• .......... Width.................... Total Length-_4(F - Total leaching area......_-------------sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq.-ft. Z Other Distribution box ( ) Dosing tank ( ) _7 Percolation Test Results Performed bY---------•--••-•-•-•----------------------------------------------------- Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water......................... GTq Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground aiter............. ------------------------------------- -'•------------------- ••--------------- •------------------- -•-------------------------------------- - ODescription of Soil...............................................................................•........................................................................................ x U "".......-'---------•---'------------•--•'---------•---------•-'---------•-....•••----'-•••--•---••----•------'---"-"-'-------'-------'-----"-----'......---•'-.........•......... ........•...... U Nature of Repairs or Alterations—Answer when applicable.._... ------------ ".___ Y�!... Agreement: 7 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 as been is-sued by the oard of health. . � �^Signed .. /--- ---- - -----�� Alication Approved B � - ........................................................... ---------------------------------------- PP PP Y r�--1 Ire Application Disapproved for the following reasons- -----------------...........':........---......--........................................._---------- ----- ----------------------------------..............................9r�-- ---------................................................................................................. -------- ---------------- --------------------- Permit No. ........................ Issued .............. - ✓' f r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CfErtifirate of Cfontyliance THIS IS TO CERTIFY That the Individual Sewage Disposal System constructed ( ) or Repaired by .............. J. :.. ..' 1'c � tl. -1 -------------------------------- - ------------------ / �/_ \ m p� � Installer --.......�.-...,.Q...... ,,u....[...6 has been installed in accordance with the provisions of TITLE 5 of The State Environmental Cod as desfribed in the application for Disposal Works Construction Permit No. .........:./.. .. ��� - dated ..-... .-._�_.J........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE -.-.. -. ©------------------------------------------- Inspector .............. ---- .........................................--------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q .- TOWN OF BARNSTABLE No....,....,.............. FEE...................... Elisposal Worho Sono nrt n VarA # Permission is hereby granted.._.--- -) .._... alv2 ..... to Construct (llll) or Repair ( ) an Individual Sewage Disposal System at No....... l � '- �( ) xV�(,�.: . Street ' n as shown on the application for.Disposal Works Construction ermit No.................... ated.._._7r!.. _a;./.. ...... Lf - = 01 �J Board of-Health DATEh 0.............................------------ FORM 36508 HOBBS 6/WARREN.INC..PUBLISHERS " s C ^I EX/STit/r I I I GF!K I I I I LR ... ��f .. ........_. i Ic�___�I I 1- 2 ING i I; `� � II'''1 -W TG I - f•/ST/.���� <J,c'!_'t./_/::.,: �.��.%y/-�.�'/.^M -- W zar 2- --.I �v-p C.h'C ' I /RS7- FLOOR PLi?N F1'G�.Ej!_-/.JT Ci.COLfft' . ._—___. ._......_..__._....._...__._.___....._... F O I I JVi -------------- 9-O t hf� T 742E 79z2 I =1 to � 'F-O KNF_lllF/-L -rcCO.r/o /PLO{-bSEO fY_ANS OF: f O;v 7I4AG'T0.4 RUBERT frLOdER . .CGTViT, /Nit w rrEtT tiro: �L o/c W is/C�'!Vciv7-�T �\ %•.f Gx -:///-/s'.`///.'✓G -=.r /2 R G�e � TO CCC'6' •� \�\ u, �' -'X/2 :�•• ,?.(.'. \\\ //C�-C.G.� O/: /1_` T,Q J:S ♦/O/lTf I I - I 1�r i %cwc-Fr/ti o v F /iCTE. TYF ARCJJJT.�CTU/IfJ/_ .-LI D.RrT1 l?1V -5HWL/_ IN/'/D W/, Mc-%/O/✓ ff.�/�FJGF .__c,�,«T/ON G/=. �///c�'.G/:/.1:-1./_/N/.S,—_.�f/ALl-F'F•/�•Y//.' . _/TY 7—/S FE7vl S77--,/O/V--57 Q6,2- FE/v,E=sTfz/-'7-io.v PF_7�i/EE/✓ � <4_ 1_•-"�; u✓/�L L.�P,Fi9 /i Cc ::F .7o7f/G /dAGL f,'f,'.E17//00 x.Jr 1F/C/97-/Dom/S I ToT,-L /20 _ TOWN OF BARNSTABLE LOCATION��`1` /UCe��'/'Cli�Z (�"©/� SEWAGE # VILLAGE()Sr(>�'��P ASSESSOR'S MAP & LOTS% -//� INSTALLER'S NAME & PHONE NO�� 016& SEPTIC TANK CAPACITY 16a�a-,vzL-p /- LEACHING FACILITY:(typeIAO�zs � (size NO. OF BEDROOMS PRIVATE WELL R PUBLIC WATER BUILDER OI DATE PERMIT ISSUED: c�ZL� — DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes � 5 A f Ar 1 �13' PrA '. 5a Ifo a o-ol 93 �r 00 1� Fx$.. --...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Allp iratiun for Di-nVniitti Works Tunitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair (D<� an Individual Sewage Disposal System at: /fo y ZW6e—Z"0'7 --------------------------------•---------------....._...-----------------------------------_._... --•--------•--•--------••-----•-••------•••----•-•------••---••-••-----••••....__...............-- Location-:\ dr�s �Lo NN /" / 4 Cis. � " ----------------------_....---------....---------.......---------------------------------------•- ------------------------ - .... Owner Address W !1 c.tl a ` 7 ldS— Installer Address U Type of Building Size ...Sq. feet Dwell p, Othering n Type of Building n gly_(____________ __ No. of personsnsion Attic ( )Showers Ga>bage GrinderCafeteria ( ) a' Other fixtures -------------------------------- - W Design Flow................ .--------_-__gallons per person per day. Total daily flow_sa0'%;-"'_4------------------------------gallons. WSeptic Tank—Liquid capacity Lgallons Length________________ Width.....----------- Diameter---------------- Depth................ Disposal Trench—No. ...... x Dis .............. Width-__--__.___°....... Total Len th...: ._.p —5-- g Ste_. Total leaching area....................sq. ft. Seepage Pit No...................