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Home My WebLink About0033 WARREN STREET - Health 33 Wa.rren - Usterville A = 139 - 089 e TOWN,OF BARNSTABLE a LOCATION 1jyi,,2(L(,vj S'\ SEWAGE # eT_ r I VILLAGE O`��'E2c�� e_ ASSESSOR'S MAP LOT 1 3�(- 0 t INSTALLER'S N.WME & PHONE NO. SEPTIC TANK CAPACITYcr.,oes-ht—s l< 10 LEACHING FACILITY:(type) P2(2',GukS`C 7 Pr V" (size) NO. OF BEDROOMS PRIVATE WELL UBLI W ®G _ BUILDER OR OWNER - ✓v�`� CJ e�p��-,��(� DATE PERMIT ISSUED: DATE COLIPLIANCE ISSUED: 4 _ $ VARIANCE GRANTED: Yes No 77 f � 1 Gesc J � 'Yo i i . ' r i l f Dao,7A-<<""pk r l t j_,A No... .:..�:. 13 9 0�c1' Fxs.. Q.. . - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............. u��........O F��:A CL.yam....w�.....C.._... _ AV dira#Uan fnr,Bispnsttl Works TiJust.rur#iun rami# Application is hereby made for a Permit to Construct ( . ) or Repair ( Individual Sewage Disposal System at :.--•--.: ,.. . . lna:.. ....... .........•••. bTc, c��: - ••.....----.. .._.._.. ............ Lo tion-Address or Lot No. ........4�....Y � .......... .. a I` .S� ......:............ : .: .... ---------..........--...............__............._ Owne Address .-.....9'enc ---•--............. •---•-.s -... .t '�4~ 2 ....................•-•--• .. .. Installer Address Type of Building Size Lot...........................Sq. feet V Dwelling—No.' of Bedrooms ._....................................Expansion Attic ( ) Garbage Grinder ( ) 1 _ 04 Other—.Type of Building ............................ No. of persons........................... Showers ( ) — Cafeteria ( ) a Other fixtures -- ---••-------... W Design Flow......�Z5.........................gallons per person per day.: Total daily flow:_.X'�...:....................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.......I........... Diameter.....lb.!...... Depth below inlet....1Q:1.......... 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 Test Pit No. 2.................minutes per inch Depth of Test Pit.................... Depth to ground water..... a ------------------------------------------- -------•---•-.......--•-••--•--...._......_ .....: ..--- ..----•-•••...---•-•... 0 Description of Soil.........................•-----------------........e:....._.._...........-•-•---•--•--------•-•--------..............................,........... ........................ W •:-••--•...._....••--.-•--- . ••--••......-• -•-•- -- -••-•--••••-••---•-----•...................•-•...............----•••----.---- - ---•-----•--....---•------ . . ..... 7..: UNature of Repairs or Alterations—Answer when applicable._____--A .......QY-e-__.__ Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary Code-The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha&l=n issued by the boa . Signed....... - ...... •--- --------•_.. .-•-•--•--••-. -� y Date Application Approved BY--••------- .�c.c,, ......:....................... ::Y.x Date Application Disapproved for the ollowing reasons:----•-----------------------------------•-----•--------------•--•-------•------•----------------------•......-- ......................••.........----.........._...----•--•-•-•-•••--•----••---••--•••-•--•-••••--••--•••._....--•---•--•-•---......._.......•---•.........................•-------............_........: Date Permit.No.......: �'._�-.�_ ..�--------------------- ; . Issued........................................................ No....Za..fs. / 1719 -- 0`6G1 FE$... .. _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f , Appltratinn for Disposal Works Tonstrur#inn Frrutit Application is hereby made for a Permit to Construct ( ) or Repair (1 ). a:n Individual Sewage Disposal System at ........:372-.... e l, ;vz G w ..:. .................. .............. ETC--..I?-y.�� ......._.._..._._.._....._.............. _' `` 0LoJcaation-Address -.- or Lot No. Owner Address a Q�. ..... ��_..� ?. ._..... •----••-! ....... .......................•---- .............................. -•••-......•••....:............... .. -....._....._... .. ..•....cy Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms__. ........................ .Expansion Attic ( ) Garbage Grinder ( ) 64 Other—Type T e of Building No. of persons............................ Showers 0.� YP g ...............•---••---•--• P ( ) — Cafeteria ( ) 04 Other :fixtures ....................................••................. Design Flow......5.'<.......................gallons per person per day. Total daily flow_.. �.�- ........................gallons. v Septic Tank—Liquid*ca.pacity............gallons Length................ Width.,............... Diameter.___._...._..... Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........I........... Diameter.....tf!_(_..... Depth below inlet...n............ 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........................ (� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---------------------------- •--------------- ------------------------ •....••••-•••••............. •••-...................... •••------ .......... ..---------- ••-- ODescription of Soil......................................•--------•-------...........------------------------------------------.....-------•----........................................... W W ------------- --------------------------------------- ------------------------------------------- --------- ---------------- •------ ---------------------- .--.------------------------------- .------•-------- ••-••••-•-••.._....•-'--••--••-•-------••--•--------•-••-•••-•---•-•-•-•---•-••---•-••-•-•-••--••--....-••-••••---------••-•-----•-••-----••-•--•----•-•--•-•-••-•....---•-•---•--••-••--•-- UNature of Repairs or Alterations—Answer when applicable--____ROY!..... _.._.tb x��?.__-��.��.... �-a��1`r-� �X.�r. k;:t<'�- -J C;� c� „- .. .................................................................................... Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLZ 5 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 the boas d of health. f - =- rk-�� ......-- Date Application Approved By......_..� ............ Date Application Disapproved for the following reasons:...................................................................... ....................................... -----•---------------------------------------------------------------------------•----------------.........--------------.......--------------------------------•-------...•••---........--•••-.......... Date PermitNo.. &&==---1 ...•--•••--•••---.._..... Issued.......--............................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Trrtiflratr of Tnutpliat re f THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (�)� b 4�. )Q LAmnf ►'1 G,o b - '7 *'(......................................................•---......_:...._......... Installer at................. =....� 4I, .F J 't ...................... : ............. 1tC'--------...----...................---------...-------- I 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.......15._.�.-:_�_� �..... dated............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................... ` ----f�---•---�-..._�,�)......................... Inspector..................�r�-.......-----...--.....-----•---...................---.. ------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH G ......OF...� (l�l` k t11a No.. !�..'.� 3 ... FEE........................ Disposal Works Tonstrudinn Permit Permission is hereby granted........ .± `�:....`!` �_......�.'�� to Construct ( ) or Repair ( Individual Sewage Disposal System.�7 ' at Na_ t.l M7.....+_..t..• 1 r ---------- Street as shown on the application for Disposal Works Construction Permit Nogg'-)3,1.... Dated.......................................... .................................. - --... ...-� ................................... r ate- . Board of Health '� DATE---------------..---.......................................... A 1 Health Complaints 24-Feb-98 Time: 3:00:00 AM Date: 10/9/97 Complaint Number: 1056 Referred To: JEROME DUNNING Taken By: L.S. Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: Number: 44 Street: WARREN AVENUE Village: OSTERVILLE Assessors Map-Parcel: Complaint Description: LEAKING OIL TANK AT RESIDENCE • Actions Taken/Results: Investigation Date: Investigation Time: 1