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HomeMy WebLinkAbout0350 MAIN STREET (COTUIT) - Health 3 ;0 MAIN STREET, COTUIT t, r. 9 i i 'I ,t r I E l �I� TOWN OF BARNSTABLE _ F 37A LOCATION -�50 °V91,10 ; / SEWAGE # VILLAGE � J Z�f.p% ASSESSOR'S MAP &LOT C -Z—o l INSTALLER'S NAME&PHONE NO. � � SEPTIC TANK CAPACITY A000 LEACHING FACILITY: (type) ®©® (size) NO.OFBEDROOMS -3 BUILDER OR OWNER PERMTTDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 r ©Us Lff) CA ION SEWAGE PERMIT N0. VILLAGE all I N S T A LLER'S NAME i ADDRESS :T4 .i 141, S U I L D E R OR OWNER DATE PERMIT 1 eSUED DATE COMPLIANCE ISSUED I L,OCkTION SEWAGE PERMIT NO. • /�cii h s f VILLAGE I N S T A LLER'S NAME ADDRESS �. ?. f- -^ WBS� �iiJ"diST-- ! _ i�.�. iia'ss. G2668 B U I L D E R OR OWN ER W�� vtr� DATE PERMIT ISSUED 9_ 23_ 255- DAT E COMPLIANCE ISSUED 6� 241, n- No... ........ _ 7 F� .LI............_ THE COMMONWEALTH OF MASSACHUSE77S a BOARD OF HEALTH 4 1�20/� - if/ ........... .............OF �5.. ................................... Appliratiun for Disposal Works Tonstriir#'inn rami# f Application is hereby made for a Permit to Construct M) or Repair ( ) an Individual Sewage Disposal Y�p System at ....1�!.�Qc� ---------------- -- -1......------------ ---•-----.,. ....... ........ ..... ........................................................... Loc tion-Address or Lot No. ........ k ------ � - .................................... ........................................... ....----•-----......................--......-- .......r".!.Y..! ...... ....:1!!. :.<. .:..........•--..........•................ _.... __. .r....... ...........!`..`.c:.%.1'�._::':�::.:...... In. Address Type of Building 3 Size Lot.ZZ A_�:)...Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic 46 Garbage Grinder ` pa,, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) C4 Other fixtures ................................... 3� w Design Flow............ ......................gallons per person $er dpry. Total Mail ow........... _gallops. f WSeptic Tank—Liquid capacity..I allons Lengthe..--.62... Width l'.�._.... Diameter................ Dept ..... x Disposal Trench—No..................... Width.................... Total LengtI4.................. Total leaching area....................sq. ft. Seepage Pit No................... Diameter......a.__..... Depth below inlet......Cpx......... Total leaching area..................sq. ft. Z Other Distribution boxes Dosin tank ( j 11 '4 Percolation Test Results Performed by_. 4 dYjE:....LiJU............ Date. Z.Z.-`.a5.-...... 1.4 Test Pit No. L.4Z......minutes per inch Depth of Test Pit.....`3.�....... Depth to ground water.115ZU(54sAUµT 3ZW f= Test Pit No. 2../.Z.,-----minutes per inch Depth of Test Pit.....'1 ......... Depth to ground water........................ - ....................................................--------.....••--- TS.-�- ..i. x o Description of Soil.......-Q.'s- -► L-zs-k---k4... aao..-L.------. 1p�.a?..4� ------------------------------------------------------------------------------------------------------------------------------ r U . w UNature 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in 7Aal. ' n until a Certificate of Comp)jzn a has been ' ued bylre b f heal '-Signeds.. G --•.................. 1��7 . ../---•-- ion Approved BY ....._ ... ....... .. Date ion Disapproved for the following reasons-----------------------•-----------------------•---......------•--............-----------------------------•----- ................•••••--••-•--••-•----•--•...........--•••--•..............---•-••---•••---......•-••-•---.._....-••-.....--•--••-•---••-••••-•----•-------•••••--••--••-•••-----•-••-•-•••-••••-•••....•. Date PermitNo...c——..(A7........................ Issued....................................................... Date r No.._. ..... .. 7 FEs: ................ THE COMMONWEALTH OF MASSACHUSETTS o , BOARD OF HEALTH Appliration for Disposal Works Tow3trurtion Prrutit y Application is hereby made for a Permit to Construct (W or Repair ( ) an Individual Sewage Disposal System at: ---- ' !!i�_.._��. . �::4 rf~�... ........ .................................w ...... ...-.------------.._...------------.....-- Location- d ess r t o. t1.9 t ------........�--=_ --�i� � -�'------- ---------/U© '�4L_-�--;—t `------------..........---...--•--- A i�t Ad re W 0.4 -_--•-.��.. ......... :..... l. -----•-•----.....----•------••. ------�9//f_dit/i...�---.... C�?.... " Installer Address UType of Building Size Lot_. __C_ -� .-Sq. feet a Dwelling—No. of Bedrooms° .:......................................Expansion Attic ( �r Garbage Grinder Other—T e of Building ..___.... No. of persons............................ Showers — a YP g --•---------------- P ( ) Cafeteria ( ) g -------------------------------••---•--•- -----••-•-•-•-•-----•-•--•-•----- ---•-----.---•-. .• ............................... Other fixt es .. W Design Flow______________7_ ._....._ :_-v--3..gallons per person Aer day. Total daily $ow.......__._ +?:--c.._._..............gallons. WSeptic Tank—Liquid capacity_ ��'��-. alIons Length F'-?_`�___ Width"!��.. Diameter................ Depth:5'.7`J.-_{ x Disposal Trench—No..................... Width.................... Total Length................. Total leaching area....................sq. ft. Seepage Pit No................. Diameter.......E>....... Depth below inlet...... ......... Total leaching area..................sq. ft. Z .Qther Distribution box DosiX4ank (HOC '-' Percolation Test Results Performed by.._C'`�_���_ _1. _. ..`::_ ! ._.__1_ .C..._____.._._. Date... `. .:.G.` -...... W Test Pit No. 1_.L_2_....minutes per inch Depth of Test Pit......) ......... Depth to ground water-_kh-10tcc 44 Test Pit No. 2..,!�:1------minutes per inch Depth of Test pit...... .3-_-__--•- Depth to ground water........................ ----- Description of Soil........ ...........- .1......---•--_..........--•--....---•-•-------------- ............. .......................-= x ��- ....r- ... _... •. c Tom................. ............... .......---•---------------------------------------------•---•-----------•-------------------......----------..........---------- U W VNature 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 TITIE : 5 of the State Sanitary Code—The undersigned further agrees not to place t system in opera ' n until a Certificate of Compj}ann�,e has been iss d by e bo of h (�(`(/( 01 Stgned. <U .. -•--------•----......--•- ..... -`--- :? ....... D t A plication Approved BYs rT- �„r --•------- 2-7 - ------- Date pplieation Disapproved for the following reasons:..................................... •-•----••-••......--•---------•------------•--------•....................•------•----------•--------•---...----------------------•-------------------•-•---------------......--•.... ......--•---•--- Date Permit No.... -1 J.Z`---7--------------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF_ HEALTH ............I.............................OF..................................................................................... Curdifirate of TompliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( 1/) or Repaired ( ) by...........X- .4V. k 11, ¢...............................................-................................................................................. Installer at...................j a..-j............G..---•------ !1 ........ ............ T V I ----•------------------------------------ has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__. ��" 3. ................ dated........� Z._-4 -. ............. THE ISSUANCE OF THIS. CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE A SYSTEM WILL FUN .TION SATISFACTORY. DATE---.....---- .�.__ �z.......................................... Inspector............... . ... .. V - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,6J 0 F..........................:.......................................................... �Sovr-' No.....................? FEE........................ Di ## sal Works Tponstr ion "rani# Permission is hereby granted-.....t7e ......A41 u.....................I" to Construct!f(Y7 or Repair ( ) an Individual Sewn a isposal System atNo..........f-»_n i ... �'�...........................� ........ ' ---------- Street as shown on the application_for Disposal Works Construction Permit No.l�:����___ D ted._.�+��• �_A S_ '! f Board of Health _1 r. DATE...... A--- ...........5.................................... •.FORMM 1255 HOBBS & WARREN. INC.. -PUBLISH.ERVI ICES/G/�/ 0.47"Q i OD 99, N.�.;•.:GAIZt3aGf✓:. .G'L`i�1:�DCtZ.' � • • / •. C.o Flrov G. P. D. SEPT'1 c: TA(vK- 336 X 15070 * 495 C—.P.D. 21, Soo 58'� oVtv t 0 1_rx�`�f n►� � a • ISO is-o i:, '"k IL 3� a; P. o. s R lr:A _ So S-F• . 4 +v /o1 f rtop :yT'oTAL 1>Aw.Y . 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( I CL. 1 z r NEW EXISTING BASEMENT NEW 11 I, BASEMENT I 9 � NEW � I I B BATH. FAMILY ROOM OPENING II I m I o•n•.e•-r KITCHEN I I I CL• GL• I I III I � I I I� I III I I I III MASTER III BEDROOM �j I I NEW -I I LIVINGS ROOM I DININCs ROOM > BASEMENT PLAN e u ---------- GL F J sue,�•. I I I I � I I I NEW PORC I I I I I NEW I I FIRST FLOOR PLAN UNFINISHED SPACE UNFINISHEDSPACE I I I IL 11 SCALES I/B•.p_p• 11 l I' I `---------------------- I I 1 SCALE OPEN I 1 I TO BELOW I III m - E. 10 15, 20' L J I J I' III III ADDITION TO HALL RESIDENCE -�jI 3370 MAIN STREET COTUIT, 1"1A SECOND FLOOR PLAN EGALE•VD'•I'-0• ------ 9 SHEET 2 t