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Home My WebLink About0242 TOWER HILL ROAD - Health v $ 242 Tower Hilf Road Osterville u A = 142 046 Fl" b y e s o � J u ILLC4 N, i -4 !Yl 2"6PKT 2 ,41 �5 1 " 3'd� 112 ' iI a' Z2(,6tA b --------- Rfr ICLp��Y TN of r` -1 7 - -1 o SKY !KY ITEI � CASE® � l d1j ! VELUk , I VEI.UX YS306 1 i I V5306 � per, pp�p n /,r�/a/' 6B'+ .n� ..a.� a' oil -7 1 �# NING FIRS F � ,f BATH SINK q sw E� I i� IJI \ 26" o O g M 9� M 50661 at-PLO i 50" 81-FLO i CLOSET :� CLC?5ET Y tI .e.`.m.�....� O a.4 III 4 OPEN� T 15ELOH ;:75G0Nl:D FLOOR ' AN i7 TOWN OF BARNSTABLE LOCATION o2 oZ 9aLwerAlil / P SE WAGE # / r , VILLAGE ,f�el"�v /f ASSESSOR'S MAP S LOT. INSTALLER'S NAME 6z PHONE NO. it. L SEPTIC TA14K CAPACITY_/5-00 LEACHING FACILITY:(type)- _(size) IeZ NO. OF BEDROOMS ?j PRIVATE WELL OR PUBLIC WATER � C,,, BUILDER OR OWNTR DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No Y t � e /�T = ---- No.--�-------.... .�✓. � Fes$....................�...�... Rg THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...........................................O F.......................--.-----..........------------.....-------------------------------- Allp iration for Uhipoii ai Works Tomitrurtinaa ramit Application is hereby made for a Permit to Construct ( ) or Repair Y ) an Individual Sewage Disposal System at: �� .......:�4_..._>ct4� I.AL------ .................. ...........•-----•----------•-----•---------- ---------••••-- _/ Location-Address I or Lot No. .................. Own,T,��.1.�?? PV .... Z %t?crt .d7�LL......... _ a -• � �W��1,Q.J ............................ ............. Z..?l---...A�%e ,vX1S.... 4L� Installer Address UType of Building Size Lot__3 �_J_�_._Sq. feet Dwelling—No. of Bedrooms.................__.....___..__.__.._...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. 1:4 Septic Tank—Liquid capacityjgallons Length................ Width................ Diameter................ Depth................ W Disposal Trench—No. .................... Width..... ------------- Total Length.................... Total leaching area....................sq. ft. x 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........................ a ----------------------------------•-----------------------------••--------------------...----------------••------•••.......•-----------------•-------------- ODescription of Soil........................................................................................................................................................................ x U ••••-----•--•-•••----------••-•••-•••••••••••--•--•••••-•••••••••••--•---••--••••--...••-----•••-••-•-•-••••-•-••--•-•••••••---••••••---••-•--•••••••---••--•-•••----•••••............•-••••............ W ---------------------- ----------------------------•--•-----•--•---••-••--••-.......•-•••••••----•----•--------••--••---------•----•............-• -------------------- UNature of Repairs or Alterations—Answer when applicable........ jeiS/./_ _�------- s. rn.... ... / --••-•••••----••••-----•--•-----•••-••-•--•••---••-•----••••••••••-••••••••-••••••••.................•••••--••---•---•---•--------•-••••--•-•••....---•------•---•-----•------•---•--••-•-------••--•••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'T '`.;a. p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b sued b the board of alth. e Signed... C!µ�.... .. .. ....... Date - ApplicationApproved By-••-••--••......••.----•-••••••-•••••-•...•--•-••.....••-••••--•-••............................ ........................................ Date Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------------------••••-- ' .................•••••••••-•-•-•...--•-••-----•--•-•--••-•••..................•-•-•-----•.......••••-•--.._..........._......•---••••-----•••----••••-••••••............................................ Date Permit No-------47... ..... Issued_ Litt N. t� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............... .... -...... .................. --•-------.....---------------------•-----•---•----------------- AVVUrFation for BijopmFal Works Toutitrurtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (" an Individual Sewage Disposal Systemat: L.........2(.V-................... -------------•-------•-- Location-Address or Lot No. ---_•-•-- ..... .............. ............. L� - D.r �!'�1L _.. Own Add e Installer AddressPQ ? U Type of Building Size Lot__.�r_,_ ___Sq. feet Dwelling—No. of Bedrooms___________________ .....................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—Type T e of Building No. of ersons____________________________ Showers Pa YP g ---------------------------- P ( ) — Cafeteria ( ) a' Other fixtures ................................__ W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity/J7 gallons Length-------_------- Width................ Diameter................ Depth................ xDisposal 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 ( ) 1.4 Percolation Test Results Performed by.......................................................................... Date........................................ ,.-I Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water----------_............. GT, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---_------------------- ....................................................................................................-------------------------•-------------------------------------------------------------------.........................................---------------------- 0 Description of Soil........................................................................................................................................................................ x U -------•-------•--------•--•---•--••--------- ----•---••----•-•--------------•-•-••----•-•-•-----.._...---••---•-•-•---•••••-------------••-----•-----•••---••-•-•••--•-------•-••----••---.._..._-•---- W ------- :............................. ........... --------------- _ 1. �I. U Nature of Repairs or Alterations—Answer when applicable.__.._-_ ,[ _%Jr ._... _y. E- A $ ------------------------------------•------•-------------------•--------------------.....-----------------------------------------------•------•--------------......................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TILE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b - sued b he board of lth. V Signed - - .__._�..... . . ---- Date ApplicationApproved By---•-------••--•--••----------•---••-•--•--------------------•••-••••••-•-•._..........._..----- Date — Application Disapproved for the following reasons__________________________________________________________________________________•-••----.. ••••---•--- I •------------------------------------------------•-•---------------------....--------------•-------------•-•-----•------------•--••--•-•-•---••••••.................................................... Date �SSIleC�.... — — Permit No. L 1----•-• ___::.... ---------- L;.�. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 6Y. ✓...............OF....-/,?� ................... lt.........l.......................... AT Qrrtif irtttp of Taaattph atta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( } by...............•----•---------•-....---••--......----....-•---•-----•-•-----•------•-------------------------------------•--••----------..__...---•---------•-------........._...-•-•••---•---•-••-- Installer at....................................................-..............................................-----------•-•-------•------••-••----•----•------•--•------•--------•-------•.._..._---•-•••••--- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated_--------------------------------------_........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUEP AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION TIS RY. DATE. .r. .r7_0 ---•-----...--_. Inspector-•-----__- D .......................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF.....:....... . No... :_/ FEE...!:r?.............. Disposal Vork.5 Tomi#r iaan rraati# Permissionis hereby granted............................................................•----••-----••--••----..._...-------------•--......------...._....•--....---._.... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo............................................................................................................................................................................................... Street r� as shown on the application for Disposal Works Construction Permi o.__Y/..... ?ft'Date ........�_'. "' ..'l_ - �i ---------- `'mot' :/-- -------.. - -----•----_____- 7 � � Board of Health _,/ DATE---...---�--- - r °� - ..�............................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 6