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Home My WebLink About0550 PUTNAM AVENUE - Health _76 550,Putnantl ve ,038 025 a .� Cotuit TOWN OF BARNSTABLE LC)CATION G�YY1 V` SEWAGE # /� VILLAGE �t k ASSESSOR'S MAP 6z LOTAZ -L-,25 _ INSTALLER'S NAME & PHONE NOCJ�,M SEPTIC TANK CAPACITY_1000 LEACHING FACILITY:(type) L ® (size) 1600 Ga}1®mi. NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER ar rc- , DATE PERMIT ISSUED: 7 9� DATE COUPLIANCE ISSUED: 1 9 — ?Q VARIANCE GRANTED: Yes No r - FbW r7o -�- 1 kb �' 1`° THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOWN OF BARNSTABLE Appliratiun for Disposal Workii Tunutrnrtiun 1hrmit Application is hereb ade for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: , prA ...............�.......... . -•--........_...---...... ....._... ............................. ....................................... . ............ Location:-Address �� or Lot No. j'� ...............i. ......•. . . .... .... a.� _w C . -------=--•---........._..... Ow WL`r�_. ? er `C ... —.......d es��.�i`_ IJ l a V_. Installer Address d Type of Building Size Lot-------------------- -----Sq. feet U Dwelling—No. of Bedrooms...... ...................................Expansion Attic ( ) Garbage Grinder ( ) PL4Other—T e of Building ........................... No. of persons............................ Showers — Cafeteria Q' 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-----------------__-__-- fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................_....... •---•---------------------------' ............................................ ODescription of Soil.............. -- -----a----------------- V W ----•---•------------------------------•---------•----•----------------------•---------•----••-•---------------------------------•---•- U Nature of Repairs or.Alterations=Answe when a ble_____� _�-,r_ ._ ... ............................................... -•--------------------------•------- �� ...............- ...i........ -•................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State En 'rmental Code—The undersigned further agrees not to place the system in operation until a Certificate of rL*Ance as been issued b the board of health. �� ........................................ Signe �.. ------ -------------- Dace Application Approved By .- � ^~'� — -Du . ------------------------------------------------------------- -�- ue Application Disapproved for the following reasons- -----------------------------------------------------------------------------------------------.................................. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------- ,QQ ce Permi t No. ---- y 0---^--16---7........... _---_--_--- Issued ..-,?-- ... Date THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH - TOWN OF BARNSTABLE Appliratiou for Dispasal Works Tonstrur#inn Prrntit Application is hereby ade for a Permit to ff Construct ( ) or Repair ( ) an. I+�ndividual Sewage Disposal System at: .. ?...�...... ....................................................P .............•••-•-..... --�...... :' ......---... Q=:::=••_- ...... .... - Location-Address +� R or Lot No. - -•------ --•-----.------•-- .... ..... VA . Ow er' Add ess ` �d :-. �..,...1 [� WAG. �(�.. ................. '-•--- -----• . --....... _.......---•••••---..... Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................---•--•. Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria al Other fixtures -------------------------------- - W Design Flow.........................................•..gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid'capacity.._.........gallons Length................ Width................ Diameter---------------- Depth................ 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........................ Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water........................ a ---•-------- ------------------- ----------- ---------------..-.-- -------------------•----------------------------- ------ •----------- ..---------- O - x Description of Soil--------------�_�-�I�..�----•--�•�.--•----•---------------------------------------- ------........--------------••-------._......_...--•------------ • U ••••-•-:.......-•------•-•-••••••--•••-•-------•---•--•----•---••................... ......•-------......_.._..----._..._._......_.....-•--------------------------------------•------.....-------- ��cc W ....'--- ...... .............................................. U Nature of Repairs or Alterations—Answe when applicable._......_` p ._._ ___.. ..- ............................................... �.V` �r _ ________________ :_.w__.