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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