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Home My WebLink About0063 RUSHY MARSH ROAD - Health Co3 maA-�,bh P e� L O C A T I O N a �� 5 W A G E P R I T N 0. Lo.r010144 RVSITY MA95A lw lz - Vo VILLAGE Co-nT l,k INSTA LLER'S NAME i ADDRESS ug2oLnT4,edk 13vi 1de9S -TrIG. oZfd 311 m w-es-r ST. 6'.,o#vyLq9, Ale#. o/s/6 S U I L D E R OR OWNER Land2v co l-e s-r / -Q w 4 Y-e M A. DATE PERMIT ISSUED gfXT yp� DATE COMPLIANCE ISSUED it Po # !3 P°he= lwsti MAIDS O iZ®. rj No..�...�._.c..f.�.. Fms...._,...................:. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH - -��....---....OF.... C.1../ - .6�51s� 'f ....................... ApplirFatuan for Dispniial Works Tomitrnrtinn Frrmit a Application is hereby made for a Permit to Construct (X or Repair ( ) an Individual Sew °" l�i�posa) , System at: F 5 Al. 5l��..�i �1� �.. r � .._ '.............. Jl1C `d Loc lion-Add ss or Lot No. i3s Tin �.1?�1��'Z _ nu w s� ------- Owner Address --- ---------- d � �.... ..............................?" 5?. .a q. a Installer /�t.rt�ellS �'/1 C. Address Type of Building Size Lot.. __.o----------------Sq. feet Id U Dwelling—No. of Bedrooms._....:S ................. . _Expansion Attic ( ) Garbage Grinder (4JO) aOther—Type 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.'��.._d.__ Diameter................ Depth.. _...._..... x Disposal Trench—No........'-` ......... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......h------------- ameter...../ Depth below inlet.-4-1.1 Total leaching area.Zs 1....sq. ft. Z Other Distribution box ( Dosing tank ) 0-4 Percolation Test Results Performed by._...._? [� �' ..__�4...._��:�"�_... Date........._�� Test Pit No. 1................minutes per inch Depth of Test Pit.... ......._._ Depth to ground water__�5,-r5------------ f14 Test Pit No. 2._�Z.....minutes per inch Depth of Test Pit../0.24........ Depth to ground waterer/.-. .......... O Description of Soil-••------e2- Z`/_., ...��$"-q!07L �" x ` ......... `� ,t .. ll�L--- E9' � _ ),Z... ac......................40/ U U Nature of Repairs or Alterations—Answer when applicable. _ _ _ _a_��__ __ W&?Iov�__________________�.51_A p . _� - Agreement: '^ ,.s,-�-�1� ,,- %� t 1� c The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with p the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bA iss" by the b rd of health. Signed /O-�,V Application Approved ................. Date Application.Disapproved for the following reasons-----------------------------------------------------------------------------------------------•---------••----- _......-•----•------•-----••...............••----------•----•------------------••.........-•-------••••••-------------•--•-•---•--•--------•-----•--•-••--•----------•----•-------•--------•------------ Date Permit No.........._=JS�- �-r-�-�... Issued Date N FEZP. ................ THE COMMONWEALTH OF MASSACHUSETTS ROARD OF HEALTH - - ---------------_1.o ....................... Appliratilan for Elhipaaal Workii Tomitrurtijan ramit Application is hereby made fora Permit to Construct (Y ) or Repair an Individual S a System at: ROGER 52445/_/p AM-li—ISP 1 ?�q PAUL ............................................................................................... ..................................................... . ........... *nt"PtNIEW1 Z ocaf -Addres or Lot On V — Wit'' No.3042,!�Le ------------------------------ . .............. 1-ner In Address IF C —r tW_6 _ _f'Qj A�Q 5 T S ................................... .................................................................... fsoe?�4. Installer Address Type of Building Size Lot-.,ate: U Dwelling—No. of Bedrooms___---_ ...............................Expansion Attic Garbage Grinder C) Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures .........................................................................................�z................................. .................... Design Flow....................... ..............gallons per person per day. Total daily f1ow____3-V //0 = ..................... ...gallons. Septic Tank—Liquid capacity/120Ckallons Length_,P'.(��.'.(. Width..4.'eY2_1' Diameter__-_ ....... Depth--- ......... Disposal Trench—No................... Width.................... Total Length_.....__.__......... Total leaching area--------------------sq. ft.' Seepage Pit No------I------------- ameter------ Depth below inlet...:.3!_4�._1?_."T"'6tal leachino,area-,K7.5-1....sq. f t. Z Dosing tank Other Distribution box, (��) Percolation Test Restilts Performed by..__--_ Date.... .............. ...................... ............................... Test Pit No. 1................minutes per inch Depth of Test Pit-----:?........... Depth to ground water.......5,_�........... rZ4 Test Pit No. 2..�?......minutes per inch Depth of Test Pit..4�0.......... Depth to ground water_ -VAi..------- .....................................................................7'P tZ..............4........................ 0 Description of Soil...........r'' .....................