HomeMy WebLinkAbout0024 HIGHLAND AVENUE - Health 24 Highland Avenue.
Cotuit
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TOWN OF BARNSTABLE '
LOCAn0N 2 , A, SEWAGE #
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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
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THE COMMONWEALTH OF MASSACHUSETTS
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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
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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