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Home My WebLink About0032 MASHPEE ROAD - Health 32 Mashpee Road Cotuit -J - - - -- -- - -- - -- - - A= 007 - 035 \ LO AT ION SEWAGE PERMIT NO. VILLAGE INST LLER'S NAM i ADDRESS 22rz 97zizia� OR OWNER DATE PE MIT ISSUED DATE COMPLIANCE ISSUED _,� �` � i �j a cr Na �...q ....._ FEB..................'......„ '_D n /— THE COMMONWEALTH OF MASSACHUSETTS � BOAR® F H E T f �U � --..GL--• ................OF.......... ...� !1?. r Applirttfiun for llispuaal Works, 6mitrurtiun ramit X Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: r. ....................................3j. ......................................... •.---- Location-Addres --------•- -------------•...----•-..or Lot No. ....----S�. . �/ : .. ------------------ ------.......................................... W O ez Address � ....#- � .... -------------- ------------------------------------------------------•-----------............................---- ,d Installer Address dType of Buildin Size Lot..........................Sq. f Dwelling` No. of Bedrooms.._._._...._....__.. Expansion Attic ( ) Garbage Grinder' ) pa, Other—Type of Building ,e4./ e ...I I CNo: of persons........ ............... Showers (Z) — Cafeteria ) Q+ Other fixtures ----------------•--------------- - W Design Flow....................___ ........... per person per day. Total daily flow............�.2'�...................gallons. WSeptic Tank•L•Liquid capacity A4W.tgallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width... ............... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No...... ............. Diameter--------- ......... Depth below inlet.......;......... Total leaching area...2.U./....sq. ft. Z Other Distribution box Dosing qnk a Percolation Test Results ) Performed by....WN1.../L_ )6.........;a, ....... Date.....Z- 71....... Test Pit No. 1................minutes per inch Depth df Test Pit..... Depth to ground water--_________-_-__---_---. fs, Test Pit No. 2..........._....minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---•----•----•---------•---• •--•... --• -•-•- r O Description of Soil------.....0- 2.-L�,... ..... ��. " �'Z �► ' x ---- •-----------------------•---- W --------------- -------------------------------------------------------------------------------------------------------------------------------------•----•---•-......----.........•----••-•--•--.-•---- V Nature of Repairs pr Alterations—Answer when applicable............................................................................................... -•--------------------------•------••-------------------•-----------------.......__.......------------------••----------------------•--•---------------•------------•---------------.........__...••--•• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LIT%.s 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. Signed �• ...................................•-•----•--•--.........--• ..........................-.... Date Application Approved By......... "'' ...... ilk( ,..... .-. /_._.- ..`3_...... Date Application Disapproved for the following reasons------------------•----------••------.._._..-------------------------------------------------------•••••------. .........-•---••-•-----....--•---•-----------------•--------•--------------•----......------------.....--------•--•-•---•--•-•-•••-•----•••--•-•••-------••---•-•-••••----•--------••-•----•----••••--•- Date PermitNo......................................................... Issued....................................................... Date q(6 No......................... Fimic THE COMMONWEALTH OF MASSACHUSETTS BOARD Og7 HEALTH ...OF............i4l!.. ....................... Applirativit for Uispaoal Works Tonstrurtion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal tf System at: 14 Jne..9.R�:...... .... .................................... . d ................................................. ................... .. Location-Ad r . Lot No.. .......................................... .........I........................................... 0 Address ......................... 0 .................... .................................................................................................. Installer Address Type of Buildine./ Size Lot............................Sq. f Dwelling-Oko. of Bedrooms .................Expansion Attic Garbage Grinder `4 . 04 Type of Build No. of persons...._..________________Z............. Showers Cafeteria Other ing p 04 Other fixtures ................................................................................ ... ............................... ............. .. Design Flow.................... .............gallons per person per day. Total daily,flow............sq,,�P ...........4-gallons. 9 Septic Tank—Z Liquid capacitykWtgallons Length................ Width..........`...... Diameter...... Depth................ k,,Disposal Trench—No..................... Width.._.................Total Length........... ....... Totalleachi'llikarea.....................Sq. ft-- ............ Diameter........ ...... Depth below inlet.......�;........ Total leachiWa'rea...2.42./..sq. f t.* Seepage Pit No Z Other Distribution box,,( Dosing tfnk'y . Percolation Test Results Performed by....Wn....A �!e.........&.A.Q,0�44,4 ......W.f......... Date...... ....... Test Pit No. I................minutes per inch Depth 1-Test Pit.....1/._�.......... Depth to ground water.......__..._........._. Test Pit No. ......I....minutesper inch Depth of Test Pit.......7............ Depth to ground water......................... --------------1................. 0 Description of Soil....... . - ......P-------W-,;........................ <�.. ...... **. ....04- ► .. ............................. ....C.. ... .... ...... .................................................................................................................................................................e...................................... U ---------------------- -------------- ------------ -------------------------------------------------------------------------------------------------7................................... �7 ..... 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 TAIT LIZ 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. e Signed..,... ... .................................................................. ............................... ✓ Date y------- ...... _,;��Jcation Approved B *.......... 1�e I Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued..................................... ................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... OF.............. .......................................... Tntifiratr of Toutphattir TH!PSS & C TIF That the Individual Sewage Disposal System constructed or Repaired W? ... .... .. ........................by V at Ini taller _1 /. ...�T m.................................................................... has been installed in accordance with tie provisionsof TIT"_F -)5 f TH State Sanitary Code as described in the .... dated.__... A.I:t---7.rmit No....(�/, application for Disposal Works Construction Pe ....00/. ........ 11 1 1 7- -i------------- THE ISSUANCE IMF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM VILL. FUNCTION SATISFACTORY. E DATE----.--.......................................................................... Inspector.. ............................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I-0 ........ :..OF......... ............... ....... No............Ms FEE...:.-................. Dispollat in s urtw, n pamit Permission. is hereby granted - - --------- .....................................I'I............. ----------------------------- "T idual SewaCo Disposal System to ConstP ( or lep, I- n �6 .... ...............11Z..... .........IL fl at No...Q.' ...... ............................... L TXtreet .........as shown on the application for Disposal W i Works Construction Pepf t N0.,e....... Dated.... �R. . ...... 7 ..?........... . . .. ............ ..... ........................ is _ 1- " .01._ ,� Board of Health DATE....... 79 . , I - . 'I V ............... ..................................... FORM 1255 HOBBS & WARREN. INC.. 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