HomeMy WebLinkAbout0139 WEST BAY ROAD UNIT BLDG 1 UNIT 1 - Health . Q wv&vf R .
2 Brid Street
Os ervill
A— —021 —
0
S M E A D
No.2-153LGN
UPC 12134
HASTINGS,MN
/Yg C,,c,rT' y Vol'
TOWN OF BARNSTABLE
LOCATION ' 30 I AIhl 1212 SEWAGE # c
V1?.LAGE OS1ryi ILL ASSESSOR'S MAP & LOT 03S_
INSTALLER'S NAME&PHONE NO. .
SEPTIC TANK CAPACITY C3L 6qpD
LEACHING FACILITY: (type) STO^t- 7/__Cn o� (size)
NO.OF BEDROOMS C i
BUELDER OR OWNER M4v ' V 1 -!r t
PERMITDATE: COMPLIANCE DATE: o�'tt�V,I
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of lea hing facility) r Feet
Furnished by �/!Jr>G �U^ C'0., )
A QLi
J S8 S�
3
a, TOWN OF BARNSTABLE C e
LOCATION �3g �`s.r ��V J� SEWAGE # 2000
YII.LAGE JS 15'V' n ASSESSOR'S MAP & LOT
INSTALLER'S NAME&PHONE.NO:
SEPTIC TANK CAPACITY
LEACHING FACILITY: (type) � ^��` IIL�.�,.��r1 (size)
NO.OF BEDROOMS
BUILDER OR.OWNERS S' `` v� `'o • `ram 11--��
PERMITDATE: ? Zcoa COMPLIANCE DATE: P( 00
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 2W feet of leaching facility) Feet
Edge of Wetland and-Leaching Facility (If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
�F- V [� �1Tf
TOWN OF BARNSTABLE
LOCATION /3y V,'-=sT IfZ 4V SEWAGE #
VxI:LAGE QsrerVil/3 ASSESSOR'S MAP & LOT M6 .3S'
INSTALLER'S NAME&PHONE NO. k,s e`i
SEPTIC TANK CAPACITY 1 S00 C�o1'T�l�e l oUO
LEACHING FACILITY: f V1l�'S il' 2 (size) �o
(type)
NO.OF BEDROOMS ; 2 X
BUILDER OR OWNER DonAlY /r� �' 90'e V'Al
PERMITDATE: ®'r;� `� COMPLIANCE DATE: /0— 3 — Q9
Separation Distance Between/the:
Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leachin facility) Feet
Furnished by %I�� /
1 .
-rl, Cott"
ve
yo' o
9`,,
LP
6�
r
r r
a L5
L ® C'�iT,13N SEWAGE PERMIT NO.
i= . 9 / —
VPLLAGE
f .r
6 51
I N S T A LLER'S NAME & ADDRESS
/9cr
I U I L D E R OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED ���
1
QN
IN
r
No..... Fizs....$...5,m.........
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
T own 0F..._. Barnstable--.,.
................... ..----.....----•-----------------..................
Appliration for Dhipasal Worse Tomitrurfivit truth
Application is hereby made for a Permit to Construct ( ) or Repair ( x) an Individual Sewage Disposal
System at:
.....42655.-••-- --.....--••---------------------•-•--•-•-•--••-------••--•---•----•-••-•--
Location-Address or Lot No.
Paul Wheaton ............................ 7.._Clyde•-Ct.....Hyde..Pax ,...N,Y.:.._1.25.a�...-••••.........
Owner Address
a ......B-•Cesspool Service ------------------------------------••--- 128 ;Bishops-•Terre,ce,..H an.Zl s,--M-_....Q26Qa.•---.
Installer Address
Q feet Type of Building Size Lot...........................S q.
Dwelling—No. of Bedrooms.................. ........---..--..._.....Expansion Attic ( ) Garbage Grinder ( )
'4 Other—Type T e of Building --------------- No. of ersons.......�:--.---..-..-_----- Showers p., yp g ------------- p ( ) — Cafeteria ( )
Q' Other 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 ( )
Percolation Test Results Performed by.......................................................................... Date........................................
14
Test Pit No. I----------------minutes per inch Depth of Test Pit.................... Depth to ground water.....................
fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-----------------------------------------------•-----------------------------•...............--------•----••-•••----------------•......--------•-•-•-•-••...
Descriptionof Soil...............................Sa11a.........................................................................................................•-•••-------•-••••---
x
W
----------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------
U Nature of Repairs or Alterations—Answer when applicable.- n5tallati on..Qf..a---1.,9QQ-.ga11S?r�
stone packed_ leach__pit...(o_y_erflow.._with_10..ton._of_-stone...............................................................4.........
