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HomeMy WebLinkAbout0057 CURLEW WAY - Health 4 } }i C o LUI L 5£ 046 lZ Ir�P n�', if a,�'b��f A � •� n3�Y - 6 F No........ !�. ...... - ps....... ............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH s .....OF........... 4.......... Applirathfu for Bi-qVviiFai Works Tomitrurtinn ramit Application is hereby made for a Permit to Co truct ( ) or Repair ( ) an Individual Sewage D' 0)osal' System 4Ad ......... ........, m . ------------------------------------------ -Locatio - or Lot No. Owner n Address JA Installer Address d Type of Buildi/n Size Lot____ �_l ..5q. feet U Dwelling No. of Bedrooms..............._...._.......___.....________Expansion Attic ( V)� Garbage Grinder Vr}— Other—Type of Building ........ No. of persons.....__.__.2............. Showers ( I ) — Cafeteria ( ) Q' Other fixtures .._..s........................ Design Flow.___ a. _.__ o j gallons per person per day. Total daily flow......,._. W ------�----------------g P P P Y• Y -----�-----------------------gallons: WSeptic Tank Liquid capacity1M6_.__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 —_.2 Percolation Test . Results Performed bY._....___ .__AS........................................... Date.... 1..'7�".._._.. Test Pit No. l ____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........................ ••-/........... ....... -- ------------- O Descri n of oil. ._._.. _ � x .... . _. ...... --•••- .. - - ------------------------------•----------------.-•-----•-•------..-- 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 iIT 1E 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. Sig d ....... ------•--------------------•--•-•-._......----------------•-----------•. ...•-•--------.---._............. Date Application Approved By... =�F, - '.:.... 7Date Application Disapproved for the following reasons-----------------•-• ----------------------------------- ---------•--------- ...............................•--•----•-----•-------••-•-•-----••••---••...•-•--•------•--•---•-••••••---••-----•••--••-••--••-•-•••••-•-•-•-••-•----•--------••-------•------••-•-----•---••-•........ r :. Permit No....................... -----•............. Issued...yT / •.....ate•..... Date i (� TOWN OF BARNSTABLE J � LOCATION t��C �S SEWAGE # VILLAGE C�XUff- ASSESSOR'S MAP & LOT Oa`/ 0 G INSTALLER'S.NAME & PHONE NO. jl,� p SEPTIC TANK CAPACITY 1 — or LEACHING FACILITY:(type)�(-,•T.(&T p\T (size) M0 GA-C , ti NO. OF BEDROOMS.PRIVATE WELL PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: , 9 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No 1� fib r �cc t TNK L� 3 � 3A- 3t O 3� Via' �l�f Lam) Icyoo ��CST PST � y THE COMMONWEALTH OF MASSACHUSETTS BOAS R® O F HEALTH �4 1,/ �' ... 3......0 F..........� ..Q' �1'P . Aji iration for Dispaii al Works TanDtrnrfion ramit Application is hereby made for a Permit to Collstruct or Repair ( ) an Individual Sewage Disposal` System ............ .......... ........... �,-:...... p f{ Lo atio -Address fi or Lot No. .. _Y {r. Y' ` J •................ _ ..___... O ner * * • "Address a ,. Installer Address d Type of Buildingo.. ......................... Size Lot.:__ _ �--Sq. feet U Dwelling No. of Bedrooms ._ ....__.__.Expansion Attic (6 Gar age Grinder ( ° } . a. Other—Type of Building w f _....___._.. No. of persons......... .......... Showers ( ) — Cafeteria ,( ) Other fixtures .._. .. ... ---- -•-- W Design Flow.';I . ..2` gallons p3 rjp rson,per day eTotal"ally,flow .; � `_.:._ ..-_:gallons Sepric Tank—Liquld capac>ty� .gallons"« pLei�gth "`� .__._ Width . Diameter_______________ Depth..._ .._...__. W Disposal T'rech No. Width_... Total Len .th^ ,z Total leaching area..................sq. ft. p ...---. Daainet,�' Seepage Pit No. ..�; ,.._. Depth 'below" lets:.`_.._ �._.___. Total leaching area."... ...:.....sq. ft. Z Other Distribution box(` ) Dosing to '( ) ��� '• a x 3 Percolation Test Resul s Performed'bY._......: _.__ .:.................. ........ ......... Date... ".°�� ...�. ... ,aa Test Pit No. I x._..minutes per inch Depth of Test Pit................... Depth to ground water ._::,.... # F ri, Test Prt I�To 2 3,_*. nunui6,0en inch Depth of Test Pit Depth toagtound water 'Lr S. AR of R6 i{ L f wi. t } `R' f Descrip 3 n of oil _. a� .�: ..a'"r--..--•-��-:•-•--"-aka.--- ` --- r......................................� ^..- ---- ....................................... - ----- as --------------------- t -- U Nature,of Repairs or Alterations—Answer ,When4pplieable�' �.____ ._-__- _______ _________ ___ ___ _---_ ............................Xs -rs -- ..# :'"_.. f,5?r fca?:1"` `ne..w .- .....................................................�� �. Agreement 1 f , Y The'undersigned `agrees to. install the`afor`edescribed Individual Sewage DisposalSysfem in accordance witli' iahe provisions.of iITI:%{ �5 of the State Sanitary'Code�The> ndersl ried fui il�er a r.es of to place the system in operatiom`untll'a Certahcate 6f Ccm�iiance has'been issued by,;the board f .re lth M Sig".c'd _ ________µ.M.._______ _.c .p __.___. _._.`.'_. ' - ___.. .. ___. _.__ a+ Date Application Approved gY---• -: � , .'� ' 'ct �. ,;.