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Home My WebLink About1020 OST.-W.BARN. RD - Health 1 ,q- 02,-+ NLO. hOS Li-S E �r if( ( J3 i I i i i SMEAD No. 2-153LY UPC 12934 smead.tom s Made in USA, J14"rvYSob 5_ �. SUSTAINAW FORESTRY INITiAM Certified Mar SowcbW w.�.,..6nroarora�.o TOWN OF BARNSTABLE LOCATION J(),ZO 0I (.U. PYSEWAGE # Qr VILLAGE 17l)C rgTc ,,C Mi I J S ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. G ca Xer 7-J i r SEPTIC TANK CAPACITY 41 dmA d d LEACHING FACILITY:(type) C� (size)�"7� NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: No VARIANCE GRANTED: Yes j� — rose v-,PT"- Gls TEA � 9�� F16Y A ti467 ot-eed THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Disputial Workii Tnntrurtinn Prrutit Application is hereby made for a Permit to Construct ( ) or Repair X(XX) an Individual'Sewage Disposal System at: 1020 Osterville West Barnstable Road Marstons Mills . ........._.._...._...............•---------------------•-------------------------------- --....----...------------.........----------------•----............--------------.......----.--•-- Bob Daley Location-Address or Lot No. ................--....---........................................................................ .........................................................................................._..... W J.P.Macomber J r. Owner Address Installer Address � feet Type of Building Size Lot..........................S q. U Dwelling .Expansion Attic ( ) Garbage Grinder ( ) ►-, No. of Bedrooms. `PL4_l Other—T e of Building No. of persons............................ Showers — Cafeteria P- 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--___-_______-_-._-.-..- Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P+ ----•---....--- 0 Description of Soil.............................................. W S' rich--• ...GYW e-i------------------------- V ---------------•---------------------------- •------------------------------------ •-------------------- -------------------------------- ---- •------------------------ •------ --------------------------- •- W -----------•---------------------------------•----------•--------------------•------•----•-----•------...-----------•----------------••--•--------------------------••--•-....------•--•--•--•---------- U Nature of Repairs or AlterationsI J "y ,,wh icai�a p . --------------------"-------------------•-----------------_---_"--------------__. ..............•---------------------------------------------------------------------•---.....--•-•---•-------------•-•--•------------------------------•--•--------•-------------------•-----------•---- 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 f Complian e has b e " sued by the Ward of ealth. 11/2 0 Signed -.- , 1�- ` !( ----- ..%--------------------- --- 1 Dat Application Approved By ..... -- Jl � --- . . Application Disapproved for the following reasons- ----------------------------------------------------- -----..................------------------------------ fe------------ ----------------..........................................................�j/ ......--------------........------....---------...---...---- --------------------....--------------------------------------- ---------------------------------------- PermitNo. .C.. {�" ------------------------------------- Issued .................................................... �e �+^� Dace t • pp�� f1 No....1�� - - Fas..• 30 THE COMMONWEALTH OF MASSACHUSETTS T . BOARD OF HEALTH �... ._ TOWN OF BARNSTABLE k Appliration for Bispmall Works Towitrnr#ion amit Application is hereby made for a Permit to Construct ( ) or Repair XXX) an Individual'Sewage Disposal System at:, 141. 1620 Osterville West Barnstable Road Marstons Mills ..--�•• - ._........................ ...... .............- -------•-------•------- ........_..------•-------................ Location-Address or Lot No. Bob Daley Owner Address W J.P.Macomber Jr. Installer Address Q Type of Building Size Lot----------------------------Sq. feet Dwelling, No. of Bedrooms.............?-------•--__.._.--•.._-..---Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons.................:.......... Showers — QI Other—Type 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. 3 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.-___--______-__--___-_ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 1:4 •-•--•--•-------------------•---•---••-•-............------------............----............-:.............................................................. 0 Description of Soil-----------.................................. xSand & ui; ve1----------------------•---------------------------------------------•----.---------- U ---•-----•-----•---------------••---------•----•----...---------------.............------•--------------------................-------------•--------------------------------------_---------------------•.� •----•-•-••-••--....--•...... ' U", Nature of Repairs or Alterations—AAnswer when a plicable.............................................................................................. � 1 . 000 tiga:ll c�n pit. --- ....�----------------------------------------------------------------------------------------------------------------------------------------------- Agfeement: 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 i f Compliance has been issued by the board of health. /Signed -�.//,a', ----... /�� ...11/2/� .---------- Application Approved By ..... ... .,1 �-1,L/..I"-------------.............................................. .......................... ----11/.Z ��............ ... /Dare Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------..................................... ------------------ ------------ ----------..5y.........----------------------------............--------. ----------------------------------...------....---............-----------...------------....... ---...--------......................... '70�! // Dare PermitNo. ...............�`.....................------------. Issued ............ Date tt i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE &rtif rate of 010rayliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (KXX ) by.........J.-P.-Macomber----Jr ------------------- -- ---- Installer at ....... 1020 Os tervi lle West Barnstable Road Mars tuna .Mi l.ls-------------------------------------------------- .........................................................-- --- --- --------------------------------------- has been installed in accordance with the provisions of TITLE,5 of The"State Environmental C�ooe a described in the application for Disposal Works Construction Permit No. ..'.. ��/..................... dated ---.// -� .�O..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARA TEE THAT THE SYSTEM ... FUNCTION�ISFACTORY. . DATE./2 Insp/e�or� ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No. � FEE.......... �...00 flisposal Workii Tuntrudion "pami# J P Macomber Jr. Permission is hereby granted...... ------- ' ------------- :... to Construct ) or Repair Cj))}{an Individual Sewage Disposal System at No........�:q� ...Ostervil�e `Nest Barnstable Road Marstona Mills ....... . . .........................•-•............... . --- -----......------------.........-_..: Street_G�� // as shown on the application for Disposal Works Construction Permit No...........�.. Dated.._.��.. .�.�..................... /�..�� G ........................................ Board of Health/ DATE......_�.... �... FORM 36508 HOBBS&WARREN.INC..PUBLISHERS