The URL can be used to link to this page

Home My WebLink About0051 MICHELLE AVENUE - Health 51 Michelle Avenue Cotuit A= 027 - 064 - - -- — - --- - - I I I �L 0 C-A T I 9IN � SEWAGE PERMIT NO. 40 Af YIl-LAG I N S T A LLER'S NAME & ADDRESS 1 BUILDER OR OW 'R �A DATE PERMIT ISSUED ��_� DATE COMPLIANCE ISSUED ��, 8y �� s�� 'V� t `\ "� \v1v � �� Fps... ........_......... ..._. THE COMMONWEALTH OF MASSACHUSETTS SOAR® ) F I-iAI-� c ( H ,� OF.. .....-.... .............................. Apli irFation for Utop sal Works Mitrnrfivit rami# Application is hereby made for a Permit to C struct ( or Repair ( ) ,a Individual Sewage Disposal stem at: r __ .... ......� ....... • ...............•- ... --------•-----.................----------- - :..... . ~ Location Address t No. .._. .................. �..._._... ............ ......�.l. ---------•--------- ----- ---------..._ W Ow a dd s9 a ........... . ..... •• .............. ..........•-•-•--------.....----•... ............. .---�."..--- .......................................... Installer Address UType of Building Size Lot.... -/. ... ..Sq. feet Dwelling—No. of Bedrooms....... ...................................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria WDesign Flow_Oth�es--•- --- gallons per person per day. Total daily flow...... � - ...- gallons. WSeptic Tank—Liquid capaciV .gallons Length................ Width................ Diameter________-___-- Depth................ x Disposal Trench—No..................... Widt ................... Total Length------ ----------- Total leaching area___-- _--_-._ sq. ft. Seepage Pit No...__f------------- Diameter.__. .._.......... Depth below inlet._._- ._...._..._ Total leaching aret�sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.... -•-----------•----------------------•-------•---.......-------------- Date........................................ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ � t----- - "--* Descriptionof Soil... ----.............. ........ •------- -----•--•------•-•---•-•---•----------•--------••-•---------•-•------------- x U ............................. -Z ---- ---- W�Ii 31 -------- ----- •--------- ; --------- .----------------------------•- ---••-----••----•-•••--------•------•-------•-----•-•-•--••------•---------•-•---- 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 CoAss �yfboard ersigned further agrees not to place the s stem n operation until a Certificate of Compliance has bee of health.Si ---- 19 ate ApplicationApproved By.�--•--•-- •- --------------•---..........-----------.................__..._...._.......... -••--•--.� ----- •---�. Date Application Disapproved for ; .lowing reasons----------------------------•---------•------------- .......................................................... ....................................................... ------•----•----------------•---•----•------•-•-•---•-----...--•----•-•-•---------------------•-----•----•-•--••--------....-•-••------...--•--- Date PermitNo..........................I............................. Issued....................................................... Date No......................... . Fps.:: p�......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® F` HEAL H T� .............. ...............0 ........r. ...................._...... A.Ppliration for Disposal Murks 0-onotrurtion Prrutit Application`is hereby made for a Permit to C,nstruct (1�) or Repair ( );an Individual Sewage Disposal. System at: ✓ / r r' /r m i .. --........�...._`_ .-.....- tion • -••• �, .......... ............. .•--•-•. -- t No. ...............-••••-_.......---•-- ,�"�R Location-Address +�®� "" . .,., r,�Lot No. » o51 'r ---_.. . •..... ---- ..... -.-. Installer Address d Type of Building Size Lot.... t1 '*1)_LSq. feet U Dwelling—No. of Bedrooms.......3.................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers — Cafeteria d Othe fitxres . --- ------------ ------------- wDesign Flow........ ...:.......................gallons per person per day. Total daily flow.........,��.�_...................gallons. WSeptic Tank-Liquid capacity � -gallons Length................ Width................ Diameter-___------------- Depth................. Disposal Trench—No. .................... Width.................... Total Length................... Total.leaching area......_______ sq. ft. Seepage Pit No...../-------------- Diameter...r ........... Depth below inlet.._............. Total leaching'a`r;w ..sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test'Results Performed by........................................................................... Date---•-------- ...................... a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to.'ground water.:.-_________-__---_-__. 44 Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to'ground water........................ /. t f�................... ... --•---•---.........-----•----• D Description of Soil_.-_-._ T �`''f ... ............ ..... ' x U Nature of Repairs or Alterations—Answer when applicable.....................................:......:......,!.`.._.._:_...._._..._....._._.___._.._..__. ,x -------••-------------------------•--------------------------------------.......................................................... ................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLi� . 5 of the State Sanitary Code The dersigned further agrees not to place the yste in operation until a Certificate of Compliance has been is e by board of health. 4 Signed._ ••.•. �' Date ApplicationApproved By.................................................................................................. ;`....•--------•--•-------•----------•--- Date Application Disapproved for the following reasons:................................................................................................................ ...................•. -----•••--•••. Date PermitNo......................................................... Issued.-,..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF H7A�'T .,�.._ .............. Trrtifiratr of Tontpliaanre THIS IS TO C` 4 Th l .,Ij ridgy Sewage Disposal System constructed ) or Repaired ( ) by.....__... - ---------------------------------------------------- ---------- ,, ' r Installer :. .-•-------------------------------•--------------...-•---•-------- has been installed in accordance with the provisions of TI T LIE, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ?- 2Y- S � DATE..................................... ............••--•--•••••••..._...._••-•-- Inspector....-.. -- THE COMMONWEALTH.OF MASSACHUSETTS BOARD OF HEA T�i ..........................................0F........,............................................................................ � < 01 No......................... FEE......................... Disposal ; �?rko � str ioat• rranit Permission is eb ranted----••.. 4 t --- ---- �/j Y g -- ---•- •-----•••••--•--•-•........••••....... to Construct ( r epair,( an It di idua/j a wage isposal S stem '' at No.-------- s} f.i.---_- Y! - '"` `"` =! 'A ..---- t- ) 'l��- --- ----- Street < as shown on the application for Disposal Works Construction Permit No..................•.. Dated................................._........ Board of Health DATE........................ = r. ........�---................................ FORM -1255 A. M. SULKIN, INC., BOSTON ,t►�GI.G- FAMILY uo GAtzBAGE (�a��.t�EQ.. �"Z-S•31 _ � . p/�ILY FLow z IIOX 3 = 7,3oG.P�? ,rjEPTIG TAQK = 33091501/0 = A97G.R ~� USE— ►000 GAL. ot•SPoSAL PIT ubE IvoO COAL. I S�DwI/AlL AR•Ca II 1�o S.P 98."1 Gut,.,C� �� 15o S.t= X 2.5 = 3�5 G.Po BOTTO/Irt, AREA: . j 0 5•F. F&j'iQ 4� t 50 5.F x I• o = 50 'ToTA1.. �ESt(aN * �25 G.PD. I 'TOTAL DA 1 LY Ft-ov! = 330 G.PO. QQ � l 1� • s q5 � Z� SEYRGG'fA►.�.d �. PE2COLAT104 RA*TE I'�tN 2MiN O�.LES$� p'�UK l) to i jo .Z � goo .9 �,>c.� • AuAN r' WILLIAM C. J0NES n o N Y E 251 LK) No. 19334 / jr � •1�' Top FNU=tOA�o -r��,-r P 3 321 •Y�y N O L n INV Y j toou tNV� 1 INS. 10 aL' v !` D16T• 5GPT►G 6uK TANK CO.w PIT 1NY. INI/. s wtTu �`1.2 �1'y .• I;� � I�/3/q•I IL 4 WASNGD t CE2TIt=1GD PLDT Pi-A-W u— l L PRUFIL� I.oLA� lotJ C�iv�T', /V\ U � No� 5GA1_�'`_ ScAt:E', �•�_ �' SATE 8 IS NO u�ta�`� p L p,N R E F S QE N GE• 1 CE czTtFY -tNAT THE Gvt-r-. FOuxiO. SNovYN ti{EREoN COMPL`(5 WITN-TNE Sto1rLIN 1 _ y AWD SE6T5ACK 26Qu►2EMENY� OF ?1�� '(o W N C>F= � A�l�STf�•�l t AND At-4D 14.1 tv Ui- PLA70 &Clr Z �O I G Z S t_OGPTED �WtTNI?J THE GLooD. PL�.tI-I i DA-r L-1 LLOA- 8.4.XTav- N`{E INC• , R.EG I S-T f--?-VD Lo,N D 5 u 2v EYoe. 'Ttals PLAN 15 tiloT 4n5�p o►d A os•rE¢.vILL� - MAss• IuSTK•uMENT SvevC-Y CT AS or-F5ET5 6WOU0 y .. .r,.. r,�•-r� o ,n i►.l G � oT �t►.I ES A P P L i C A►`J T J d l'1 U �-A(•J��