•„ , ..u. Date i °.,r Applieation;Disapprgved for the_'following.reasons:---------------•......-•----•--•----------------------------- -•••----------•••.. . _----- ................................................------------------------------------•----.....--•----------------------------------------------•••------------•-- ----- •-- •..... Date'; Permit No..-.-----•-•------ ------ -- -------. Issued__... . . ........... . _ - Datd {° THE COMMONWEALTH OF MASSACHUSETTS kf . BOARD OF ff ALTH # . �' Yl/l ay T�rrfifir atr of (to otpliFan �e T y IS TO CE hFY, TK6 the Individual'Sewage Disposal System constructed ( or Repaired Ins`ller . � M 4.4 & - - a. has,rbeen,installed in accordance with the provisi s of T of The State Sanitary Cade as described in the appllcation.for Disposal Works Construction Permit No............_._* _ _ ......... -dated. :. .." .........' :............. THE,ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE ,SYSTEM WILL FUNCTION SATISFACTORY. +, DATE........-•-•--••.............................................................. Inspector................................,; •------- :------•- .--.... .•••... `+� 'THE COMMONWEMTH OF MASSACHUSETTS # BOARD, ®F EALTH ........... . a .oF.. .. � t-° ........................................ c - No .....C-A ¢ .. FEE........."............. i oaa - o nr ' n rani } Permission i �r=eby granted•-•` � _,::...... E'............................. ........... to Cons r ft or epair (/) an In ivl ual Sewa * sal y ., ` Street�.r as shown on the application for. Disposal Works Construction. mit o _..__. Dated.___. , "� Board of alto Y R r DATE................................................ --•-•-•--•---------------- ° FORM'1255_ Hoeas,,& WARREN. INC., PUBLISHERS - � TOWN OF BARNSTABLE LOCATION (,/r 7 l./�tn /J c 4l 6e/C4!( SEWAGE # VILLAGE �'a&/ ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO.`), /� // ��i�'f)�r/i' •< �'cYY) �` SEPTIC TANK CAPACITY LEACHING FACILITY:(type� r),)) (size) NO. OF BEDROOMS_ PRIVATE WELL OR PUBLIC WATER i BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No y k. tl - i 9 r' Ll VZ Fss.... ...3.r�..:..0 nTHE COMMONWEALTH OF MASSACHUSETTS LL BOARD OF HEALTH '''OWN OF BARNSTABLE pro Oste Appliration for Uiapwial Workii Tontrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: 5.7...Curlev Way Cotuit... . --- - o......... -.....---•----------------•-•---•...............-- Cotuit John ao� aress °r I°t N°• ......................--.......................................................................... ........----------...------•-•-•-.....----•------••-••••--•----------•---•....................... Owner Address W J.P.Macomber Jr. Installer Address dType of Building Size Lot............................Sq. feet V g .__..Expansion Attic ( ) Garbage Grinder ( )Dwelling No. of Bedrooms..............�..._._._..____._..___. — aOther—Type of Building ............................ No. of persons............................ Showers ( ) Cafeteria ( ) Q' Other 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.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................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........................ pG, --------------------------------------------------------------------------------•-------------------......................................................... 0 Description of Soil----------------------------------------------------------------------------------------------------------------------------------------------------------•------------ v ................Sand............................................................................................................................................................................. W --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•---- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ............................i-1Q_QQ---gall-an...leash,... j-t-•------------•-------------------------------------------------------•-------------------------....------ 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 Complian has be is ed b the board of h lth. Signed ---- 12/27/91 .g .. .. .. .... .... .... 4�...... Y dare Application Approved By .....................C' V. .... �� ------------------------------------------- Uace Application Disapproved for the following rearons: ......-- . . ............................................................. ...... ........ --- ............ ........................................................................................................................................................................ ....... Dare 7 / Permit No. l ------------------------------------- Issued ................ Dare 6 L/ "7 VX ��.;�No.... :.-51__7 Fes$.... ....3 ...�C THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for DWpoaa1 3Vnrks Tnntfurtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair (X) an Individual Sewage Disposal System at: 7 Curley Way Cotuit .........._...._.... ....... . •..................................... ..................•------......•--••-•-•--.. .........-•----......................... I- ti'b Address &.t.