HomeMy WebLinkAbout0048 COTUIT COVE ROAD - Health 48 Cotuit Cove Road
Cotuit
A = 005 033
TOWN OF BARNSTABLE .
LOCATION /yB� LDTc/lT i�f0111s" AU SEWAGE # 2002 - 9S��
VILLAGE (_OtUtT ASSESSOR'S MAP & LOT S 33
INSTALLER'S NAME&PHONE NO. 1 03- 220- V38 JntI04 0, a,#;-,0VJ
SEPTIC TANK CAPACITY ®00
LEACHING FACILITY: (type) z-,S'd Dew W4C (size) X t 5
NO. OF BEDROOMS .3
BUILDER OR OWNER VNG« �tur�lsbJll
PERMITDATE: 10 -$-02- COMPLIANCE DATE: io-t8-o2
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
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No. 2 `S� Fee �.
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
Zippfication for 3h5pomf *patent Cott!truction Permit
Application for a Permit to Construct(�epair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No.yC Cof ,l'17- V/= 12cl Owner's Name,Address and Tel.No.
Assessor's Map/Parcel (1/T ,a -
t.
8 Ca v,T C
Installer's Name,A/d�dress,�f d Tel.No. S-(J`C�¢_4/20-- 17y Designer's Name,Address and Tel.No.
./ 12,1 1AL /0z/`
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 a plicable) 1"-'r all Z S ro 6,Lo z ezlz_zl
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 issuSA by this Board o He
Signed Date
Application Approved by Date
Application Disapproved for the following reasons
Permit No. 2UO Z— ' 575' Date Issued LU JY 0
---------------------------------------
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No. Znw 2 — `f SS Fee
pbtsw-- s«fix °
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLES MASSACHUSETTS
ZIpprication for Mizpogai 4�pgtem Con,5truction permit
Application for a Permit to Construct(4.4Repair( )Upgrade( )Abandon( ) ❑Complete System ❑-Individual Components `
Location Address or Lot No. C'ordff e `jrll�' 12 Owner's Name,Address and Tel.No.
_ �otvi r Jp�k yw&-i 4/:'y
Assessor's Map/Parcel
S - BCoalr' Cal//- !�� ovT
Installer's Name,Address,and Tel.No.sd346'4/2'0 — q/'j S Designer's Name,Address and Tel.No.
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 a licable -. OJ (� -
P P
�"L, 4,/ S�°or�i- l4ravH� � /*—,a .Srvril� _ t
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 by this Board of HealtIL
Signed Date r
Application Approved by Date
Application Disapproved for the following reasons
Permit No. ZOO 2- S Jr Date Issued t U G Z
THE COMMONWEALTH OF MASSACHUSETTS,'
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( G)Repaired( )Upgraded( )
Abandoned( )by IA a2 G ,sue/ S
at Y g ICJ 'y/ T e!�i>I,//s zQV has been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No.20U 2- `l5 dated (ON 0 Z
Installer �.-,`s�rLi a ���' Designer CigVl'-'I 62�1,r�SV1iJ
The issuance of bus p-rmit shall not be construed as a guarantee that the sy to will/function as d s ned
Date Grimm Inspector � 4N • ✓�
No. 215 02 r�{5� �, �5---------------Fee •--
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS
lwfgpooal bpztem Construction Permit
Permission is hereby granted to Construct(e-Wepair( )Upgrade( )Abandog,( )
System located at � o
C-42 rvi T
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:Constr7X-au-
st be completed within three years of the date of this p
Date:_ ►U Approved by
TOWN OF/BSA/RNSTABLE
LOCATION 41X ZkV T If 01li" /doh SEWAGE # 2002 • 41
VILLAGE Cd$I/BT ASSESSOR'S MAP & LOT-5- 33
INSTALLER'S NAME&PHONE NO. .rO$- 220-?,738 JneI04
SEPTIC TANK CAPACITY ®®®
LEACHING FACILITY: (type) 2-,S'0® tl 4:11 (size) 7,r X t 3..
NO.OF BEDROOMS .3 BUILDER OR OWNER J44'15 �L&EAOk *
PERMITDATE: 10 -$-•02 COMPLIANCE DATE: to !8—o2
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
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36, 3•
Why
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(2P
LO;CAT I0% SEWAGE PERMIT NO.
_
VILLAGE
N S T A L L E R'S N.A ME & ADDRESS J. CRAIC; AgEDEBROS
T-mckivs��°
'142 Corporation Street
B U I'L D E R. 4R OWNER yannis, ass. 8
DATE PERMIT ISSUED
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Y
DATE COMPLIANCE ISSUED`
Ca-,, C,
ice)
THE COMMONWEALTH OF MASSACHUSETTS
O HEALTH
........., BOARD
._... ......OF........... . ..... i�6� ...'.........:.......
, pphratiun -for Biiprriittl Worko Cnotuarurtion Vrrmit
Application is hereby'made for a Permit to Construct (K) or'Repair ( ) an Individual Sewage Disposal
System at: d
$kc Z......... Zzoe W,7el
S o (/IJC®/V C ��CP� '� of �(✓�... �t�
,W
W
Add O e /'. _1 + ress
------------ 1.. � �� ------------------ . ---
Installer Address ®�
UType of Building Size Lot......... ...............Sq. feet
Dwelling—No: of Bedrooms-------_-�.........................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons----------------------------- Showers ( ) — Cafeteria ( )
PaOther 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..._ _ otal le hin area.____.___._._.___sc ft:
Z Other Distribution box ( ) Dosing tan �,/'
Percolation Test Results Performed b /�' CL. ���� Date---A � ��7
Y -----
,� 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------------------------
-------------------------- --- ......----------- ---- -
lI - � ��
x
Description of Soil--------------�.�.. "`" � '----------.----------------------------------
------------------------------W �-.7 . 1r = .
--------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------
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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be issiO byr e rd ea
Signed
Date
PP PP Y•--••..... . < ....................................................... �' -----
A Application A roved B 1_...._ -r'�' __ � '°" -�-°'�,✓
Date
Application Disapproved for the following reasons________________________________________
Date
PermitNo......2................................................ Issued........................................................
/ Date
No..'r........... Fsa... ....
THE COMMONWEALTH OF MASSACHUSETTS f<
BOARD O HEALTH
,
ApplirFation -fur Diipuuttg Workii Tomitrurtiott Vrrmit
Application is hereby`made for a. Permit to Construct, ( ) or Repair ( ) an Individual Sewage Disposal
System at: Yi •.r
..................................................Location-Address or Lot No. .
---•----•---•--•••-•----•. --•-----•-•----•--••...---._.---•-------
•
L',r Owner • .. Address.
L (� ,. --•------ -•---••••-•...•-----•---------------•-•-••-•----.._................
Installer -.., Address
UType of Building Size Lot________________•_____.-____Sq. feet
" Dwelling—No. of Bedrooms____ _________ ::::____:__________Expansion,Attic- ( ) Garbage Grinder
p, Other—Type of Building :_-_'.................No. of persons- ___....._ ._._._______ Showers ( ) — Cafeteria ( )
a' Other fixtures ------------------------------------------------------
W Design Flow--------------------------------------------gallons per person per day. `Total daily flow.............................................gallons.
WSeptic Tank—Liquid capacity------------gallons Length________________ Width--___----_---_ Diameter----------...... Depth--_ ...
Disposal Trench—No_____________________ Width,_, _________ Total Length.................... Total leaching,area_--..____--___ sq. ft..,
Seepage Pit No..................... Diameter .............. Depth belowrinletk «__ E , offal, eh' _._..sq. ft.
