The URL can be used to link to this page

Home My WebLink About0018 WOODLAND AVENUE - Health 18 WOODLAND AVE. , OSTERVILLE A=140-137 o J� I o l� M 0 S { LO�CA-TION S I W A G E PERMIT NO. V I/LL A G E I N S T A LLER'S� ME 6 ADDRESS � LW -- OR OWN ER DATE PERMIT ISSUED �r DATE CIOMPLIANCE ISSUED Y 47 r f - m- - ._ ♦ _ ale � f THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ---------------- ------------------------OF....................................... Appliration for Dispasal Works Towi rurtion ami# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .... s-�._ � ,I&- al .�. � �.. ...... .._..... .... - ocq ttiion'-Address s-�-----� - -•------------•---------- •---••------------ or Lot No. ss W �� --•.....................•---•-------• �, c c iC�_7 & -----...... C..:.. ..... . Installer Address Q Type of Building Size Lot_.__,?0 A�0--..Sq. feet U Dwelling�Vo. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of persons......:..................... Showers � YP g ---------------------------- P ( )--- Cafeteria-(----)- 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........................................ Test Pit No. 1................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 .................... O Description of Soil - '+ ---------------•--- -• .fz x U ----•---••-••-----•---•----•----------------•---•----------•-••--......-•••-------••••••---••-•--•--•----•--•-••----------•--•-------...•--•-•----•------------•-•----.......-----.....--•---..__....... W ------------------------------------------------------------------------------------•--•----------•-------•--•-------- • ------------------------ x Nature of R airs or Alteratio s;Ps when licabl�,.- ------------------------•-•------.................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLIJ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss .ed by e boar&ol alth. Sw ned. __ ____._ _.- �._._._.. . c- Date Application Approved BY-. • ---- ••'-!' .......... -T- Ll.... Date Application Disapproved for the following reasons-------------•-------------------•----------------------•--------•---------------------------•-•--•••-••---....-- ..............................•-•...-••-••----------•-•----------.....---.....••-----•--•----..--•----•--•---•...........---•-----••---•------•-••--•--•-----•---•-----•••--------•----•-------••------. Date Permit No............. .. Issued .................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. ... ...................OF...................................................... Appliration for Disposal Works Toustrurtion "punit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ............................................................................................ 1.0cation-Address or Lot No. er . ........... . ........ ......................... ............................t.��................... ....................I........ s .... . .. . .......... ..... . ....................................... ......1 ..................... -------------------- Installer Address Type o Building Size Lot---- .a ....Q. . ...Sq. feet U Dwelling—4;11o. of Bedrooms............................................Expansion Attic Garbage Grinder aOther—Type of Building ............................ No, of persons.........._..........._.____ Showers Cafeteria 04 Other fixtures * Design Flow............................................gallons per person per day.. Total daily flow.............................................gallons. * Septic Tank—Liquid'capacity............gallons Length-............. Width................. Diameter___-._....__._.. Depth......_..__..... 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 0-4 Percolation Test Results Performed by.......................................................................... Date............................n........... Test Pit No. I...........:....minutes per inch Depth of Test Pit.__.__.............. Depth to ground water........................ fX4 Test Pit No. 2................minutes per inch Depth of Test Pit..____........_..... Depth to ground-water._____..._...._....._._. ............................................................................................................................................. O Descriptionof Soil....-144 ..................................................................................................................................................... .......................................................................................................................................................................................................... U ............................................................................................................................ ............ .......................... U Nature of Regairs or Alteratio — sw �plicable,-A42........ ..................... when ftj V.ft � . ................. ------------- ........ .................................... .......................................................................................... 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 ii su d by t e boa of palth. Compliance 5 ne ......Siped.. .... .................. ................................ ............................... Date ....... . Application Approved By.............. .......... ................ ........ Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... !AW—Date Permit No.....__. IssuedL...�E-420 9-�V ................................ ............................................. i Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF............................................... CUrdifiratr of Toutpliattrr THIS ISrTO CERTIF That the Individual Sewage Disposal System constructed or Repaired ............................. by............. ........................................................................................... ................... m . ............n..s.l.a.l.1 at........Il . 