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Home My WebLink About0395 MARINER CIRCLE - Health 395 Mariner Circle Cotuit --- A = 024 069 'r� r q '1 LOCATION SErjAGE PEIMIT NO. ZDT // IVA II Z-IR C//?CGE VILLAGE C07017- INSTA LLER'S NAME ADDRESS 7.%�O C oNS T2 vC 1oA1 Cv, UILD .OR OW*ER DA T U P ERMIIL ISSU E0- DAT E COMPLI- ANCE ISSUED �� LO CAI ION SEW,,A_GE PERID1T q0. VILLAGE 4 o 7 L) INSTA ER'S NAME i ADDRESS Av�lo TH, BUILDER OR OWNER o DATE PERMIT ISSUED DA-T E C0MPl1ANCE ISSUED- n. r IANK THE COMMONWEALTH.OF MASSACHUSETTS MAP ' BOAR® OF !-1 EAL+T� PARCEL, ; O(o0I ..Q� E..t.'�0-..................OF...-... e .7.4 _ .. ...------- .�' 3q5 / Appliration for 11ispaiial Worko Tomitrnrtinn rnmit ,� Application is hereby made for a Permit to Construct X) or Repair ( ) an Individual Sewage Disposal System at 4FE--- ........... . Lo tion-Add sts .. : ------. .. .. ......... . o •-- r Lot o �. ... .. .. ... ... .�*---...........---- owner - �D 'b�0� ................ ............•-••••••.........------------........_.........._......__.._..-------------------_.... Installer Address U Type of Building Size Lot. ' Qt_ 93_._Sq. feet ►-� Dwelling—No. of Bedrooms__________________________________________Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building __ _ .___. No. of persons........ti f.(�_._.__.___._•_ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------•-----------------------------•-•---••-•--••••-••••-•-••--•--- ................... W Design Flow............. .....................gallons per person e� day. Total dalflow..____.__ ®..___..._._______._.___gallons. WSeptic Tank—Liquid capacity/QQ0_.gallons Length_�_�____ Width_�.9___._ Diameter________________ Depth................ x Disposal Trench—No_____________________ Width. �_ _. Total Length______._...._...:...Total leaching area_._.._,�_,_.�.. s . Seepage . .... Diameter.......�--- - Depth below inlet.._ �.-•-•-• Total leaching area_` !`v See e Pit No__________ ____ Z Other Distribution box� ) Dosing }?k ( ) ®/ ''" Percolation Test Results Performed by___Y240d, � ! ...�.�._4�� ......._..... Date._._. .;A6 [7 ......... Test Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water_.�� 44 Test Pit No. 2................minutes per inch e th o T st Pit.................... Depth to ground water(!-0_..........___ Description of S oil-----....._.••-•• ®!!►^1 ... .----- - ------3 •-••-•...5s �®, 1 V 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 iITLL 5 of the State Sanitary Cod The undersi further agree not to place the system in operation until a Certificate of Compliance has been sued by the bo of hea Signed.,_ •- • ........ ..•---•----••-•-. ................ Da Application Approved By.......... •••• •- ...... --•• •- •---••--------- ------ �- ...... Date Application Disapproved for the following reasons--------------------------------------------------------------------------------------------••-•••-•----•-•------ .........-•--•-•-•-•--....----•-••---•-••.._.__.....•••-•--....•--•-•-•---...--•••----•---•---•-•--•....---•--••-....•-•••••-•--••-••••-••----•-...••-••••-•---•----•-•••-•-•-••----••••--•-•-•----..... Date PermitNo......................................................... Issued....................................................... Date L No :39 5 %' Fps...... .4.. THE COMMONWEALTH.:OF MASSACHUSETTS k BOARD OF HEALTH/ ...................... .................•••---------•.....••••..-•--•- ApplirFation for Dispati al Works Tnnitrnrtiun Famit Application is hereby made for a Permit to Construct (y<) or Repair ( ) an Individual Sewage Disposal System at: . f / �.., / Location-Address / r or Lot No. 41, ......................»»... .... ............................................. ..........--...............................................................................»..... / e Address/ //lOwner�/.� //1*, r i ` f ft Installer Address Type of Building — Size Lot..._!.-:';__, _%... ..Sq. feet aDwelling—No. of Bedrooms................... ....__._..____..__.Expansion Attic ( ) Garbage Grinder ( ) p-I Other—Type of Building f r r_.. _ r No. of persons........ ................. Showers ( ) — Cafeteria ( ) dOther fixtures ...........................-J...................................................................................................................... W Design Flow..............