Z Other Distribution box ( ) Dosing tank ( ) � �
'—' Percolation Test Results Performed by_________________...........................................................
a -- Date----------------------------------------
Test Pit No. 1__..............minutes per inch Depth of Test Pit.-.__._j!t__________- Depth to ground water.......--_-__-____-_--_-
rXr Test Pit No. 2................minutes per inch Depth of Test Pit-___....__.__.______ Depth
p p ept to ground water________________________
t
IYI'f f f V .........................................
x Description of Soil-------------
' --- -— / . �++ �--- . - --------- --------------------- -
U --------------------------------------••--•-- ------•--- - ---•----------------•-•_. - ------- _-•--- -•-- ------•--••-------------------------- ---------------• --------
S W
V Nature of Repairs or Alterati'bgs—Answer when applicable.-________________________________________----------------------------------------------------
`--
-------=------------------------•-------------------------------- -------------------------------------------=------------------------
Agreement
The undersigned agrees--to install ,the aforedescribed Individual Sewage'Disposal System in accordance with
tl�e provisions'of Article \I 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.
S Signed...... -•-
Date
Application Approved By...........................
----------------------' -------------
Date
Application Disapproved for the following reasons------------- D
...........................•----------------------------'�----------------------------------------------------------------------------------------------------------------------------------------------
Date
PermitNo......................................................... Issued...................... ---------------------••--•-------
". Date r"
THE COMMONWEALTH OF MASSA HUSETTS'
BOARD OF HEALTH
ll
Q.,rrtif irate of Tompli aurr
IS T+O CE `F. Tkat the-.Individual Sewage Disposal System constructed ( ) or Repaired ( )
•--• --••-- ..•--•-- �_---- -----�-- instal ler `
---- - - - ..................... =----•----
has been installed in accordance with the-provisions of Arttc `T11e State Saru ary C de s described to the „
application for Disposal Works Construction Permit No._'�... ...... ........... ........ dated-_. .", _ _. .._____.___.___._... ._
T118'�JSSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UED AS A GUARANTEE THAT THE
SYSTEM`VdILL FUNCTION SATISFACTORY �
DATE... .-------ram._- - -----!- - .......... Inspector---
.....................................
f THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF EALTH.
..`".!�Lz OtF ............................
No
FEE _
t �iI o ark-q ITfitr r tt Vrrm
PermtsstolS. t hereby granted. .+ 1 � L . :....
X.,
----......_
to Co "' o Re t a dua Sew D o'sal`:.Systemat No
--
• . 'Street - -----
as-shown on the application for Disposal Works Construction No _____ _ _____ ted___y_V `_%--#___��__-
DATE-
Board of Health
----- ---- . u ti
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FORM 1255 HOBBS & WARREN. INC..'PUBLIS HERS � - 0. j -
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Corti.,r MAss. G2G35 ' C,Q� �,/"_ O f 4T � !✓ C ;/977
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ASSESSORS MAP :
� - TEST HOLE LOGS
� PARCEL : � �J�
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^ FLOOD ZONE: SO I L EVALUATE°:
WITNESS :
REFERENCE : l D DATE:
2,09 hGPtF� �8+°
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r� PERCOLATION R,4TE : -� Z, I , I
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LOCAT I ON MAP
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SEPT ' C SYSTEM DESIGN
FLOW ESTIMATE �• t/,,, � �U1. ,_
�_kID 3 B°:DROOMS AT III GAL/DAY/BEDROOM - GAL/DAY
/ SEPTI TANK,
�AL. D.-Y x 2 DAYS � GAL
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C,0 USE GALLON SEPTIC TANK /'fix-! :5"; 7G•fl��
SOIL ABSORPTION SYSTEM
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f^ SIDE AREA: 2� Z'-� `"{" '� 1 Z >C��� i'Oy �Z
EPT I C SYSTEM SECT 10 ►.�r5
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$ _ --
7-0
GAL
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C`G BZ G�7SEPT IC TANKQ. Ltyf.(J15,j J � � _ r �75
X 13 �
\ -i�'077a/,� 14,0 40Z,5,
- �C�CJ�1UC� Iasor� W,
SITE AND SEWAGE PLAN
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LOCAT I ON : CtSIUtT- CoV� ��
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PREPARED FOR :
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SCALE
w DAV I D B . MASON ►' ,5 DATE:
= DBC ENVIRONMENTAL DESIGNS
EAST SANDWICH . MA
DATE HEALTH AGENT ( 508 ) 833- 21 77
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