___ � �..f...._..................................................................---............ 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 Co'nirunce has been issued by the board of health. Signe�,_(Var---T-------------I�: n ....✓ ----------------------------- s .�.. .!.--- Date Application Approved By ....... x � �± - -, W ??...--. -- (�---- V Date !, Application Disapproved for the following reasons- ----------------------------------------------------------------------------------------------------------------------------- -------- -------------------- ------------------------------------ ---------------------------------------- ------------------ -------------------......................................................... -------------------------- (-�re Permit No. ------ r ------------------------_---- Issued ` w ------ i� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Gerttftrttte of Tontlatianve TFT S IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (�)� by ..------.�,`.. . .... ... .' :. .. - .-e.- .. ..�c`.. c- L ... .�� n+4� Installer at ........................... ....,.... .....- ----- . . ....Sty-). t..>r�-a , ....... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ............. dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..------..�_3 a-../............../.-. -------......---.......------------- Inspector=.... ---- - .----- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE No...(�\, .-�. ..� FsEf-3.................. � nrk� dun �rnr##inn '��ernti� Permission is hereby granted-•-•-•--- ---eA- --------- ..--------•.._.. .............---.._.............. ........... to Construct ( ) or Repair"( an Individual Sewage Dspas System ' ,c� /}- at No.. ...Q........... �` ..._..�C�' ...............•/ .Arr � , Street as shown on the application for Disposal Works Construction Permit No.9�:S_!L Dated.......................................... 1 Board of Health DATE ........ ... FORM 36508 HOBBS 6 WARREN,INC..PUBLISHERS THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M AC(LJ C DATA r Ex , R-- Uh(T `,, ` �� ^..._.fir►- 1 � � 1, G. / I - 1 5SD 'e 7 L0CATI SEWAGE PER IT N0. 1 V I L L A G E ' .�- ` i INSTA LLER'S NAME & ADDRESS F BUILDER ORS- OWNER w DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED �� 7F 6��`! No............. T �,e Fims ........ .. THE COMMONWEALTH OF MASSACHUSETTS 03 g,_O S BOARD OF HE LT App iration for Disposal Works Tonstrnr#inn Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal S 0 System at: COW 0.ere,O� 1 C)i �eAwL �v� ItAMravr��1. Di® tALb� T (V9 ------- -------- --- �D ® Loc lion- ress or Lot No. ............... e'2r�....9'�drd @-!.�f= _..� �_e ........ !!C - - pOwner Address a ......................•................... ----••--•-•----.......•---....._.......--••-•-----...-----•------............................... Installer Address 1 U Type of Building Size Lot--__p?� con -- --S feet Dwelling—No. of Bedrooms.................................._...Expansion Attic ( ) ' Garbage Grinder ( ) aOther—Type of Building ............ ........... No. of persons............................ Showers ( z) — Cafeteria ( ) Otherfixtures ...................................................--.-•-----•------•----••--------•----------------- Desi n Flow..............�� allons er erson er da Total dail flow___.... 7. .-.__.. W g v - ----- g P P P Y Y gallons. WSeptic Tank-� Liquid capacity? gallons Length................ Width................ Diameter._._._...___.... Depth................ x Disposal Trench—No..................... Width..__._._ __ Total Length.................... Total leaching area....................sq. ft. Pit No _____________ Diameter. _. ............�Seepage ______� � Depth below inlet. ..._...__._..._. Total leachin ar ..................sq. ft. ` ,r Z Other Distribution box ( ) Dosing tank d .. •- d---.... Date. -1_ _ .....-•--- W Percolation Test Results Performed by....................4 - . Test Pit No. 1................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........................ r -- . O Description of Soil --........ ! ...... ... -_.. U ......------ •----------•-•-•--------------------------------------•-•----------------------•---------------•................................................... 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 TITA U 5 of the State Sanitary Code—The undersigned further agr not to place the system in operation until a Certificate of Compliance ha ed by the boa health._ S Sig a `_. .. - _....... .. Date Application Approved By.......... ---- ••. ��s .--1�. Date Application Disapproved for the following reasons:.......................... .........