The URL can be used to link to this page

Home My WebLink About0081 LITTLE RIVER ROAD - Health } 1 Little River Road 053-015 Cotuit t � r PERMIT_.,-0 CAT ION SEWAGE NO. 10, VULAGE I N S T A LLER'S NAME i ADDRESS ® U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED ^�-- _� _� r ----_~' ....._��',�./nil� � %�. �--� _ �� } � ' � � - F �� , � a _ e ' f"� � _-�-------I� � (� r _ �, � � , �, .J C'_ ).. "•.r x ;v ... � ., r; .. ... IeT� ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD-OF IJEALTH ................OF_ R L....................................... .... .... .... k,:!) Y - Dim Appliration for Dispatial Vorkg Tomitrurtion Prrutit Application is hereby made for a Permit to Construct (.v'T-or Repair (�an Individual Sewage Disposal System at: a]..... 1. ..... .................................................j................ ..................i . ..R .................... ......... ti Add ox:Lot ...r11';SK"0.Z:Z'CS.................................. .....4 ......................................... es Owner Adj, ss Installer dd Y ....eC� -------------------- ... ...... Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms---�..................................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons.....................__._... Showers Cafeteria Otherfixtures .......................................................................................... ------------------ --------------------Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity.1000.gallons Length................ Width___............. Diameter._...__......... Depth................ Disposal Trench—No. .................... Width.................... Total Length.....................Total leaching area....................sq. ft. Seepage Pit No........ ........ Diameter.......1............ Depth below inlet.................... Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( ) � Percolation Test Results Performed by-------------------------------------------- ------------------------- Date....................................... 0.1 . Test Pit No. I................minutes per inch Depth of Test Pit_L................. Depth to ground water.._..._..............__. f,4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.__................._... C4 ............................................................................................................................................................. 0 Description of Soil........................................................................................................................................................................ W --------------------------- -------------------------------**......*---------*----------------------------------------------- ----------------------------------- .......... ..... L-Is in -4 U Nature of Repairs or Alterations—Answer when applicable------ .......... Ti ........................ ..........................................................................%..................411�zw.....2: ...1.14: !_� O-------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE LE 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 hea th. ne ....... )I,ZQ./.......... . ...... . ................................... .... Application Approved By. ....... . .... ........ ........ ..... ................ ------ 7 Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issue(L....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................OF.... .. r _ . 'ApplirFation for Disposal Works Tonstru'rtion rr�utit Application is hereby made for a Permit to Construct (..'IT or Repair V� an Individual Sewage Disposal System at: ..................��_...��L...S.�y..��^.".,C..��.. ..1w6:3 .4'`� •_ •___....... ,r..... cation-'Address qr Lot I , Owner Address 5� .... --------------------------------------------------- --•-•. ......................................... Installer Address Type of Building Size Lot............................Sq. feet V Dwelling No. of Bedrooms.._ -Ex Expansion Attic Garbage Grinder a g— P ( ) g ( ) aOther—Type of Building ............................ No. of persons............................ Showers (� ) — Cafeteria ( ) P4Other fixtures --------------------------------------------------------•-----------------------------•--•-----••••••-•-•-•••...._...••••••......--•-....._......._.. w Design Flow.............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity.ksD.p.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. fi 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--__--__--_-_--_---_-_-- (i, Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ R+' --------------------------------------------------------------------•---•-•............