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HomeMy WebLinkAbout0058 PUTNAM AVENUE - Health 58 Putnam Avenue Cotuit , A036 ,036 ---- - - -- - -- - -- -- - - -- - - - 1 1 1 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 Y g c� i O)d 1 I1To..81.--�-'-Z�• •F�s. ... ...�.xQQ...... 'L 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 /