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Home My WebLink About0716 PUTNAM AVENUE - Health 716 Putnam Avenue — — - -- — - -- A= 039 - 113 - -- Cotuit s a. ! Qi7c . 1 : o,S 60 ` v Al- coP • o � 0 e�Sf�Nq .' • %��3.2 0CMr/cA/ !�FtLCiVC�t - B E/iVG LoT // ^-- G.G. O 3.66 08 OwhGr: CND/5TO&HEAR L.:P/9 YDR E r ;►, aF 2 NtCt'dY CltLT/FY TN19T 7W& eN//.a/w/4 I oiOIVAI .C.V rjW14F PL A*Al /4 L OC H7'¢a a+i/ 77./AP A►ociwa As sN+b W.v hAlibat/ qvD 77F1�►T i T �,T�:i:� w`' P CIO OICA4 7'lD �;'rd7F.�..,l . IY.LAH/3 OF TEillP Tty1A/l�/ Off' 5sl I V i TE G HN/G A L � �L AEtJNJ/l16 . ,,- . _- A.ST OE/V/V/S , M: Ia1 S.� �a'+7•r ��'. X;i it �, vs T, r—res fl owoe-.t III i E � i � !� i � i � i � � � q I ---------- LOCATION � EWAG�E PERMIT NO. VILLAGE f C" o lvd T- INSTA LLE 'S NAME i ADDRESS rc ,-7— BUILDER OR OWNER rA D DATE PERMIT ISSUED DATE COMPLIANCE ISSUED _Z2 �. d N �. .� v� , W � -. Y4, .. 1.4:.`kf..-.. y T• vw Q . . ----- THE COMMONWEALTH F a Ts BOARD OF HEA TH Ah O ... .... ..... .........................' .......................... Applirativit for Disposal Works Tonarn.rtion V. rmi# V Application is hereby made for a Permit to Construct (V�or Repair ( ) an Individual'Sewage Disposal System at: L Addr Owner Address Installer Address ��`` d Type of Building Size'Lot_.,aQ4-- _j-____sq.Wfet U Dwelling-No. of Bedrooms....__..._�...�..............................Expansion Attic ( ) Garbage Grinder -) `04 4 Other—Type of Building No. of persons............................ Showers — Cafeteria W Other fixtures d W Design Flow........�,0�.........................gallons pe der-s's per day. Total daily flow.............Z Z: ..................gallons. WSeptic Tank—Liquid capacit3/47AP_gallons Length...,6....... Width....____.__ Diameter---------------- Depth.. _.•__------- x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------,/........... Diameter../O_f�_.... Depth below inlet_.a4.Q...... Total leaching area_Z��__sq. ft. z Other Distribution box (v� Dosing tank �y'Q� '-' Percolation Test Results Performed b .._,G� .�_.._wELL�'7c�_._.._...... a y Date 1�..�--------------- ,� Test Pit No. l-:;;._ .minutes per inch Depth of Test Pit./ .......... Depth to ground water4/A7./-��c"� f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---------------------------_- ------------------ -- O Description of Soil______.G_'-__�a -- -------------------'s` ...?_.._..--- / - / --------•------ x ••--••. --"-----Vic_ ' .--...... m y ........ --------------------••----.....--------...--- 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 TITL% 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issi4ed by the bQard of4lieth.Sig ..._..... .... •-------------- - -- ------------- I Date Application Approved B .�.1 7 ' PP PP y �/ � -- f to Application Disapproved for the following reasons-----------------------------•-------•-------------------------...---------------•--------------••----------.--- ..----•.....................•--..........................•---.....-------•........_..._......---•--------'-•----------.......................•-----...........................•..... -----._.._..-- Date PermitNo..............................=........................... Issued ........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEAL ,0�1 OF...... j��G'.. ....... ....................... . ll" �p�ifirtt��e oaf f�ont��i�nrr THIS TO RTI �, That the Individual Sewage Disposal System constructed (�or Repaired ( ) by------.—-----•--?�..................................-•••---•------------------..................--------••-----•--- ---- ----- nstaller at--•-- �� , has been installed in accordance with the provisions of T 53of The State Sanitary Code as described in the application for Disposal Works Construction Permit o._.z N ;c_._. ........ dated__/_. . ................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..........J.` `!..-�-'..............•--•-----..._...------. Inspector__.. .......... . i �Zs No......................... Fizz.. ............... ' THE COMMONWEALTH OF 14ASSAC' USETTS 7eo0OARD OF......................................... Appliratiun for UinpuuFal 19orkii Tomtruriiun amit Application is hereby made',for`a Permit to Construct V), or Repair ( ) an Individual Sewage Disposal Sy§pep at: _. .. .... ton-Ad ess or t N............................... ............. ••. wn ................................................. ..AAdddreesss.. 4�� W ...........�� -------- d° GG � IJ---------- ------------- ....•........---- �Uj /2C�lLa Installer Address d Type of Building Size Lot.- ?ff-f------•Sq. feet U xNo of Bedrooms............�.........................Expansion Attic Garbage Grinder a Dwelling, .- P ( ) g ( ) p.l Other-Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ----------------------------------- da;01W.o�v�1-----------•------------------------- ----•---•----------------------•-----------------------. W Design Flow.........