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HomeMy WebLinkAbout0081 STUB TOE ROAD - Health 164 - c have-� 0 L4 D— 1 L O CATION SEWAGE PERMIT NO. L _ A %ul3 �z-aE R o Ws VILLAGE Li 1 - � INSTALLER'S NAME i ADDRESS ` 0 U I L D E R OR OWNER DATE PERMITF ISSUED DATE COMPLIANCE ISSUED � . GG p��x e A O Lai 3G 3 TEE C T THE COMMONWEALTH OF MASSACHUSETTS Rom' BOARD .OF HEALTH Town Barnstable ........................................... OF......................................................................................... . ppliration fear Disposal Works Tonstrurtiun Vamit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Lot 36 , Stub Toe Road Cotuit, Ma. .................................................................................................. --•-••------••-•-•••-•-•••••-•---••-......-•••-•--...•---•-•••--••--------•------.....---......... Location-Address or Lot No. _.Dennis Stsa..r___Qpj.a.t pj=jgD___Qo.,__ _ _24 Great. Pond Dr._1_„So_.____Yarmouth•�- Ma. -- ..... ,owner Address a .................... . . ..... - Installer Address Type of Building Size Lot.23.i_100_.........Sq. feet Dwelling—No. of Bedrooms..............3_.._............_..........Expansion Attic ( ) Garbage Grinder (a+�) Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ---------------------------------------------- W Design Flow.__......`�5.....................:........gallons per person per day. Total'daily flow____-3 3 0._..,...._.. _.__ ........gallons. 94 Septic Tank—Liquid capacity 10 0 Ogallons Length................ Width................ Diameter -____-.-___-_. Depth................ W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( 0-4 Rober� E.Ra and P E 0 1982 Percolation Test Results Performed by...................................... ....�._.......'---- ....... Nov.Date..---------- .----•--`---.--.....-_-- Test. Pit No. 1________ _____minutes per inch Depth of Test Pit...12............ Depth to ground water....none 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ -------- . .._..-•-- -•--•• ......•• -•--- ••-•----- Description of Soil......._0"-36 subsoil, 36"-144" fine to medium sand -------•-----------------------------------------------------------------------------------------------•----•-••------------------------._.._.....•--=-- x c., w x ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------•----•---..... 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 iIT .;;:. 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation-until a Certificate of Compliance has been i ed by the bo vd of health.Z �L g 7 �i r Date Application Approved By-------------..... - -z AA.. --- --- . Date Application Disapproved for the following reasons-------------------------------------------------------------------------------------------------............... •-----------------------------------------------•---•------••-----------------------------•-•------.......--------------••-----------------------------------------------------------------------•---•--- Date PermitNo......................................................... Issued-....................................................... Date 140.. dw Flma............d....... + THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ...........................................OF........................................... Appliration for Disposal Works Tonstrurtion Permit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at:. Lot 36 , Stub Toe Road Cotuit, Ma. ...• __.._. -•.........................•-•------.._..........------................ ......------..................................-------------•••-•--•-•----•-------................. Location-Address or Lot No. Dennis Star Construction Co. ...•.••...... _24 Great Pond Ars..,.,.So._..Yarmouth_,.,Ma. .................. ._. .. ...... --------- -- ----------...... .... pGhvner Address a 04 !'t................................................ ..-•---.................................... Installer Address UType of Building Size Lot.23_,100.........Sq. feet y a Dwelling—No. of Bedrooms..............3...........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................. No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------•--......----------•••------•--------••••--••••------••••--•----••••--•-•--••-----------••......------.....------ W Design Flow..._.....S 5............................gallons per person per day. Total daily flow-----3 3 0 gallons. WSeptic Tank—Liquid*capacity.l0©gallons Length................ Width................ Diameter---------------- Depth....._•......... x Disposal Trench—No..........it ....... 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 ( Rober� E.Ra and P.E. NOV 10 1982 W Percolation Test Results 2 Performed by..........................................1.�2.1........................ Date...._._..._•....----•none .... Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water-___-.--.------..-.----. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ au-•--- - II -- ,.... .........-tt is Y ......... .-•----..... O Description of Soil........0 -36: __sulisoi� , 36 —14� ' fine to meal sancl---------------------------------- x .....................................................---................................................................... 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 TITLE, 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...................................................................................... Date Application Approved By.............. .ri!? . Cj� -�.................. Date Application Disapproved for the following reasons-............................................................................................................. ..............................••--••-•••-...........--•-•---..........------------.......------......---•--•--•-•••••••-•--•-••-•----••------•••---------••--••-•---••-•-•--------••-•-•--•-••--------•- Date PermitNo.............................•--•--------••------•-•.... Issued..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Town Barnstable ...............OF...... ........................................................................ (9rdifiratr of TompliFanre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by..................... ..:e� ................................................---•------------------•--••--•--••-•---------•---•---.................----......................---- at -=d--------- - - stler ` has been installed in accordance with the provisions of TI i' F 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No ...-�:. j............ d. ................................................ THE ISSUANC OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTE IL DATE.�..� F NCTION SATISFACTORY:-•---. Inspector-•-•... .. . .....................•------•--•--....------•-----•----------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE�TH Town Barnsta a OF.................................. e FEE..... Disposal Vorks Tonotration 1krintit Dennis Star Construction o. Permission is hereby granted ............... .................. ...--••-•.-• ------ �4....... to Construct ($) orRepai3� I u geCLtSyMia,O tU 0e 0aOu atNo.....................•---•....................................................................................................................................................................•-•--•-•••--.......••--••-------•-...................-----.........-- Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... 1.e11 ......................................................................— Board of Health DATE- .. .......------------------- FORM IP-55 HOBBS & WARREN, INC.. !9UBLJSF�,ERS /y