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Home My WebLink About0051 MASHPEE ROAD - Health 51 Mashpee Road Cotuit A= 007 - 037 - N r t i h 1 �9 �J l O � , e 7 LOCATION SEWAGE PERMIT NO. VILLAGE '\,, INSTALLER'S NAME . 6 ADDRESS E 0 U 1 L D E R OR OWNER , e'Nae s m A11 s DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED i �� ' ,r y� _. d_i ,�. {,, ;r.� , .. �' f ��.. �� .. �3. � � ��_; cs �.-_ �� ram`�� h. < � � Qc�` r_ C „4� �..Yr�/ f� T?' l�' f t t `�j \, �� `�.__ ..� .—iiT-1 Fmc.............................. THE C M EALTH OF MASSACHUSETTS BOARD OF HEALTH von �o� ...................... ....................0 F................-........................ .................... 5 I Appliration for Diipn,ial Workii Tomitrnrtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 15- Location ddres Lot-No. , > ...... _... Owner V Address (zl a Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling— No. of Bedrooms------ ...._•..........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ..........--•----•.............. .. . w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons 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..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch . Depth of Test Pit........-........... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� ..-•-----•---•------------•-•-•--------•--•-..........-•••-•..............•-•-........--•-••-....._.....-------••---••....--•---......------•---••..I._.....-- ODescription of Soil..........................•------•--............---•--...-.........:----•-•-----.....----•------•----------------------•------------•-----••--•----•-•-.....--•---•----- x v -------•-------------------------------------------------------------------------------------------•------------------....-----------------------...---------................---•------•--------•------- w VNature 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 Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by�ie boWd of Iiealth. 01 .. _---•- .............•-------•- -••--_....._....-- --------.DaApplication Approved erned ........... --•---------------•----------- --------- D ate Application Disapproved r th ollowing reasons:---•-•----•---.._...---•---••----•-------•--------••--••-•-•-----•-----•-------•--------•-=----•-•--------•---- ..................•--•-••------•-••---•--•----------...._.....----•---•--....--•----------•------------.......-..--------•-----•--•-•-•----•-•--------•-----•-•------------------...-- --•---...._.•.... Date PermitNo.......................................................- Issued........................................................ Date 1 - - ------------------------------------------------------------- - S No` _ .. Fss...f��.................. �. _ t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF...... .......................:...... r Appliratiou for Dig uuttl Workii Tuntrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: � .. ...� .... C� .----•-----•---------------- . -•-•--•-----..--------- ocation�ddressr Lot No. � ��4tfDGa�S( Owner Address W .. Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.._....... .. Expansion Attic ( ) Garbage Grinder ( ) ----•-------•-•---------- - aOther—Type of Building ............................ No. of persons............................ Showers ( ) Cafeteria ( ) a' Other fixtures ...................................................... -•..----- Design Flow............................................gallons per person per,day :Total darl� flow' .....................gallons. � � . WSeptic Tank—Liquid capacity............gallons`^ Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .. � ...... �Wtid ` ry. ........... Total Length Total leaching area-__--. -•-•-. ----sq. ft. , , a 1 p � Seepage Pit No _� ... let ......... ....... Total leaching area.................. ft. � me er.. � Depth Below In a Other Distribution ( Dosing tank.( ) Percolation Test Results Performed bY---•--••---•••-•••-•-----•---•--.........-••-••••-•-•-••-•--•............. Date........................................ aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (% Test Pit No. 2................minutes per inch Depth t of Test Pit.................... Depth to ground water........................ -----------------------------.------------••---------------........-------------•-------...-----•...------......... ...................................... Descriptionof Soil.......................................... :-- === ---- ------------------------------------•--------------.....-•••-•-•-•............_.. x U W 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 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 issue-doby�jtt e.-boo&of health. - .............. Dat Application Approved .