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Home My WebLink About0034 TOMAHAWK DRIVE - Health 34 Tomahawk Drive Centerville A= 190—023 4 �I OPendaffor 4210113 ORA 100/6 M, D u h { ASSESSOR'S MAP N0. / �U PARCEL odd a oZ/ L 9 CATION _ SEWAGE PERMIT NO. Tomahawk Dr. , Otntayuo IP_, 56-7QR VILLAGE Barnstable I N S T A LLER'S NAME A ADDRESS CACH'S TRUCKING INC . Box 7, YarmouthPort, Na. 0267E S U I L D E R OR OWNER Eugene/Linda Courteau 21 Tomahawk Drive, Centerville, Irla. 0263:,2 DATE PERMIT ISSUED 8/8/86 DATE COMPLIANCE ISSUED F4J r.1 � � � � 1 f �� I 3� � � . � � � . 1 J � _ i 1' KEALTK, DEFT. T wn Office uildin.g Fxs....... ....._ THE COMMONWE F MASSACHUSETTS BOARD PF HEALTH a/ .........OF..... . Appliration for Disposal Mirks Toustrnr#inn rani# Application is hereby made for a Permit to Construct ( ) or Repair (11�r< Individual Sewage Disposal System at: �........� '_ ?�it......T i via E---------------------•-------------------._.................---......••••••.._..._._ Location-Address or Lot No. --------------------•--•--•------- -......-------.....----....------.._.............._........-----............--•••••.....•••••..... Owner Address .............................. •--••--••-•-.......•••-•-••-••-•---•••-------•-•--••-----..._..•------•••-••-•.................... CAW Install Address Type of Building -- Size Lot............. Sq. feet Dwelling—No. of Bedrooms..................,..........._......Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) N Other fixtures ______________________•_.___ d ----------- ----------- •------••••--••-•-- 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 ( ) Percolation Test Results Performed bY.......................................................................... Date........................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ PG •--•... •----------------------------------- •------------------------------- •............ -....... -.............. ___-------- -.......... •... -.... -__----- --•-••- 0 Description of Soil........................................................................................................................................................................ W V ...................•-•---...__....-----••-•--•--•------••-------•-•-•------..._._.__...,..._...------••----------------••--------....--•----•-----------..------•-•------..._-•--••-----••-•...--•_•-•-•- •------------------------•••-----------------------------•----------------------------------...•-•-••---•---•••==----•- -------------- __ U Nature of Repairs or Alterations—Answer when applicabl - - - � ------------ -------- -----•-•-••------•.............•-----•-•------------••-•---•-•------•-----.............................. _••• --_. .. -•••-•- ••••••. •--•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITi_E 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 d he h. Signed-.. � - �Yr / at - Application Approved BY .._... -••-••••-•--•••-•-•-- �� D to Application Disapproved for the following reasons:............................................................................................................. --•---...---••--•----•....................•-•---......-•----......_--•-•--------••---......_......__......._.....---•----•-------•---------•-----------•.-••__......-----••-••••••--••••••-••••-••---•--- Date PermitNo......................................................... Issued..................- --............................... Date ........ ... ...... } — _ THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH r Appliration for lhovona1 Milo Tnnntrnr#inn Vrrmit Application is hereby made fors aPermit to Construct ( ) or Repair O'an Individual Sewage Disposal System at: "� .......... ...04� Location-Address '°" -- or Lot No., r• is �!`� ......... �-Ala M � .._ _ .. wner O Address tl t ^................ ......•--•-------•-----_-_•_----___...._...----•-----..._... Installey Address a Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.............. ......__...__....EX Expansion Attic a'-' p ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons____________________________ Showers ( ) - Cafeteria ( ) WOther fixtures ...............................................-----------------------•----------------- ------------------------------------- •---------------------- Design Flow............................................gallons per person per day. Total daily flow_.___. W ___.______..._._.____.................gallons. WSeptic Tank—Liquid capacity_________-__gallons Length................ Width...:'-........... Diameter................ Depth................ .r 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_................._..__. a G4 Test Pit No: 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ai .................................... ••••••••..*-------- •......... •------ .. ..••••••-••---•••-•••-•--------••---........------------- 0 Description of Soil----------=-------------------------------------------------------------------------- x U U�1 ......-•-•••...---------••-••-•-••-•----••••----.....-••-•------...••--------•.............•••••-•----••••••-- =•----------•---•-----•------•-•-----------•------•--•--_------•...••••-:--••--•-•-•-_•- Nature of Repairs or Alterations—Answer when applicable �y... ... _.d;"t:�._.- r:. ---- "....... ........................................_................... 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 board of'liealth. Signed....._7"al�lt ------- .. == �.......-...'" Application Approved BY---...... ` ............... � fe D Application Disapproved for the following reasons:-------•----------------------------------------------------------------------------•-............---•----..._.. ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date _..�....__,...._.� �.. .,..�,.--,.i,...l...,._. .._�,,.._,_._�..�_..._._ .,-..�.�._...__.______,.w_._.�._T......��..r,.. _...——_.---_,--. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (9rrtifirate. of Toutplittnrr THIS IS TO CERTIFY;, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ,)•� bd �A.ua. .a rA l;;S- a/?... Via..�f..t*, ?_ ,-�J... .....................Y ..............:........................ . Installer has been installed in accordance with the provisions of TIT : 5 of the State Sanitary Code as described in the application for Disposal Works Construction Permit No............. o___:�1`�.�..... dated.-.._--- �C_,. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE®AS A GUARANTEE THAT THE SYSTEM WI L FUNCTION SATISFACTORY. DATE...... )a. ' Inspector... - ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH cTe) 717.. FEE........................ Disposal Works T�ornotrnrtion Frrntit Permission is hereby granted.....1_ _ ::".------ ti l-��_BP,r�_ /.� !'✓..: ------- to Construct ( ) or R/e�p�air ( .) an/ Indivi/d�u/jal Sewage Disposal System . 4 Street as shown on the application for Disposal Works Construction Permit/No___________________ Da .cj,.-------------------------..•.-.-........ �I ) ................... ----•-•----- . -------------------- ... 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