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HomeMy WebLinkAbout0063 PINEVIEW DRIVE - Health V71- LO AT ION (� � 11�� � �1- SEWAGE PERMIT NO. O11sJ V LLAGE r Colo r I N S T A LLER'S A ADDRESS _M w if S �I9Irmo BUILDER OR OWNER LY 5 �9 rM av DATE PERMIT ISSUED 4 � ,. �`� DATE COMPLIANCE ISSUED S�ZlrB� �a Lof 5TRF- ET J r- No. '�� .,1 •,�, - {--,;. FE$..$4 0�.00.... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... ............TQM......O F......BARNS.TAHLE................................................... ApplirFation for Disposal Marks Tonstrurtiun Prrutit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Pineyiew •DrYe1...Cot t�... ...................... ............................................5.2................................................ -- • - Location-Address or Lot No. Cedar Acres Realt Trust............................ 24 ]r"j„u�,,....5....X.cp1�2>.iY�.+...MA ......................_..-- -.......... Y-- Owner Address aSpexQ...TheQharldls.................................................. ..........................................S.a4PQ--..... _ Installer Address U Type of.Building Size Lot-.23..s12.?+......Sq. feet �.. Dwelling—No. of Bedrooms------------3.............................Expansion Attic ( ) Garbage Grinder ( ) '-4 Other—T e of Buildin Residential a Other—Type g ............................ No. of persons..........._................ Showers ( ) — Cafeteria ( ) dOther fixtures ......................................................---------------------------------------------------------------------------------------------- w Design Flow...............5...........................gallons per person per day. Total daily flow___...........330......................gallons. WSeptic Tank—Liquid capacity4.0.0.0gallons Length._I-0-6.. Width...5.-`:........ Diameter................ Depth..fi-..3..... 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 ( ) aPercolation Test Results Performed by....NQM.PR..Gr—Q5-5 Ctd.Cl........................... Date......B.43483................. Test Pit No. 1......2........minutes per inch Depth of Test Pit...).4.4_'.'...... Depth to ground water....None........ fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --- --------- --------------------------•...------------ 0 Description of Soil.....subsoil,_.medium_-sand......................................................................................................... x - - c, .............................-............................................................................................................................................................................ 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 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 iss ed by th bo rd of health. igned. ......--- Application Approved .... -- --- ----............................................................... ... ---------------------- ' Date Application Disapprove r t e ollowing reasons---------------------------------------------------------------•-----------------•---------------.....----••-••- .-------•--------------------------•-------'-------•----.........................._....................................................... Date PermitNo............................-............................ Issued....................................................... Date •No.................. Fss.......$40 .00 .................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................... ....TOWN.....O F.......BARN.$TAB.LB..------......••••-----------.....-••-•-•--........ Appliraation for Disposal Works Tonstrnrtion frrutit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: -Pineview Drive-,- Cotuit�- ...................... .............................................52-••............._•----••-•-••............----•- __. .... Loc lion S or Lot No. Cedar Acres Rea ty_.Trust ......_.._ 24 Great Ponca Drives,,,5_,�„Y�, Q ,.....MA ...._._..... ........... ..... ...... _..•• -•-_-.... Owner Address ,Spero..Theohar 41-•-•................................................ Same........ G4 Installer Address UType of Building Size Lot..2 -----Sq. feet Dwelling—No. of Bedrooms.................._..............._........Expansion Attic ( ). Garbage Grinder ( ) pa., Other—Type of BuildingReSidentialNo. of persons.......................... Showers ( ) — Cafeteria ( ) QI Other fixtures -------------_-•--------- --..........• •- w Design Flow............... 5 ... ........................ per person per day. Total daily flow............._.. 0............._.......gallons. WSeptic Tank—Liquid capacity1r 0U Qgallons Length..1 Q..e 6.. Width---5......... 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 GrOssmart _____-__._••_ Date......8/3/83................ a ..................•-•.....It ,.1 Test Pit No. I......2-------minutes per inch Depth of Test Pit...144"--_-- Depth to ground water.___None__-_-__. Test Pit No. 2................minutes per inch Depth of Test Pit................•... Depth to ground water........................ O -p Subsoil ----medium sand-----•.......--•-----------------------------•......-............._............---•--..--•-- Desch lion of Soil ------•soil,­medium.................. •••. •. 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 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...................................................................................... ........................... Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons---------------------••------•--------------......------------....--••----...................................... ...............•---.......-------•--------------•------------.................---•-----------••-----•---.._...-•---.....-•--•---._...------------....------------------------------------------....._.... Date Permit No......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................TOWN......OF.....BARNSTABLE .. ..................................................•--... 01rrtifiraatr of Toutpliaanrr HIS IS O C RTZF . That th n'�viduai S wa Dis osal Sys m constructed (X) or Repaired ( ) Spero `�heoRaric is of great hod Drive, outh Yarmouth, MA, by------- -_-•-•-•---- -----•-•- - ._- ---------------•--.-------•-•--------•-----•------...-----•-•---.----.----•----•-•-------.-_----------------.------------------------- at. Lot 52 Pineview- ---Drive, Cotuit,I`lassachusetts, ---•- -----------•-------- --------------• -•-•----••-----.. ---•---- -•........-•--••-•••-••••- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... da.ted-........................._..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..................................... ............... Inspector........... :....................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN BARNSTABLE ..................... .........OF..................................................................................... $40 .00 No......................... FEE........................ Disposal Varks TonotrurtionfrrmftSpero Theoharidis , 24 GreaPond Drive , S . Yarm., MA, Permission as hereby granted....-•••-••••• •••••......••.................. •.-•y.....-•-•-• ........... ...•.••...............................•.... to Constig 5I iRni view Drive, Cotui � I System atNo............................................................................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... •----•--•--••..............•---•----....-----•-•-------------------------•••••••...-----•----•••..•-•••- Board of Health DATE. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS o,. Al-G EL�c�/.� ��t� �,. �,LEV• �u�r _ � ----- ----� F.a.tEfZ NOT'Eg -ALL. ELr-%l. S"ow I) A2 Mfcn�i..l SEA► IEV�I- Zd. 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