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0421 SCHOOL STREET - Health
ya � sehoo 1 6-ired- 020- �t,�#- t THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE TH 6 �' 1.®.. OF.....� ' .. . iration -for Uiipu. ial orkii TouB#rurtion 13rrutit Appli s ereby made for a Permit to Construct (�or Rep 'r ( ) an Individual Sewage Disposal System 1 �/j /a 1/\n[4jy catio Address V or Lot No. K"�� ------------------ ............................................................------------------------ Owner Address Installer Address U Type 17No. of Bedrooms------------ Attic (�—'j S'ze Lot- rbage Grinderq(feet Dwellling ) 'Other—Type of Building -------------------_----__ No. of persons-------- __ Showers Z — Cafeteria a Other g -----•--•----------------•-----•------—---------------- ( ) ( ) Other fjrtures ---- -----... d .� _a Total dailyflow------- .®.. ............. ........ W Design Flow-------------------------------------------gallons per person per day. gallons. WSeptic Tank—Liquid capacitv_��a_Qgallons Length________________ Width_.--_.-...... Diameter_--.----..------ Depth_-.--._..--... x Disposal Trench—No. .................... Width-------------------- Total Length.........._._.... Total leaching area----------------....Sq. ft. _-_-__ Diameter__1 d o a_-_-_ De th V t �4.4�e_ Tota leach Seepage Pit No.________-�-- _ p trea--------- --------sq. it. Other Distribution box ( ) Dosing tank ( ) ,�- � .' �� /�k/7 Percolation Test Results Performed by-------- ----------------------------------------------------------------- Date------------------------------------ - ,� Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water...-_._--.-_---.-_---_-- �14 Test Pit No. 2................qunute�s r in Depth of ' st Pit-------_____r____ D tkto round�waterk-- _._---_----.____ -. 0 �1 Description of SoiL_______s .�___�_..__� _.�......__ ._0. ,__ V --------------- -- ---------�------------------------------ 6. UW --- ------------------------------------------------------------------------ ------------------------------------ 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued b the board of Ith. Sin - iG'.r. g ------ ... . • --------- L 'lt�-...... Application Approved By-------- - ..... ----------------- G ./ 7 D to r Date Application Disapproved for the following reasons-........................... ------------------------------------------------------------•--------------------- ---•-----------------------•---------------------------------•-------------------•----------------------•••---------••-----•--•--------------•--------------•-••-•----------------•-------------------- Date PermitNo........................................................... Issued........................................................ z Date 1 :q THE COMMONWEALTH OF MASSACHUSETTS BOARD O F HE LT _ ... ..........OF......... Applirittion -fur :4344puuttl Works Tomitrurtiuu Prrutit Application is hereby made for a Permit to Constructor Rep it ( ) an Individual Sewage Disposal System J� .cat o Address or Lot No. Owner Address W Installer Address = Type of'Buildin Size Lot__/, _Q c).............Sq. feet v Dwelling No. of Bedrooms------------ _----------- Expansion Attic (—) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons......... ----------------- Showers (t ) — Cafeteria ( ) a Other xtures ----------------------=------- --- - W Design Flow ..,gallons per person per day. Total daily flow.....__ _ .. .____________.__.__... gallon~. WSeptic Tank. Liquid capacity4v (<<_gallons Length................ Width---------------- Diameter_-----..--__-__ Depth..-.--.-_----_. x Disposal Trench—No-___________________ Width-------------------- Total Length-------------------- Total leaching area--_--_--_-..____-_sq. ft. 3 Seepage Pit No................... Diameter..! _GC-__---_ Depth fb�lt9 i et / � _- . Tot leach' g area____...t.____./._sq�./it. z Other Distribution box ( ) Dosing tank ( ) +• p +�~ j �/ r h aPercolation Test Results Performed bY--------------------------------------------------------------------------- Date---- •-------------------------.-.. Test Pit No. 1----------------minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ 44 Test Pit No. 2................yunut9s er V1 Depth-ofTest Pit............�____ D ptli to round watej- inA . ...... .._:___._ --- ----- -- - --- D Description of Soil ------- -Z-1....--- • d .._ P fit'` = U ---------'L•----------------------- -• -jL---- -•--- ---------------------------------- - - --•------ - Nature UAl tions---An --- ---------------------------------------------------------------------------------------------•------------------------- U P ... Answer when applicable--------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- .... = ------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with ` the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been,issued b the board of lthAN , . �l 67 D t e Application Approved { [ i Date Application Disapproved for,the following reasons:...................... " -' =---------------------------------•-----------•-------------------------------------------------------------------------....................