HomeMy WebLinkAbout1077 MAIN STREET (COTUIT) UNIT #A - Health 1077 MAIN STY , COTUIT
lA=034-059 LOT 1077A,B
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04091 0 TOWN OF BARNSTABLE _
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l.r)CATION SEWAGE #
VILLAGE C� 7-v t
ASSESSORS MAP & LOT D3kn-�4
INSTALLER'S NAME & PHONE NO. �''-�� S'-� 3
SEPTIC TANK CAPACITY S 0 0 G
LEACHING FACILITY:(type) 31?,C'Cd4S"7' (size)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNERf
DATE PERMIT ISSUED: /r it
DATE COMPLIANCE ISSUED':-
VARIANCE GRANTED: Yes No `"
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ASSESSORS MAP NO•
gNo.... .. PARCEL NO' Fes$....---.30.----..........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Appliration for Diva i!ml Mirk, Tatuitrurthin ramit
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
System at: /0.7,7
OUTM __. -- -j---- .. d __G
.. --------------------------.
ALICE ED6AV011 = �
-Address SAME or Lot No.
......................_............................................----------------------------- ---------------------------------------....--------------------------•-----•----•-._.....'.....-•--
owner Address `
W ................ARCH...CQNS.T...C-0.....--------------------------------- ���
a Installer � �&PT'A � Address
LJ�J, 7V
� Type of Building Size Lot............................Sq. feet
.., Dwelling—No. of Bedrooms._--4
Dwelling Attic ( ) Garbage Grinder ( )
aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( )
a Other fixtures --------------------------------
W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capa6ty15Q_Q..gallons Length---------------- Width................ Diameter---------------- Depth................
x Disposal Trench—No- -------------------- Width____-.--_--_.- ---_- Total Length-------------------- Total leaching area....................sq. ft.
Seepage Pit No---------1........... Diameter-------6----------- Depth below inlet......6............ Total leaching area..................sq. ft.
Z Other Distribution box ( X) Dosing tank ( ) -
•-' Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water------.-..---_--_--_---.
Lr. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ------------------------------------------------------------•------------------------------------------
•----•.............................
•------------.-----
0 Description of Soil---------------------------------------------------------••--•--••-----------------------------...-----------...----------------------------------------------------_..
x
rJ -----------------------------------------•------------------------------- ---- =
UNature of Repairs or Alterations Answer when applicable..UPGRADE TO TITLE V
--__1500s-t------Dbox......t_l.)....1.0-0-0...1jaachp.i-t......xi-th-..3...fee-t.._stc stcae.
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 Compliant has been issued b - he of health.
3/20/95
Signe --- ..--- ------------------------------------------ ----..---------------------...:....
/� to
Application.Approved l ------------------- ---:------------------------ -----
.-------------------------------
.-------
--���---------------�`
Application Disapproved for the following reasons- -------------------------------------- --------------------------------------------....................................
.. ............ ............. ............. ....... .......--------- ---- ---...-------
�--•�►�' to.r--
Permit No.
� � `` - Issued ............... -. IFJ .....
Dare
No....!Lt✓✓...__.�'.�� l'' FRs.......3.0...............
S I THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
Applirtt#ion for Bhnp ial Works Toms#rnr#ion rantit
I.
Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal
i
System at: /0,70'
MAIN STREET COTUIT4i !l� --- r
ALICE EDGAWO"-Address SAME or Lot No. '01 , .7.9 r
•-•--•------------------------------------------•••... ------------------------------••-••----.....-•----------•-••--•------•-•--......----••---...------
Owner Address
................ RC-U--001CIS ---CQ------------------------------
{:Q Installer � �� C&PI ...AG
S Address
UType of Building — l/ J ]� Size Lot............................Sq. feet
Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
a Ot
-
her—Type of Building ............................ No. of persons............................ Showers ( ._).---.Cafeteria
a
� �71Other fixtures --------------------------------------------------------------------------------------- ------------------------------------------------•----••-•----
W Design Flow............................................gallons per person per day. Total daily flow--------------------------------------------gallons.
WSeptic Tank—Liquid capacityl 500--gallons Length---------------- Width---------------- Diameter-----.---------- Depth................
Disposal Trench—No. .................... Width-------------------- Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------1........... Diameter....... ----------- Depth below inlet......6............ Total leaching area..................sq. ft.
Z Other Distribution box ( X) Dosing tank ( )
." Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................
Test Pit No. I----------------minutes per inch Depth of Test Pit..------------------ Depth to ground water..............--........
(14 Test Pit No. 2................minutes per inch Depth of Test Pit.----------_-_----. Depth to ground water.....................--.
a . '/"` ------------------------ ....................................................................................................................................
