Loading...
HomeMy WebLinkAbout0607 MARINER CIRCLE - Health 607-Mariner Circle 'Cotuit '- A = 023 -'033 ti 1. S. • eg f � i.. q Lj 3 i �.. i I - Tj �. . e 4 1 .._` 1 60-7 LO CAT 10 SEWAGE� P,MIT NO. VILLA//GE INSTA LIER' N ME i ADDRESS G U I L D E R 04 OWN ER DATE PERMIT ISSUED ��- 3 - DATE COMPLIANCE ISSUED /���L -� �1 '�... ` ^�. V- �� �. .� q W � �N I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r ....................OF.... ............. .............................................. Appliration for Disposal Works Tontitrnrtion 1hruat Application is hereby made for a Permit to Construct Kor Repair ( ) an Individual Sewage Disposal Sysat' ....- • .....................................................o .............••- Lo NLa ...............» .......- .......... ..--• ..........•• ......•••... •-•--•........................... _64 a Installer Address UType of Building Size Lot.s .. ......Sq. feet Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Buildings No. of persons Showers ( ) — Cafeteria ( ) 04 Other fixtures W Design Flow.............. _.gallons per person per day. Total dam flow_.._ ��..._........_.----------...._gallons. WSeptic Tank—Liquid capacity,,* ..gallons Length./,E/V.... Wldth__6..._..... Diameter................ Depth..... ....... x Disposal Trench—' No..................... Width.................... Total Length.....................Total leaching area........_. .......sq.ft, j Seepage Pit No............. ..... Diameter................. Depth below inlet.....4.A......... Total leaching area... sq. ft. Z Other Distribution box ( j Dosing A.,� ( ) W Percolation Test Results Performed by...... ?� ..... _. :....... ``�.... Date.....,1 ........... 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._ ._ :._......._.. O Description of Soil.... v -•--•--•-•---•--•••---...--- • .•. -/-i 11_ ---•---••••-•---------- - . - - --•----• ••-•--- .. -----•--------•-•--•----•------- -•- • -••---. 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 TITLU 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beerh issued by the b d of Ith. " �® - Sie -- ......... . • - -- .......................................... 1�f ® ate Application Approved By...... ..: .................... ............../ e -- -�+ Date-------------- Application Disapproved for the following reasons:--................ -----.._..------------------------------------------------------------------------......•---- ........--•-----------------••---•------...----------------....--•-------------------...---•---------•----•-------------------------•--••-------•-•-•--•-----•----•---••••---•••----•----••--------•---- Date Permit No....................•----•--•----.....-•---•-•--•-----.. Issued............................ ........................... Date •. s No................ ...... Fim..s. .V.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -•---....fGL%l�~1------------------OF...... /: !=L!JLCvi... Applirtttion for Bi ipasal Workii Tnntrnrtinn ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at Locati u-Add es or Lott No, -. . ., `� e s. ................ Installer Address U Type of Building 3 Size ......Sq. feet �-, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building 116 f"� - _ No. of persons.......... ..�.... Showers ( ) — Cafeteria ( ) QI Other fixtures,-•---------•-•------•• .................................. W Design Flow............... ....................gallons per person per day. Total daily flow-------- :Z�3.Q..................gallons. WSeptic Tank—Liquid capacity.&?_-gallons Length.&../A...._ Width._.,S...�.... Diameter................ Depth................ xDisposal Trench—No..................... Width.................... Total Length.................... Total leaching area....... ......-serft. Seepage Pit No............../..... Diameter.._..., --- Depth below inlet.....U__.......... Total leaching area... sq. ft. Z Other Distribution box Dosing tak,�, '-' Percolation Test Results Performed by.......1!.: ........ Date...... 11 ?f! ........... a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water------ .d...I..._...__. (T4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water._. 1 9 ................... --••--•-•-•---•--•--•••------------=------••-----•-------.._..........--------.......-------- O Description of Soil----- ---- tc=------ G� U .---------------------------------------------ac.------_„ .....::- .:--..........................................................................................------------. x •-••-•-••-•--------•-----•----... �yc�---------11Lt....!_.