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HomeMy WebLinkAbout0064 OLD SHORE ROAD - Health 64 Old Shore Road Cotuit A = 035 - 106 - - J TOWN OF BARNSTABLE LOCATION SEWAGE # VILLAGEcot .ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY/4oa, � . LEACHING FACILITY:(type) - ,ia0;�r,�,cL (size) NO. OF BEDROOMS OR PUBLIC WATER BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: g a 2- 93 VARIANCE GRANTED: No �/� a � 0 _b No.._.3'V2.,b /Fmcs...3..Q.. AMOVED THE COMMONWEALTH OF MASSACHUSETTS rn blo �wDep74ment BOARD OF HEALTH ?11-3A_21_ TOWN OF BARNSTABLE igned 7 Date Appliratton for Diripasal Worbi Towitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .....�z. .�. --••..... .......................... ..••••----•••-•---••• --- . . . . -----••. - - oc ttion•Address Lot _ o.- .........--•--•---:..-_. _. .. ._ � ---•-------------------------•------------ LL � .�Z.­�_... .._... . ••..... tncr l.! �� ' .< Ad r s _.... .__.� .............. ........."_._________.................... ••_ __ - �__ _._.R .._..__.... ....l��I� .... a 4 ...----•- Installer Address Q Type of Building Size Lot.. .�Z�®�d .'Sq. feet Dwelling 4-fNo. of Bedrooms__ .:-_---__•---------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons-_-.-_--------_-_-_-.---_._. Showers ( ) — Cafeteria ( ) a' Other fixtures ....................•................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 04 Septic Tank Liquid capacity.004allons Length................ Width---- -- Diameter---.------------ Depth................ Disposal Trench--No. _/................. Width.:............... Total Length ol._.......... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter-------------------- Depth below inlet.-._.._.. Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) 04 Percolation Test Results Performed by......................................................_............_...... Date .............. / 1.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G14 Test Pit No. 2................minutes per inch Depth of Test Pit_--------------__. Depth to ground water........._.............. 0 Description of Soil... -------------•.---.-.------••-•-------------------------------------------------•--------------------------•---------------- W V .............................................. •-•-----••••-------•-•-•-•----•-••-•••-•-•••••---•----•-•-•--•----••---•-••••----••-•••--•--•••-•-••----•--•-•--•-•-•-•-••.................•-••......•--•- W --- --••---•---------------•-------------•-••-•-•-•---••-----•-•----•---•--------•------•---•--•......---•._....-�--,••-,-. ----- -------------------III....................................... UNature of Repairs or Alterations—Answer when applicable--- ..__ ti`.'--_-_---•--•---.--•-•-•--•-•-•-••.--. Agreement-. The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been 's y t oard of health. Signedsued Dare Application Approved By -------- .. �... _----------------- ------------------------------------------------------------- - ...1 ...-.`...� Application Disapproved for the following reasons: ............................... --................ --.......--.........................._.... . .-------...... -- . ............ ........................ qo ................ ........................... .................. . . . ........................................ / 7 .... .........Issued ................................................. Permit No. ...�1e...... �...........�----'--�.............._.... Dare ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 5�3 TOWN OF BARNSTABLE Appliratiou fur Diripwi l Wnr1w C ontitriirt"tun Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at, IV ....< :: --------------------•----- -------------- --- -----•- ---- -- ------ �ocation \ddress r Lot o ....... ......... rM� ............_.......___.._...._... ' �� _........t............ - v, ����ner � Address Y Installer Address d Type of Building Size Lot._�34 4 p0�'Sq. feet Dwelling 4!!rNo. of Bedroonis-?-------------------------------------- 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. 9 Septic Tank e' iquid capacity./..!�ZgalIons Length................ Width....i------.---- Diameter......--........ Depth................ Disposal Trench-- No. .1----------------- Width..Y.I-....-.-.-.- Total Length.a,-,.)............ Total leaching area....................sq. ft. 3 Seepage Pit No-------- ------------ Diameter......-------------- Depth below inlet../.� ...... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Q '~ Percolation Test Results Performed b ............................................... Date-��............ .. Test Pit No. I................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........................ �+ ODescription of Soil... .-•.............................•-•-••••-. ----••......•--•-•--•-........-•-••------••.------............ U •--•••-••...--••-•-•••-••---••••••---•................•-----•-----•-•-----•----••-•--•-••--••-------••.......-•-•••-•-------•-••---•----•--•-•-•--••••-•--•--•--•--•-•--•..........--•--•--•--••---•-... L..._. ... .......... ........... U Nature of Repairs or Alterations—Answer when applicable..`�j� -••-------------------------•--------•---------------------•-----•---------------•-----••--•--•---•--------••--------------------------------------------------------•------.......-•-........._...•... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ssued bv tl;Ye� oard of health. Signed ..t ;...:..::::...:............... .....::.......:.........._....-......................... ... .................................. Date c� Application Approved BY ( ' J....� ..-4 ............._.... - ................ ....y��.........15;te .'.7....�� Dare Application Disapproved for the following reasons: .......... ......................................................................... ...... ............ ............... . . -- ....................................................................... .-- . .-----......................... .................................... �/ Date PermitNo. J ._7.�/�.................... Issued ......................................................-- .......... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Certificate of Compliance THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ........................... ...... ... d Pam- .-.... ... .........-m,-ttali ali er... ..... ._.... .. ....................................... . .............. . ............. t at ............G....�......0..{... �1.... .. .�ic..-.... ; �© - - - has been installed in accordance with the provisions of TITI.E 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. .-----9/-k.--.. ...� ........ dated __........ _ 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 Q� TOWN OF BARNSTABLE Permission is hereby granted................. .a..-----Esc -.V---- ----- --------------------•------.....------•-------•----•---...---......---•-•... to Construct ( ) or Repair �)' an Individual Sewage Disposal System atNo.................... ---•----- —•------ c! p ,--------------------------------------------------- r ..� , Street as shown on the application for Disposal Works Construction Permit No._.(__ `..._______ Dated.......................................... Board of Health DATE �4 _ --------------------- FORM 36508 HOODS Q WARREN.INC..PUBLISHERS - =DIVISION nAX Or LAOD 17 RAXRSTANX . R 9.ztrr N 1P.. Inn.. .Vrr.7ore J.17 M. 1979 -MAPLE AVE. .. Y. W - - e& t C/B found B. 40 h � ��_ •3 ,�a bIQ r C�G i . for �� •r— ret.rr __ �( ros Sr • .!( COT 4 trig O _ y 'eWa e � O o ,p�,1.leinn 313 ��% Ld r1C G— . o9tt$z?It.,. .n, 761Offset DSetT19t or B�t.b).a ,7 from Y a r e r.m7/>reta of t7h k,� Proposed Solar mry W. Lot aw Anw..ttefa.l.!..1.DnC_d 4� raa hw•r. _ •- Ulm attrsr�R.n line / car port 16 C/B found C.B. N Existing House 64 Old Shore Road 37 GS:S Hd 9►Tj Li n0N Cotuit Solar P.O.Box 89, Cotuit,MA 02635 C 0 T U I T S 0 L A R 508-428-8442•Fax 508-428-8450 i PRo'Ecr.Geyser Solar Car Port i ! 64 Old Shore Road Cotuit,MA 02635 - _ MLE I G Car Port Siting Plan DRAWING NO. - S . 2 . 0