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HomeMy WebLinkAbout1340 MAIN STREET (OST.) - Health (3) r� �� f��► ����e�� _ _ �. LOCATION SEWAGE PERMIT NO. VILLAGE f �2- ' INSTA LLER'S NAME & ADDRE S B>UILDER OR OWNER ^ s DATE PERMIT ISSUED � 2,�, _ �� DAT E COMPLIANCE ISSUED Z :J C yi �.. y �� �� � .` �� � -, � � ..- �, f� � �;� No.... ,5,.-30 )?_ Fss ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applirathin for Uiupuual Murku Tomitrnrtiun ranfit Application is hereby made for a Permit to Construct ( ) or Repair �n Individual Sewage Disposal System at: , . 3 ....../ � ------,yYl--:.� ....�ro..._-� -✓:..- .-._o.... . ... 'UP............. �atiott-��ddress --or Lot No: , ' ._ ...... (-- ............................... ----•-------------......--•---•----•_. -_----••---_.............._...._.._...... Own f Address a .. L......................... -------------------------------------- Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms._��------------------------------------Expansion Attic ( ) Garbage Grinder ( ) Pk Other—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' Other fixtures _______________________________ _ _ Q ------- W Design Flow--------------------------------------------gallons per person per day. Total daily flow-------------_......__............_...._....gallons. WSeptic Tank—Liquid capacity........___gallons Length................ Width---------------- Diameter---------------- Depth............i... 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 ( ) � Percolation Test Results Performed by.......................................................................... Date........................................ ,.a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ LZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--._-_------_-__-----_-. 9 --------------------------------•-------•---------•------•-----•--•------------------_------•--.........-••••--•••---•-•---------------_--................... 0 Description of Soil---------------------------- ------------------------------------------------------------------------------------------------------------------•...................... W U ---••----•-•------------------•----...-----_----------•---------------------------_--•----•••-•----------_--------------••......----------------• ---- -- ................................... W --- -------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable.-___r_ _TJ �._..... 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 b issued b the and of health. Signed ........ ...��.1�����- ................. ....... Lid%��� joq,/ ...:. Application.Approved By ---- -------------------------------------------------------------- --- ---- ------------------------------------------------------------------ ----------------i�_e---------------- Application Disapproved for the following reasons- ------------------------------------------------------------------------------------------------------------------------------------ ............. ................................. .............. -------------------------------.....---------------------------------------------------------------------- ........................................ Date Permit No. - -5...,..30--J---------- -------- Issued --------- ---------------------- Date ar 3 q 1� No... ?... �J Fsa.� ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diupm!ial lVar1w Tontitrurtiuu rumit Application is hereby made'for a Permit to Construct ( ) or Repair (4Indvidual Sewage Disposal t ' System at l ocation-.Addressf ` or Lot No. "�; -•-•Y•-• --Owner'--- .. . .--•-•-------•----------------- •--------------...---------•-------•-•-----Address-------•------...._........_...........---- a -------- ----------------------------------------------------------------------------- Installer b. Address UType of Building s� Size Lot............................Sq. feet Dwelling—, No. of Bedrooms-__----•-----------------------------_---Expansion Attic ( ) Garbage Grinder ( ) aOther-Type of Building _------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) a' 'Other fixtures ---------------------- 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 ( ) aPercolation Test Results w 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..-----.-----__-.-_-_--. ' a ...................................•----••-••....._..--•-------••--•----•-•-•••............................................................................. 0 Description of Soil....................................................................................................................................................................... x u ............................ - - - fr, - W --- ---------------------- 't"� . f ` f,,� .� � ,,�� U Nature of Repairs or Alterations—Answer when applicable._._.___`_. __._.;�...:.:.............� �%'...�' -------------------------------------------------------------------------------------------------------•--.....�-......I••••�-- -••--•. ..----------------•-•••......-•.....---- 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 pla&;the system in operation until a Certificate of Compliance has been issued by-the bbard of,health. l 1 Signed ..... _ .. _.