-•------•••-.......................................................... O . Description of Soil........................................................................................................................................................................ x c, w U Nature of Repairs or Alterations—Answer when applicable......VP_.' .... , !p.(t 4----•-----.----__-----_-. Agreement: (( The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with _ the provisions of T I T LE 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 h lth. sgn-dl... .. ', ^ ...................... fDa e J, Application Approved By __ .�� = -----•---• :: •-- -• - r^D`-7/ ' ate Application Disapproved for the following reasons:...............==............................................................................................. - -----••-•••-••••--••••-•-••--•-••-••-••••••-•-•••••---•--•-.....-----•-•----•••••-•--••---••-•--••-•••••.-------•---•--•-•---••••••••-•-•••------••••-•-•-•-----•-•-•---------------•••---•-----......._ Date j .� � Permit No..... -- Issued-------------•........................................ THE COMMONWEALTH OF MASSACHUSETTS �--' BOARD OF HEALTH L�vv...... .... OF.. 2 � L�-•-•------------- TnrtifirFatr of TontpliFanrr THIS IS TO, TI Y, Tbat.the Individual Sewage Disposal System constructed ( ) or Repaired ( ) -- � ': by _,.__ ._.:ill... ......................................................... Installer � •"' at...........f a..... ,... .. . = .. - s............... ---------••--------....._............._..--------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Cod as described in the application for Disposal Works Construction Permit No.___ _-----_�`�------ ,/��_�t ..`......•.............. da.ted_... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCT N .SATISFACTORY. DATE....................... V < �. Inspector....._ _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH N ='—.� s'`� t': -:':..................OF................ , '/�i ............. ........... FE _ E.,..,.�n.......... �i��o��1 •�k � x�rtion rrntit Permission is hereby granted•-•-• :.............................. - to Construct ) or Repair_( ) an In 'vidual Sewage Disposal Sy em 1 atNo...._..... t _4_ ' = ...��It`d- ,'...................................................... Street ?1� y as shown on the application.for Disposal Works Constructi „:' `�- Dated....,(f ... ...7...: ........... . C` ...... ....... ...... ... — -------------------•------------- oard of Health DATE.... = t� --------------•---•-••----....----•------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS LOCATION SEWAGE PERMIT NO. Ad, VILLAGE' INSTA LL R'S , NAME A ARDRESS S U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED` t .. LOCATION 5EW&C4E PERMIT U - - - - - INST °LLERS WAE ADDRESS BUILDER 5 Q L MF- ADDRESS DATE PERWT ISSUED' --/ DATE COMPLI &KICE ISSUED : '�.. 4 J � -� �� ¢ '� ,g l�'� � 3 f �� d � d � A LOCATION 5EW&C,E PERMIT Q —44A lose IMSTQLLER5 ► &NIE 6 ADDRESS BUILDER 5 Q &M ADORE SS DINE PERMIT ISSUED PATE COMPLI W-ACE ISSUED : a i fie•.,_ `�� Nrz a. 'to 4. _ "-Z. No.....1.3.103---- Fas...,!(d... THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH0 F...... ........(CA-�A) lam`' Applirati n -for Bi,q oottl Workii Towitrurttona lirrmit Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal System at: s 'a I "� Loc tion_Addr s or o. ------------------------------- D . - . w owner A r s ... .. .. . ------------------------------------------ V � d --....................................... Installer Address d Type of B ilding Size Lot ..e.........Sq. feet U Dwelling—No. of Bedrooms----------- -.Expansion Attic ( ) Garbage Grinder ( ) per, Other—Type of Building ---------------------------- No. of persons-------.�,---------------- Showers (,'�) — Cafeteria ( ) a' Other fixtures ---•--------•-----•_-_--_-- w Design Flow_ _________________ - _�__.___. lops er person per day. Total daily flow--_--_ _._____..__..................gallons. WSeptic Tank Liquid capacit n Length---•--•-----•... Width---- --------- Diameter---------------- Depth---------------- x Disposal Trench—No- -------------------- Wi th tal Le �ham�.-.-:�`�/ Total leaching area sq. ft. 3 Seepage Pit No ...._...._._ Diameter ( __ w n et":............... Total leaching area-.-•-..-_---._._-_sq. ft. z Other Distribution box ( ) Dosing tan ( ) '-' Percolation Test Results Performed by..._:'.- __. _ _.1 ..:.................. Date--_-.-----. _ a Test Pit No. 1................minutes per inch Depth 1 est Pit-------------------- Depth to ground water...----.-.--.--.--.--.-. f� Test Pit No. 2................minutes per inch Depth of Test Pit.--_----_--_____--_ Depth to ground water.....:---__- .