`..._..............................gallons per person per day. Total daily flow.........? �-...................._..gallons. WSeptic Tank—Liquid capacity.Mf"l._gallons Length.. .//". Width..��.�_._ Diameter________________ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area_._.........._.......sq. ft. P g ... --- P _ g ..:e.•• •....q:"ft. See a e Pit No........... ... . Diameter..._....: .._. De th below inlet.._. � ': Total leachin area._ ?r ' ', Z Other Distribution box (j Dosing tank ( ) ..................................... Percolation Test Results Performed by._..A./1! !!-!'!'•.-:.../..��'�!'.!_. . � /�� f� �a Date . ----••.. ---- -- ,� Test Pit No: 1................minutes per inch Depth of Test Pit------------_....... Depth to ground water.......:................ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_//....r.......... Pi .. . . n ! 1,0*�If 1 . O Description of Soil..................: •- � .a1=I!.:\......... ------------------------------------------------------------------------------ x ;t `.i i r . 1 V .-------------•-•--••-•--••-•........_..•••---•----•-----•----••-•••••.........------.•--- .- ------ ---- ----------- •--..---- 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 TITI,4 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. ��/� / Date Application Approved By.........,.,�:'.""�� /+ram5 ,� -2 D e Application Disapproved for the following reasons:_..----•-----------------------=----•-....-------------•-----•-----------------•-===-----------------------•---- -•••...........•-•-•---------•..............•---.....---•-•••---••-••-------------•-•---••••••-------------..........••---•--••--•--•••-•---••-•-••-••--------•----••-••••-----••---••••••-••--•-•------ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1l....�.�/ OF......f...�...!..�. " ... f .:.................................... a ........... ... ..... ...................... Af (9rrtif irate of TomplittUrr THIS/IS TO CERTIFY, That�the Individual Sewage Disposal System constructed ( ) or �epaired ( ) by............... / .........-J....... --•-................................................................................................................. alter at.---•-=•-• ..... ........./_.. �.� .. "i f ..... 0 has been installed in accordance with the provisions of T "' -6 ' of The State Sanitary Code as described in the application for Disposal Works Construction Permit No. /�. fr .............. dated.-......................_....................... THE ISSI ,NCE F THIS CERTIFICATE SHALL NOT BE CONSTR ED S A UARANTEE THAT THE SYSTEM WILL FU '�PT,ION,SA_TISFACTORY. DATE....../..� .�..y..v._-...----------•--•----------- Inspector...: . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i OF.. �' .o,/ . �e A ........................... `---•----"..' ....................... FEE...��t?........... �t��g��1 nr�.��'��an�trnrtuan rrnti�, -7-- Permission is hereby granted._...f --- -- --/ -- to Construct (V) or Repair ( ) an Individual`Sewage Disposal System at No...../...... !/ / . ff - / - -; ..................................................:.. -- /' / J / /tom,.vt �it i ./ Street t ./ r cr as shown on the application for Disposal Works Construction Permit No.................r.. Dated.......................................... Health DATE.................•� of Health �� .............................. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS rq a ..• $ -gn. .., c _} t tz' .•. k�jr ;Lm .v ,tt:: t:X -. ~� 'd. :w� •'x�cs_y:. -_ �?- iffy�`r ..,.I � "` y i � G 6 f �;;.'- � 4} v �.. ,�j(t _ {1� '.• j +yam(. v £ -J'}'L •_ h _t t• 4. 114 _.22.283 i.2. tl a _.• 10 LI nj^ 11 1 FOUNDATION, T/0 ,) in 9 , P, I � - � O / UI / �1ttfVtVi� '� �/II�V SE TT� {I t 0MVEU BY Cc';�JS:'� . CC • ~! , ; r L rl SCALE / ''=Sa' DATE 4UG• �, r q�/ r, r 7 r j r' NORMAN G,ROSSMAN- — REGISTERED LAND SURVEYOR S. r - 1 I HEREBY GERTIFY' THAT THIS F0►1/'10moH IS LOWED �" r ON T-►E LOT AS SH N OW AND CONFORMS TO THE TC'.:�tY 1%' ^ of P:RRISTABLE ZONING Rc'GULATrONS RF-GARD!"+G � ;;� ,;^;?� 7 ST�CET Ll":FS I::IO LET ;'..t rr's . 4 ----- - __-__ _._ '-�'--- C�-��.J E�..Icy,t-. ►U C��.�-.,`; - -T~ ��— � t�1A�s SEA L.6&\/('t_ BA+SE'D o;.1 U S..r �' G.5 . Vts-rv►'.� tR..�►..►..l�. 'Pt TC-W A L-k,- L. 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