-• -•. --•-• •• ---• . .......... •-•-•-----•-•--....-•--••••..............•-••-•-•-•--- Date Application Disapproved r th oRowing reasons:............................................................................................................... -----•-•-•-•--•-••--•--•----••-------•---••-----------------------------------••------......-------------'•--•----•------•---------------•-•............---•--................----... ••••....._.... Date - Permit No......................................................... Issued_.................... ................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...... ............................................................................... Trrtifirate of Tomplittnre THI f-CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) b , •""''✓� ,,.�^' � f� Installer �.� K ' ------ at... = "�'r C --=--------------------------------•---•----------------------........-•-----------•-•----------...----........ has been installed in accordance/onstruction h the provisions of TIT. F 5 of The State Sanitary Code de Ibed in the application for Disposal Works Permit No.- ........... dated_.. ' -.�,,t................... THE ISSU C�CTION F THIS CERTIFICATE SHALL NOT BE CONST S A GUARANTEE THAT THE SYSTERA WIL ' F SATISFACTORY. — DATE... ... ...��........••••--•-•-••.................•........_. Inspecto -•-•-• .........-•-•-••-•------------•--•---•---•---•---._...._...------•---•-•. 7— THE COMMONWEALTH OF MASSACHUSETTS/ AA 1 ( BOARD OF HEALTH OF.................................... No.. la S .�............... FEE........ ............. ur � utrltrtiun ermtt Permission is by granted------ ------------ -IIA••--------- •---------....------------------------•-------------•---..._.......-----.... to Construct ( ' or ( ) an Indi I a CI&a ' ispo stem ,1 . atNo............. .., ------------ -� •---- . ........................................................... S reet J as shown on the application for Disposal Works r nstruction Permit yam;o_•: •:............. Dated.......................................... .............-- ••-- ................ .............................................................. Board of Health DATE................................................................................ ,. FORM 1255 A. M. SULKIN. 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'"� OAF' /,o TO ApEMO VE ALL L 0�7M OR CL A7Y 41 Mf7TER/.9L BELOW 7,oV E L E•�7C/a�/N� A'ePEA. ,� _ r'' 6 e - ,6 - " .pE.oL.9CE EXC,gV•QTE17 M,7TER/.4L h//TN CL EAN�CL/7Y-EPEE G,pAVEL. /'� -- E EFFE T/VE O/AMETEK GENERAL NO 7'ES' ;s O .SAIOwN,&AVS!'o O.v ,� OAL L A2'/.0ES /N .SYS TEM Ml/S T B E CRS T/RON �1 �� •-••1 / �--,, 4 - O.p SC.NEO t/L E 40 R K C_ /NS T/7L L ON L EYEL BASE T.4/E BOARD OF fdERLTiAV MlJ.5'7 BE NOT/F/EO I✓.�/EN COi1/STRUCT/ON /S CO1f,F�LETE, AR/OR i To BAC�F/L L/NCj . oB SE�?VR T/ON AI T -4r T E 7- /O. F-' l 1?ANYCA, 7VG . / 1`4 CY TAAC CO.7AP OF f/E/7L TN AND Ti�/E ENG/iS/E'E.Q FERCOL AT/ON �P•gTE {�, e W.�/O SE .S'T•iTM.a .�7.o oE�7�PS ON T.E//S �L.9N. © M/7TE,e/AGS ANO /NS7-.94L.�7T/ONSN�7LL BE//V w/TiVESSEO t9Y = .9CCOR0/7NCE h//T/,W 7AVAC STATE .SAN/Ti4RY �-/TEE- ✓ ,gvo �r o ' ��: QES/G/V G�.�4Tiq 3$ CODE - OC.gL /7.o.oL/CI?B L E - B©. OF hlEFvL TN RUL ES •qN0 RE G uL.4 7io/v3'. r •7 r;, A l QoQ E44t n/O.PTi/ A7.PPOW/S NOT T© B46- !/SEO FOR rill Nl/MB ER OF BEDROOMS SOL.S7R No -OF ,30I.L I TOPSOIL _ o�7/LY FGOy✓ c� G9L. f - s SE.O T/C 7-.-7,-VA" IeCV 10 / ZZ AD .. r,. L L o;v k;i \ i Tf.N!< 2 Fs ?C �. S/G►Eh/.4L G �7REA c�-� .S F. 5 = A N F-• I ' < > 7s.FX�� r 7 GAO fr� A I v D BOTTOM .gREA G cl, T ,_ A COhr � L E•qC.�,//N SRO V/.D / .opO.oOSEp ELEVgT/ON s,,j — — EX/S T/.,V(F CONTO4IR ® OB SE.P✓.�7 T/OA/ .a'/T L p .ois 7'•�/e v Tion/ c!oX P T s, o C) t ; �.�o.o osEo SE�✓.q�E ors osq� SYS Ems!' M/N/Ml/M COOS O/STi9NCE x�,.f' s .o.PE.oq.PEO FOR OO L eA7Cff/N4F .I/T Mc 5HA NE CONS T CO. , J N 79" 4 6' 00 pv (�pl ,p�SERVE .o/T /�7RE�7L 0 T H#t " MA 5 HPEE RD, /01407- �GqN /NVE.PT ELE✓f7T/ON C O TU/T, B Ali NS TA BLE, MA. � DATE �� _ CgoE /.S'L I�7NOS .S'l/.P✓!�Y!N /N C. ,QRO•oERTY L/NEB OCT. / ; �1 =� SC�7GE .�7�5 NOTED F .40. aox x` TEr4T/CKET� M.�4SS- Mqo -As .oL S Y.S' 7 4C^ 7 ,o.R 0•C'14 E NOT TO v^Ca9L E , F/N/S.�,� G•PAOE OVEN F/N/SN GRADE OVER O/ST- Boa( .�in�/SN G/PgOE O✓ER k q e SEWO T/C T.gN.t'4- / sQ.E'ECr9S T G'4�✓C U �" 6y x v /2 M/N. CO✓ER „p v r.�__,_. t o ti e v G u ti ( _ p • , a o� Aoa d d d`'.y 3ro j/d RE/NFORCEO -� BR/CK A' MOiE'7".9/Q 7-0 CONC PE TE CO VE.F /2 BEL OW G/Pf7 0E WT. /0O L BS. - n . a OU TL E T A/OE L E✓EL -•?R---.••-.'-c—s . •a 'i+"i?es°'t°a .'r:' J' /B — :/C' /✓�'.9�s''z".w1 FO.P 2 M/N. NA Q 91 c i ! o i I .�Eq.S'TFan/E a d l _9 '0 .d 00 � -4 ♦.d �B Qi - , .. ! .. �r • 'a ! •q $psi. G � 3 OR A V C. TEES' 'k j��. 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