-•---•------•-------•----•-•--•----•--•••-••---------•...._....-•------•---•-------------------------•••--•---.....----•----••-----•--------------•------------••---•----------••----•••---.... Date Permit_No.......................................................... Issued._ ate �•----- No`'':.....I Fes$..11W..: ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEW�T' ........OF...... " ................... Applirdtionlnr Uhipoii al Works Tnntrnr#iun ramit Application is hereby made.for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at E'er 04, Uri ....... ov"Loc ion dress r Lot No A k caner Address q _Instal...... ler Address qq d' Type of Building Size Lot....�'0i__ ..Sq. feet U Dwelling—No. of Bedrooms:_::.: :____________________________Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building ..__._.____ No. of persons.........................: Showers — Cafeteria a yP g = A P ( ( ) Other fixtures ---------------------------------------------- W Design Flow............... _ d . gallons per person per day. Total daily flow---- " _________________gallons. Disposal Trench— __p_____y� Widt _. __.. _ Total Length____________________ Diameter---------------- Depth................ W Septic Tank LI uid�ca acit allons Length........__ •_ Width__.----- Total leaching area....................sq. ft. x ' Seepage Pit No. �............. Diameter ` Depth below inlet ____ .. sq. ft. Total hin Other Distribution box:.(.. ) Dosing tank ( ) �. �' � "` z y� Percolation Test Results Performed by....-,._ "'_....... :�. ------------- Test .Date.:.Y'�YVI.-.77........... a Pit No. 1................minutes per inch ipepthi .of Test Pit----------_......... Depth to ground water:.----:-:--:___i-------- Test Pit No. 2......__........minutes per inch ';Depth of Test.Pit...............,..... Depth to ground water .. _...... R - O Description of Soi '� * -_- o U ......•__-••• ...............••-- -----------------------•---•---•-- SwF 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 iITLL 5 of the State Sanitary Code—The undersigned further agr not to place the system in operation until a Certificate of Compliance h d by th b a• health. Sig a ., . - -. t Application Approved By...... , Date Application Disapproved for the following reasons:----------------------------•--•-----------------------•------------------------•---•••--•=-•................. ---------------------------•------------------•----•---------•------....------...........-----------'---•-----------------------------------...------------------------------...------•-••--•-•-=--- Date ._ Permit No......................................................... Issued............ -. Date k ; THE COMMONWEALTH OF MASSA�CBMUSETTS ». y BOARD F HEAL.Z,H; ' y .........OF........ '........................ * f{ TatifirFatr of.fTont�rli�anrr T S,IS TO RTIFY, That the Individual Sewage Disposal System constructed ( r Repaired ( ) y ------- 77------;�• staller f .... ...........e;.? has been installed in accordance with..the provisions of T j o The State Sanitary C de as d m the application for Disposal Works Construction Permit iv'o.___: =f _�_..:_____________ dated__._ .'"�"�------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT'"EE-CONSTRUED AS A GUARANTEE THAT THE "SYSTEM WILL FUNCTION SATISFACTORY DATE_.. �s Inspector L y THE COMMONWEALTH OF MASSAC-HUSETTS BOARD F HEA f No.................•••-• .... FEE____ --•• •- r. i ern �t Nor l no udio c rrmit Pe mission is hereby,granted=-----.. to Co ct r it ) an Indi •dual Sewage ispol ion Rf "'"( �' L1e+'A at No ••- .c 14.a ` � Street as shown on the application for Disposal.Works Construction Perm ........ ...._ D d..... .................................... ••r--=--••-- = L _.:: a ............... ;, DATE. = Board of Health FORM 1255 HOBBS & WARREN,:INC.;,PUBLISHERS .- ....1 :. ... ' z P ,1;... i ..,.,^!,.� 's,. � _,_'.', r .,.-_:} Yb °;�_.-�,r..'f�' .r�+a J..'-_ .. _.: 4�:T�,-•1. r. v C• � Loc v,S . ' G GS S Q M 4 Sc,4 Rio/ .oQ o - Miu. �� ` M ro • tb0% y �� E its T mop ' . o i • 4 , 1 C ERT► F-Y THAT TI,4E FOUNDAT'e3M St-owN NEREaN COnnPi-YS W )TH 'Ti-AE I Stn�.LrNp. AND SET5ACtC T -iE TOW a•! Ot" D/iT t i '"1 LL=a TN Js PLAN4 tS f-AOT BASED Ohl AN Z ►NSTR UM F—f'4-T- SUR V EY t THE o F S T; S gc u tC a004SC r NOT Sr-- USED To DETERM►NE l-OT L1N� �,, N, iur•t AVE, F4.,i4.0 4 F Et /.I G e. DIE- � S.G/.I IAA V - 3Z•U roP JD C3 G,G.)C - 71 SEr i fG' /N t/,r X(n o �G z I Ao!6 A)A76e -rAV l< :3/,523 L.�Ac y 41 Z7,777 � javoCAL � eC- • a ac� a ' 3TvelE• =� .e Z.,� "`-'` ( � 85� Al-act/Al CS • P E . 7'aPo ,er' S,o Ariz' tiJ YE, �1�lc. .4,5, y'yy 0.7G/79