••----
Agreement:
The undersigned- agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'i I'
p S of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be issued by the bo d of alth,
a..N/Sig d., .l ...� 71$R...........
lk� / Daje
Application Approved BY 10/ 8
/- ()
----•------
/ Date
Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------------------------
••--------•-----•--------------------- ----- •------••-•---------------.....••----....•---•--•----.-•--
Date
Permit No..80-.................................................. Issued...................10/..7I80
---..................
Date
No... 0-.`�._. .. Fes$.. ... .00..........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
--own oF......Barnstable........................................................
AVV tra ion for Disposal Works Tonstrurtinn rrmit
Application is hereby made for a Permit to Construct ( ) or Repair (x) an Individual Sewage Disposal
System at:
....Q2655..... ;
Location.Address or Lot No.
Paul Wheaton 7...C1Jti3e_.Ct,_,_. e..Perk,..rd.X. -12 &................
.......-- .................
Owner Address
W A & B Cesspool_Service 128 Bishops `ferrate,.. Hyannis-,---£�1A Q2601.----
a ------ --- ----- ------------•..--- . .
Installer Address
UType of Building Size Lot................ ........Sq. feet
Dwelling—, No. of Bedrooms.................
.........................Expansion Attic ( ) Garbage Grinder ( )
PA Other—Type of Building ________________--- ...... No. of persons.......4.................. Showers ( ) — Cafeteria ( )
aOther 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 ( )
Percolation Test Results Performed by.......................................................................... Date----....--.............................
Test Pit No. L...............minutes per inch Depth of Test Pit.................... Depth to ground water........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
R+ -----------------------------------------•-----••----------•---•--------....------------•-•-•-------.........................................................
0 Description of Soil--------------------------- -Sand-----------........------------•-••--------------------•-------------------------------------------------------...------------.
x
---------•-----.._.... ------------------------•-•---•------•---------------------------------------------------•-----•----------•-••---•---------------•-•--••-•.......------...---------•-•-----
U
W
--------------------•------•....---------•-••-----------------------------••---------------------------•------------------------------•------•----------------------------•------------•----•........
Z.
Nature of Repairs or Alterations—Answer when appplicable.installati on of.a 1.000 gall on. _pre-Cast
stone packed leach fit_-__ overflow with 1.. ton of stone.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of : 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 bo-rd o ealth.
Sig ed--- --- i. e -�a�.J91JO/ 7/�i0
rbr Y
` .............. a
1
Application Approved By..... ----------------------------10/-•-�••��0
Date
Application Disapproved for he following reasons:...........................
..................................
-------....----•-.
.................•-----------•------------------•--•----------------------....-------•-----------•-------------------------••---•------------------•-------•----•-•------------••-----•-•--------------
Date
/80
Permit No..$0- ... l0/ 7
..........•-----------......-•--• Issued--•----•-•-------•-----•---•----•--•----- ---•--•-•---
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.......................Town........OF:....Barnstable.....................................................
Trrtifiratr of Toutpliattrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (x)
by......&_.....Cess.col__5ervica,---128_Lishops.Terrace,_..I�Yann $,-- A----02601.-----77.5-6264...............
at.....139 West Bay Rd., Osterville, VA 0263�"er Paul Wheaton
-----•---------------------------------------------------•----------•-----•----------------------------•---.•....-------------•••---•------------•--•-----------•-----
has been installed in accordance with the provisions of T6-L. of The State Sanitary C�lfjef a f cribed in the
application for Disposal Works Construction Permit No..............�l__7 ............. da.ted_...._-_. .....___!.:"_________....._._.._..... �
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
l0/ 7/80
DATE.......................... Inspector / - ----------------------------------•-_.-----
THE COMMONWEALTH OF MASSACHUSETTS
BOARD�OF HEALTI-
1.
Town
o f Barnstable
80- 7 $ 5.
00
No......................... FEE........................
Disposal Works Tnntrndion rm
Permission is hereby granted-.........A & P Cesspool Sex'v ce _
to Construct l f 9 ) orrWestRepaair x) an Individual Sewage D• al S stem
at No..........____3-...---.---------•-�F y �d•, Osterville, MA dgpj - maul Wheaton
---------• -------------••--------•--•......_.......--•.-•----......._..._......----•••-----------•-•----------------------••-------•------.......--•---
Street
as shown on the application for Disposal Works Construction P it N .-�_ . .___._ Dated.....10/ 7/80
0/ 7/80 Board of Healt
DATE. ------ .........
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS