Loading...
HomeMy WebLinkAbout0626 PUTNAM AVENUE - Health h26 .Putnam Ave.lj�l A =039-107 Cotuit I I 6a� TOWN OF BARNSTABLE LOCATIONSEWAGE # VILLAGE 40-77,-,`7'" ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) (size) NO. OF BEDROOMS PRIVATE WELL OR BLIC WATEit�• BUILDER OR OWNER DATE PERMIT ISSUED: 'DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes no ��� (o u �a` .� i .�� o { J i A �—a No. .-- ... Fps.. ........... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH -OF.... ....................... -_ 4pliratiou for Disposal Works Tonstriirtion rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at �z......�..a--Tv..........-••--•---------- ---------------------•----•-•-----•----....'...---------•-------•------------._...--------------- Location-. ddress or �o. ,� Owner Address Installer Address �® o� Type of Building Size Lot.._._...¢......... .....Sq. feet ,., Dwelling—No. of Bedrooms.................7.......................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ................................... ----•--- ----- •---------------•--------------------- ------------- ---------------------------------------------- W Design Flow.................................�.�gallons per person per day. Total daily flow... 7,z ............... _........._gallons. WSeptic Tank—Liquid capacitye$' -gallons Length./,d.4.-.. Width....`�� "_ Diameter_______ ______ Depth- _4 '. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-----------/_...... Diameter......_9._.......... Depth below inlet...4............ Total leaching area.7�......sq. ft. Z Other Distribution box (V� Dosing tank ( ) _ Percolation Test Results Performed L---,#-erz—....�%�� `'✓��....... Date_�:. .' .............. aTest Pit No. 1..... ......minutes per inch Depth of Test Pit----—_S Depth to ground water_______________________ Test Pit No. 2.......Z....minutes per inch Depth of Test Pit---- Depth to ground water........... ------------------------------------------------••----....-•---•---•-----------------------..__.............................................................. Description of Soil ZZ_' wse✓�' .. r. /� x W ---------------------------------•-•----•--•---•-•------------------•---•-•--...-•---•.............................................--------------------------------•-----•----•-•••......--••-•....... UNature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with f'i T�-14^ ' the provisions of 'l LE 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. ........... L4----------------- -- - ....................... ................................ Date Application Approved By.. ... . ..... ..�.. .-� ........................................ Date Application Disapproved for the following reaso :.---•---------------------------••••-•••--•---------------•---•---•-------------•----•-----•----------•--•---... ................................................................e........................................................................................................................................ 2 Date PermitNo... ..:.................. /v.. Issued-----------•---------------------------•-------------- Dl:to 7b No.Q.. .. FEB.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7f./..7;.`jc_-N...............OF... t?6✓ .l A?- 1 =-- , Appliration for Dhip iial nxkii Ton�tr�et'inn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: s Location-Address or Lot No. ......................—.......................................................................... ..........------------..........................-----------•-•--•-......................._..... ^„�, Owner Address a o,..,v 4 A L.?'o �3 µ � .�/ ..----- ----------------------------------------------------------------------••---------. 1h1: _ ._._:...-----------------...-------------------------------------•------ Installer AddressPQ _ Type of Building _ Size .....Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures -------------------------------- . W Design Flow.................................Z��rgallons per person per day. Total daily flow...3.3..0.............................gallons. Ri Septic Tank—Liquid capacity/S !._gallons Length_1J.' ::_. Width__Sir '_ Diameter________________ Depth..5_' Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.........../-______ Diameter.......