=::,�-. '� J 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 TITILS 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 boa�S of health. Si e f. ` Date Application Approved By...... `�� /` ` :..................... �-l.....3`D 0��•'•.._._ Date Application Disapproved for the following reasons-..........................................................-................................................... - .................................•------------------------------•-------.....--------------••-------...--------------------...................................................-........................ Date PermitNo......................................................... Issued_............................ ............................. Date THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH `..............OF.....!> r`'t..�J-14� ................. �rr�if irtt#r laf`�f�unt��i��t�r.. TIT .S TO CE IFY, hat the ndividual Sewage Disposal System constructed ( or Repaired ( ) by - - ` ,1--------- � .._. --------------- . .............................. / � �,/ Install �/ _ / d at..................... �••• =(" '- j-------- G� :l am has been installed in accordance with the-provisions of r 5 f� he State Sanitary Code as described in the application for Disposal Works Construction Permit No._,a._:.__ -7__5? '.............. dated_--�.___�1`___ ' tG�.�.__..__._. THE ISSUANCE OF .THIS*'CERTIFICATE SHALL NOT, BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.... .........•-•--.........-------------•...... ....---• ----••.•... Inspector ..---•---•-------•••-_.... . �:' -$.: THE COMMONWEALTH OF MASSACHUSETTS BOARD ..OF HEALTH, No........ ... .. FEE... " Bispos ;1 nrkg T onot-��/ ' to r nti# Permission is hereby granted...... r:%.............4.-e.�-....__ R - to Construct ( or .Repa r� ) an Individual Sewagpe Disposal Sy,gem at No....................... 1 �...f ,� �/ t-a= 1�--- ----------- Street as shown on the application for Disposal Works Construction Per o._____:__. .f s ted....//'................................ -----•----- !' r..... l "Z Board of Health �} DATE...... �- I.3 -�d 4/ Y FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS _- - -' IQ—A�.� E�,E�/ St-�.✓•.3 AQ.E MEa►J SEA L.�`IE� o►J U 5.C 4 � 5 CaecT�►.� v��„J E ♦� r ---- _ --L�----- --- �-- Ptt�N A��- 1-i LJES A tic i J , Mvj'-A OF %b'/Vv c' Vr.1 L.CSS OT'*4EZv.)ks F'�t F=k E"7. o 0 1 O j A L-t_ P{PE5 To 4�"D +o.1 T►-}1W- 5Y S$TD M S µA.Ll-. I 2�" - ' i ` � � ` J ( - - - --- - ---- - i dE c.�ST � «2tJ•J � ���L7 V L.E �O P �/•C . .4 AFL SEPTIC TAtilICS fl�ST21150T14iJ 0x , A►J0 I ± Io0m � C� © �•.�%' �(J `� I S 9-e mo✓C AUK. 0"ISj i TAa.L-vc MATE Z t A.L- ®E"EATt-I f0 C) C 0) ; � �4E t��/EQT Etr.E�/ATto..SS OF N �\.-�-' � - - � 00 '_'__ a 1 o � � �� ArJ o �T Q Se,►Jfl �w Ca 2.o..�E� ' ® O I V ( --T� 4E4 iZr.� ETA►2L_ E3C�►.Z D O F -}Es�.I:TH MUST 7 to 6� �,+ I f \.J ® lJ GCS PL ET{o,.� ,a,.l O Pe�o� 'r0 c�-.xF't L-1.1 G Z �, _ �_,,� �o I _➢j 1 UI , (� Q "lJ) il% �l �._ v�., E55 oT�12�, ;sE ►..roLEr�, �►t.i 5�J" " E'� c z S,..JrYAe� t �. ��1Pc1E�� 54 �ts� "�,E ►►aSra��..co ��J 0 G Ty F t C�. D►STrz 1 i!5(j-r-i n 1.10rC'�. L7t�T��2�1.7T"r� B�J►�• A�J V i Oc> C-•�.. -T F'' �A _ i 4''�[�� < �A.� ,j�.P•T-t�_. C�►..�k. P( �` �'� .... ►-. E.A.�.�'1_�"-y�-� P � ( QED 4 FOa�LE� S�PT-i C T r`+ 1 t�- 8Y �1 E.2���, PeFC_hST ►ICE, rA .-I<S { w iTl-•{ E SEC Te.%<=. w ELr D \.1,2C ,1 T-H 1 2d - `�L ErYigET�vEv 'SrL-EL C� S il ^�C-�TE ACCES'�-. "A.►-.►HrC�'::� T'n Tom � � aT-o►�t . cam: �s �C�� P� .��r sE�rrc ���c a.�.�:� ��__�•.,.1�., vrr5 17 tZ> BE 1au��i tP , -0 u--�--�, �--— - F- �t v� F=���5 i a Jam' V {u1 AP..�;e..) \ ---- - 45 ='rota 514 t � pp � /// -Y \ � � , � � � � / .✓�\� ///..J/� tea, - _._+ \ &3 1 lion ll G 00 `!L�_.Ls.r N,I _>� ; �---- _� 1.1�.• Ci { y o o e . � o ® o � • �7 v \ P oo �- �� \ ,\` `� F'E'e.0 C�1...,A.T ��,►_.� F_' �T� = 'V �M ►-1 t�1 c�N ,y P; Gl��_S E�.f�_>`_. v�T�:M P,n� I L E OF35E spa/AT tc>►JS `? — N - P- j � F ,e,_K-► ��. rAP�_cc C3C%AQ� � %>� ►-+F a LTN ZO+ ., t.1C� P.tit �pSaMnJ T,ATE E��r.tfl pr,op a +" 7 PR 0 PoS E 5FwAorL Disposes►%. M L?ESIC'xt <'C ;TE �tA. moo. c� I '7otill - e-�E-j ?- 7 PEfC Sc�► J g f"E - ,F�V-1 Cx>NI --( ►`�1 T-- -- s- 0 �_C 0 (-vAr L L-�J S � f E"O eC:C f?A`� 5� 2, ri t"EAC� ;hJc� PE�vlr��'v 3� `l1j ® nBSE2✓A.Tto�_� T SB t-�c C-'--� ' + MASS. �114 A f 4L� . t� C f Q ._Lam. �S C A L F- AS KJC'FrF-O 0 A TE 1 1 �8•.� . .r_.. _ ,—. . .. .._ —_ `� ,.. •(• - � � • C: �' } ��� s �-Pi+.t..l .�. ( L�ICJ }- - t , � �, .�. SN OF a i{? f - r 2 GROSSM►N, ' x t, Klc-2Me. cow)s5 1Q.13, pE.. '• _ $ 1�70d� " • •p f �2� "OL.L-q 1 crr--"TE2_vt oru� e