0 Description of Soil.............................................................................................................................. ..................... ...................
x -
W ............` � 'f `'� 9ff gip? /, Q �� �. ' -
U Nature of Repairs or Alterations—Answer when applicable.-UPGRADE�TO TITLE '`—
.............................................------..................................
-- 1500st......Dbox Qkl.91t......with---3---f-e-e-t...st.an.e.....................................................
Agreement.
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
r 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 bathe b •td of health.
3/20/95
Signe .��....... ...r --- _-------------------- e..- ..:..
i
Application.Approved 1�� - -- G...............6Due
2t -.--.-._.... � ITf� �
j Application Disapproved for the following reasons: ---.._-------------------------------------------------------------------------------------.._...-------------------------------
- --
------------- ---------------------
Permit No. ...... .-.-
Issued .........................�'---���------
Dace
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
�LPrtifi ate of 10-To tiplianre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by ----------------------ARCH_ C.ONST----GO---..----_-----....----------------.---------------------------------- ---------------.----.-.---------------...---------------------------------.---------------
Insrnller
1081 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.q_, .;.�.�-.. ------ dated e�1..7777-7- .45.--'_�-;5
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION S7-7
ORY.
DATE - Inspect _._....__... -
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No..
• FEE... ....... .........
�in�rn�tt1 nrkn Bann#ra�r#uan �rrnti#
ARCH CONST CO
Permissionis hereby granted------------------------------------------------------••-----------------••------••------•---------•-------•---- ............................
to Construct (( ) or Repair ( X) an Individual Sewage Disposal System
10$1 MAIN...STREET......C.Q.�'.U.IT..---•-•------- ALI- CE--...ED.G---EDGA-R
- -- --------------••----•.......--•---
as shown on the application for Disposal Works Construction Perrfiit'1Vo `�`��ted_---------.---.----. .:....
_
DATE � g .....................
- Board of Health
�----•�-� —'�----
FORM 36508 HOBBS&WARREN.INC..PUBLISHERS
fb7� �1j� 5 �2� is 0 16
LOCATION SEWAGE PERMIT NO.
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VILLAGE r�n -7 '� -0�3
3V
I N S T A L L E 'S N E i ADDRESS
R U I L D E R Q R OWNER
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DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED !' C~ `t - , 3`�
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SUBJECT TO
IN'
No.. ............... Fps..... . ........
C® n.�iSS10W
THE COMMONWEALTH OF MASSACHUS T
BOARD OF HEALTH
..1 1.. ( .... '.a--tom . -. ...
ApplirFation for Disposal Works Tous rur#ion amit
Application is hereby made for a/Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at: , As� eg 6,llaP
L
........................40�� .................................................................................................
.... - .... Address;. . .................................
... - t No.
. -......_._.� � o'm
L L Owner Address
_._..._...__`:.... ••.
..................k
M InstallerAddress
d Type of Building Size Lot...
U Dwelling—No. of Bedrooms._.. ". .....Expansion Attic 0j's Garbage Grind.
'4 Other—Type of Building ..... No. of persons........................ Showers
Pa YP g -----------•-•-•------- P ---- ( ) — Cafeteria ( )
Q' Other fixtures ...-•---------------------•-•---•------•-•-----•---......-•-•-----------•---•---....._.._........---•-----.....------......._......••-•••---•••-•-••--
d -
W Design Flow...........-6.......................gallons per person per day. Total daily flow:._ZZQ..........................gallons.
W Septic Tank—Liquid capacity .gallons LengthlE�'-G..____-Width Diameter-_=...__..._ Depth,;�-�.P_1
0
xDisposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No._.A_--._-_- Diameter.....--------- Depth below inlet.....6_�....... Total leaching area... .sq. ft.
z Other Distribution box Do •�11'4.475
Percolation Test Results Performed by. .__� ?� ______.___. Date._s�?`_ .'_8 ........
Test Pit No. L.4-Z—minutes per inch Depth of Test Pit....L:T�....... Depth to ground water_1�1�44"1A__'.C._ . C�xe�
fs, Test Pit No. 2..�, —minutes per inch Depth of Test Pit......1.�.... Depth to ground water._/�.k�1t_g:Z C
a
e i
O Description of Soil....... ..` .........4� 4s _ __.----_�- 1�.... ,• '-- ,-f......•. ---- 43
U ----•-•••••••••-•••••-•-•-•••••--•---••--.........{-•-..•••••-----------------•----••....-----••••.......-••--••••••._......--•------••••-•-•--•----••-----•-------•••---•--•----•-•-•---•--.........•--
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 TITALE 5 of the State Sa ' ary de—The un ersi ed further agrees not to place the system in
operation it a Certificate o C mpliance ha i sued by and of ealth.
igned••. •---•-••--•-•--•-•--------- •• .......---------------•------•-•••--
I Dal,/
APPI APproved BY .... . 1 6 ....
