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HomeMy WebLinkAbout0024 HIGHLAND AVENUE - Health 24 Highland Avenue. Cotuit - --- - -- - - - - LA� 020 034 - - -- - — i �,,j t,rj9 a un r-- q l� C to Qoo� TOWN OF BARNSTABLE ' LOCAn0N 2 , A, SEWAGE # T VILLAGE a i "ASSESSOR'S MAP Gi LOT INSTALLER'S NAME 6i PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) 1 NO. OF BEDROOMS PRIVATE WELL qR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: 3 DATE COMPLIANCE ISSUED: Iv� VARIANCE GRANTED: Yes No 0 ,,�� / �� '� /���� 0� �// /�� 4 ����� �f ��/ _�� .�;• �E.,..��. No.... .........! FRs..... ... O..00 THE COMMONWEALTH OF MASSACHUSETTS �?0 BOAR® OF HEALTH c� d 3y sarnatabfe CPROVED TOWN OF B A R N ST A B L E nservation Department Applirativat for Diripwi al Wurk,i Toms ray Application is hereby made for a Permit to Construct ( ) or Repair �X) an Individual Sewage Disposal System at: 24 Highland Ave Cotuit. ......................................................•-----•--------........._......--•---------. --•---------------------•-----•----------•----•------...-••---••-••--•----•-••••..... •-••-.----- Brian DanielsLocation-Address or Lot No. Owner Address W J.P.Macomber Jr. Installer # Address UType of Building Size Lot............................Sq. feet ►, Dwelling—No. of Bedrooms____________3..._--------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) - Cafeteria ( ) 114 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 ( ) �_4 Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 1+4 ............. ............................................................................................................................................... O Description oanld W --------------- ----------------------------------------------------------------------------------------- - - - ----- x T-I�00 gallon £ank;l=astribuion U Nature I Rega�P or AJu.,rationt —Apswer when appal;l�...,.............,..._ _ box, - gallon leactning pit. 1 in exisfing...cesspools:----------------------------- •••---------------------------------------------------------------•--------------------------------------------------------------------------------......---•-----------------•-----•---••-.........---- 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 b en 'ssued by the koar4 of health. Signed ... --------- --------------- - ---3�22�9.3.............. Date ApplicationApproved By ................. ... ......... .. ......... ............ .G...... ....... .... k-11----------- ........................................ Dare Application Disapproved for the following reaso j. ..... ................... -. .................................................................................................... /t Dare Permit No. ......... �� ................ Issued ................................................................... I Uate 'V,J•M'•�aJ.+r-.._,v.if'ti.-+'F`r.+.;"a- .Jti '�.r' �v--.. ti .1.«... _ � � V -,^ r`..--} t • •y v+�•r�,�sr'�.v^ Er.�-.Mn4..'.. -w�.�.�"./Y'`11...`.-1�+�'�.+..r rn ./a) ti. Jy.ylr.4. -. �, . o- 11 �G w 04 / 31 ,• A...!. �_-3�0.00No...._.. _/ $....................�. j t`.i• THE COMMONWEALTH OF MASSACHUSETTS' BOARD OF HEALTH j TOWN OF BARNSTABLE J Appliratiuri for Uirpoml Wurk.5 Tomitru 0ri runt 3=Application is hereby made for a Permit to Construct ( ) or Repair ) 'an Individual Sewage Disposal System at: 24 Highland Ave Cotuit. >` Location-Address or Lot No. � Brian Daniels r •....................._....----.....--•---••-----•-----•-•------------•---•-••-•-•------•-••----- ......................................... Owner Address W J.P.Macomber Jr. ,.a •-•-••--....-•----••••--•---••-••-•---•----------------•----••-•-•••---•--••--••---••--•..._-••••- ----•---••--••--•-••--------•-...---....--••••-----•--•......--•-••--=---........_•---......_.._.. Installer t Address UType of Building 1 Size'Rot.............:...a--------Sq. feet .-� Dwelling-X No. of Bedrooms............3------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) —'Cafeteria ( ) Other fixtures -------------------------------•--------------------- T ` 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........................ �%4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 •----••----------------•-----•--•--•---•-•-••-.._............-••-•--••--...•••-••-•-•-••--•......-•---•--•--._................................._•-----....... 0 Description oSari--------------•-------•-------•----.........-----......._...........-----------••••.._..._...--•-•_ ---•-------...--•----------•-•------------------....._..•••--••- V ._....-•-•-•••••••-••---••-•-.....••-•-••--------•-•...--•-•••-••----•-•-•-••-•-•••••••--•---•-----•••••-•--•--------••-•-••••-•••-•--•••-----•----•-•••-•••--••••-••-•••...•--•--•................•--••- W VNature of Repairs or Alterations—Answer when applicabl �-......��0__ a�lon tank.,_1-C strz Li iori box,l-1000 gallon leaching pit. Fill in existing cesspools---------•-------------------- .. ......... 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 issued by the Poard of health. f Signed .... /1........n = 3�22/93 ......... ...Dace..... Application Approved By ..._. 1.:.: :!2 f. v . .............„ -.........._.... Dace Application Disapproved for the following rearori� .... ......... . ......................................................\.-----................ --------------------------------------- ------------------------------- ...... ............................................................ . ............................... Permit No. .. ...✓��.. 1................... Issued .....................................................-..Dae Date _______.—® --.—sass-- -------I---®r.—=. ,__..®___<.. •.a --cn4 m,� __--> —�..�_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CIl.ertifirate of (fomyliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired XXX)o by ........J..P-.Macomber. Jr......_........ _..........._.......... ..--------._----------- ---_......_................................ .. ........................................... ` Installer at ........24 Highland Ave...Cotui.t.------------...------------------ has been installed in accordance with the provisions of TITLE 5,f TJa State EniS onmental Code as described in the application for Disposal Works Construction Permit No. ----- "-....... .`�) dated _... ............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A GUARANTEE THAT THE G SYSTEM WILL FUNCTION SATISFACTORY. J , DATE..........._......_._......._...__...� .. ./ ......._.. Inspector .........±.._....... :._... �. :/1�%...1...� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE �.._ FEE.._. 30.00 �i��raott1 ork� �iuri�tr�rtuari, prutit V Permission is hereby granted J---------P'-- -------------------•-••--Macomber Jr.------------------ -------------- to Constru�ct (, ) or Repair Y(X ) an Individual Sewage Disposal System at No...._ _ . ghlana Ave Cotuit. •-• •............ ...-- ..............--•---- -- ------------------------------•---________-___. Street as shown on the application for Disposal Works Construction Permit No._.___�_._�(�Lted_. ......................n............... � t / Boards of Ii'�calth DATE...... FORM 36508 HOBBS♦!r WARREN.INC..PUBLISHERS � i No.... J� �.�E.�.� Fas...' A. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphration for Diri.puuul Works Tomitrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ......... 4 lmo....-412�-- -------------------------------------------------------- ---•...------............----........ -:} n n-:atio \ 9r-� or Lot No... -- ..................•. ................................................................................................. e O ner Address --••--•-•-----------------•---- .............................................................. Installer Address UType of Building F Size Lot............................Sq. feet ., Dwelling—No, of Bedrooms........ ........ ........_____-_.._1 x ansiori tic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________ _____ No. of pers ns--------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------------- ------------------ W Design Flow............................................gallons per person per ay. Total daily fl w............................................gallons. WSeptic Tank—Liquid capacity............gallons Leng h________ _____ Width---------_...... iameter--- ............ Depth................ x Disposal Trench-- No. .................... Width................... Total ength.................... To I leaching area....................sq. ft. 3 Seepage Pit No--------._-_-.-.-- Diameter.................... De th belo inlet.................... To 1 leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results erformed y.................... -••--•----•-..--•-...-••-••............•-•••--_. .. Date........................................ Depth o ground water........................ ,a Test Pit No. I................i inutes pe i Depth o Test p Test Pit No. 2................ni,nutes pe inch epth o Test Pi . ._._......_....... Depth o ground water........................ ------------- .........•••--• ............ ---•-••-•••••.. _.. .................................................... 0 Description of Soil.................................... ......... •. .......................... V ...................... ............................................ ...................•-•-------••............... ........................ -••-•-•-•--•---•--••-•••..........-----•----•-••--••--- ......................... ........................................... ..................... --•---••--- ------•----••--- ..................... ........................ • ------......-•--.....-- IL V Nature of Repa s or Alterati s—An ver when a licable_....._..._ _ �•- ..... .. .......................... Agreement: The undersigne• agrees t install the aforedescr bed Ind idual Se age Disposal System in accordance with the provisions of TI E 5 of he State Environment 1 Code The un ersigned further agrees not to place the system in operation unt a Cert ficate of Compliance as been is�ued by the board of health. Signed ................... ......... ........ ... .......... ..................... .. ...........:......ate Application Approved By ...... .. . .. ... .. .......... ....... ...... ....... ..-..f...�-..!' i ---...'.—...................................... Dace Application Disapproved for e 11owing re a ons: ..................................... .. ..................................................................................... ................................. . ................................ Dare PermitNo. �f 3--.-.----I....sp....................... Issued .... .............................................................. \ Uace —————————————————— —————— '——— ——— — ————————————— ——— THE CO MONWE F MA1SACHUSETTS l AR OF E.A�LTH TO OF B R STABLE P ifi ate a 4 plianre THIS IS TO CERTIFY, That th Indiv dual Sewage Disposal System constructed ( ) o Repai d by ............... ..... ..........�.... . .. .... ..._........... ............. .. .. ........... ............................. ... ............ Inst'llcr Wt-...... --------------.--- _ . .. ......... . - has been installed in accor ce with the provisions of TITI.E 5 of The Star Envi n en 1 C de as describ d in the application for Disposal Works Construction Permit No. ...... ........ d ed . ..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO TRU AS ARANTEE THAT SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................................._-..... ....... Insp for ........................ .. ........................................ THE COMMONWEA T OF MAS A H SETT BOARD F H ALT TOWN OF BA STA E FEE...............