The URL can be used to link to this page

Home My WebLink About0111 NICKERSON ROAD - Health 111 NICKERSON ROAD Cotuit A= 018 -089 - -- --- --- — -- v TOWN OF BARNSTABLE LOCATIOiV �� /l/1GL1�� SCM SEWAGE # Joy, VILLAGEa-T ASSESSOR'S MAP Cz LOT INSTALLER'S NAME PHONE NO. 4 GCn�i /fir�f�d1-i.ALA C SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size)_% OG L NO. OF BEDROOMS WELL OR PUBLIC WATER BUILDER OR OWNER 7 DATE`PERMIT ISSUED: DATE COMPLIANCE ISSUED: / VARIANCE GRANTED: Yes No —� .� .� 0 �0 ' � � � e � �� .. a. No.��. �._._....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l� Town Barnstable ...........................................OF.......................................... Allp irFation for Uhipoii al orkg Tomitrnrtion "unfit Application is hereby made for a Permit to Construct ( ) or RepairX�X) an Individual Sewage Disposal System at: Harry Dooley .. •-•-----•--- .............................•-------•--......_..._..................•-----••-- -••-•--------•••------------------.--------------------------" Nickerson LoTf8A_ 'ddLedotuit or Lot No. ......................-.......................................................................... -•-------•-••----•--...-•-••-•-•------••-••...------•---•-•-••---•-•••-•-•••--•--•...._._......... Owner Address ___JJAMacomber ............ Jr.,..••- Installer Address UType of Building Size Lot............................Sq. feet DwellingyL No. of Bedrooms.__......._...............................Expansion Attic ( ) Garbage Grinder ( ) `-4 Other—Type of Building ............... No. of persons............................ Showers — Cafeteria P-1 Other fixtures ......................... --•• --• W Design Flow............................................gallons per person per day: Total daily flow............................................gallons. W, Septic 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........................................ aTest Pit No. I................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---_____-__•--_--_.____. P4 ............................................•--••-----••-----......................._.......__..__.......-•--•--..._.......---......__-•••-•••••••-••_••-•-- 0 Description of Soil........................................................................................................................................................................ xSand---------------•--------------•-------•-------•---•---------------------------------------••---------------------...•••-•---•••-••------..._------ v W ••-•--•----•-----------------------•--•---------•---------------•-•-•-•-----------------•-•--•--••------•-•--•-•------ ------- '� w_ -_-- U Nature of Repairs or Alterations— ns er n applicable -------- -------- _...__....._•- ---------------------- ... 1-1000 gallon ach pit Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITI,i� 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 b the oard of he th. Sig ned- ---------------- •"•--•--•----•-•-•- la/l/89 Dat Application Approved By---•------•----•-----•--•-•-•- ".�— -_.--• / � .._. Date Application Disapproved for the following-reasons:--••---••----------•-------------------•----•---.....--•-•------------------................................... .......•--•-•-•--••••---••...._......-•-••••-•--•••-•------•----•--------•....•-•---•------•-•-•••-•-------••-•--•-- ----•--•-•-•-----•---•-•-------------•-•--------......--•-•--------•-•••......----- Date Permit No.__.__.._ _ - 2-__. Issued_____________�-� - L ----.. --------- ate � . ..... ._.. ...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...ovn 3a,rnstable .......................0 F..........................................------..........--•--------................ AlipfirFation for Utspao al Works Tnnitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair,(A ) an Individual Sewage Disposal System at: Harr; Dooley ---------------------••-----•.......................................---------------............... ........----•-------•••.._.._......•-----••---••------------•--•----------•--.........------------ 11 T'17 r erSor,Lilf1)&eddrjos tUI t or Lot No. ......................-__...................-••--....-----...._....__.._..........-------•--_... ..........-•...................................................................................... Owner Address W T.,l',�.acoa:ber Jr, Installer Address Type of Building Size Lot............................Sq. feet Dwelling -No. of Bedrooms...........2..............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons...--____-__-_••___.-_______ Showers ( ) — Cafeteria ( ) 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_-_________-_--_---__._. GL; Test Pit No. 2................minutes per inch Depth of Test Pit...........•........ Depth to ground water........................ a -•---•------------------•---------•-------•---•-•--•---•----••------•.....----------......................................................................... 0 Description of Soil....................................................................................................................................................................... x Sand U ---•---------------•-•---------------•-------•--......--•---------.................----........-•------••••----•-•-----------•---••-••-•----••-----••--••-............................................ -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable.._.__.......................................................................................... 1-l;!JO allon leach pit. Agreement: The undersigned agrees to install the aforedeseribed 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 issued-by,the board of health. Signed_:..:4� c�t r%/f .+`/,�i•� t. lTi/ /I Application Approved By Date .__...__:. _`— �� C/ -_------ Application Disapproved for the following reasons:...................................................................................)...................... ---------------------•------•------------....------•-----------....--•---------..........--------:........-•--••--•-----••---•--- ----------------------------------------------------------------------- Date Permit No.........C ....---.--ss Issued................. . ------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tol-rn ................OF....; qrn-s tab lP................................................. Trrfifiratr of TnmpfiFanrr THIS IS. TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired; ) b r � ,*Ic .o:�}er tir. .r. Ill + ..: erso.l Road Cotu t. Installer has been installed in accordance with the provisions of - +"!a. 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._.._...._ _ __..... dated........... .:....: ______-_.-•---•-•. _ THE ISSUANCE OF THIS CERTIFICATE SHALL�c BE�ONSTRUE® AS A GBJ, R �E THAT THE SYSTEM WILL F NCTION SATISFACTORY. ' • DATE..... ... ' Inspec or= '' Qss � ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ To;�Tn.....................OF.......:)arnstable ... ..................--•.................. Now}' ' z3�-- FEE...:__..2�e 07 Disposalnrk� �.agnotrnr�inn rrnti# Permission is hereby granted...... P.lea..Or.l ... ..:r -------------•-•--------------------•--•-••--•-------••. to Construct ( ) or Repair%X ) an Individual Sewage Disposal System No.11l Nic rErson...... ad...Gotuit.................................................................................................................... Street as shown on the application for Disposal Works Construction Permit 1*1&5--•-_=_3,t_a.L Dated____ __ �•• 7_ / DATE....._f.,t /_ _ c`__y"' �`�id3trl'•of H�atth ' .................................t_._____.._..tFORM1258 HOBBS & WARREN. INC., PUBLISHERS,. r