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HomeMy WebLinkAbout0865 MAIN STREET (COTUIT) - Health 865 MAIN STREET, COTUIT A=035.056 f CF LOCATION a SE E PERMIT NO. VILLAGE c�J; (/ I N S T A LLER'S NAME & ADDRESS ice • 20, ,�ciarnb 'l i- S' kk r� BUILDER OR "NE DATE PERMIT ISSUED ._�� �-� � , DATE COMPLIANCE ISSUED III e - , �~ o a I c i co ., . ' THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Appliration for Miyatial Vorkfi Tomtrurtiun Famit Application is hereby made for a Permit to Construct ( ) or Repair (X,) an Individual Sewage Disposal System at: /(����` L�,�y a S'•• k/: ��.�(�w_..)!-_-s Tr ......•...�.............•----- -•--........... - - ......_. Losa,Gion-Add_re"s or Lot No. © Owner /'„ _d ress � C............................................. Installer Address QType of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '-4 Other—Type T e of Building No. of persons............................ Showers — Cafeteria P4 yP g P ( ) ( ) 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. 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........................ -------------�--.,y-••----------......--------- .........................................................-------------------------•---•-------------- ......................................................... 0 Description of Soil.........��jb!._/_ ._ Q� 1.�.� U --•....-------•••-•--------•••••-•••-----•-••-------------•--•••--•------------------•----•--•-•----•-----•------------------••............-•--- W -•-----•------ ----------------•-------------•-•-------------•-••--•----•---------------------------------•--•-•-------------•---------•------------•------.............................................. UNature of Repairs or Alterations—Answer when applicable_____ L--.------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of i1T'.`: 5 of the State Sanitary ode—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has e- issued by the ar of health. Signed.. ••fitL.. -••- �- �^• -•-•-••-•0 Date Application Approved By------ Date ` Application Disapproved for the following reasons-----------------------------•---------------------- ............................................................ ..................................................................................................................................................................................................... Date PermitNo......................................................... Issued.............. .................................... Date 3 No.. �..y��.... .......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH _..-..l.tJ . ....OF.. d.) :.................................... Appliration for Disposal Works Tnntrurtiun Vrrmit Application is hereby made for a Permit to Construct ( ) or Repair () ) an Individual Sewage Disposal System at: ............... 1 t,% 'C ................................. ......... ............. ,{�-� Lg�tion-Add s �y' or Lot No. ..?�� t ._.. k_A. .IyT ' .. ._..-•------- --•- _. ..._.......�..�.. ''�-s''-..��.....-- . •---------•--•---••--------------------------- r'" y rOyw'-ner ' �, ^g ,"tea Adflress a > 9__. .l Elf- / '. �3 ® .......... 'S_. ;, i"c� .Y....----•................................... Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( ) U aOther—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( ) Other fixtures ........._-•••••......•••-•....• . W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 94 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by .............................................................. Date........................................ aTest 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.........�5 - od._ ..s K'r lz ' .....-•-•--....---••---•---•--•-•------•--•----•--•-- -----•--•---------------------•--•-•-.---- x W ---------------------------------------------------------------------------------------------------------------------------------------------- •.- ...•-••-----------•-----------•--•-----------. UNature of Repairs or Alterations—Answer when applicable......, ............... -------------------------------------------••-•--------------....._............ _ `.r!°�''t.,�'�"> �!` P✓ " --------•---•------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITT.;:. 5 of the State Sanitary . ode—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ee issued by the board of health. clSigned.. ... = -----•---• -- 4 ' �•- / _ S Date Application Approved By........ i:.t`f.(. .! l.�s�l� .c %.. � Date Application Disapproved for the following reasons---------------•--------•---••---------------------------------•----------------••----------------•••--•-----.... ---------•----•-----......-•----------•-------------------------•--------•-------•-•-•---•----------...--------------....-----------------------------------------------------------------------•------- - Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH, y�- ................7 ... 0F..... 7.r . .J...age.......................... Tratifirate of Tlantpliattre T al Sewa e Disposal System constructed ( ) or Repaired `� by---- T' ✓ � + T. ✓_:a'e n �t , ---------------•---------•----------_-----•. ••---....-_ .......--- - -r Installer ' has been installed in accordance with the provisions of T 5 of The State Sanitary Code as described in the T - /�?....-•----•.•.... dated----b` -` ; -7 / application for Disposal Works Construction Permit �o._______.__�_____ __ -/---------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................................•--•----•--•----.............••••........... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t ....... J� No.._........../........ FEE. .. P..... Disposal Works Tonstrud' n r i# Permission is hereby granted_..J-0p,. l c' '. . ...._ .. ............................................. to Construct ) or Repair) an Indivi 1. ewage Disposal System ar...........................................................AA_ ... Street as shown on the application for Disposal Works Construction Permit o....4._:..__._.f Dated_._._ ---•-- -------------- 1 , .' i Board of Health DATE.-....../.`..-y'............-----•...................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS } LO C AT ION S E E PE RMI'T NO. 6 4,• , i � VILLAGE c����>�1 f I N S T A LLER'S NAME i °' .ADDRESS i . 4 rr B U It D E R OR QOWN E _ i6 f Y DATE PERMIT ISSUED �;�� DAT E COMPLIANCE ISSUED .., a . 4 t v t . 4 1 1 v QN t LJ4/ 1:7i I 70 14. 44 COTUiT FIRE DEPT PAGE 02 Cotuit Fire Department 0T U Fire, Rescue & Emergency Services G l� 64 High St. - P.O. Box 1632 hu Cotuit, MA 02635 ' Paul A. Frazier 1 Phone (508) 428-2210 hief e a nt 508 02 TO: Tom McKean, Director of Public Health Town of Barnstable, Board of Health P.O. Box 534 Hyannis, MA. 02601 FROM: Chief Frazier, Cotuit Fire Department SUBJECT: Tank Removals, et al DATE: September 25, 1997 A The following tanks have been removed/abandoned since my letter dated June 25, 1997. If you need further information, please feel tree to call me. Thank you. NAME ADURF WAIF NOTES Claussen k=v3y'oklt 20 Oyster Place Rd. 07/23/97 2000 gal. tank removed, Cotult, MA. 02635 no contamination or odor r Rotstein - 68 Bay Rd. P;esen . 08/25/97 275 gal. tank removed, Cotuit, MA. 02635 no contamination or odor present. McGeoch p. 865 Main St. Cotuit, MA. 02635 09/08/97 no 0 gal. tank removed, contamination or odor present. Rogers �S,SoY6 908 Old Post Rd. 09/17197 1000 al. tank removed ,L Cotuit, MA. 02635 no contamination or odor e present. &Jet,— "01 4_� aw i