-f° ----- .. ..... . --'. iVre A lication.Approved B _ _ - - - . ---... ------------------------------- ----------- -------- ------ ................. ..................... `PP PPY _.............. - Da[e Application Disapproved for the following reasonf- -----------------------------------------------------------------------------------------..................................... I , Dare Permit No- ------------%....` --------- ............... Issued -------------- ----------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BAR((��NSTABLE Certificate of Toraptiance THIS LS TO ,.ERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired b � .:. � �/ �. g ° -- -------- --------- Y - - .. .. . .. ----- -------- - _ wa° has been it�st�ailed in /ccordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. _........... .....�?-0.�3.------ dated .......3....7.5..`. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............................j------------------------...---..... -------------------- Inspector - -� -- - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q TOWN OF BARNSTABLE / �� No..........:. FEE�........... �rrnti� Permission is hereby granted---- f. ,1 ........ fi`- _--- � to Construct( •) or Repair (4o 'an,Individual Sewage Disposal•System t / p at No.... --`n^ " stT f �. �t �r / as shown on the application for Disposal Works Construction Permit No ��:___ 1 Dated =/-...---••-. Board of Health DATE------------------•-••-------•--•----...._............••---••--•-------- FORM 38508 HOBBS 6 WARREN.INC..PUBLISHERS "' rl No......... ���..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ------------- Aplilutt#ion for Di-opus a1 park ,:C��a� ra iun Trani Application is hereby made for a Permit to Construct (,.) or Repair (X) an Individual Sewage Disposal System at: lXX•----._......_..................•-•--•. e�-v.....�.........._•--•----_._... _.._.................-----......_........_--------••--...........---------•--.........._........-- pp.� /� L/gcation-Address or Lot No. ..�....... t�j_ .6...... ............C��........................ ...... ..... ............. ......_..._..... - Owner ,�., /Address � / e. ay,.. C W TrdC,�r � ue/ ....................................................... ---'------....... ._C..l'' 1'..l..r.......... ...... Installer Address Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms..................................,._..._...Expansion Attic ( ) Garbage Grinder ( ) N Other—Type of Building ..;5A.Qp.............. No: of persons......j9.................. Showers ( ) Cafeteria ( ) dOther fixtures ....................- o!ls./-:........ri4.................................................................................................. Design Flow..............:. ............_ gallons per person per day.jotal daily flow........7e......_..._ ......gal W �0 -------,..__._ Ions. WSeptic Tank Liquid capacity. _......gallons Length................. Width................ Diameter................ Depth................ Disposal Trench—No. .................... Width_............:_:.... Total'Length............ Total leaching area....................sq. ft. x . Seepage Pit No......./.......... Diameter........ :..... Depth below inlet...... Total leaching�area.2,:a./....sq. ft. Z Other Distribution box ( ) Dosing tank ( ` ) a Percolation Test Results Performed by...............:..................................••---...-----._.......... Date........................................ a j. Test Pit No. I................minutes per inch Deptf(of Test.Pit.................... Depth to ground water........................ Gz, Test Pit No. 2................minutes per inch' Depth.of Test Pit............_....... Depth to ground water........................ a ........................-....................-..................... -----... --......................................................... 0 Description of Soil.......................... - �/ •-•-------_-•---4---••--•--••----•---:•-----------------------------------••--...-------------••---•----------------......._...---- U ......................................................................................................................................................................................................... W U Nature of Repairs or Alterations—Answet:).when appli ble-------.�,i<P/�l� c------43/ _._.f ..................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage DisposaVSystem in accordance with the provisions of"Ti.;;:. 5 of the State Sanitary Code—The undersigned furtlier agrees not to place the system in operation until a Certificate of Compliance has been is ued by t. board of health. r Signe ..., r..._ --- ......... � = /� Date =' Application Approved B .2 PP PP y------. fi�Kl ............ "Date Q _.� 7 7 - Application Disapproved for the following reasons-------------•-----------------------------------------------•--------------------- --------------_____--•---•-- %L ----------------------- Date 1l 3 .� Permit No......................................................... Issued.... --•---._._.... _...._ ...._.......--- Date Nor........ ��� _ _� . �- Fps.. ��•��:t'...._.