�r v or Lot No. Cotuit John , .._.. _.......... - .......................................... ...................•........................•- .................................................. Owner Address a J.P.Mac omb e r Jr ---.... ........ .................................. Installer Address UType of Building Size Lot............................Sq. feet I—t Dwelling-X No. of Bedrooms..............3...........................Expansion Attic ( ) Garbage Grinder ( ) �_l Other—T e of Buildin a yp g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other 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.................... 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........................ (� Test Pit No` 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ...-......................................................................................................................................................... 0 Description of Soil........................................................................................................................................................................ W .................. and------------------------------------------------------•----------•----------••---------------------------. ---•------------------------------------ ----------------------------------------------•------------------------------------------------------------------------------'---....---•--•---......_..._..... U Nature of Repairs or Alterations—Answer when applicable._.............................................................................................. ---------------------------In 100.9 ga.11-na... e r.h...p l t-a...-------- 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 been iss ed b the board of h Alth. r 12/27/91 Signed ..-- . .. .... ........ . � � ........ '.............. -------I......-- --...---....... -- Dare Application Approved By -------------------- �-�{.......�c�<a��tti.��_�,^ ........ ............ t!�' Da? Application Disapproved for the following reasons: ......................................................................................................................................... - - - --------- --------------- ---- --- ------------------------------- ------------- .....................--........................................................ ...........................----------- Dare PermitNo. `.... 7. ....................... Issued ---------............................................. - Date THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH TOWN OF BARNSTABLE Trr#tfirate of C�umplian e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X'1 ) by.....J.P.Macomber Jr. -- ------------- ---------------------------------- ---- -----------------------------------------------------.................................. --------------------------- at 57 Curlew Way Cotuit Installer .. ............... ........................................................................................ ........................................................... ........................................................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .----�/.--.. .79............. dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � �1�J DATE........ !. - Inspector ........ ........................................... ........... ..--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No......gl:..5. � F FEE......�0-.-�0.. Disposal lVorkv Tonotrnrtion amit J.P Macomber Jr. Permission is hereby granted . .. ' ...-•-----. ....... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No.....57-..Lurlew Way otuit . ---•----•-----•-•......-•-----•-.-----••-------------------------••----•---•---------••......-------•---------••---.........---- Street fir S� Cj as shown on the application for Disposal Works Construction Permit No._l------------------ Dated.......................................... ................................., ............................................................ Cf DATE............... ��---[,�------------- ..... Board of Health FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS be . OP 7 ool tit c, 4.0 f C /per•t.. r^' 6 7 Co U A2.S v .8 4E X —o'_/A11S rYEO C-�AeAOE ?�L.F iii rrrTrTr-,rcT-m, .�,�-„�F- in} 5 ✓ � �AE'.q-cam f •p•p o,e's�vc Sept yo _• -r ''.�Ye serf AL !Lr -4"Ci 'vim �. ��'1 .L`� � •!,�d i _ '- '—`' t Y ' + Q °`o• /�rv_,e:� 6AL�o•�5 /.✓�E2T /N!/£� ��-ST /.j/!/EQT " •.'Q � � 3,. z ,� B . aA�e6Qc-,s s3 G6 40 /G G� .�S/9�.//TiC�,e�//• Q/S SOS�L S YS TE M ��O 100 C)S 4E�G �Oie c) SEPTre s ys�'� C'o.vsT,E'!/C Tioti .o��/ ,,/ ,��a � r4L�/off Y 7"0 .PSAT ,r�!_ T .�1. CODE TITLE �� ,o.EoF>oSE� L�ACN C�P.gG/T 77 T.A_j / _/��C�� / �.�` B(fry/'•'II'4,��J/...w' . SITE PLAN SHOWING PROPOSED CONSTRUCTION FOR = '�0�a ~'�`''f°y APPROVED 197 ,� r SIC A L E D A T E: �� �''r %, � BOARD OF HEALTH R E F E R E N C E I ,, a-.,' �,� DATE A G E N T c� OF s, �i saeR�Tt �� c► •� H. �Y �` �3fPti 4i'mmcrtsy , <'tA p 13230a C M S ASSOCIATES, IN-C . ► r , ,a • m 1 f$TFaL tic S(3 _ REGISTERED ENGINEERS 6 LAND SURVEYORS q �SsroNAL '\ MID-CAPE OFFICE BUILDING - I'Z65 ROUTE 28 4 fsT o� � sup SOUTH YARM OUTH, MASS. 02664 ,� - z