HomeMy WebLinkAbout0058 PUTNAM AVENUE - Health 58 Putnam Avenue
Cotuit ,
A036 ,036 ---- - - -- - -- - -- -- - - -- - - -
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LOCATION � SEWAGE PERMIT^ N�O�
7,j�y rYi L 1✓
VILLAGE
INSTALLER'S NAM i ADDRESS
e UILDER OR OWNE
DA T E P E R M I T I S S U E D
DATE COMPLIANCE ISSUED
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I1To..81.--�-'-Z�• •F�s. ... ...�.xQQ......
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Town....OF.............Ba ztstabl.e ------------...............................
Appliration for Dispuga1 Workfi Tonstrnrtuan Urrmit
Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal
System at:
........'.LI:��ILII _Amea.,...C.Qt].11t,...MA.....02L .5................... ................
Location.Address or Lot No.
....... ...QabQt.............................................. ... ......26,35...............-----••-•--
Owner Address
A.. ....
& B Cesspool__Service--------------------------•--.......... ...128..Bid(i4p
... .
Installer Address
d Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms.....................3......... .Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. ofpersons.?......................... Showers — Cafeteria
0' 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. I................minutes per inch Depth of Test Pit------.............. Depth to ground water-----.-------.---------.
(i Test Pit No. 2................minutes per inch Depth of Test Pit------.............. Depth to ground water......----..............
--------------------------------------•---------------------------------------•---...._......-----........................................................
0 Description of Soil.................Sand ..-•---------------•------............-•---•---......----------------------...----------•---------------...................................
x
W ----•--•--------------------------_--------------------------------------------------•------------------------------- ---------•------•••-----•-----------•-----•-•----•••••--•-•-•-••---•-•--•-------
UNature of Repairs o. Alterations—Answer when applicable-------------installation--- Pre-cast,
_ stone packed__leaeh__ .......................i r1ow)........................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TTL
p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b��,/ iissued by the b ar f 1
Signed,!U. . • . ...
•••.................... ........... ' s1.1181......._.....
D to
Application Approved BY = ------------------------------ ...---•••5/-1781-------------
Date
Application Disapproved for the following reasons:-------•-------------------------------------------------------------------------------------------------•-•--•-
.............................•---•--•--------------------------------------------------•---•-----•----•-------------•-•-•••. ---------------••---------------------••-----•....-•-••-------.........
Date
81- 5 1//81
PermitNo...... Issued...- J•--•---•--•-----•-------•---------------•
Date
Noll-. o Fms.......9...5.00......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.................. ... .._T.own...-oF............. ax�nstable..-----............................................
Appliration for Eligpuaaf Workfi Tomilrudion ramit
Application is hereby made for a Permit to Construct ( ) or Repair (g ) an Individual Sewage Disposal
System at:
--------••--------- ------------------•------•-•-•----•--•-••------ -•--....:--•---...........-•---.............---
Location.Address or Lot No.
...... ?A&..C&bo7t............................................... ..... 26.35.------------•---...------
Owner Address
.....A-&--B-•Cesspool.Service........--•----•-----•-•----•------••.. ..�2. sh.90..Te ��.,..)�y.�z1n �,-..tA, 0.2603
Installer Address
Q Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms....................3.....................Expansion Attic ( ) Garbage Grinder ( )
Other-Type of Building No. of ersonsz......................... Showers — Cafeteria
a yP g -•--•-••--••--••••......... P ( ) ( )
POther 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........................................
aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water_____________-__-_---_.-
f� Test Pit No. 2................minutes per inch Depth of Test Pit__.____.....___--. Depth to ground water........................
.----•-•---••--•---•----------------•-----•-•----................-•------.........-•--•--•••--......---•--••--•-
ODescription of Soil...................--n................................................................................................................................................
x
U
W ---------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
U Nature of Repairs or Alterations—Answer when applicable.............installation-•of..a_1 j000_--ge.11021�. R�'e•-Cast,
_ stone pacl.e@ leach pit.-(overflow.
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'y T..� y g g p y
of the State Sanitary Code—The undersigned further agrees not to lace the system in
operation until a Certificate of Compliance has n issued b}c the b ar of 1
-k'-�.- _5 1 81
Signe�./ -•--• •l• -•--=---- -••••••••--• -•-�----181.......
Application Approved.By-•-•-•--• ............................ ---------- .............
Date
Application Disapproved for the following reasons-------------------------------------•-------------------------------------------•-----------------•-•...........
------•-----------------------------------•-•------•---- ..............---------•---------•------........---------------•-------•-----------------------------------------------------------------•-----
Date
Permit No..81-•--•-•-••--•-•••--••--•--•----•••••-•--------.. Issued.J4 1/81
Date
i
THE COM-MONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.........................T own.....o F...Barnstable...................... ...............................
Trrtif irtt#r of T, mplianrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Re aired )
by...A.& .B Cesspool Service, 128 Bishops Terrace, Hyannis, MA 02601 - '�75-6 6!
I taller
at__•.____•____ Futnim Ave_., Cotuit, MA 02635 — ffarriet Ropes Cabot
---•-----------•-----•-----------------------------------
has been installed in accordance with the provisions of T6`1L�; j of The State Sanitary Code s1 scribed in the
application for Disposal Works Construction Permit No-------- ................ dated_-..._-.__.5 _...�__._.....................
THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT TIME
SYSTEM WILL FUNCTION SATISFACTORY. �y
DATE. ..................................................... Inspector.............. f-/ ,_f' _----------•-----••--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
61 2-7d Tawn...........OF-------------- -C rnstable--------
...... .00
No.•-••r......•-•-•• FEE.$...5...-••--.-----
Dispusal World 19nniirnr#ilan Virrutit
Permission is hereby granted.........A & B Cessp ool._Service
to Construct ( ) or Repair ( X) an Individual Sewage.Disposal System
Putnum Ave., Cotuit M05 Harriet' Ropes No. , � - _-
Street /
as shown on the application for Disposal Works Construction Permit No....83---------- Dated......._5!-_01.................
- ------------------•---------
'
DATE..........5/01.....................................................
oard of Health
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS /