Loading...
HomeMy WebLinkAbout0880 MAIN STREET (COTUIT) - Health mA4A t c i • ��� TOWN OF BARN ST ABLER s��j vfr,,:r) �,j LOCATION M oyA-* - SEWAGE # /- �3j 59 73[/(° VILLAGE ASSESSOR'S MAP & LOT D8/ INSTALLER'S NAME & PHONE NO. ✓•1 0V t G ©4-l-0 e,Rr 50-/U SEPTIC TANK CAPACITY 1 LEACHING FACILITY:(type) _(size) NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: l ')L 9� DATE COMPLIANCE ISSUED: +~ 9 �-- VARIANCE GRANTED: Yes No L--*- �,� yo ., .. '�'s' � � � � ,.� . � �� ! � _o �; :.� � n APPROVED 41 stable Conservation Department 1 V No.......... 6­0,� _ � 019 uo- CL 1 Fizs... ...3 Signed IHENWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiou for Disposal Works Tonstrn.rtiun Pprutit Application is hereby made for a Permit to Construct ( ) or Repair 4X ) an Individual Sewage Disposal System at: W>.fflohin Street Cotuit.................. • ..._....... ....- ............._ ........... .............................. Location-Address or Lot No. CaS?Qda:a.e...-.......................................................................... -••-•--••••-••-•-...:•----••-••--••-•-----••••--•--•------•••-•--•--------..................--•••- Owner Address WJ.P:Macomber Jr. .......................................... ---•--•-•-•---------------------•-••-•---...................................................---••- Installer Address Q Type of Building Size Lot............................Sq. feet V Dwellin g No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers — ( ) Q, ••---•-•-••-••----•-•--•----•-P---••--•----•-••--•----•-----•-•--...-•--•---•-•--•......(-•-->-•-•--.Cafeteria -----•... d Design Other fixtures --g P P P Y Y ...............••---••---••gallons. W Desi Flow............................................. allons er erson per day. Total daily flow......._.._.._._. 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........................................ 4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-------------_.......... 44 Test Pit No. 2................minutes per inch Depth of.Test Pit---:................ Depth to ground water........................ 04 ------------------------------•--........-•---------------...---------......-------•••••----•-••............................................................ Descriptionof Soil Sand-----------------------------•---------------------------------------•-----------------------...--•----•-•-...........__. x w -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•----- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... 1-10�0 allon leaching p�t'---------------------------------------•--------------------------------------- --- =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 n issued by e board of health. Signed 11/27/91 — " ....�..� - . .. ........... -'.....------ ---........... ....-...----'...Date----- ---'---- - Application Approved By ...........- ��� Application Disapproved for the following reasons- ----- -------------- ------- --------------------------------------------------------------------------------------- - -- -- ..... ............. .. ....................... . ..--.------................-- . -- ......................................... r Date PermitNo. . .----------_---------- -- Issued ........................................................ Date a NOL.-A I Fizz.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ' Appliraatiun for Biipugal Workii Cnunitrurtiun ramit Application is hereby made for a Permit to Construct ( ' ) or Repair 7�X ) an Individual Sewage Disposal System at: 2 Main Street.-•- C o to. .i t --•---------------••------.........•......-•------........-•--•--••---•-••-•••---..............••. .......- . ............. Location-Address or Lot No. C3nS)d ,�P —........................ ................ Owner Address WWJ P.Macomber Jr........................................................ •-•--...••••••--•---........._...-••-•-•-•........._....•••••--••-••......•-••........._.......... Installer Address Type of Building Size Lot............................Sq. feet Dwellings No. of Bedrooms............................................Expansion Attic.( ) Garbage Grinder ( ) a`4 Other—T e of Building No. of persons............................ Showers YP g ---------•----------•------- P (. ) — Cafeteria ( ) 1� Other, fixtures ---------------------------------•-•-------•------------•----•••--•••••.......-•-------.-------••-••......--•••••....................••••-•-...... .. W Design 'Flow.."'............ ................L./.....gallons,per person per day. Total daily flow............................................gallons. 9 -_Septic Tank—Liquid capacityY.........gallon; Length................ Width................ Diameter................ Depth................ W - Disposal Trench—No......................Width..........._.___._.. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameier..:.f 1......... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box:( ) Dosing tank ( ) 'A, Percolation Test Results ' Performed by..•-----------•---•---•••- ••I-•-......-••--••-••-•-•.......-•--••......•• Date.................................:...... Test Pit No. 1................minutes per inch Depth A of Test Pit.............._.__.. Depth to ground water........................ (z, Test Pit No. 2................minutes per inch Depth` of Test Pit............._...... Depth to ground water........................ (�+ ........................................................................................................................................................... 0 Description\of Soil.................................... and U W ------------------------------'........---------------------...---••---•-•---- -----•............-----•------•----•---•••-•--....••••••---------•-•••••••-----...•••..........------------- ----•--- U Nature of.Repairs or Alterations—Answer when applicable._............................................................:................................. _.1-1000_..gallon -leaching pl-t Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System iti�accordance with the provisions of TITLE 5 of the State Environmental Code The undersigned further agrees not to-place the system In o erasion until a Certificate'of Compliance has been issued by tjhe board of health. }' ...... ........ Application Approved7By ..........:....:. � ............... / Dare Application Disapproved for the following reasons- ----------------------------------------------------- --- -- ---------- - ------------------------ ---------------------------- qq Dare PermitNo. .....L.._l ---------------- ------ Issued ................................................................... Date S THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Telrtifi ate of Contylian e THIS IS TO CEPTIFY, That the Individual Sewage Disposal System constructed ( -,)nor Repaired (XXX) by J.P.Macom er r. .........................................................................................In.---- Installe-r at -----------882..'Main Street Cotuit ----------------------------------------------------------------------------------------------------- ------- -------------- ----------------------------------------------------------- has been installed in accordance with the provisions of TITLE 5 of-The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........... . ..-.: ....?....-_- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE ----------------- ---- -1 ...: -----...........--------------------------- Inspector .................. 4-/.......................................................---.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE FEE.... 3 No........:.......... ! ............:....... RaVvsa1 Vorkn %T.unstr ion firrmit J.P.Macomber Jr.------------ -------------------- ....................... ........... ............ ......... Permission is hereby granted.................... .............................. to Const uct ( ) or Repair (X j an Individual Sewage Disposal System at No._V2---Main_ Street Cotuit ...... ............... ....................................... Street q as shown on the application for Disposal Works Construction Permit No../1::5_, Dated.......................................... ---------•--••--....---••.-• = ............................................. f ey DATE-------------�-/....--�-�---•1..�------•--•---------•-•-------•----....---• ���...JJI Board of Health FORM 36508 HOBBS 6 WARREN.INC.,PUBLISHERS 4� 2 �GrD N TEST AND OBSERVATION PIT 'r3 APPLICATION, FOR PERCOLATION QARcCC �3� • �. LOCATION SSD ° m��lr.` s • No. Y s • y I& VILLAGE Co4u 'TDATE .../ r1�' APPLICANT FEE (Noii-Refundable Fee) ADDRESS TELEP110NE NO. " TELEPHONE NO.. y Z ENGINEER b ' J r DATE SCHEDULED (Appli ant a Si natu ) ** SOIL LOG SUB DIVISION NAME DATE // [ TIME ENGINEER EXPANSION AREA: YES NO TOWN WATER V PRIVATE WELL BOARD OF HEALTH �tlG L.CM EXCAVATOR SCETCH: (Street name, etc. , dimensions of lot, exact location of test Doles and percolation tests, locate wetlands in proximity to test Boles) NOTES: J Li i ,aoo At" �R5 v. PERCOLATION RATE: ELEVATION: TEST HOLE NO: ELEVATION: 2 y. TEST HOLE NO: bP 1 .7op T 2 ` 2 5�.bso,L 3 ��D Sol L 6 _ 6 cLFa1 C.r and . 8 1Vl�� '�� 8 MEDtV 9 g 5 10 5 1 1012 12 , ` ` 13 fZ.=p��.cout� ocr 13 14 PAC, k 14 ,0 WA R b 1 - ! )' M i tiS 15 r y 15 i/�./'1 id. 16 16 .w . 17 18 18 '-^;rf 19 19 20 _ 20 SUITABL E FOR SUB-SURFACE. SEWAGEs >; LEACHING FIELD LEACHING PITS LEACHING TRENCHES UNSUITABLEJOR SUB-SURFACE SEWAGE. REASONS:_