6 . ij?r , . ............................................................................ has been installed in accordance with the provisions of TITLE. 5 of.The State Sanitary Code as descriW in the application for Disposal Works Construction Permit No..__ &----- dated_...._ _.47- ..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO TRUED AS A GUARANTEE THAT THE ----------TRUED �S SYSTEM WILL F CT ON SATISFACTORY. DATE................ ...... .....!;� ................................... Inspector........... .. ....................r_ .... -------------—---------- S SETTS THE COMMONWEALTH OF MASSAC SETTS .2W BOARD OF HEALTH No LR.�P ...........................................OF......................................................... ... ....................... FEE.... fks Tucubtrurtwin vrrmit Z or -:F- Permission is hereby granted.......:_...i.. ...... ..................... --------------------------------------------------------------------------------------- to Construct or Repair an-I I d ividu S;e!zeD*'- q,sal System n • M7 g aN' a. ............................................. 0.........1.49.....��i...... ........................ ................................... . ..................... C-" . - Street as shown on the application for Disposal Works Construction Permit No......`........7;y... ...... .............. I----------------------------------- Board of Health' ...................................... DATE. I 2.q] FORM 1255 A. M. SULKIN, INC.. BOSTON AsBuilt Page 1 of 2 L0CA.TION SEWAGE PERMIT NO. V LLAGE. INSTALLER'S ME A, ADDRESS * tR— OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �� http://issgl2/intranet/propdata/prebuilt.aspx?mappar=140137&seq=1 8/18/2016 3� M2:;x.::=3 310 CMP, DEPARTMENT OF ENVIRONMENTAL PROTECTION 15.204: Increases in Design Flow to System No person shall increase the actual or design flow io any cesspool or to any other system above. the existing approved capacity,or change the type of establishment of afacilrty served by a cesspool, unless the cesspool or system is upgraded first Upgrades to accept increased design flow shall be performed infull compliance with the requirements applicable to new construction unless a variance is allowed pursuant to 310 CMR 15.414.For purposes of 310 CMR 15.204,the approved design flow shall be the flow listed in the most recent Disposal Works Construction Permit 15.211, Minimum Setback Distances (1) All systems must conform to the minimum setback distance for septic tanks,holding tanks,pump chambers,treatment units and'soil absorption systems,including reserve area,measured in feet and ,as set forth below. Where more than one setback applies,all setback requirements shall be satisfied. Septic Tank Soil Absorption System Holding Tank Pnmp-Chamber Treatment ITnit -Grease Traps • - Property Line 10[5] •5] Cellar or Crawl Space Wall, Swimming Pool(inground),foundation drain 10 20 Slab Foundation 10 10 .1 Water Supply Line(pressure) 10[1] 10[I] -: . Surface Waters(except wetlands) 25 50 Bordering Vegetated Wetland(BVW), Salt Marshes,Inland and Coastal Banks 25 50 Surface Water Supply- Reservoirs and Impoundments 400 .400 Tributaries to Surface Water Supplies 200 200 1 Wetlands bordering Surface Water Supply' ' or Tributary thereto 100 100 Certified Vernal Pools 50 100[2] Private Water Supply Well or Suction Line 1 0' �� Public Water Supply Well (2) (2) Irrigation Well 10 25 Open,Surface or Subsurface Drains which I discharge to Surface Water Supplies or tributaries thereto 50 100 Other Open,Surface or'Subsurface Drains (excluding foundation drains)which intercept seasonal high groundwater table[3] 25 .-50 I Other Open,Surfacc-or Subsurface Drains (excluding foundation drains) 5 10 Leaching Catch Basins& Dry Wells 10 25 Downhill Slope not applicable 15[4] [1] Disposal facilities shall beat least 18 inches below water supply lines. Wherever sewer lines must cross water supplylines,both pipes shall be constructed of class 150 pressurepipe and shall be pressure tested to assure watertightness. [2) The required setback shall be 50 feet where the applicant has provided hydrogeologic data acceptable to the Approving Authority demonstrating that the location of the soil absorption system is hydraulically downgradient of the vernal pooL Surface topography alone is not determinative. 09-15-1997 09:25AM CENT DST FIREDEPT 5087902385 P.02 r•"nno nrru%.as+w• w nj%oa1 rue wcpaluomsiu Fire Department retains original application and issues duplicate as Permit. -- cf_ l ?-a APPLICATION and PERMIT Fee_ M for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: • Tank Owner Name(please print) McCormick Residence X erore p.,m Address_ 18 Woodland Avenue.rOsterville - stet City stare Ztt) » . • - Enviro-Safe Corp. Enviro-Safe Corp. Company Name Co.or Individual Prom Part Address P.O. Box 304, Sagamore.Beach Pant Address Pratt Signal (' lyi ermit) Signature(if applying for permit) AIFCI Certified Other I _ IFCI Certified - L►P T Other Tank Location 18 Woodland Avenue, Osterville, MA Sto.tAddres: CLy Tank Capacity(gallons) 500 Substance Last Stored #2 Fu 1 Oil Tank Dimensions(diameter x length) Remarks: "_j Firm tranSporGng waste - Envi rn-SafP nnrn_ State.LiC.# 'MA-429 e Hazardous waste manifes E.P.A. # `'y . :,... Approved tank disposal;card Turnar Sa 1 va ga Tank yard# Ong J Type of inert gas Tank yard address Tmnn, MA City or Town Centerville FDID# 01920 Permit# Date of issue September 12, 1997 Date of expiration September 26, 1997 Oig safe approval number. 973500912 7D[gSafe Toll Free Tel.Number-800-322.4844 Signature/Titte of Officer crarrting permit After removals send Form \( ) -?-290R signed by Local Fire Dept. to UST R gulatory Compliance Unit,One Ashburton Place, Room 1310, Boston, MA FP-292(revised n61 a , r l �[r�/ r1 ( lJ{ Ov TOTAL P.02