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HomeMy WebLinkAbout0084 WINDSWEPT WAY - Health 84 Windswept Way Osterville A= 0 52 - 0077 /TOWN OF BARNSTABLE LOCATION 3 UJ (k SWAGE #23 70 VIL LAG ASSESSOR'S MAP & LOT.0,51 00 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY S 0 .v , LEACHING FACILITY:(type) O d D (sue - NO. OF BEDROOMS PRIVATE WE OR PUBLIC WATER BUILDER OR OWNER p f ! e DATE PERMIT ISSUED: ' DATE COMPLIANCE ISSUED: ZQ VARIANCE GRANTED: Yes No J) Y' ' LI U Sewage Permit No. Location: Village:. Installer's Name & Address: Builder's Name & Address: Date Permit Issued w . Date Compliance Issued i �� e 646 ✓�� TOWN OF BARNSTABLE LIATION (�✓``I�1 C.t� "� EWAGE I' VILLAG 31 - f �lJd ASSESSOR'S MAP & LOT:G'�3- 00 INSTALLER'S NAME & PHONE NO. i� ��C/'(�fJl p�� z2yo SEPTIC TANK CAPACITY 0 0' LEACHING FACILITY:(type) (size ' NO. OF BEDROOMS S, 'PRIVATE WE OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: �LDATE� COMPLIANCE ISSUED: ARIANCE GRANTED: Yes No /.' v1 RY, �`t V T�^ C>1 / 1 ry y' w A� V JK I Oc> 7 FEB ....®...�. �i'PkOVE� THE COMMONWEALTH OF MASSACHUSETTS 4toule Cons1 BOAR® F HEALTH Sim -----... .- ------.....oF.............AAJq.5.T.. ....a... -................................. ApplirFation for Uhip sal Workii Towitrnrtinn Vantit Application is hereby made for a Permit to Construct ( ) or Repair ( V an Individual Sewage Disposal System at: ...... wS '... .... ............. ...... ��'��... � !11 Location-Add s or Lot No. LI LieOwn -Address a .................� .......... errs .. .------ _.... Installer Address QType of Building Size Lot...U Dwelling—No. of Bedrooms................ ...... -_---Expansion Attic ( ) Garbage Grinder ( ) 44 Other—T e of Building __.. No. of persons............................ Showers — Cafeteria a Other fixtures -------------------------------------------------- - W Design Flow.................-� ......__f......._..gallons per person per day. Total daily flow.._..................._ . . . ...._gallons. WSeptic Tank—Liquid capacity. SCUgallons Length---------------- Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.--' sq. ft. Seepage Pit No.......... --------- D' meter...:....�.Z.. Depth below inlet....__....... Total leaching area.......1.l. .sq. ft. Z Other Distribution box ( Dosing tank ( ) Percolation Test Results Performed bY.........................-�^-.................................. Date....................................... aTest Pit No. I................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........................ a ------------------------------------------------------------------------------------------------------------------------------------------------------------ ODescription of Soil................................................................U -------------------- ------------------------------------------------------------- -------------- W ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- VNature of Repairs or Alterations—Answer when applicable................................................................................................ ----------------------------------•--------------------------------------------._..............--------.....----------.....----------------------------------......................................... Agreement: The undersigned`agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance as en issue y the boar of health. Signed:_� ��, ...--- ...................... ------------- - ---- ---- ------ Dare Application Approved B �tv Lc ;4 pP PP Y ) l e Q Application Disapproved for the following rea_;ons- --------------------------------------------------- ......................-----------------.....-.------------------------------- ----------------------- ------------------------------------------------------------- ------------------------------------------------------------------------------------------------------ --------- ---------------------------- Date PermitNo- ------------------------------------------ ------------------- Issued ........ ...................................................... Date No................--....... ............................_ THE COMMONWEALTH OF MASSACHUSETTS -� BOARD F`` HEALTH .............J.PWA ) -............OF....... t :l� Tf - ................................. ApplirFation for Disposal Works Toustrnriion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ") an Individual Sewage Disposal System at: f Loc tion-Add s or Lot No. Owner Address 14 W Installer Address d Type of Building Size Lot____________________________Sq"feet---- U Dwelling—No. of Bedrooms.................t..........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............_............... Showers ( ) — Cafeteria ( ) dOther fixtures _.....--••-------•--•-----•---•--•••-••--•------•--•--•-••----••--•-•----•-----------------------•-•••••-•-••••-----•- ----------•-------•--- W Design Flow.......... �_�_________jj_________.gallons per person per day. Total daily flow.._._..__.__.__________r-_ .....gallons. WSeptic Tank—Liquid capacity.9.�0_gallons Length................ Width________._______ Diameter................ Depth................ x Disposal Trench—N _____________________ Width.................... Total Length.................... Total leaching area--------------------sq. ft. C Seepage Pit No__________ _________ Diameter_______.____.__._-__ Depth below inlet____._!_______ Total leaching area_____._.... _.(.sq. ft. Z Other Distribution box ( tf�` 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........................ -----------------------------------•----------------------...__.....----------------••.....-•_•_............................................................. 