HomeMy WebLinkAbout0299 MARINER CIRCLE - Health -`'299 Mariners Circle - - -
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LOCATIO SEWAGE PERMIT N0.
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VILLAGE
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INSTALLER'S NAME i ADDRESS
Yo
BOLDER
7 77/;/1/,� L19 .
DATE PERMIT ISSUED jt &
DATE COMPLIANCE ISSUED
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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
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