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0100 STUB TOE ROAD - Health
1Cao 51-ub�ve. �c�d O'�O- I�g - Cpfi t;i.�'f' � - - - - - f - - -- - - �� LOCATION SEWAGE PERMIT NO. VILLAGE L0 T L) 1 7- INSTA LLER'S NAME i ADDRESS ® U I L 0 E R OR OWNER DATE. PERMIT ISSUED DATE COMPLIANCE ISSUED �gcF Q No..B- —o 6 Fps...................:.............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Town OF.. Barnstable \ Appliration for Dispog al Works Tonstrurthan Vrrmit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System-at: Lot 40 Stub Toe Road Cotuit, Ma. ................__......_...................................................................... ...............•---.._..............----------•--•---------•-----------------............--------- Lo tion-Add ss o Lot No Theo Construction o. 24 Great Pond 5r. ,' So. Yarmouth, Ma. ....................-----.............................--•---•----•---•••--•-••-•----•.........• -----------------------•------.......----------•-----.........--------...........------........... --Owner Address Z- . ........ .................................................. Installer Address 56 ,800 d Type of Building Size Lot.................... .....Sq. feet Dwelling—No. of Bedrooms...................................--...--.Expansion Attic ( ) Garbage Grinder QVO) '04 4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures .-----------•--•-•--••-•----------•-•-• . 14 W Design 'Flow............SS..........................gallons per person per day. Total daily flow.................3.3.0...................gallons. f� Septic Tank—Liquid capacity.10-0.0gallons Length................ Width................ Diameter..--............ Depth................ W x Disposal Trench—No. .................... 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 ( ) Percolation Test Results Performed by....Robert..E......Ray ond..................... Date:-.hlom..10......198.2 aTest Pit No. 1......2........minutes per inch Depth of Test Pit---12........... Depth to ground water....nQl' e.....--. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water---..................... Q+' ----•--•--•-------------•-•---•---------------...--------------._.................. .------------------•--•---...----------.-........--------------•--------- O Description of Soil...........D"_8 ".-3bt"...sul�ss�imid.....s.and...to..graval... x V 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 iITi1E 5 of.the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of'Compliance has been 'ssued by Uboa. of health. Signed -------------- •-• ---• 1 fir! �.� Application Approved By............... '.... -•--...-•---•---------------•-------•. --...--..l v ----------- ......� Date Application Disapproved for the following reasons:.............................................................................................................. .................•--•-•------------•--....--••-•--•---------.............------•-----....--•-••--•-----...--.....--------•---•-•---•---•-------...............................••....Date••------------ PermitNo.......................................................... Issued........................................................ Date No... .:�'.......... � Fx$......� ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Towm OF Barnstable Applira#ilan for Disposal Works Tonstrnrtinn Prrunit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: Lot 40 Stub Toe Road Cotuit, Ma. ................_....................-------•--............--------•---....-•-......--••--.-----• ------•••••---••--....--•-•-••--•••-•-----••-•......-•--••--•---•--••......._...............-•--•- Theo Cons trf'detj`iojiddC6. 24 Great Pond°rlf o* So. Yasmouth, Ma. ......................__ ••--•- -------•--••---------•••-- .....................................................•............................................ ; "wner Address 14 •-•--....-•••-••..._ ...... 56,800 sue_ . ..................... Installer Address VType of Building 3 Size Lot............................Sq. feet ,.-1 Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder `4 Other—T e of Building __..... No. of persons............................ Showers a YP g -------------•-•----• ------- -•�- ( ) — Cafeteria ( ) d Other fixtures ------------------------------------- ---------------------------------••........... . W Design Flow.............55_.........................gallons per person per day. Total daily flow..................3.3_0..................gallons. WSeptic Tank—Liquid capacity..1.Q.4 Ckallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1-4 Percolaj�& Test Results Performed by-----RQI?X.t...B......R?&_ IIQAd.................... Date... OV•,_-_.101•-_1982 W Test Pit No. I......2.......minutes per inch Depth of Test Pit....122........ Depth to ground water.._..?:949 ....... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q+' . •• ------ •-•---••-•-•----- --------•......- _. ........... ................................... O Description of Soil............ " ...... lt_--36"-144"Med.-_-sand--to gravel 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 TITS 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...................................................................................... .......................... .4 tt ' Application Approved By................ r. � ,✓`ram ..................•--•--•-•------ �/ * ----------- Date Application Disapproved for the following reasons:----•-------•-------------------------------•---•------•------...--••------------------•--------••••---•-.....-- --•....--••.............••....................----••••-------•--•---..........•--•-•-••-•....•--•---••••---------------•-------------•---•••----...•--•-•----•-------•-•-••--•--•------•••••-----•------ _ Date Permit-No.--•••-••••..y............................................ Issued...................................................... -- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................Town........OF.........Barnstable ........................................... f9rdif irate of ToutpliFanre THIS IS TO CERTIFY', That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) J by......... �.-- :�-----•-•-•--•---•.............•-----•-----•-•--------Installer•-----•-••----.._...._..----------•----...........---------.._._..._......._.......-------..._ at- . • .-•_. ---- - has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No._, f�,. :_: !'............. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........�.�.�5.` 4�S ... Inspector......... ..........b..... ...................... ........... THE COMMONWEALTH OF. MASSACHUSETTS BOARD OF HEALTH Toem Barnstable ...........................................OF..................................................................................... •,t� FEE........................ Dispnsatl ork,� Taunstrnrtion erntit Permission is Theo hereby granted Construc..... ...................................----•.-• ... to Construct or Repair ( ) an Individual S w e Disposal System at No.._�..M `�0 � �nhTat.���a�� - a � •� -•---------•---.....---•----------------•--------•---------•--------........ Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... e..... f --------------------•------------•-••--. oa of Health DATE................................. ......................... .FORM 1255 HOBBS & WARREN. INC.. 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"O 'A.[ tlV'LT v► TO �•►rr"ICFiC°Z Tor rcxI44 t Y ,, ` Fra�t,µ G,cAo f' f►a► .�► Gi[. rU1gN 6v'` CvsL' r \ ��.USH Ca�C.►LE ? d/E£ Ty►+tK V XJ C.-Ce � � LEAC*4l*JGer y PIP a O �µ �' ' ,. . 00 0 �`1E D T owl . ecWr-oct-cT> cc...1c plsT l3o�c co 0 C9 °•, • I . O (3 i CaD jr. , - 1 { j l \ 7 TyP)CA1 r,EWACYC 5v5rE" P cPFtL• E4� L E A GN Ihlb 1��5 n,IpT Tn'SGA L-E � c '\o r �Q • r ___---� �,,,.,, . ion �. --- EriST C'c�VTvu[ --'` DESIGN ce/7EC�. r jN PROPOSED D yJE L L I t,i G LO CAT I O t-4 -..-`"""_ =-- ----_- _- -_-=— ✓ _ �0��'.v Cast/�Ilv.� �clfJ' rJ:• C t(v E�i t �aT Ec-��' ice* c\ PROPOSED S E IeiA v E O!5 P O S A L ROBERT \� 22 rtov. Ec Sri E. o RAYMOND C('S Pze .,%,C O,4 Y _ 'S�_ �PllXillhx� 7Lr-� No. 19875 (' /�, P-,:.. SEAc�i.,✓6 ,a,eE�4 ,PE4 u�tE1� PC, oes,�,c -��• .' r. ,� / r)�1( ►�.� �TAt��•—� C�T-� ,T� MASS . ti!IA/G A e" i T r✓f o&j, /Giv c- AL ERI�j ' A9r>L- i ,&.Li-t-' P00P05r,0 L'L_`ACH�NO v ; T / �� � -_ �',..,-�' ►.!O p15PC�5s.'..,_ .l � T.v}Ed CcN.s'Ti�ryG'G . ►2cv�3�C�iz�ir-�,c�- 2A��-tv�.1D 100 % E) PA KI 5 10 N ' .;.' 2'� tr,)(I..C'�'r' '��„3 O '�K.1 l/[ 3J G1 L•1 1'�l Z A ofy�A1�1 ROBERT yG E. RAYMOND SCALE. DATE. SHEETSO T No.21583 J 1 w v -T07-A� .�, 4 Q� �9tiFc�sTER• aQ � r it �_ � O SURVF-� DRAWN BY ECHKD BY ED BY PLAN NO. 1tr� va