-_--.--- 0 ... # r Desert ------- Description of Soil-----.-..- . .._ � - p - .. 1 .�..1_-- U c ... --_... -_..... " 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 Article XI 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 theboa-0 of h alth. 11 Pate . Application Approved BY �� - ------------ --747 � ` Date Application Disapproved for the following reasons:-------•-----•---••-----•-------•--- ---------------------••----•------------••--- -•------------••-•---------•- •..............•----•------------•-•------------.....----------••--•••-----------•----•-•--•---•---------------•----..........-•••-.....----...---•--------•--•--------------.......------------•.-•--- •--•-----Date--•--- Permit No......................................................... Issued.---�-'�- -�---�- � Date No Q.3 4 ^ Fss. D THE COMMONWEALTH OF,MASSACHUSETTS BOARD OF HEALTH .pplirtttinn -for Dtipuiittl Works Tutuitrurtion Vrrmft . w Application is hereby made for a Permit to.Con truct ( ). or Repair ( an Individual .Sewage Disposal Sys ern at �- `L�o tion-Add ss or o. _.--._ Owner-•--------•----••-------------- 3�G1 f / rZr s a — --........................................}' Installer Address Type of TBlilding Size Lot_-/_&_ .L......Sq,.feet s�r� Dwelling—No. of Bedrooms____________ ______________________________Expansion Attic ( ) Garbage Grinder '( ) r� • a! Other—Type of Building ___________________________ No. of persons_____A---------------- Showers (,A.) — Cafeteria ( ) i w d Other fixtures d-------------- ----- Design Flow. : _ ns •person per day. Total daily flow___.__ _ -�_-_ _gallons. W t-• ci✓,04 Septic Tank,—Liquid capacit _ ..--=_-__gon Length................ Width -__--- _-- Diameter................ Depth----------___--- I T Disposal Trench—No_____________________ Wi tl ___ ,__ ____ ;_ to L �. Total leaching area-----------___-_____sq. ft. x .Seepage Pit No----------------- Diameter_-----_______- -- p w net_................... Total leaching area:`-------:------sq. ft. : z Other Distribution box ( )' Dosing t n ( ) Percolation Test Results Performed by.__"'-. ___ _ ._ _ Date. ____:_:-:__.--------- Test - rrn �..1 Pit No. 1________________minutes per inch,-,,,Depth " est Pit.._ _._ . Depth to ground water--___-__________-_-__-_. i �.r Lz, Test Pit No. 2................minutes per inch Depth of Test Pit..................... p g_____._.._ Depth t round water.... - 1+i • jf} r , _ Description of Soil------- -U ---------------------------- - + . R F '' �* ,r� --- - ----- -- ---"-- W. f . ..................... {.. j=-- W � ^i -------------I---------------------- ------ ................................................-------- ------------------------------------------------------------ ---------- .................... U Nature of Repairs or Alterations—Answer,when applicable...................................................... ________________________________________. Agreement: l 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 been 'ssued by the boa of alth. eQl... { - •-• - • - ---= - •-•----------•-•---__...----•-. -•-•--•-----ate-•-•---------- ii l Application Approved By---------. - l=� �� - ._. It Application Disapproved for the following reasons-............----------z---------- ----....................... ---------------------••-•--------------•- 1 •.. --- •----�4 --- S Date PermitNo......................................................... Issued.... .'_3 - ........................ -•---•--------•-------------^ Date t �� . ' THE COMMONWEALTH OF MASSACHUSETTS BOARD O F. . • -.r .-��. S IS T CERTIFY,,That the Individual 5ewaft Disposal-System constructed ) or.Repai d ( ) by---•-- c------ --- -- ------•-- - -- ----- -- ---------- •�,► at ---- _--- _ __ e ---- - �. ` has been installed `in accordance with the provisions of Art�ic��le XI of The State Sanitary Co as de scri m the tapplication.for Disposal Works Construction Permit No----- dated-- f._ ?__ _:. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE ON RUED AS A GUARANTEE IHAT THE SYSTEM W14 FUNCTIO SAT SFACTORY. DATE--------- 1-- t 'r Inspector. 17 t v THE COMMONWEALTH OF. MASSACHUSETTS BOARD F HEALTH V N .. FEE./ ..---- BisV' orkii true ian ruf f Permissi4.ehereby grante ........ -- .. ... " o• t ( Re' ) n- In v• a isp al Syste at Const�r„u / t y - pit .. � - .,.�.5 3 as shown on the application for Disposal .Works Construction ermit` -- _______ Dated. ,'. � 9 `i '�r +/ t --•cam "K oaro ealt -' t 1 DATE -------------=------------------------------------- , � ;., CORM 1255 HOBBS & WARREN. INC.. PUBLISHERS _ « - F. a r RAL"L: x �. :, i r -N `` . Lz 7-V TS J_ En a4_M 1�oye.tt- � 07 52 M C7�7 F AP P _T f 1V • fi i f " I I '.: z �? --H' 7VZ4 ,