0 Description of Soil--------------------------------••-- '' -- - - - - x W --•----•••-•.............•--•--•-•-••-••---•-----••-•-••---•--•••--•----•-••---••-••----•-•••--•••-•-----------------•---------------•••---•------•-••---•--•••-•-------•••••••-•-•-•••-••••••-•---_.._. UNature of Repairs or Alterations—Answer when applicable................................................................................................ -•---------------------------------•------------•---------------------------------------------......•--••-•-....••-•-----•-----••-•-••••-----•--•---•-•-••-•-•-•••-•••-•••-••-----•----•--------••_-•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed -----------------------------------------------........................................................... --------- -- ---- --------------- Date Application Approved By ................................ ..--....--..............--------------.......-- -- . --- .---------------------------- ..........-'---- —-------- -------- Dare Application Disapproved for the following reasons: .......... ...._---- . -- .........---------------.....------------------------------------------. ----------------- ......_.......—.................................................................. .....................------....------------......-----........_.......-...--------- ........................................ Dace PermitNo. .. ...................... .................................. Issued ---------------------------------------- --------------.......... Date THE COMMONWEALTH OF MASSACHUSETTS BOAR OF HEALTH -------------------}-.../.: . 4......... OF ------- -.�00- 7 A t! ..................................... Telrtifirate of (11omplinuric THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ........................................................................... ---------------......----------------------------........---------------------------------...-..------------------------------------------- Installer at --------------------------------------------------------------------------------------------------------------------------------------------------------------------- ...-......------------------------------------------------------ .. has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ................................................ dated ----------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................... .. .. ................ . .. .. Inspector ....._---------------------......-------.......-----------------------------------------------. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................�.... `!....OF.----. lNLI�. ........................................................ No......................... FEE........................ Disposal Works Taanotr ion ermi# Permissionis hereby granted.................................................................................................. ........................................... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo.....................................•-•-•---------------•-----------------._.......---•-------.••---•---------••••••--•-•-_.__.-•----•---••••••-•--•--•-----••---•-----•-••-•----•••••--•-•••- Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... -------------------------------------------- -------------------------------------•--•---••-••------... Board of Health DATE................................................................................ FORM 11255 HOBBS & WARREN. INC.. PUBLISHERS 514 Ci d(�'T' FAMIL i UA A OZWVEIZ. -PAIL-( R-oW k 110= A4t� &T) SEPTI C TAN 440x IQ) &J- 6&O 6� vSE ISOD e-A PLArJ oil `�Ik� � t� or Vi �L PIT i-Icy�a���' sT�oN�--Hl0 . 51DEW4jL ARE Z A =-2 --F BOTTOM A¢b4 = I t 3 s F. . Y�(ST�2 . ( Aa,a0P, i TOTAL t)a516N = &--18 6W, TOTAL DAILY Mfl = 440 ewm :- OTC_ PE¢Ga[.A'Ct oN IFA7E =1', 114 'Zm IN o2 CeS i OF ��tN OF SAS q RICKARD PETER A. o SULLIVAN BARTER No.29733 9f0 q �p �01STGf i LAB F �6 SS/0 t L -3 I TF 5". do 1500 a �uv• MKT ;y� i��l 5 ATIC 31 13ooC 30 .�� T�N tC LEA/-U 5d SCv� WNA �: Aw-5rzvmgc-s sr.-r was�l S„69 MOW TUAW 4'DEW �G 23 o Fir 51-(ALL 'be q-Z0 5W'(G VP&'ZADG PLAN /Z RAN ' "PEVELopED '�I Lt:- �'S . I � Lnc.�loN : o ysTt�Z 44-Borz5 sin M,�I w o` 1,5 4a Lam, ( VATt=; f2.2,q3 PLAN 7-eVE REQC6 -. l CE=FY 'T{ AT TI{E 5AM4 HEE t4 �oMrLJy5� '+NITµ lVf- 5iELAJE OT ( �A4 I?_EQ. CV 'C IE• TDWN OF IBAnAe-T48c;,r 40 L c IpL-p w 15354- lO AO 15 l.044TVD W T'[ m tt'&Iu, . P>7dF�'Silt�JdL_ t_dIJ� SuPal�`fotz5 79K FLA►J l5 NOT' $AS© oN AN N ilrOMEVr z��I L_ 14 EiJGI tJ EEL$ SurLvc j MD THE 0WiETS • 4cuL.D u yr BE o 5Tr--ev ILL E MA54 USCfi To 9STABI-15N ?V-apEszrTy U Nt5 7 APPLICANT O' TCp60'Lj" #0rzaIsse HIll Avs -L(c).lOj n V o V al Q.s 07zyJ i All Lb V `J M I � �. L jo V \ v G d� x'* ♦ _ �,rj� gyp`\ � � �' Sewage Permit No. Location: , Village: $IrS 5 Installer's lame & Address: Builder's Name & Address: (� Date Permit Issued .v 7 Date Compliance Issued G vTiio ems. � w a W 1 P 4 r J 1"ev } No......?9 .7. v T Fes$..... ........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ._..---- -- . ................OF......................................------ ApplirFa#ion for Disposal Works Tonstrurtion Prratit Application is hereby made for a Permit to Construct ( } or Repair ( ) an Individual Sewage Disposal System at: .........•.......�.x ......................... .. ' '_.. � .. . cation- ddress or Lot No. GaSt� ......• ................... .......... .....................•...........(/_......--- ner — a Address Installer Address Type of Buildin Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g ----------------•----------- P ( )--- Cafeteria ( ) dOther fixtures -----•------------------•-----......------------•-•---------•-••-•---------------=-••......-•-----•--•-•-••---•----• ......