& 7��P-56`7e_ ew ................................................. ........ .................. .............. ........................... 7..................................... ......... ...............—1.... .......................................................................... U Nature of Repairs or Alterations—Answer when applicable- ------ --s.'- --------------- ------- ....14-1 vt. ............................... W`4 Agreement: The undersigned agrees to install th afor6-described Individual Sewage Disposal System in accordance with the-provisions of T'L7:1,1j: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has/bee6i)suedby the bo of li th. lb • Signed._ .................................... ... .................. ............. ..... ... /� ............. Application Approved B . //A- -4"eP;_ y......... .................................................................................. ............ .......Date Application Disapproved for the following reasons:............................................................................................................... ........................................................................................................................................................................................... ......... Date . PermitNo.._._-... ...................................... Issued_....______.____ Date..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH &co r ....7" .......................OF...........6...*.4.n..... .. ........................................... '(1grtif ir.atr of Tantpliattrr THIS IS TO (;ERTIF That t i Individual Sewage That isposaFS7, tem constg4cted (�1_4 or Repaired by... .......at--pil........tn.()... ..... ........................................ .�e L�,.V...8........ .. ... ... ..... ............................................................. has been installed in accordance with the provisions of T*IT13 5 of The State Sanitary C307das/described in the application for Disposai Works Construction Permit No.! De.. - ig7 - date .......t.......T ................... .......................... d------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION,VS� ISFACTORY. 7p. ...... ...................... Inspector....... ................... DATE... ....... ............................................................... THE COMMONWEALTH OF MASSACHUSETTS -7o- W k-., BOARD OF HEALTH C .....C� 1 wry ......OF....194 k.1-7-e..................................... A. ...................... EE........................ Wapaval Warkii 'WilwAr ion Vami 4 Permission is hereby granted.P.Qv..e........ tVU1Y_- ................. to Construct (\k) or Repair an Individual Sewage Disposal System at N- o.._-L0t--Tjq-6------- - ----- --------- C- --S.- 6ttvil............................................................... treet as shown on the application for Disposal Works Construction ijrrnit Da_ ted..../�..!JJ....................... .............................................................................................. DATE- - ........................ .............. Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS Number: Date: Completed by: cS A H HIGH GROUND-WATER LEVEL COMPUTATION Site Location: Lot No. Owner: Address: Contractor: /D BZb S�Address: Notes: STEP 1 Measure depth to water table to nearest 1/10 ft. ................................................_............-......... Date g ZS �J �" S ..... m nth/d y/year STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: OAppropriate index well......_............_............T5w g OWater level range zone ........_.............................._._......... STEP 3 Using monthly report "Current Water Resources Conditions" determine current depth to 11 water level for index well ..._........_............ m nth/year STEP 4 Using Table of Water-level Adjustments for index well (STEP 2A), current depth to water level for index well (STEP 3), and water-level zone (STEP 28) determine water-level adjustment -............................._....................................................... �'Z STEP 5 Estimate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water level at site (STEP 1) ::...............................................:.... �, Cape Cod Survey Consultants 3 -3 `�01, \ 3261 Main Street -� Route 6A Barnstable Village MA 02630 617 362 8133 `. I • 3261 Main Street Route 6A Barnstable Village MA 02630 EJ February 28, 1986 617 362 8133 Barnstable Board of Health Town Hall Hyannis, MA 02601 RE: Subsuface Sewage Disposal System Lot 124B Rushy Marsh Road, Cotuit, MA Our File No. 3-1642.00 Members of the Board: This is to inform you that the subsurface sewage disposal system has been installed substantially as per plans prepared by this office for Guaranteed Builders, Inc. Dated 10/05/85. If there are any questions, please do not hesitate to call me. Very truly yours, BSC/CAPE COD SURVEY CONSULTANTS Engineers Surveyors Stephen A. Haas, -E.I.T. Scientists Architects Landscape cc: Guaranteed Builders . Architects Planners Cape Cod Survey Consultants ` Y ' ` ` __