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HomeMy WebLinkAbout0299 MARINER CIRCLE - Health -`'299 Mariners Circle - - - i Cotuit +\ A = 039 022 d— - ' 1 Y'. ✓� 0 LOCATIO SEWAGE PERMIT N0. j� xolt� X-C) 1 Z—i VILLAGE 03%- ),22 INSTALLER'S NAME i ADDRESS Yo BOLDER 7 77/;/1/,� L19 . DATE PERMIT ISSUED jt & DATE COMPLIANCE ISSUED tI 4 i '1 I �e L ��' _ l � �1 _ �`� . � � �. �' �� _ �� No...........�.7 .� ,, #s3 Fss9 ... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ��.........................OF............B ZWUble ............................................................ 0A q ,fir lirFatiun for lliupuuFaf Works Tonutrurtiun Frrutit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual`Sewage Disposal System at: Lot 58 Mariner Circle, Cotuit, Mae 02W .............. .. . ......... .. ................................................... ......----....-•-••-----•.....-----•-------•-•-------.....-•--•--•---- ....................... Theo Coaatraeti®a cation-Address s• Yar Uu or Lot No. ......................_.......................................................................... -•---••----------•••-------._.............----•-........-•--•----••--•-........---•--......._..... W Spero Theaharidia Owner Address S. Y81'm®lath Installer Address Type of Building 3 Size Lot...20g,75�_..........S feet' Dwelling—No. of Bedrooms...................................•........Expansion Attic ( ) Garbage Grinder ( ) a a Other—T e of Building jl Other—Type g ]„iTld..._..___ No. of persons........5................. Showers Cafeteria ( ) Other fixtures .......................... Design Flow............5 j..........................gallons per person per day. Total daily flow--------',330.................:............gallons. WSeptic Tank—Liquid capacity.1.000..gallons Length._8.A".... Width !?"....._ Diameter:___......`_..:. Depth................ x Disposal Trench—No.....:............... Width.................... Total Length.................... Total leaching area--_--_----_-*....sq. ft. Seepage Pit No.......I............ Diameter.......... '_..... Depth below inlet...V- ......... Total leaching area.596.........94t. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by....NGIUM...GreAn»................................. Date......411M.80................. 04 Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.......Nqme_-_---- 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.__......None a --- -------------------------------- .-•---------------- ........ --......._._.. ........... --•.....•---•------...:----•-......---••-............... O Description of Soil 0+ x -----..1DAK-•--•-•----------------------------------------------------------------------- x ................................... --------•---------------------------------------------------------------------------...........------......---._......._---•-- 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�I':�.;,;. 5 of the State Sanitary Code—The undersigned further agrees not to place the yste in operation until a Certificate of Compliance hajbDeen 'ssued�bytbA�oardof health. Si ed -•.... ----.----- --------•- pl/acethe Application A loved By f / '---_------------- _./Y-.Datte Application Disapproved'f or the following reasons---------------------•----------•----...-----------------------•-----------------•-------------••--•-•-----•-•--. -•-----•-•--....-----•.......................•--...------•--•----•-------•---------......--....------....._.....--------••-------------------------------------------------------------------•-------•--- Date PermitNo............. -... Issued-....i._---....-•-•-- --•-•.......................... Date No.._........ .% �' Fss....��G.. .................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town B- rnstable ...........................................O F...........-...........................-----..............----............._.............. ApplirFation for Disposal Works Tonstrnrtion rumit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Lot 58 Mariner Circle, Cotuit, Ma. 02655 ................_.._..............._._..... .........-..-.-----•------•-------........._.--... ---...............--......-------•----...------............-•---.....----......•. Location-Address or Lot No. Theo Construction S. Yarmouth --------................. ............................................... ......••--•......--•-----••-•--•---•--•-••-•-..........•-------•-••---............................ W Spero Theoharidis Owner S. Yarmouth Address a ........... •-----•.. _.�...... - Instyaller Address UType of Building 3 Size Lot...2 7-.7.....__.._._Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building Iwe-Ili-nel......... No. of persons........6.................. Showers ( ) — Cafeteria ( ) dOther fixtures ------------------•-----------------•--......-•----------•-...--------------------------.._..----•-------•--.._.._.....•-----.........--.......••---- W Design Flow............. ...........................gallons per person per day. Total daily flow--------33.0............................gallons. WSeptic Tank—Liquid*iquid capacity_:S10Q._.gallons Length.$!..... ._ Width '_'._..... Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.....__1------------ Diameter.........$....... Depth below inlet--- Total leaching area.5.96.........S-T.gt. Z Other Distribution box ( ) - Dosing tank ( ) Percolation Test Results Performed by.... .................................. Date......V VA ................. Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.......None....__.___....__. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.......... o�?e.___. P4 --------------------------------------------------------------------•-•-••------••-•---•--•••-•••••.......................................................... ODescription of Soil.....4-6..-----10 m........................................................................................................................................... 6-3 ......-•smbao l...---••---------••-•--•......--••----------------------------------•----------•---------................------•--...---------....._ V •----•-----------•--•----------->.6----•-------- b-123 Med_.sand--------------•-•-------------------------...._..----------------------------------•----••-•--•--------------•-----------...... 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 Sanitary 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. Si ned.... �'` � ✓ /� D'at------•----- Application Approved By.....-- f w_... "` , • Date Application Disapproved for the following reasons:"��- ............................................................................................................._..................._.__...............___......._............__.F...._..._..... Date Permit No.-•••••................••.-•-• --- Issued..------...--•--_.... "..C.... -•------ --s-- ---• Date -•------------ ---•-----.. r� .z� THE COMMONWEALTm OF MASSACHUSETTS BOARD OF HEALTH Town B rnstable ..........................................OF..................................................................................... TOWtifirFatr of Toiitplianu THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (X or Repaired ( ) by.......Spero Theoharidis - i at. 8, Mariner............•.--._ e,_..- o V_,-_._. n.tall�..._._....__......_...__x��4 Lot 58 Mariner Circle Cotuit N.i has been installed in accordance with the provisions of� 5 of The State-Sanitary Coe as describ'eo in the application for Disposal Works Construction Permit N � ......._ 7S"'..............+ dated_...'_7__`.� '__ !-....._........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL F CTION 5ATISFACTORY. DATE....._.. :: .... •.................. Inspector. .... A ..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....,Town Barnstable /1`rJ— ...................... ...OF.......................------------------....----------------....................--- No......................... FEE... .............. Disposal 10orks Tonsfrnrtion prrmit Permission is hereby granted.._Theo Construction ........---•------------------------------------------------------------•---......----..................._.... to Construct ( ` ) or Repair ( ) an Individual Sewage Disposal System at Ma.. ...---------•-••-•-------------------------------•----•-----•-•---------------•---------------.....---......... Street ��// as shown on the application for Disposal Works Construction Per No. ..W.�a4df4 Dated..... .:����:d_ ..._.... y �,,/� 14 ------- HealthF DATE '!. .... --------------•-•-••--•---.......... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS •�. - 1 , �Et�.1E2.AL NOTES ----- :- -, - I - - -- I�-ALL E�.�E�/. 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