-........... Date PermitNo...........................................•-•-----_..... Issued........................................................ . Date THE COMMONWEALTH OF MASSACHUSETTS I#l �.,,, { BOARD QjF HEA IT Q'ee...................... lrrtifiratr of Tlintpliatta THIS IS TO .CERTIFY, That the Individual Sewage Disposal System constructed ') Or Repaired ( ) by -- --------- --------------------•-•----•-.----------. W has been installed in accordance with the,provisions of Article XI of The State Sanitary Code s d scribed in the application for Disposal Works Construction Permit No---- ( : ............... dated._._ __ __ __ye............... THE ISSUAN E"OF THIS CERTIFICATE SHALL NOT BE CONS �© AS A GU RA TEE,THAT THE ¢ SYSTEM WI NCTION ATISFACTORY. DATEX •� ✓ _.................... Inspector. -------------------------• •-- THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALT /A 1/ /"Zop SO O F F l f! y NO.��Q f EE_ .. ... Bispinittl Norkii Clon rin. tion Vrrtnit Permission is.hereby granted----------------------- ------------------------------------------•- -----=-------•----. .............--...--•- .......................... to Con uc ( o Rep ' n Ind' td 1 Sewage•Di �osj SysJF1001 at NO ------ �t l t �• -,r-�`` s � ... V......... y Street as shown on the application for Disposal Works Construction P it N Dated._. 4./t- --------------- �. ••. Board of Health• DATE............------------------------------=--- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS r f 5 sz a -B yl o� 1 < -0 \ ��•�a ��'/SO17 ed it 00 47 J• fi ,�31 a Lis PLAN OF PROPOSED GARAGE FOR ROBERT R. MCN`UTT I.II ro O IN-) Ya mhp 90 LDS COT UIT� MA. il, SCALE I" = 30' DATE ; OCT. 16, 1986 CAPE 8 ISLANDS SURVEYING CO. LN 131 SPRING BARS ROAD FALMOUTH, MA. THE COMMONWEALTH OF MASSACHUSETTS BOARD HEA H .............OF�UL4- ..................... L QyWrfif iratr of Tontpliatta THIS IS TO CERTIFY, That the Jndividual Sewage Disposal System constructed (k_)"�Or Repaired by....k•....... ---------- -------_------------------ ----------------- ---------4.......................................... ----------- -----------------_------- has been installed in accordance with the pr ovisions of Article XT of The State Sanitary C�Vll.,es d cribed in the application for Disposal Works Construction Permit No.......----y_d_ ................. dated ._.a.`J�.___..._._----. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RA TEE THAT THE SYSTEM W FUN TI SATISFACTORY. DATE---- T.................------------.... Inspector- ^---- -—------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD 0 HEALT OF_..... ................ ....... FEE--/a.............. DiVrijud Perm;ssion is hereby granted---------------------------------- ------------- ....... .......... ---------------- ............. ........... to Contxuct ( q Re) i an IndpAidi. I Sewage Di osa Sy - ---- I.,- -------- -------------------_-----_----------------- at N W" street as shown on the application for Disposal Works Construction lit N --- Dated__,/O/�/7y-------------• & ............................. . Board of� 0. 111 DATE...................................................... ------------------------ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS Q�TNB 0 TOWN OF BARNSTABLE OFFICE OF E HaaBut $ BOARD OF HEALTH '>�0 1639. { 'O�aNW,lk�� 397 MAIN STREET, HYANNIS, MASS. 02e01 September_ 24, 1974 Mr. Robert R. McNutt, III Falmouth Road Cotuit, Massachusetts Dear Mr. McNutt: Your request for a variance from the. Board of Health 100 foot law to install a 6 by 8 leaching, pit 94 feet from a drainage ditch on your property, Lot f235 School Street , Cotuit , has been granted. This system must conform to the 'other requirements of Article XI of the State Sanitary Code! and Town of Barnstable Rules and Regulations and must be installed in accordance with plans on file in this office. Robert L. Childs, Chairman .Ann an s aug '- eraEld W. Hazy M. D f BOARD OF HEALT.. mm v� TOWN OF BARNSTABLE LOCATION S4fH00 L 5 / SEWAGE # 1�►�`( �yt�y _ o VILLAGE a ` I ASSESSOR'S MAP & LOT/4AP o20— INSTALLER'S NAME&PHONE NO. )E® G i9 C 1 C SEPTIC TANK CAPACITY w l)n .A e LEACHING_FACILITY: (type) ' "1 TC 1F1k H tiTize)�. NO.OF BEDROOMS BUILDER OR OWNER 908 L % /V e ,J u 2 PERMTTDATE: 16 h.77 COMPLIANCE DATE: Separation Distance Between the: o a Maximum Adjusted Groundwater Table and Bottom of Leaching Facility !_`� Feet Private Water Supply Well and Leaching Facility (If any wells exist ,�/ on site or within 200 feet of leaching facility) /V q Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 306 feet of leaching facility) Feet Furnished by c ti u -7 a 7/a ' y C �®T 1 • f 1 ;1 Ti'e (� Y ll ZO 17 _ -_ �� _... ___ •�.�, - - _,�, _ V lac-.L��� SAC.-►ems' y.�..��tJ .�©.G�.�-•�T�• G./�/GJ''T� �.3�0 ��rf3L/� �''�I a`�� V'