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... -...................OF..............R,, ' �L'- Appliraation for Disposal Works Tonstrurtion Vantit Application is hereby made for a Permit to Construct ( ) or Repair (,k-) an Individual Sewage Disposal System at: ... Ad Locati dr s � (�..�1 ........... ...........................................�o--r-•L--o-t•--N..o .....-^----....----•--•--.......__......._... .:= =' Owner I / Address Z4tLf,::iX t& ._--- ••--•---___----••-•--•.......................... Installer Address Type of Building Size Lot.............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building mac^a No, of ersons___._____.______________ Showers a YP g ----- -•- ;------------ P • ( ) — Cafeteria ( ) d Other fixtures -'l W Design Flow................ms __.______....__ allons per person per day. Total daily flow........� ___�. ...................gallons. WSeptic Tank Liquid capacity_/-!!y rgallons 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_A.&/....sq. ft. Z Other Distribution box ( .. ) Dosing tank ( ) aPercolation Test Results Performed by........................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground-water......................... f=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.;......................... Q+' •---•---•---------------.................................................................................................................................... O Description of Soil_,_::...........2_________________ V - ............................................. .......................................................................................................................................................... V Nature of Repairs or Alte ations—Answer wh n applicable_____._____E�e _ __._s_t" ._.�_�'ssyr�s:n1___. ______________ hf .................... Sa: .ti'......✓ _...._.S� i c__._/_Gr!!t.. ....14'S'!2_.... t� Pc�_ .. �% ?v _ /-.. ._�f-`".S? - / Agreement: r The undersigned agrees to install the�aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT;.;::. , 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 board of health. Signe = ,/a ? W..�:r -•-•---------•----------------------•-- J�f -D�fe Application Approved BY•------��$ - ------ --- - -��-'�--��=�=-t�•�� y' `",i+ Date Application Disapproved for the following reasons:...__... i%-------•----•--------------•---------------------------------•----•---•-----.._ ----....--•-----------------•-----•--•---.._..----••-----•-----•-•--.....--•----•-.-------------------••-----_____-___-----------------------•------------------------.................................. Date PermitNo.......-................................................. Issued....................................................... Date THE-COMMONWEALTH OF MASSACHUSETTS BOARD OF' HEALTH �:.- .Oro -...1.'/ ...................................... .............. ...G'2�/.............OF.........: �?.. Tatifiraa#r of,. Tontp iaanrr THIS IS T, .CERTIFY hat the Individual S�wage,Disposal"System constructed ( ) or Repaired AA by � , 1 ......-•...................•-----•--..._..-•-----•....._...._---••--....-- r r, � I s ntal has been installed in accordance with,the provisions � c at............ ,? 1 �k:- S'v rt p mIm 5 of The State Sanitary Code as described in the application r r r t for Disposal Works Construction Permit �o.,.-_�,_._ __,/Y41_'___��.____.___ dated.... �-_-_��._��°_............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACT-OR:Y, DATE...................................................... I. ..--•--••---••--------------•• •-----•/------...--•---. Inspector....._._ :................................--....................................... E COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH /. _.I&..._ � �t ..............OF.—. .-.--.�-.a•ems:- N ...".�..��.�.:.. FEE.�..�"'":.......... Disposal o kn Tons#ra ion rrntit Permission is hereby granted__....--- fi` '---••xf s'f-•...........................................................................- :.....-•-....•- to Construct ( ) or Repair ( 4-T ean Iidividual Sewage Disposal System at No........../124 ..... a.......... ~ Street as shown on the application for Disposal Works Construction eV mit . ...... Dated_.��'"_�! " �' �...._.____- ................••-------...._ Board of H-a h DATE... �"--�--��--�•��=.............................................. _ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ' 3 ! / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for �N_4pogar bpotem Construction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. 1W OAtfAl Owner's Name,Address and Tel.No. Assessor's Map/Parcel O5 to,y,' /Z;P 6 79 Installer's N Address,and Tel.No. f�o� 42`E 3 Designer's Name,Address and Tel.No. G(ff}� I � �.C1IyS CAST Type of-Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nan of Repairs orAerations(Answer when applicable) 02 $ ©0 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been iss e w Signed Date Application Approved by Date g Application Disapproved for the following reason Permit No. Date Issued �.. , Fee � THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for Migpogar *pgtem Congtruction Permit Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( )+ ❑Complete System ❑Individual Components Location Address or Lot No. ,-�3 rq f 11/¢i Al 5 Owner's Name,Address and Tel.No. Assessor's Map/Parcel 5 1 $` Installer's Name Address,and Tel.No. �`6` - Designer's Name,Address and Tel.No. 0 Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date ° Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or'Alterations(Answer when applicable) J 0 0 0 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued 4th'rs do eall Signed a' � Z Date - Application Approved by AA ZIC Date ApplicationDisapproved for thef 11 -wing reason6 Permit No. 