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Home My WebLink About0036 CAP'N ISIAH'S ROAD - Health 36 Cap'n Isiah's Road Cotuit (LA =j 038 064 _ _--- — --� i � 1 OF 441 WILLIAM • . . _ ~ . •. .��---,moo � •+ • y NYE' N0.19�34 O su �it/c G®C'A7� IyiT.�/.� T � ��.�1�4/�f! .L. • C�. �'. .3�t,.---��"cam' - 7".�rt;c5'i'i:G.9.v/.S.�liS�r'B.d��1�,7 .v,4�/ .�G•�/..s''7�,e>�c,�J !�c/O �'lJ.�'j6�°�>�'YG3r� �.�,�;,,�'?".5.5f�,o,G�/�'Sh�oG/G..T��07-- g,� . '�.T�'1/�1.;,,�!'�a. •. . L 0 C A T 10N E SEWAGE PERMIT NO. VILLAGE f ra I N S T A LLER'S NAIVE i ADDRESS Caii57' r BUILDER OR OWNER _ tj I DATE PERMIT ISSUED DATE COMPLIANCE ISSUED g "1 �C1 2 W� a 1 I- rt n N THE COMMONWEALTH OF MASSACHt-gETTS I \ BOARD OF HEALTH ..........................................OF........................................................................ �� AppUrafiou for Disposal Works Tonstrnr#inn Vamit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: _ C Ok 4 �----------•-. ---------- ------•-----�- ----- -- .....•--------......-----------------------------------...... Loc t•on-Address `\ or Lot N . ..L]. ................................................ .................C� .Y�-NL_11C.��S... QY_�"�.--•------•--......................---- wner C_ ` ' Lr_ddress ._._...J..A .1/ .... .�. -.S K............................................. ...........<-�_ _�.X..d� :.................................................... Installer Address Type of Building Size Lot_.S0+_3.4...V....Sq. feet U Dwelling—No. of Bedrooms.......... ............................Expansion Attic ( ) Garbage Grinder ( ) aOther-Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) aOther xtures -----•------_- •-•--•------•-••-•......-----•--••-•-•-••-••••---•-•---•-•--•-•--•---'-------...•--•-••--•-.......--•-•--••--•-•-••••........---•-- 60 W Design Flow..................... .. .............gallons per person per day. Total daily flow._._33.tt...G.p Q._...._...._._gallons. WSeptic Tank—Liquid capacity.l 0 0 Q.gall'ons Length---------------- Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.J.D._O-O_____- 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. 1.................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ (s, Test Pit No. 2_..... ..minutes per inch Depth.of Test Pit.................... Depth to ground water........................ ...... - ---------- O Description of Soil.... . V ......-••---•••-•-••--•-•---...-•--•-•-•---•-•••-•-••--•-•-••-•-----•-•--•----•--••-.......•••-••-•-•--._....••-••--••--•--•--••--•---------•----....................................................... W ---------•---- •--------------•----------------•-------••------•-•••---•-----------•-••-•-•-•••--•-------•-•••--------------•-------•-•----••-••-•-••-•----•------•-••----•--••-•-----•••......----•-•- 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 TITi1E 5 of the §tate Sanitary Code— The undersigned further agrees not to place the system in oper i unt' eCeriikate o a been issued`b the board of health. to Application Approved By-- = M --.�,_f!:-- ` I 31. 7;1�v Date Application Disapproved for the following reasons------------------------------------------------•----•----------------------------------••-......••----........_ -•-------•-------------------•---------•-•---•--------------............-------------------•-------....--••---••--•-••--------••-•-----••--•••••••••-----••-•--•-----•-•-•---------•----•-•-•-•--•---••- Date PermitNo................................................... Issued....................................................... Date 4^ All No .. ............._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................OF...................................................... ..- Allpiirttiion for Diipsai Works Tonstrurtion amit Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal System at: ......_. ......................... ...........lam Ai._.....9..•-............................................................... L. ion Address or Lot b(o. caner i Address ...................................... _____'_.. _1_l!5!_ .v. .._.............---_........._....__...._....._..... Installer Address Type of Building Size Lot:lo _'5.1055.....Sq. feet Dwelling—No. of Bedrooms.......... .............................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) h xt res ---------------------------- W Design Flow------------------••-_-__-Q--_•_•.-___--gallons per person per day. Total daily flow__---31t...�.-P-0......___...___gallons. WSeptic Tank—Liquid capacity4 Q..gallons Length................ Width................ Diameter................ Depth.._...._....._.. x Disposal Trench—No..........:.......... Width..................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.CJ� q----_-- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (11) Dosing tank ( ) Percolation Test Results Performed by -----------------•-------••------•--•-_.._ Date ,.a Test Pit No. I.......;.._..___minutes per inch Depth of Test Pit...........:........ Depth to ground water........................ fi Test Pit No. 2.....__ ..'_.minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' ............................................................................................. Descriptionof Soilw -: ..... -----•--...-----•-•------------------•--------------•-----------------------•-----------.._...-------- x ------------------------------ ----------------------------_--------------- -------------------------------------------------------------------------------------••••••--------••-------------- w UNature 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 TIT11' 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 b� the board of health. ...4�1 Date Application Approved BY ---- -- == r ........................................................... ----=- �Y+7 Date Application Disapproved for the following reasons----------------•----••--.._...---•------------------------------------------•-------------............-•.--•--- _.......•••••-••-•-•-•------•••-•---••--•••-•------•-•----•-•-••-••••••••••-•------•••--•--•--••-•-•-•-••-•••-•-•---.........................-••-•------•-----•--•-----•---.......................... Date PermitNo......................................................... Issued-...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS -BOARD OF HEALTH- _ ,.; ,�•.� � � m . _ .....................,....... - Trrtifiratr of Tootpii�nri. !I THIS TO CERTIFY, That the Individual Sewage Disposal System constructed (K) or Repaired ( ) by ------------------------------------------•-----------------------.-------...---------.....------------------------------------------------------..... .Installer ' ---...c . at3 , `' Q� =-..t'� s Q-'---------•------•-------•------------•--------------------•--•------•--•---... has been installed in accordance with the provisions of TITLE ` of The State Sanitary Code s described in the < application for Disposal Works Construction Permit No......... ._- -E , dated......Z, _1 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRIBE® AS A GUA ANTES THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............ .. ._ .......................................... Inspector.-------- ....... --- THE COMMONWEALTH OF MASSAC SETTS BOARD, OF HEALTH A -fir' •�''— OF _ FEE:-.- ................ �i��o tti �rk� �on��tion �ermi� Y g 6 C I Permission is hereby ranted--------------••----------------•-----------------•-----....---••-----......----...-•=•--------.:........_......------.............---•-•--- to Construct (V )``or. Repair) ( an Individual Se �a e Dis psat System j Street — a- as shown on the application for Disposal Works Construction Perm'x�lo.__ Dated..... ................... .___......_\._...�`.' y x..,,.._..l„-__K_....._........`.....................................•__••___^ Board of Health DATE................................................................................ W w., FORM 1255 A. M. SULKIN, INC., BOSTON f Q DES/G/V O� S/NGLE F<t�y/L Y --' .3 .BE•0.2oON1 � � 1 G8.►�I �^- � �, A/O 642,.46E G•2/�C/OE,2 wU OA/LY FLOW //D X-7 = .730 G.P.O. 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