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HomeMy WebLinkAbout0102 WEST BAY ROAD - Health C-M2 °�;YW4,vj i 5 M E A D KEEPING YOU ORGANIZED No. 12134 i 2-153LGN SUSTAINABLE FORESTRY MIN.RECYCLED INITIATIVE CONTENT10% CanifiedFiberSOarCino POST-CONSUMER www.sfiprogram.org _ 6"1700 MADE IN USA GET ORGANIZED AT SMEAD.00M r Nor:.....3 Fx$.......�..S,.�Q........ THE COMMONWEALTH OF MASSACHUSETTS ®®AR® OF HEALTH ...................... ..Town......OF..........Bar ..nstable..................................................... Appliration for Ropasal Works Tonstrnrtinn Famit Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal System at: 102 West Bay Road, Osterville, MA 02655 ..... __....... ..... ............................................ •......•••--•-•-••-•••----•••-----••------•---•--..................------------•--••-........•-•-- C. J. Manning Location-Address 102 West Bary Rcadr L�sterville, MA 02655 ----•-----------------------•---------•-••.......... ----------•------------•---------- --------------------- Terrace drHyannis, 1A 02601 a .................... -•---•-- ... ._... Installer Address Type of Building Size Lot---_______________________Sq. feet Dwelling—No. of Bedrooms............................................Expansion Atti ( ) Garbage Grinder ( } 3 p, Other—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............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 ( ) aPercolation 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........................ ---•------------------------------------••------....---.....---•--------........................---•......................................................... ODescription of Soil.....................................saxl 3....--•----•--•-----••--••••......-•------•---. "W V -------•-------------------------•-----•--------------------------------------•••-•------------------•------•••••-----------------•--•-------------------------------•----•--------------- W UNature of Repairs or Alterations—Answer when applicable.__ r?s�.l..... .•of_-a-.1_ 00-_gallon-,septic--tank, distribution box and a 1,000 gallon heavy duty__leach__pit :stone-_hacked,•............................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITS: 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 board o eal d- . .............•-- v021 Application Approved By............... --- •-- •-••-•..............•••-•-•-•-----•---------••------•-------------- 4-102184 ------------------- - -------- Date Application Disapproved for ollo n reasons:......................................................................................-......................... ....................................................... ••--- --------------•--------------•.---•----.. - -------------- Date Permit No._----� .......................•-------•----- 4 /02/84 .... Issued. ---`------ - -------------------------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -------- ------_.Town.......OF.........Barnstable... Appliratinn for Uispoii al Works Tonstrurtinn frrmit Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal System at: 102 West Bay Road, Osterville, NIA 02655 ................ ..... .• .........._.. ....._... ---...-••-•........... -•••-•----.......•••••••-•-••-••••---•--••-••••-•--•-•-•-••••-•-••-•-•-•-•................--••---- C C. J. Manning Location-Address 102 West Bary Road,r %t6rville, M A 02655 ............... - ------------......- r----•-•-------------•-------------------- ------------------------••-•••-••••••-•----•-•--------•--••-•-•----- ........_..�... W A & B Cesspool Service°;ner 128 Bishops Terrace;dd t ann�s, re, 02601 Installer Address PQ VType of Building 3 Size Lot............................Sq. feet I—. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 'k e of Building 3 Pk Other—Type T yp g ____________________________ No. of persons_.___..__.___._.____.__.____ Showers ( ) — Cafeteria ( ) Otherfixtures -----------------------•------------------------------.-••-••......--------••••......---- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............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 ( ) NI Percolation Test Results Performed by.......................................................................... Date........................................ W Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ f=I Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------------------•••-• •--••-••-•••-•••••--••-•-•••--•••-••••-•-•••••••••-•-•-••--•----•-...•••-•-•-------•--•-•--•----•••......................--•••.•. 0 Description of Soil....................................Sand.......................................................................................................................... V .......................•-••.....••----••••--•-•---•.....••-••-..........-•--••......•- W x ••-•••---•------------------••---------•••--• -----------------------------------------------------------------------------------------••••-•-•••• -- ••-•••••......----•-•--•-•-- U Nature of Repairs or Alterations—Answer when applicable_�tallation off' a 1 00 gallon septic tank, distribution box and a 1,000 gallon heavy duty Ieaoh pit, stone packed. ....... ---•-- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1E 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 board�4 health. S. -tfec� --G. Gc r�-xt<< ....... ;s c -6 '`� ................................4/02/84� ---•• ------ ��- -•-.-•-- 84 Application Approved By.............. ...r ..._ .. 4/$t/ Date Application Disapproved for -folio anly reasons________________________________________ / ....----•-------------------------------•------•-•---i-•-----......----••-------------•---------------------•----------•------- 4/02/81- Permit No..•-•�-_..... -----...-••••-•.............- -- Issued_----------••... ../.- ....--.--•--•.Date•••--- "Date THE COMMONWEALTH OF MASSACHUSETTS w�'I �- BOARD OF HEALTH tl T.own. ........O F......Barnstable ........ ............................................................................... T.rrtifiratr of TOmpliFanp � TT I TO CER FY That J� nfUv ual S wa e Re 1 S� em ns d or Repaired �c A SB esspool etVice, 1 81 Bishops �'ez�ace;°�yar�i�, N� � 1 ( ) P t ) by---------------------......................................................................................................... ...... 102 West Bay Road, Osterville, MA 0265f= C, J. Manning at•••--•••••••-••••••....•----••-•-••......--••-•-••---••-•••••••-- has been installed in accordance with the provisions of T14LE 5 f Die State Sanitary 47&)% lescribed in the application for Disposal Works Construction Permit No------------- _7............. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................................... L.t.2-9cl Inspector. k--l"L THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tarn Barnstable 15.00..................0 F..................................................................................... No.........AUZ FEE....................•... Disposal Works Tomdrnrtintt frrmit A & B Cesspool Service Permission is hereby granted... --• •• ••----•-....--•.._........•--•P to Co' U W�s� ��rR aa, ae I �l'e; � e`&' 6Dis °1.sanning atNo....................... •---------•--•------...-•------.....----------------•-.....-•---------------._...--------------------------•---------------....--------•-------•----......----••-•-- Street as shown on t7app, tion for Disposal Works Construction Permit No� Dated.....•._.../�z��---.-•___._...... ............................... ... ................................................................. / Board of Health DATE.. .-_..- -----•-•------------------------------------------- 1 FORM 1255 A. M. SULKIN, INC.. BOSTON { LOCATION SEWAGE PERMIT NO. 102 West Bay Road 84-237 'VILLAGE Osterville, MA 02655 A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER C . J. Wining 102 West Bay Road, Osterville, MA 02655 DATE PERMIT ISSUED 44/03Z DATE COMPLIANCE ISSUED _. .`,` `o '� �� i i ,� �� 37 SRO A � / �� !`� � i �S� � � �7 .., i i �\ ' �' H d �► � w, ,,y LOCATION SEWAGE PERMIT NO. k 102 West Bay Road 84-237 VILLAGE Osterville, MA o2655 sY A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 'N02601 BUILDER OR OWNER C. J. Manning 102 West Bay Road, Osterville, MA 026.55 DATE PERMIT ISSUED 4/03/84 DATE COMPLIANCE ISSUED c e 1 �t'\tip r