//10......................gallons per popserr per day. Total daily flow............ . Q.....................gal gallons. W: Septic Tank—Liquid capacity/WV.-gallons Length------V.. Width._,__....... Diameter................ Depth.... Disposal Trench—No.............:....... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage, Pit No......../--------- Diameter.../4).eS.... Depth below inlet... ........ Total leaching area.i 71__....sq. ft. Z O.ther'Astribution box (-/) Dosing tank ( ) Ire-lr ( ' Percolation Test Results Performed by........... ........................... Date... ....... Test Pit No. 1...15�a....minutes per inch Depth of Test Pit..... ____ 4_.. . __ _ Depth to ground water fir Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... sn`'} --------------------------------------------•-•-.....---.---_. .....---•---•--------••••-•.........------•••-•---...•-•----•----•.............--•--- "" ''Description of Soil.............................._......�'.- �.......41-� ......--•---..-.�r�.... d/L------------- U ......................................... --•-•-••...._�� ' ...... �ll t'??_..----:SA --.........----•------------------- UW ••-•----•-•------•---._...-•--------•----•----•----••--......•-••••-••----•-•----------••-••••-•••••----•------------------------••••-••---•--•----•••----••------------•-•-•••--•-•••--------•----..... Nature of Repairs or Alterations—Answer when applicable............................................................................................... ----------------------------•-------------------•--•----•--•------------•-----------•-•.........._..-•-•••----•---------•------••---•---•---••••••-•-------•••-•••-----••••••-•••••-•......-•--•--•••--• Agreement: �..- : ..... .The°itridersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with ' the provisions of T ITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in t operation until a Certificate of Com 'ance js been ' sued by the b and o�Iheall th. r r� .� ApplicationApproved By.._-•-••�--------•---•-•.....................•-••.•---• ...........--••-•------•••... r Date Application Disapproved for the following reasons:................................................................................................................ ....-•-•-•----------------•-...••••......__...------.............................. ..............................•••----......-•--------•-.............•--•-•......-----'- .....-----•---- Da. t , PermitNo.................................................. _ Issued_....................................................... �� Date THE COMMONWEALTH OF MASS CHUSETTS BOARD HEA r ,. OF ; C�rdifirFatr of TontpliFanrr Lam' Tl� ` ER at the Individual w'a Disposal - constructed�, S e s osa System const c.ted or=Re aired � aZ Z �� g P �' ( ) P ( ) -- --------- has been installed in accordance.with the provisions ofo7lte State Sanitary ( P-atobed"In the application for Disposal Works Construction Permit No..........................:,..___....__.• dated__..-_-___...----________-_......_....:......... THE ISSUANCE OF THIS CERTIFICATE SHALL"NOT BE CONSTRUED AS XGUARANTEE THAT,THE SYSTEM WILL FUNCTION SATIS ACTORY. DATE.......................S.... / Inspector ::....-. G'" THE COMMONWEALTH OF MMA�SSACHUSETTS BQAR�16 „LTH /...................................OF..................................................................................... No.............•........... FEE........................ 400vuotrud n Verna# Permiss' ereby g 6 to " --.---- -- to Cons+fr ) { RepFrr o ivldt J�1 gse s stem""" �.�7' ;y' ' Set as shown on the application for Disposal'Works Construction P�` _ ....... rr��...... ................. - 7 - DATE. Board of Health v FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - I 3 yrour7cl )profile -o —o—o-o -- pl-opo5ecl 9rour/d` profs /e HoAe1z. SfALE-: /'/' /O -- - S ( ,,- T O � __ ✓ E ,E' T $ GAG N 5 C H E D. 40 P V C. O/Q - - -----F L O lit/ -------- - -----Jr , EQURL To 5eP7-iG L rr�,narr►vn^r �,#~ per- foot 2' of ,�B �2 G.,aS -�P_o Sfone7 T19ti'K� •. _ _t ,.1, ° 1 6' sump of 31 000 GAG. 5EP7 /G TAA/K tuash�d sf'onc a ' -s -, i Sc �9,- / � O GEfaGN 9;'/ 7- c T - S 7 HOL 4E- Z- OG - -- --- < �t��/' TEST BY �*/ /`. �E _ BEO/eOOM NOVSE• Oi9TE Cr,,o 16 SRO ser ) ,e G e�q T E Z �.//�t/.,/A/C H fv a I N �J EST ,yOGE S S PT/ G T91�/K _2Z o X /,5 330, OATuM 1"I s.� r oo�� TES T TE T L Ho & S HOE U S 6- : �--_ GAG . Ti9 ti/K C\ ( - O O E,q G H P/T ' t�' j' EFF. OVA S O 41P6 - 5 F <c . 5 � �'S`'" s G�qG$/oAY --- - -- -— 7-0 T y THF-iT THE BU/LO/A./G C I 0 O S T-'� f' E O pitl T N E• 6/E O C/NO ,q s SHDLit//V OA-1 T/" /;j lC'L 'q/V 4ll/1e_ 1 GOAJ,=OA-- 11-7 TO T/-fE 4972 p 3 J.4 BAGK �' E Qui�EMENTS OF THE- 7-O tit/�! O F b�' <__ 5�-„�V ��►.r i,,� /2E- QlJ//E' EME/l/ TS K 0A-/7- = o ALE i9S SHOLAJAJ QP ? i f9 G E- S Y S 7 E A S T �PP,2 o vE G • BOq A� G OF NE -9 rk4 OiOROsa4/ GOr7-�-our-S N7 qSS r--