HomeMy WebLinkAbout0102 WEST BAY ROAD - Health C-M2
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5 M E A D
KEEPING YOU ORGANIZED
No. 12134
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SUSTAINABLE
FORESTRY MIN.RECYCLED
INITIATIVE CONTENT10%
CanifiedFiberSOarCino POST-CONSUMER
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MADE IN USA
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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
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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
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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
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