Loading...
HomeMy WebLinkAbout1272 MAIN STREET (COTUIT) - Health 1272 Main Street cotuit I } 1,27'T /il 4OWN OF BARNSTABLE LOCATION "'C SEWAGE # VILLAGE �,1p'ty1'j ASSESSOR'S MAP Cz LOT 33-037 INSTALLER'S NAME & PHONE NO. MAV (b 4YZCkr5A�-0 SEPTIC TANK CAPACITY i 5-no 67 L LEACHING FACILITY:(type) 1ACN- rn S (size) too G NO. OF BEDROOMS _PRIVATE WELL OR PUBLIC WATER FUt3QC- BUILDER OR OWNER r,0jSYZLX& SW,p,RTt,.,uc�or� DATE PERMIT ISSUED: cl4 DATE COMPLIANCE ISSUED: �Z' Za► 14 VARIANCE GRANTED: Yes No �C � �� Z 3 Z 3� ?.� w 3 So.S �s � ' � 2�,S 3't. S '; Y 1 L A }bvSY OCF-AAJ Vi lOF R�N�STABLE' LOCATION 1. � /`7 f S _: SEWAGE.#--9 VILLAGE ZJ;, c:; C ASSESSOR'S MAP & LOT INSTALLER'S NAME & PFIONE'NO ` bAJC-F A)(?OS SEPTIC TANK CAPACITY _ LEACHING FACILITY:(typ )'zz /� ! (size) f�Q� NO. OF BEDROOMS 'PRIVATE WELL OR PUBLIC WATER ;, BUILDER OR OWNER�� � DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes , No p 7 7 P �j A ,m cQ 3-7 FFs........16-0.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliratiou for Di-nVooal lVork,i Tottotrurttort Vrrutit Application is herebyd for ]It to Cons r or Z tit an Individual Sewage Disposal System at: j ` ( ) g P ..............•232... ��u......--` d T.... -Add Loci 1 r1r111�r ----- ... 32 0...................................�►F--,-j A,4 E �Z1stT .............................................................. Owner Address w k _ Installer Address UType of Building Size Lot_..$4;�3......Sq. feet t, Dwelling— No. of Bedrooms.___....__4_____________________________Expansion Attic (apl Garbage Grinder $ aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) P4 Other fixtures _______________________________ ___ W Design Flow.......Ss' _ �4____-_______gallons per person per day. Total daily rflow_.._____-l6.(0.....................gallons.�t WSeptic Tank—Liquid capacity Ate,___gallons Length Width._S__'S... Diameter..._..-^..... Depth:� ._�. x Disposal Trench—No. .................... Width.................... Total Length----,............... Total leaching area_._......._._........sq. ft. Seepage Pit No.......2...------- Diameter.....16.`.------- Depth below inlet----G........... Total leaching area._. :;.5..:__sq, ft. Z Other Distribution box NFL, Dosing tank (Percolation Test Results Performed b X_ _. 9..t ................................ Date__ b..S` aTest Pit No. 1....4Z-----minutes per inch Depth of Test Pit---1_T�............. Depth to.ground water_.ld ". rlj fZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 ....----•----------------------------------------•---• --••------------------ -•-•---------........_..•---•-•-------------•--•••........----•-----•-•....... 0 Description of Soil------.0_"'Z--LC -- u-$ ( -�C.'---�� iZ MSS?---:_` 7---------------------------•-•------•------ x U •-••-----------••--•----••----•-•-•---....-••-•-•--•-----•--------••-•-•-----•------•---••-------------------------•-----•••----•---------•--•---•-------•--•-----------------•-•-•---•--••--••--------- w M. ----•------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 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 by the board of health. Signed --- -- ----------- ------ --- -- --- .......... .............. ��NX Application Approved B �� ........._A ......... - PP PP Y � /en_ .... ... ..... .... Application Disapproved for the following reasons: .............. ........... . . . . ......................-- ..............----- ..... --------------------------- --------------------------------------------------------------------------- ----------------------------------------------------------------------------------------- ........................................ ` Date PermitNo. --------79---------& `...7 ............ Issued ------------------------------------------------------------------ Date �y-.._---_.....& Y7 2 No.--•-- ... .. � ;-� � .. " �.. �.� FEB........ . fin.......... = THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diitltt ialWork Cno�t tr tttun Crrmtt Application is hereby made for a P;eyrmit tto,,Con,;truct�( �) or Repair ( ) an Individual Sewage Disposal System at: ` Jf 23Z C . - -,� C-",-k X� C ------- ---------- ---....... "Location` lddrrss �. or Lot-No �NA�LE Y� S ►rt �--`-`'• `'?----_ -2 E �otLi i Owner Address W Installer Address Type of Building Size Lot_.34_,CZ ...... feet Dwelling—No. of Bedrooms._._._____4_. --_-_--_-_______________Expansion Attic (a� Garbage Grinder Wes aOther—Type of Building ____________________________ No. of persons-__---.