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1.4 Percolation Test Results Performed by------- ---------------•------------------- --••--•---•--------------•---- Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------ f1 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -----------------------------------------------------------------------------------------•-----..........--•---••------•-•-••----=---•-----•-••••••.......... 0 Description of Soil................................................................................------------------------...--------------------------------------------........--•----- x V --------------------•------•-•------------•-•--•---••--•-•------------------•------•-----•--------•---------------------•---------------------------••---------•-•-•------••-•-••-••---•--•---•----•---- W -----------------------------------------------------------------------------------------------------------------------------------------, -----••--••-------------------•-----------•--•--..-•---- M. U Nature of Repairs or Alter ions—Answer whe applicable ___.l? o.____ 4__ � �_.__. ----- ...... 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 as een iss d b he board of health. Signed ------ � � - ------ ..... .<vz--------­-­----------------------------- . Dace Application Approved By --------------- ? -� --------------------------....... -..... .-.-` --� .. ..{ :� Application Disapproved for the following reasons: ...................... ............................................. . . ...--... ... . ... ... . ................. ................................... ............................... . . . ................................ ---------------------------------------- Permit No. -------- .....�. .................... � J `nj -t:�� 1 ..... Issued ........... - � � � .....----.........Dare-..... Dace ..1.�7 :. �.> N0 THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiuu for Diinpwml Works Tomitrurtiun rrrmit Application is hereby made for a Permit to Construct ( ) or Repair (tom) an Individual Sewage Disposal System at: OS i fiL t e.e -••---•-•--------------------------------------------------•-------------------.........---------- --------•-----------------.....---------------•-••-••--------------------------------•-----------. Location-i�ddres or. t No. f'Ir1/G. JD t /(o 7lJw�lV<7 Gs i /c a/r t ......................_......-----•--•----••---o,�„�r------------------------ ------ .................................................................................................. aas5 lS..� .......... 'J --------7 ld --•-- �,a�.....y � nn .................... +U...... t/YI . r.+✓r t(.S Installer Address UType of Building C L)4V__frL'/--- Size Lot..�_.cuo......... q feet �. Dwelling No. of Bedrooms.` �'_.._-.d/-------------------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/-)A--gallons Length---------------- Width-.---------.-.-- Diameter_------------- Depth................ x Disposal Trench—No. .....=!Z___.- Width......7.--_-_.. 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. 1................minutes per Inch Depth of Test Pit-.-.--.-----..-----. Depth to ground water--...................... Gr. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ PA -----------------------------------•----•-----------------------------------•-•-•---•---.....------.......................................................... 0 Description of Soil----------------------•--------•----••----.....----------------------------------------.----•---------------••-•------•------•-----------•---------•------------------- x U ...................................................................................................................................................fr.................................................... W U Nature of Repairs or Alterations—Answer when applicable- applicable.A isT. � �'t� N -..- ...... �,.._ .....--.' c ...-•- - -- . �).------. /...a.. r lF .................. 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 een)issd by/the board of health.Signed ` �%--- /.cn��' - ------------ �//�/�..J..... .. }.. .. Daze Application Approved By ................h) �1 .. .... Dace Application Disapproved for the following reasonr: ...................................................................... . . .......... ... ................ -------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------- - --- ------------------- �, Date Permit No. .......... .............d.......................... Issued ....... .�� r! ....._.............. .. t Dace —.---..---..—.---._..---------------.— --------_.--.-----..--_.—.--_._. _:—_.-------.-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE THIS IS TO CERTIFY, That the ndividual Sewage Disposal System constructed ( ) or Repairedby ( ) -------------------------------------------------------------------- ..... Insrillc•r at - - /6�/ `%i.wr/L�s'i r ..................................;:...... �i-c/� --------------------------- has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. -----_../6....._/..L,o------------- dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................... ....... .^..�-r/ ,j............................... Inspector ----- .......-- . . . _-_ ------------------------- ---------- ----- -7a�---------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS 0/7 BOARD OF HEALTH TOWN OF BARNSTABLE %Vaoat Workii Tnnutrurtiun run it Permission is hereby granted sG. --- ------------- ------------...-------•------••-----••-----.... to Construct ( ) or Repair (k) an Individual Sewage Disposal System atNo..........................................zk_v..•-----. --------� ?m............... Street e� as shown on the application for Disposal Works Construction Permit No---1=.��Q----- Dated--------- �� _ _ is t'''t-oad of Health DATE.............. ... .... = -------------------------------------- FORM 36508 H0BBS 6 WARREN,INC..PUBLISHERS