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HomeMy WebLinkAbout0014 BUTTERNUT CIRCLE - Health qlBuv-,a�, ,7LzW- LOCATION ' SEWAGE PERMIT NO. Lot 33 VILLAGE , Co�uf I N S T A LLER'S NAME `` A ADDRESS � �er® �hec� har� fS S • ��rMo�f� • s—R UILDE R OR OWNER 7-A eo Ct.V Yma� FDA T E PERMIT ISSU E D 611l DATE COMPLIANCE ISSUED. fZ i i � s � t Gj D No 13.=Ahl .......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ' ----..Town.....................OF.............Barnstable ..................I.................................................... , ppliration for Bispoii l Vorkv Towitrnrtion anti# Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: Lot 3--Uternut Circle Cotuit, Ma. ............ ._ ....... ......... .... ......................... ...---•-•---••----•----------•--••-••-----•--------...........•--••-.__.......... Theo Construction Coss, Inc. 24 Great POndL bf°• , So. Yarmouth, Ma. •-•---••-----••---------. ........ ..._.... .......................................... ••.....-••--._.....•--•-•-----•-------•----------res.s-----------••.......--......_............•. Owner Address W Installer Address Type of Building Size Lot...24-,.b.5.Q........Sq. feet Dwelling—No. of Bedrooms................3 ............................ Attic ( ) Garbage Grinder ( ) a'k Other—Type of Building No. of persons............................ Showers yP g -------------•----------.... ------•--------------------------..-..---------------...(----)..— Cafeteria.(...__). d Other fixtures -------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow................3.3.0....................gallons. WSeptic Tank—Liquid capacity...l.Q QGallons 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 Performed by:.. ?gber t:-E-,___Raymond P.E. Date_Nov.............................. 9 , 1982 Test Pit No. 1........2......minutes per inch Depth of Test Pit.................... Depth to ground water----none......... Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......----.............. •-----•-------•--•---••-----•---•- •---•- ••-- --•-- -•---•-- --....... ---•--••----------•---.----- 0 Description of Soil........Q"..-... 6_ _..subsoil. .._3.6.". --_.144"-_finetomed. sand " , V .......................••-•------..........•---•---•-----------•----------•--•----•---•--......---•-....-•--------------•-......•------- 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 Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss d byU'Lobo.ad of health. Signed-- ' � -�--: ;rs���,., ---•---•--------- --------- -D----•-•-•-•-----•- Application Approved By__.. Date Application Disapproved for the following reasons:................................................................................................................ ..------...-•-•-•----••----------------•----------...----••------•---•---•-••--------•---...-•-------•--.------•------•-•-•----••........-•••--•...-••••----•--•••-•••----------•-----------•----------- Date PermitNo......................................................... Issued_....................................................... Date ti 'THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' ..-----...Town...................OF..............Barnstable -- --------------................................................. App iraiion for Disposal Works Tonstrnrtiun 1hrmit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: Lot 33Btternut Circle Cotuit, Ala. ................_.. ............._..._... ....._.. ......................... --•---.....--•------•---•---•--.....----••--••----•--.........-•---•---._......._...............-- Tnstrue ton dress Theo Co o. , Inc.- 24 Great PorfBzob$t°: , So. Yarmouth, Aga. .... _...... ..................•----.....-------•----•------•----.........----• -•••--••-•--•-•--•-•---••---••---....-•------••----..........----.....----•-....--•'-----...------ Owner Address W a ........................ .......... � Installer Address Type of Building 3 Size Lot....2:�_A 50-------Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aa Other—T e of Building No. of persons............................ Showers YP g --------------------•------- P ( ) — Cafeteria ( ) Otherfp4ures -------••---------------•............................................................................................................................ W Design Flow............................................gallons per person per day. Total daily flow................. 30---- ._.. ...........gallons. WSeptic Tank—Liquid capacity.._IQ 0.9allons 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 ( ) NOV. 9 , 1982 '-' Percolation Test Results Performed by Robert E. Raymond P.E. Date........................................ Test Pit No. 1........2.....minutes per inch Depth of Test Pit........1....... Depth to ground water.....none.....__. 04 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O ---•-------•------------------------------------------------------------'•-••--••-•-r-------•----•----------. Description of Soil...._,_.0" - 3611 subsoil,................................................3 6" - 14 4" f ine to med:..•... ria-•-------•-•----••------•---- x ----------•-•-------........... U ---------•----------------•-------------•-•---------•---------•-------.......•-------.........---•.......----------•-••---•-----------..... ---------------------------------------•---------------•-------------------------------•-•------•-------••--------------------------------...------....------------------........------.........._------ U Nature 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:ITL,- 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. Signed...................................................................................... ................................ Application Approved BY s....3 .- :� °.! i�j j - .... Date Application Disapproved for the following reasons__________________________ .................................................................. ............_ -•-••--•--------------••-•-------•--•-------•---------------....-•-•--••--------•----•-----•-••--•------------------------------•--•-----------------•------------------.._..----•-----•--••---........_ Date PermitNo............................... Issued..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................. own............O F............Barns table......................................... Tvor#ifiratr of f ompli tur THIS IS -0 CERTIIFF ', That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-----•......-_.... x. / t---------------------------------------- ---------------------------------•-----------------------........-:.....--------...-----..............-- �,�,, �,..�Instail has been installed in accordance with the provisions of TIT IF 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No... .. r _.......... dated................................................ THE ISSU NCE F THIS CERTIFICATE SHALT. NOT BE CONSTRUE® A GUARANTEE THAT THE SYSTEM WIL F CTION SATISFACTORY. J DATE....Y... .................................................. ........-•.......................•...---•-...... Inspector .- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ..........................................OF..................................................................................... No.., ...W FEE...... Disposal Works TD,an#rudion Permission is hereby granted........ Theo Construction Co...,......Errmit C. ----------•...........-- ........ --.... . ...... to Construct ( or Repair ( ) an Individual Sewa e,Disposal System at No......Lot__---3 BKu ternut Circle, Cot�iit, l a. . . • ...-•••--......••-••---•--.-------•------------•------•---------------••---------•----•------------------••-------•....... Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... -- ------•--- ------ ----------•-----•-------......••......_ DATE....................................... ........ Board of Health - FORM 1255 HOBBS & WARREN. 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YA9 MOVTUj , MA., C FA*4�ti."r M A+, 5 I DE�1A LL AfZEAr(6.28 4)( ��2 t'S) 3?? lat P O E- SCALE: DATE: SHEET QOTTOt�1 ARi"GA = �' `4�z No. 0 AS OOTV < < , SE��2 � APPLIGA ' TI O►.� �..lo, I . :,� T"1'�`L 4� `�P p \ �`� TEt �` ;' OftAWN BY: CMKO BY: AMMO BY: PLAN NO.