-_---_.__-------.---- Showers ( ) — Cafeteria ( ) a' Other fixtures ------------------------------- --- w Design Flow......... `�5:0.Yp............gallons per person per day. Total daily flow---------6.�?Q.....................gallons.tr WSeptic Tank—Liquid capacity-1 -gallons Length Diameter--.- Depth___S_.-_5. x Disposal Trench—No- -------------------- Width-------------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------'�'G.' .......... Diameter-_----kO.......... Depth below inlet.... ........... Total leaching area._;5.33.....sq. ft. Z Other Distribution box (yCal Dosing tank (kit) `" Percolation Test Results Performed by------ a -- �-- a Test Pit No. 1...G --__-minutes per inch Depth of Test Pit---A 2......._.__. Depth to ground water_.NoT P.ICp.0 t 1 44 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ a -- ----------------------------------------------------- ----------- ---------•- --.-----_----_-••--••--------- --._---- -9._-_ Description.of-Soil.....©-zA S 1 _t? _ • x ...--•--------•--••- 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 Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed . .......... ............... / �.. .. Application Approved BY------- s��"'^- '' - /------------- ------------------------------------------------- ...//-`- - ?------ V Daze Application Disapproved for the following reasons- -------------------------------- --------------------------------------------------------- . .. ........................ ......... .................... .................... . . -------......----........---.......-----------------.---------------------------------------------------------------------- .................D............ .... ace Permit No- -------- ----y..."...alof' -' Issued . .............................. ....... .. Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE CITertifirate of Compliance Ty. IS TO CERTIFY, at the Individual Sewage D's'p al Sysw,,fiLnstru'ted ( ) or Repaired ( ) Y .,�- - = ----------v �.� ................... b .... -Cs'J. ..��......._... InscJlrr at .......... '�2,._CX-C ti� -- rr--e t t�v----------- t`f'- - - 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. ......... ...t�'_^_.. - ..7, dated -------------------------------------------- . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL PNCTION SATISFACTORY. - ...... ... _ - Inspector - THE COMMONWEALTH OF MASSACHUSETTS t BOARD . OF HEALTH t TOWN OF BARNSTABLE / FEE.. Dispatitt irk �ua� _ taan �rm� f� Permission is hereby granted......... --- -•--------•--•-----•................ to Construct ( ) or Repair ( ) an I dividual Sewage Disposal System atNo...!.�2....Ckt ...... Q --2 -'- ------------------------•--------------------------...... et ! L _/__. as shown on the application for Disposal Works Construction -PateCl�.ct o. - . Board of Health DATE................................................................................ FORM 36508 HOBBS&WARREN.INC..PUBLISHERS z. Ptr-Z&C-M MAe►Jef IQ(, vi WCaI C UG I - I ZI2/vim 5 21¢ • Tt1►�4G Pu.1 � Pert./ I , ., I PP�ciSEA t4, lk : : ; .. 33 3 B I , .33 S N 3 ,oo 3 3 1.. 3 l0/1'AA ,�3 os • �GEA�1 V I EVV Aye OF OF RICHARO. . PETERA. G BAXMR w $ SULLIVAN No. 29733 � ' IS Ate �@ �SOQNA L yti i ;: � 1s/9S7 • 1 ZO �64 lip %D!o d9 -.t I I ! PLT V-06-EM � MAeJLJ to(, I ScAG6 I�1�. 2�.9 �0 5 C�E-Y Ja.�S,9S ... ..:.. ...:.._�. _ j p0.p Zx1 J/'7 ,. : . : • . I i �G 3�..c z� f srbvE 54 2,¢ eov • TANG ��1 � Porc1 I , Joe _ _ .... 3 B • I I 33.2 33 e. . 1 �8 •5� 1 DGEAf�1 VIEW AVC_ �ySN OF:W c_ p���_ mq�9 RCHARO. a� PETER 6A TER w SULLIVAN No. 29733 ISTCia�O � �SS�aMA L v�i E'er s 3 Lo. .� it 777. k .' �..... _ .'_ ' O %D(o• �., GLEN VAG / i LIZ,- -r I� 1 AsBuilt ( Wn/ { Page 1 of 1 . r-a TOWN OF BARNSTABLE LOCATION OCt,&WV l2bN/ "rC SEWAGE # CA - `1 VILLAGE C�!D"I�1"� ASSESSOR'S MAP & LOT 3$-0* 7 INSTALLER'S NAME PHONE NO. MAW {tb ,Ar2CAl.tBpA\..7 SEPTIC TANK CAPACITY LEACHING FACILITY:(rype)(-L� ,LtACV4, pit S (size) too C. NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER FQt3L4 BUILDER'OR OWNER C�AY�,LtS SWARS��+c�ota DATE PERMIT ISSUED: tt cl4 DATE COMPLIANCE ISSUED: .— '14 VARIANCE GRANTED: Yes No 5C l 1-1 z 3 Z ' g Zg,s 3�•s 3 A http://issgl2/intranet/propdata/prebuilt.aspx?mappar=033019001&seq=1 2/15/2011