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Home My WebLink About1141 MAIN STREET (COTUIT) - Health 1141 MAIN STREET _ COTUIT / \ 034 - 004 f TOWN OF BARNSTABLE LOCATION I/y/ /( A/,11 59 SEWAGE #—�3- 7 VILLAGE C O fo ! ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE.NO. eel{ a- So.tO SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Z*92 (size) ! 0 ,00 NO. OF BEDROOMS .3 PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER 4A DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No {;� �'� s=� �� .�`, ,� .�_--� �3�'. ; _ 3 O $ 30 . 00 No.... 71.'. d7 Fizz............._............... APPROVED THE COMMONWEALTH OF MASSACHUSETTS am ble Conserva ' n 07,9Z BOARD OE HEALTH iTOWN OF BARNSTABLE igned Appliraftou for Dili.pniiai Burk,i Tonfitrurtiun Prrutit Application is hereby made for a Permit to (.construct ( ) or Repair TX� an Individual Sewage Disposal System at: 1183 Main Street Cotuit ...----•-•--••...............•--.............--•--...---•--•-----------.......................... ------••--•-...----------------------------•-......_..._..........-----•--•-••-----•...........--• Location-Address or Lot No. 3 • ...._.. .......-�* Y ......................^ONner Address W IIistalIer Address UType of Building Size Lot............................Sq. feet t-. Dwellings No. of Bedrooms---------------3...........................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building --------------------------- No..of persons---------------------------- Showers ( ) — Cafeteria ( ) 04 Other fixtures -------------------------------- -------------------- ------------------------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Gd Septic Tank—Liquid capacity------------gallons Length---------------- Width................ Diameter---------------- Depth................ 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ 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........................ a ---•--------------------------------••••---••••--••---••••-----------•.........•--••--•-•--------•--......................................................... 0 Description of Soil-------------------•-----------•----....---..S r1d.,........-•---.....•--•...---------•-----••----------••----••--•••••--•-•--•••-•--••----••-•••--..........----- W V .............................................. ......................................................................................................................................................... x Omit cesspools . Install U Nature of Repairs or Alterations—Answer when applicable.-._--.-------------------------------------------------------------------•--•-•-•-----•--...... .1-100Q..oallon tank 1-distribution box 1--1000 gallon leach bit: 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 ' sued by the b rd of ealth. Signed _.. �--. .......... .... ...... ... _4........ --...... .............1-1.�...�9.3. gre Application Approved By .................... . -- ----�- .............. !.`Date ..--... Application Disapproved for the following reasons: .. ........ ................. . . ..................................... .................................... ......................... . . .... ......... . ......................................................................... . . .... .--.......................................... ..................... ....... . Date PermitNo. ....... .�j....... Issued .................................................................... Dace •T 004) THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Applirativit for Di ri ngttl Work,5 Taattotrurtiaan Prrmit Application is hereby made for a Permit to Construct ( ) or Repair YX4 an Individual Sewage Disposal System at: -1183 M_ ain.._Street-•Cotut .. --- Location-Address or Lot No. ».... ............. ...... ........ Owner Address W ........... -- ............................... tJ aeom er r• Installer Address d Type of Building Size Lot............._..............Sq. feet DwellingXX No. of Bedrooms.............. ...........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) dOther fixtures ----------------------------------------------------------------------------- ---------•---•---•-••••••-•••••-•-•••---...••---•--••__-•---- W Design Flow--------------------------------------------gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity------------gallons Length---------------- Width---------------- Diameter---.------------ Depth................ 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ w Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ----••••••...................•--•---••------••••---•---•••....•---•••••-•-•-•-------..........--•---......................................................... 0 Description of Soil.............................................S.a-?--`f-s-------------•----------------- U --••---•-•-----•-------•-•------------------------••-•------------•---•----...---•-----------------------•---------------------------------------------------------•--...._....--•-•...••--------... W UNature of Repairs or Alterations—Answer when applicable.-._.-.--Omit Cesspools. I n s t a 11 •1•-1000_-gallon--•tank---l-di-stribution box 1_-1000 ggallon leach pit . Agreement: The 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 7bn issued by the b and of •ealth. 11/8/93 Signed �!/ 1 / . A. 1._..... .:.............. ...-- .......................... / ' Due Application Approved BY ...... ......25. .- ,- ............................................................ ..........,1�..-.. .....Q..3 ... Date Application Disapproved for the following reasonf. ....................................................................................... ............................. ............ ................. .................... ... . . .-- ......... . ......................--------------......-------------------..................................................... ...................... ............ Date PermitNo. ....... ...�5. -- �. p-7 Issued ....... ... ....... .................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE C'IEr#ifira e of (1Zumpliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (XX ) by .............J•P•Macomber Jr . ------------------------------------------------.._...----------------------------.._--------- ' 1183 Main Street Cotuit at ------------- ---------------------------------------_--------------------------.-------- --- ----........................-------------------------------------.........---..........-----...--------- ------.._------..._----- 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. .................. ....... ..07 dated .... .............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION iNCTION SATISFACTORY. 11 - c� DATE....................[_�.-... - ,...'......�. _..__... _._.__... Inspector -- ..._, .,...-�-.._......:............... ... ........................... �� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � TOWN OF BARNSTABLE No..... �}-_.� FEE....$...3 0:0 0 Mip aiial Workii Tomitnuliaau f rrutit Permission is hereby granted-----J.P.Macomber Jr....................................................... -_-.----- to Construct or Repair �X ) an Individual Sewage Disposal System at No..... 4ain Street Cotuit -••--------------••------------------- --••••-••------....-••--•--------- ---------•-•-•••-------•••-----••-•••--•. ........................................... Street as shown on the application for Disposal Works Construction Permit No.,33-_��D_-.--) Dated........................... ... . ............ r ------•--------------------------------•-•••--•-•••- l �' 2 Board of Health DATE.-------•-f-�-'-•�--•-------•--�-°�----------------------------------- FORM 36508 HOBBS&WARREN.INC.,PUBLISHERS