•--••---- Khopmal �urkii Ton utuan amit Permission is hereby granted------- I'. -- - - ---- ---- -------------------------------------•-••-------------------------------------------- to Construct ( ) or Repair ) ndividual Sewage Disposal System atNo........... --------> ------ - ---------------------------------------------------------------------•---------------- strcet qq as shown on the application for Disposal Works Construction Permit No._ 3.—:jf 5?.__ Dated........... ............................... --•-------•-•--•-----•---•-------•---•-•-----•----------------------------------------------------------- Board of Health DATE-------------------------------------------------------------------------------- FORM 36508 HOBBS&WARREN,INC..PUBLISHERS �.-�y-x.y.:.._.�{.r,::�...--^-::....-•...r..._.-•-viJzr"._'+'.r'M.....r�_;�-`.:+...•�.-c:^�•.ar._...i.:,...._.._-..�....V:.,...a-3•.......'i..:.y,.A�•., ...,a;.i...«.�._...}- r --, _ '�-.^.:' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Apphration for Dij.p>11 ial Wnrkii Tomitrnrtinn 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: HA ocation-Address or Lot No. O�cner � Address ,.a p �•�- ...........•--�ka-z ---------------------- CEd ___-JT' t/r Installer Address Type of Building Size Lot............................Sq. feet .� Dwelling— No. of Bed rooms--------34---------------_-------- ....Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ................ No. of persons---------------�------- Showers ( ) — Cafeteria ( ) d Other fixtures ----------------------------------------•-------------------- Design Flow............................................gallons per person per day. Total daily flow gallons. WSeptic Tank—Liquid capacity............gallons Length--------al._.. Width---------------- Diameter................ Depth................ x Disposal Trench—No. .................... Width................... Total)`length.................... TCal leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... To of leaching area..................sq. ft. ZOther Distribution box ( ) I Dosing tank ( ) Percolation Test Results Performed b y..................�.-------------- ..................................... Date........................................ a I• l 1 •� Test Pit No. I................Iiunutes per incl. Depth of Test Pit_...__........_.._.. Depth It o ground wafer........................ f� Test Pit No. 2................minutes per inch epth of Test Pit\._._....._........ Depth to ground water........................ a ••••-- ....i 1 ------•-•.... 0 Descrlptlon of Soil.---•----•-----------••-------------i---------------�--------•--,-•--•--------� -....-......................�..................................................... U ....................... •-••••••-•••••••••----•-•-------------.... .................................................................................................................................. U W -•-•-•••••••..... ----------------- -•--- .._..\........... / --------------------- ----- U Nature of Repairs or Alterations—Answer when applicable_.__...__� . �< ..._.__4 ............ ------------------ ------------------ !----..................--------------_% -------------------------------- ....--�".. ....... Agreement: The undersig\d agrees t install the aforedescr'}'bed Individual S`age Disposal System in accordance with the provisions of TITLE 5 of State lnvironmental Code ,The undersigned further agrees not to place the system in operation unt', a Certificate of Compliance h1as been issued by the board of health. S'gr ed ...................I............ .......................................................................... ( Dare Application Approved By ............... . .... .,� � `,.................... /� ..-.-/.. .-..% - Dace Application Disapproved for tthe following reasons: -----------v-------- . .. .......................................... ............................... ...:.............................. ......................�.................-.. ..................... .......... ' j Date PermitNo. ..........�f...2........../ ....................... Issued ....................................... \ Dare V -_---_---------------- -----------t�-- =--- -V -------------- - -__ THE COMMONWEA TII OF MASSACHUSETTS BOAR OF HEALTH TO N OFIBARNSTABLE Elii>LtSP of Q\XttfitXYiCP THIS IS TO CERTIFY That th Individual Sewage'Dis oral System constructed o` Re aired P Y � � P (�•c) byO P ._,.�,.ag .r' .............---.....-------.......------.._ ...\.....-\-........ \.............. 1 t ,. m,tanet at ................� .... tY r-...`. ...�t._&......._.. to. Cr' .c ��1 ... - ..... - .. ...... \.. .. . .... O has been installed in accordaIce with the provisions of TITLE 5 of The State Env r ny>\e Cal Code as described in the application for Disposal Works Construction'Permit No. ----_7_ .-._/..�-- �............ dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. ._.._............. ...... .................................. ------------------------- Inspector ----._... \\............................................ ^.... .\. 11 ------------ ---__ --------------- --- _ ' __L\ THE COMMONWEALTH OF MASSA� H SETTS 7,y----. BOARD F HE�ALT TOWN OF B ARNSTABLE No.. —1.1,.._. �\ FEE. .................... RiiV sal Vorkii Tun udiian "permit Permission is hereby granted........\S,.--P----fn,- .---------------------•---------------------------•---------------•-----••---........ to Construct ( ) or Repair j ) ndividual Sewage Disposal System at No..........Q_q------X } ���-�r. ........... .c ------.cf.,; ---------------•-•--............. Street p as shown on the application for Disposal Works Construction Permit No.-/,;' -__ Dated........................................... ......................................................................................................... Board of Health DATE........................................... •---------------------------•-----•- FORM 36 508 HOBBS&WARREN.INC..PUBLISHERS