............. ` f
Dake
Ap ication Disapproved for the flowing reasons____________________________ ..........................
•-•-- ••---•••••----•-•---•-----••-._......•-••-•-•.......
Date
PermitNo......................................................... Issued_.......................................................
Date
No................_....... Fim..........................._
THE COMMONWEALTH OF MASSACHUSETTS
-y-� BOARD OF HEALTH
Appliration for Disposal Works C oustrurtiun- Vernat
Application.,is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: Y l ss'-r_55c,e s I-A A.
Location-�Address rsI;ot No.
Owner Add
��..� ►s �� l C� 1 �� A 1� �' Cam:ry i
-•-•-•. ............__..-----••---------------••----•----------•-----------•--•--------------- -------...---------•-•---._._................ -----• ............---•--
ress
W
Installer
Address `i I
UType of Building Y Size Lot_____________________T_------#e-ft
�.� Dwelling—No. of Bedrooms._.___r�'___......................___________Expansion Attic (K )P Garbage Grinder (Orl
Other—T e of Building No. of ersons____________________________ Showers
a YP g ---------------------------- p ( ) — Cafeteria ( )
d .Other fixtures -------------------------------------------••----------•-----------------------------_.------------------•--...-•------------•-------.._.._.._...----
W Design Flow.._..___._._ ?` __________.............gallons per person per day. Total daily flow____Z ________.................gallons.
WSeptic Tank—Liquid capacity_�� gallons Length".<_ ��__ Width:�`-1 h"' Diameter___ _________ Depth_ � _r-t
x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..__I_____________ Diameter.--.. Depth below inlet..... `-a __ Total leaching area... sq. ft.
Z Other Distribution box (��)5 Dosing-tank O
~' Percolation Test Results Performed by..... t!'./'._1)�_t=.:__ _&.C--_________. Date.... �` . �--_-.
Test Pit No. 1__4Z�-__=_.minutes per inch Depth of Test Pit----)__. -_____._ Depth to ground water_.�p 114
44 Test Pit No. 2___Z__2,_minutes per inch Depth of Test Pit.......!?=: ___ Depth to ground water___ &Q i tPo,!ZUC
i
a+ = -
D Description of Soil........ L._._` ____.__ --1-t--�----..- 2...-- 4�.. L S_t��.� C..o•r 4a, r
x
W
----•---------------------------------------------------------------------------------•---------------------------------------------------------------------------------------••-------._...._.._------
M. 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 TITLE 5 of the State Saniitary Code— The undersigned further agrees not to place the system in
operation votil a Cer ificate of pliance has been issued by�rd f hlea
igned--•� -�" r.
Da
Appli at Approved BY = - - - ----- -- ----------- •----- Z�' e g
D e �
Ap ication Disapproved for the lowing reasons:-----•------------------------------•-----------------------•---------------•---------------------•-•••-----_...
---------------------•----------------•----•------•----------------••--------------•------•---------=---------------------------------------------....................................................
Date
PermitNo.......................................................- Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF..:..............................................................................7...
%Enrtifiratr -of Tnntpliatta
THIS IS TO CER�jI Y, That e In iv ual Sewage`Disposal System constructed ( ) or Repaired ( )
.._... --------•-----------------------•----________---•----•---
bY------------------ -- - --
p —
at.:........... - -- .�. 'U W
has been installed in accordance with the provisions of TITLE 5 of The State a.nitary Cows described in the
application for Disposal Works Construction Permit No......................................... dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE....................I L'e� ..........-•--
................ Inspector............. ............ --b.. .......•--
` THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........:..........................O F...-............_.._---...__............_..._.._-..._........__._......._........... O
Q i-
No ----• d FEE............ ---•-
Disposal nr � tr i n amit
-Permission is hereby granted...............
------•.. •---- - - �-----------------••----------•-•----•--------..._.._...-----.........
to Construct ( ' ) or epa>r (� ) an Indio d I. Se� ,e Disposal Sys
w .....
Street
-
as shown on the application for Disposal Works Construction Permit No.�5______ '__C�Dated.......... . .-.-
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DATE....= -..� of I l
1�pRM 1255 HOBBS & WARREN. INC.. PUBLISHERS .��•
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