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HomeMy WebLinkAbout0058 PINEVIEW DRIVE - Health / \ �- C� �uLo fq� � � SEWAGE PERMIT �A. VILLAGE G 0 -7-0 -T INSTA LLER'S NAME A -ADDRESS ® U1LDI R OR OWNER 1 /?- 09 PL2 (� DATE PERMIT ISSUED � p DA.T E COG9PLIANCE ISSUED 1 gm 4'I 3y 3a � Lai I r No.................. ........ R F 2 ........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town Barnstable Appliration for Disposal Works Tongtrurtiun Vvr Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal ;System at: Lot 16 , Pineview Dr. , Cotuit, Ma ...................... ................................................. ----......•-••----------•......---••-•---------- ...-----.........----•--............______-- Cedar Acres R�'a°j'fVAVnSt 24 Great Pond ) °t;°So. Yarmouth, Ma ......................-.......................................................................... .....................................................-.......................................... . W Cedar Acres Real�VeLTrust 24 Great Pond DYdress So. Yarmouth, .Ma. ..........................................................:....................................... ---•--•--•------------..._....-•--•----•-•--------------..........----•----•----•••-••-•---•---_.. Pq Installer Address Type of Building 3 Size Lot20_L000...........Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type T e of Building No. of ersons____________________________ Showers a yP g ---------------------------• P ( ) — Cafeteria ( ) dOthertures -•-•----•------ -------•--•••-••---------•-...•-----•.----•-•-------•---••---•--------------------------•.._.......----- -•-•-_----- W Design Flow.............. .........................gallons per person per day. Total daily flow....... 330 -•--•-___-_••_ gallons. WSeptic Tank—Liquid capacity._lf).DQ�allons Length................ Width................ Diameter................ Depth................ f x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. r Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation. Test Results Performed by.-_N?ormaD--_GrossmanP.E. 9/17/82 ..................................................... Date__-•-........................................ Test Pit No. 1.2............minutes per inch Depth of Test Pit----- �Depth to ground water.......none 0� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ri •---•-----------------------------------••----•----------.....-----...._..------•------•---•--•_............................................................. 0 Description of Soil____Q.'.'.-u."_..l.Qa m.....8_°_-30°•__subsoil, 30"_-150" sand x ---------------------------------------------------•-•••-------........ v .__..•..-•-•---•-----------•-----•--••.....--•-----....---••--•--------------------••-------------------...------------•••-•------ 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 iILIPLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss d bytheb al heth Signe -------- -.. 1�3...... Application Approved By_ „�� Date Date Application Disapproved for the following reasons---------------•--•---------------------•--------------------•------------------------------•----------••-••-••-- .........-•------------------------•-•••----•------...--------••-••-------------•------.....------....•-_.-._...-••------•----•••-•----•-•-----------••------•------------------------------•----•-•-•-•- Date PermitNo......................................................... Issued_....................................................... Date No.- z ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........Town... ...............OF....BarestaY..le...-----..........--------------------...........----- Appliratiun for Disposal Works Toustrurtion "truth Application is hereby made for a Permit to Construct (If) or Repair ( ) an Individual Sewage Disposal System at: .Lot 16.r<._P review Dr otu t r...Ma.... -•----------------------------------------------------•--•--------•-•-----•---.......: ......_ ...... ......... ._.......... Location-Address or Lot No. .Cedar Acres Realty Trust 24 Great Pond. Dr. , So. .Yarmouth, Ma -- ---•----•------------- ...... owner Address W dar Acres Rea Tru$t 24...Great Pond Dr. , So. Yarmouth, Ma. a ....................... ..• . ..............-------•••-•--•------......------.....................--•--- Installer Address U Type of Building 3 Size Lot.24}., Q.p.Q_..........Sq. feet ,.� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ............. No. of ersons................:........... Showers — � YP g --------------- P ( ) Cafeteria ( ) Otherfixtures ------------•---•-------------------------------------.-------•---•------......-----------------------•.....------------.........----............----- W Design Flow.............. 5-.-.-----.-_------..___gallons per person per day. Total daily flow..........�34.........................gallons. W x Septic Liquid capacity._�() l' ns Length Width__....------_-- Diameter................ Depth................ Disposal T enchNoW dth - 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 ( ) aPercolation Test Results Performed by...140r.Men...Gr.0ssManp_..F,.................. Date-----9-/X7/&2--------------- Test Pit No. L.y............minutes per inch Depth of Test Pit.....J.2.!:.6!`Depth to ground water.........1101l.e._. 44 Test Pit No. 2................minutes per'inch Depth of Test Pit.................... Depth to ground water........................ --------------------------------- -----------------------•-•---..........------------------.................................................................. 0 Description of Soil....B 1 42!---- oa�P!}, �'„�'�4'' $�i� 0 .�, 3�-"--3.5A°t sarid•---------------------------------------------- x W ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -----•----------------------•--•----------------------------------------......----------•----•--.....---•--------------------------------------...---------------------------------------..........----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with �'iT rl:^ the provisions of '� .LE, 5 of the State Sanitary Code— The undersigned farther agrees not to place the system in operation until a Certificate of Compliance has been issued by the boa_rd oflh6AII. Signed.X I.A.-------:..: ....................•------•---........... Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons:.............................................................................................................. •-•-------•---•----------•--•----•-------------------------------•--......-----------•-•---•-----...-••--I--------...---..._...._.._._.._._....------------.......--------------------------------------- Date PermitNo......................................................... Issued---------........_..................----•-------------. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable .....................................OF..................................................................................... Trrfifi #r of TolutpliFanrr THIS IS TO CERTIFY tie Ind: al Sewage Disposal System constructed ( ) or Repaired ( ) by / s.--------------------------•-•---•--•-.•. ...................................................... f7 Installer at ... P--- �p�\� ---- ... - , ._...... has been installed in accordance with tl e rove I §'of TI he State SanitaryCode as described in the application for Disposal NK ork's.,Construction Permit No....... ............. dated.-.............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEI4-WILL FUNCTION SAT SFA TO RY. DATE........... / Inspector -------- ............................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ......O F.......................................................................... No.........��. Y��� FEE......... T...... Disposal Works T-FaInstrurtion- Upumit Permission is hereby granted..Ceds3r...AcreS...Realtyt...Trust.................................................................�.--- to Construct (X) or Repair ( ) an Individual Sewage Disposal System at No..L-4t--16.._..Pineuiew..Dr_,--Catuit.,...Mass.-......................................................................................... Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... .� - _ DATE. � B rrl�of ealth• ------------------- •-- - �. --........ FORM 1255 HOBBS & WARREN. INC:. PUBLISHERS l r