'rUM- A Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Dispo-al System Constructed( )Repaired( )Upgraded Abandoned( )by a f at -f/V, 19s,P� /, /c h s constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. ted Installer Designer v The issuance of this permit shall not be construed as a guarantee that the system willfunction as designed. Date 10 90 Inspector 4 No. � --------------------------Feed �/ THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Migpo!gaf *pgtem Congtruutton Permit Permission is hereby granted to Construct( )Repair(y� )Upgrade(�. Abandotl(/ ) System located at and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: Construction ynust be cam lettedd within three years of the date of thip6rmir Date: Approved by ,.%�/A-1 r` •t '��c a 13oId _ 10/9/97 NOTICE: This Form Is To Be,-Psed For the Repair Of Failed Septic Systems Only. CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) I, /4r L'W ! S , hereby certify that the application for disposal works construction permit signed by me dated 02 3 o9�S7-concerning //the ly located at f0�`/!l 11or�Meets�all of the property �.� � following criteria: • There are no wetlands located within 100 feet of the proposed leaching facility • There are no private wells within 150 feet of the proposed septic system • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • If the proposed leaching facility will be located within 250 feet of any wetlands, the bottom of the proposed leaching facility will=be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. Please complete the following: A To of Ground Elevation(according to the Engineering Division G.I.S. map) 0 3 P — B)Observed Groundwater Table Elevation(according to Health Division well map) SIGNED : DATE: f LICENSED SEPTIC SYSTEM INS ALLER IN THE TOWN OF BARNSTABLE UMBER [Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan, this plan should be submitted]. q:health folder:cert TOWN OFF BARNSTABLE � c LOCATION /�O'`� /.�/�b Si'. SEWAGE #/0 �� VELLAGE�fps y;1 Le SESSOR'S MAP & LOT '— 07 9 INSTALLER'S NAME&PHONE NO. % �iUf S SEPTIC TANK CAPACITY LEACHING FACU M: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: 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 leaching facility) Feet Furnished by �l S OWN OF B��DI�TABLE LOCATION GI SEWAGE # 7 VILLAGEV�S 24!:�y i l ASSESSOR'S MAP & L07 / INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPAC LEACHING FACILITY: (type IQ t (size) NO.OF BEDROOMS C ,� BUILDER OR OWNER PERMTTDATE: '� COMPLIANCE DATE: Separation Distan a 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 cr within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by 1 `1 Al ,1 � ck L• 1 �� No. � L-A fil�,4 Fee ell C THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ppfication for Miopaal *pot (Construction Permit Application for rmit to Constni t( )Repair( )Upgrade( P )Abandon( ) O Complete System El Individual Components Location Address or Lot No. NJ " 4/'q/ S 77 Owner's Name,Address and Tel.No. lS�Tr' :r:((r- Assessor's Map/Parcel a n d 0 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. A,E 10 c Type of Building: Dwelling - No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow < c a, S gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title �- Size of Septic Tank /sue ® Y` /OD© f ype of K.A.S. Description of Soil Natur of Repai . or Alterations(A saver when appli ble) d n �w C( -li r?G� > r C / Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 o the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been isird o e< � Signed � �7 Dat l Application Approved by !44r„�_. '\� � Date Application Disapproved for the following reasons Permit No. - 16 Y Date Issued pvn No. ` Fee- THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS , "pltcation for -Mt.5po.5al *po f Construction 'Permit Application for a Permit to Cousmi t( )Repair( )Upgrade(�) ban ❑ ❑(;)_-Abandon( ) Complete System Individual Components Location Address or Lot No. j /�//j/ s Owner's Name,Address'and Tel.No. to���lf� ^ Assessor's Map/Parcel /09 - D Q �� // c vl n fi� Installer's Name,Address,and Tel No / Designer's NNName,Address and Tel.No./C •< _ Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Bui lding ildin g ,w d ri 9 [ No,of Persons Showers( Cafeteria( )a Other Fixtures Design Flow Q< g gallons per day. Calculated daily flow gallons. Plan Date Number of sheets r Revision Date Title Size of Septic Tank f V ype of§ XS_. 