---• w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity b Q...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 ( ) a Percolation Test,kesults Performed by.......................................................................... Date........................................ Test Pit No::'_l................minutes per inch Depth of Test Pit.................... Depth to ground water......................... fZq Test Pit No. 2....n..........minutes per inch Depth of Test Pit.................... Depth to ground water........................ a .Description of Soil--------• ....... . ------•-•---------------------------------••-•-------•••------•-------------•-• --------••••---•-.................................... x �. . w U Nature of Repairs or Alterations—Answer when applicable.-_�-_ �% _......;,� -_ X.T.._.... ----------------------------------------------•-1.........d', Y I.---••_....�..:_PZ.�-----------?j--------- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL LE 5 of the State Sanitary e—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be sued by theboM-oth..IJ Signe ----•- .-- ----•-• •---------- --•--•................ ........ Application Approved B o i-rr PP PP Y �... D t • ------ ate Application Disapproved for the following reasons-------------------------------------•--------------------.....------........................................... .........................................=...............................................................---------------••-•----•---------------....-----------•---------------••----••---••-----....... Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................... ..................OF...-........-..---..-....-•----...._...--------------------.....--------.._..._........._. Appliration for Dispas al Works Tonstrnrtinn Vernfit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at -. - ........................... .....•-•••--•----••.._... ? -.. 2 :°,..•-•-----------. .... cation- _ddress or Lot No. .�j- .... ..y n____________________________ _ ------- _____------------------ _----------- ___________________________________________$$$_ff._..._..___ ner�j ... Address Installer Address Q Type of Buildi Size Lot............................Sq. feet V Dwelling—No. of Bedrooms......................_.....................Expansion Attic ( ) Garbage Grinder ( ) aOther—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&VV Q____gallons Length................ Width................ Diameter---------------- Depth................ _ x Disposal Trench—No_.................... Width.................... Total Length.................... Total leaching area..........._........sq. ft. Seepage Pit No_____ _____________ Diameter.::• :.f._.__...:. Depth below inlet________.______._._ 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........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -- -------•-------------------------------------------------•----•-•----•---•---.._._..-•---•-•-•--•----...---...•---.....•--....-•-••-•. Descriptionof Soil......... e --•-•...............•-•--•--•------------•••------------------------•--------...--------------------------•-----------._.........----- V ................................--•---•-----••-----.._..•--'•------•-----•-•-••.•-•-----._......-•-------••----•-••--••-----••-•-:..:--------•-------................................................... 0 Nature of Repairs or Alterations—Answer when applicable - ' rs', '••••---••-- ---------- ------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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 of, lth. Signed . ..t1�- ...-- f�-------•-•-• ----------------------- 8�.............. Date Application Approved By.......... N --- r,,�..................................... ---------01J -----•- �ate Application Disapproved for the following reasons_ ___________________________________________________________________________________________________________ _.._...-•------------------------------------•--------------------------------------------•-•-•-•---------••-•---------•-•--•----•---•-----••--•--------•••---•--•----••-----••••-••••--•----••-----•- Date PermitNo.---•-----••_____--•--•------...-•-.._...-----•••---•••-:-' Issued_..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF. HEALTH ..........................................OF..................................................................................... TrrtifirFatr of TuntpliFatta ti THIS IS TO CE FY, Th t the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by---------••-•---••--•-•- Installer at...... j c: .................................... has been installe in accordance with the pr rislons of TITL> 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No........ __5.e. f__.___ dated................................................ ie THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE C STRUED AS GUARANTEE THAT THE SYSTEM WILL F NCTI SATISFACTORY. DATE......... --- _--...•--• --•--•----•-------------•---=........ Inspector--------- -•--•---- .............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.410i ...........................................OF................................................................................... FEE._bd..w � ... ............ Disposal Workii %Tnntrnrtinn ramit � Permission is hereby granted----•-------------.C.�-f------_--- to Construct ( ) or Repair ( ) an I'ndivi4tial Sewage Disposal S stem atNo.--------•------•----•---J10. .; . yam . • ------------------------------•-------••--------... Str as shown on the application for Disposal Works Construction Per rt No_____________________ Dated.......................................... / Board of Health ---------- -•----- DATE..................... -•-•---•-••----- FORM 1255 A. M. LKIN, INC., BOSTON