--9---------- Depth below inlet... ............ Total leaching area..77�/......sq. ft. Z Other Distribution box ( 4 Dosing tank ( ) _ _ Percolation Test Results Performed by..� :4.. �'! ...! '�:%:'.�.�✓�........ Date._:. -.d ................ W ---.......� a Test Pit No. 1...... ___-_-minutes per inch Depth of Test Pit..__/Z__5..__ Depth to ground water_______________________. 44 Test Pit No. 2.......?....minutes per inch Depth of Test Pit---- :.> Depth to ground water------------ .-____-. a .......................... -------•--------•------•---•-------•--•-•---------••---------------------........................................................ D Description of Soil....'T"! ......zz e�F U -----------------------------------------------------------------------•------•------------•----------------------•-----.--•-- W VNature 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 I?`:11 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. f Signed....... Date Application Approved By...•---- t1-•------ --- Date Application Disapproved for the following reaso ----------------•--------------------•-------------- ......................................................... ................................................... Q -- Date PermitNo.__l1 ........................_.__. Issued-------------------------------------------------------- THE COMMONWEALTH OFF MASSACHUSETTS OARD F HEAL /...v."�..l..V.....OF..... .... . l...V..-.. /Y�../ . (9rdif iratr of Tomplianrr THIS IS T XCEfTIF hat Individual Sewage Disposal System constructed ) or Repairedby---•---••-�Q -------- - -I • --...-----• ..._..... { I stall / at . -- Q / .� has been installed in accordance with the provisions of II'I 5 of Th.,g tate Sanitary C d as d scr he application for Disposal Works Construction Permit No------ .$40.. dated_._.. -_ THE ISSUANCE OF_THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS PARD6 HEA .................... .. 4 . .. .. .................... ..NO..00 - � 441_1�7 FEE.....�.�_' ..... Disposal lugr s T � �� ion :rrntit Permission i hereby granted..� ....... A-R-470-------_...................................................................... to Construct ( ) Rep* ( an)I v'd l gage D•s L System ll ----- ... •----• --.. ... •°- •---•- Sweet - ` as shown on the application for Disposal Works Construction Permit No �l �ated.____�..!- ....... . ....... ----•..................•-•---•---•---------------------------------------•------------•----•-•-•---.•--•- Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS .Cod 6 S&N S0.0 JGo.00 49,z 4G.4 .Pat S . , 20,053 — c> P, I v_E _ — Pu tncua 44.7 474 Au eyu+e 34' m 601wide M N /OOo p N u/ C IA 1500 w fy WATEIZ �7 i - 0 / 0, -6 �� 6 'Pit T P f a tone 4A ra z v20/ 4 ' , 30 4 427 45.1 47.E i�o.00 45.3 Scat e l"-40 �G,te 9-8-88 f fitt Cape £nc- �� f i 4 ��-� n5 I 5 49 %latboa road Pto?ite- No Seate !lycuui4., Ma. 0260! Qj I C SAM` -- Nor- tp \/l pit No. bedhooad. 3 �;;`; J// dtof2e C4,turted ?tow 330 Ol 1?e0.ew e " 201 Capaci�t�� :?7 a,p d I Sketch /tan o f Y-a,zd in Co to t, l'a. { �O t fVICZ& o (Iaorno 3 icbi tot aj. jJ. n on ZC. 136608 i Ltwat was acre on arz a usaecl da twu.. j i i JC,-L `rr•P�lit: hGi� �e 1'10C✓F[d O .�C'L✓(it r7 i j 1 t_ ! i ` 9edt P-i t P-6096 Made 8-20-86 , J. McKean jNo wate,, e,,"uy&te ted j%e%c. 2 rru2 pet p 43.7 4o.L top L- ct can c l,.ea z XIIN 3?aa6 _ i o aL - - 30.1 dot 6 1 .Sr 50.0 lot 5 201053 S 9P\ i v c . 44.7 7 47�� 34' 60 'wide M N N 100 j ' I S00 v, rY W+4 TE/z W/Cj 0 1-6 'x. 6 spit TPI � rn .tone 4zoG Tcz 4 z201 ag a gpd 4 1 7..45 i�o.00 49.3 a .o tot_ 4 i fitt Cape £na nemltnj. j 41. L 9 l,cvcbot road If cu2vr is Vi a, 026 01 )&o?ite No ScG 1-e y a S 9 o `n o N 11�.; 1-6 l�C 6 �p�,t j Nirs� 3 ��1 ��'-e o. bedLoo j ` Cdt�iatdte ?.how 330 201 t f?eae/,w��e rr 20/ a. — -- Cap"..`„""7 4..] �l f �io�i (�iaai.o (''Iacno l.7ein tot S a, dwwn on X.C..%-`36608 { iom. ' I I I �c„Te:- -eh.�--- �� �e r oc,/uT. o7 �rec.7i I _ 1 i i Made 8-20-86 ' (;)it.' 9. McKean No wa-te,L encouxl,,.e,,,-cd j Pe&a. 2 min pee I '' & o 45,7 4o.G 41•7 c.CecwL c)-ean pe�--&"4 �J at a co LAB 7