42�7&) Description of Soil C 00,7 i2 S to Natur of Repai s or Alterations(Ajiswer when appli ble) o n f cw �QPi% 4 Zy /7r CZ Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the.afore described on-site sewage disposal system in accordance with the provisions of Title 5 pf the Environmental Code and not to place the system in operation-until a ettiiff= cate of Compliance has been d o e � Signed OV7 `mil Dat Application Approved by .,,R_ Date Application Disapproved fo�follo reasons 1 Permit No. - /6 L/ ;1 Date Issued --------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERT ;,that t e Ora;site Sewage Disposal System Constructed( )Repaired( )Upgraded(!i< Abandoned( )by �K/ , C. at �' f"�ui", has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. - dated Installer Aor4�,) O—g C Designer 11Y, i The issuance of this permit s,a not be e construed as a guarantee that the ste ill function as esign/o /a 1 Date Inspector ` /I %! 4------------------------------ l� r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS migogal *pgtem Construction J)ermtt Permission is hereby granted to Construct( )Repair( )Upgrade(Abandon( ) System located at and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of this permit. Date: L/ / - c/Q Approved by OWN OF BARNSTABLE ` LOCATION z SEWAGE # VILLAGE: ASSESSOR'S MAP LOT INSTAL 4-ER'S NAME PHONE NO. "�2_/b j SEPTIq�..TANK CAPACITY 0 C Q LEACHING FACILITY:(type) � � �� ^! (size) NO. OF:::BE:DROOMS_ PRIVATE WELL OR PUBLIC.WATER BUILDER OR OWNER 12?jC::�!� C!/t_rl r DATE P8R:MIT�ISSUED: s �'' ,Z9 DATE:'':.COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No `u / �©0 r' 06 *aL Jig • • .HE COMMONWEALTH OF MASSACHUSETTIP BOARD OF HEALTH ' TOWN OF BARNSTABLE (ger#ifirate of (gomplianre THI /T ERT FY, That the In4ividual Sewage Disposal System constructed ( ) or Repaired f.. �.... .................. by P............... ,. ...................................................... at ............ ... �.. n ... � has.been i al ed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .......... . o. dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................................................................................................... Inspector ................ .................................................... TOWN OF BARNSTABLE LOCATION /l 3r�"T r� /n SEWAGE #2Y 503 VILLAGE pry I I e ASSESSOR'S MAP 6i.LOT �- p7.9 INSTALLER'S NAME Sr PHONE NO. �' !�y �Q e :Z YO 3 SEPTIC TANK CAPACITY O a LEACHING FACILITY:(type) U ��"�ls NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 1 /� 'a0 C[J!�!-� A-1 DATE PERMIT ISSUED:' 9 1 l DATE COMPLIANCE ISSUEDt. � VARIANCE GRANTED: Yes No I� The Phoenix Grog • ENGINEERS •LANDSCAPE ARCHITECTS •PROJECT MANAGERS P.O.Box 1736,Mashpee,MA 02649 508-539-0800 Fax:508-539-3780 tpg@capecod.net .30 July 1998 Mr. Ralph Crossen, Building Commissioner Town of Barnstable Building Division 367 Main Street Hyannis, MA 02601 Re: Osterville Fine Foods, 1340 Main Street Dear Mr. Crossen, It is proposed to use the existing building at the above-referenced address for use for a food- catering business with seating for approximately 10 people. The changes proposed to the building include the construction of a 500 square foot deck as shown on the plan. The septic system has recently been reconstructed (copy of Certificate attached). Based on the certificate, the system_hasra_leaching-ar-ea of 5-09-squar-e-feet with-a-flow capacity of 377 gallons per_days'Tlie required design capacity for a 10 seat restaurant-is 350-gallons-per�day._It_is �recomme�ed that a 1000 gallon grease trap be-installed-prior-to-the,existing LSQO gallonaeptic It is proposed to relocate the driveway to the building slightly to the north as shown on the plan. This configuration is intended to serve as the main entrance to the health club as well, with the exit as shown on the plan. This reconfiguration will improve the flow of traffic and enhance safety by providing a clear traffic flow. The existing entrance near the greenhouse will be used only by the tenant of this establishment. Please contact us if you have any questions. Thank you for your assistance. Very truly yours, Michael H. Grotzke, P.E. Director Enclosures: Cl, General Site Plan (6 copies) C2, Area Site Plan (6 copies) BOH Certificate of Compliance, 1304 Main St Copy: Barnstable County Historic Commission 367 Main Street Hyannis, MA 02601 7 7 t '. 0HE COMMONWEALTH OF MASSACHUSETTIS BOARD OF HEALTH TOWN OF BARNSTABLE Olertifirate, of (gontpliztnre TH.IT RT FY, That the In4ividual Sewage Disposal System constructed ( ) or Repaired (� by..... ,b� P ...,. . ,2 'u. ........ ,� �/�f.. ...............................................5../. .1.!/.. .............................. has.bee alCed in'accordance with the rovisions of TITI.E 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .........0 . ....-... o . dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATI$fA�C'TORY. DATE...............................1....I...:.. ....................................................... Inspector ................ ..................................................................... TOWN OF BARNSTABLE LOCATION /l��/� f� /,/J SEWAGE # .30 VILLAGEpfCJ I I C ASSESSOR'S MAP Si.LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 02 . LEACHING FACILITY:(type)�3 D U � ) S /-/�- NO. OF BEDROOMS� PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: Ae DATE COMPLIANCE ISSUED, /&) -- VARIANCE GRANTED: Yes No ��