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Home My WebLink About0531 CEDAR STREET - Health _ _ ��f � 3 / '�. LOCATIONV41: SEWAGE PERMIT NO. VILLAGE c�,qQ — l -vc�3 INSTALLER' �iA ME S ADZES 3 U I L D E R OR OWNER so-�A DATE PERMIT ISSUED 16 -a4_7Y DATE COMPLIANCE ISSUED fa e � d� No.......... Fxs:...`�..................... THE COMMONWEALTH OF MASSACHUSETTS • BOARD f-I E LT I.Z. :.....OF......t .......... .:_a_ Appliratioat for Dwitasal Works Toaaotrurtiott rantit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal tSystem at: .... —. 7............ ......... P.". _AIW.S..P1.�°..J.• ........................................... �L+ocation-Address or Lot No. ......FQ7.V _.....I- .. --------------------•-•----•------------------ ------------------------------e._^_------....................................................... wner Address a /�l�i t YAK�lrl�3�" t4 rtJ f.SJfec 17E...,l�?4?!. ..... .............................................................................................•.... 1 Installer Address Type of Building Size Lot..... _21. _---Sq. feet U Dwelling—No. of Bedrooms............... .......................Expansion Attic ( Garbage Grinder (wo) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixture d --------------------------- Design Flow________. ......................gallons per person per day. Total daily flow......"Z v.................:.....gallons. WSeptic. Tank Liquid capacity .gallons Length................ Width................ Diameter________________ Depth................ x Disposal Trench—N . .................... Width ....... Total Length_........._�^ Total leaching area--------------------sq. ft. Seepage Pit No-------l ......... Diameter.__ .__..__. Depth below inlet......L............ Total leaching area......�2,.11./..sq. ft. Z Other Distribution box ( ) Dosing ( '-' Percolation Test Results Performed by._'� �1 .....�...�-__ d> !. ____ Date.__.__ _� v__`.--- ... aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water________________-_-__-_. Test Pit No. 2................minutes per inch Depth of Test Pit............._...... Depth to ground water........................ ----- --- ---- - - -- - ------- - xDescription of So' _.-•--•r - --- ----- -• --------• - -------------------•--------.----.------------------.---.•....••---__.____•. 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 iITLL 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. Ign - -- ..................... ................................ ,r� Date Application Approved BY 1 --_------------• ---4- � �--'�--_ Date Application Disapproved for the following reasons:-------•-------------------------------•----•----------•---------------------------------------------.........-- -•-•-••--•••-•----•••---•-•...•-•-----•-•--•---•••-•-•-•--•.....--•••---•-...-••--•---.....-•-•--........•-••-•••--•--•-•-••-••••-•-----••••------•-----••-•••-••--•-•••-•---•••----•---••-----•---.._.. Date Permit No................................................... Issued--.--�� 7 ..... D Rr" '';y No.......... � ._ Fxs...�~p... .�.... THE COMMONWEALTH bF MASSACHUUSETTS /BOARD HE LT d 'Ei ilfj 1. OF...... ..... : . 4 .......................... Applirat#ion for Dispas al 19orks Tons#rnr#ion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .... .7 .`'� `_........... ........... 3"I ' `` `--•••............................................ -Address or Lot No. • t o_... .1. .-•---••........................................ .•---•-----•---• ------.. bb ................... caner Address tz!!.Pw.mf .. . ..... ................................................................................................. Installer Address Type of Building Size Lot...?__2L,2.A....Sq. feet a Dwelling—No. of Bedrooms.....................................Expansion Attic (A#� Garbage Grinder (Aro) pi Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtur�gs --•---------•-•------------------.•-•••••--•--------------------------------......•-•••--- W Design Flow_7_____._,, '",,,t................... gallons per person per day. Total daily flow...... 4�-_.._...........•....._gallons. Septic Tank � Disposal Trench iquid°:capacity� gadl{ons LengthTotal Lengthidth-__--••-c------Tontal leaching area_-.�epth----.-sq. ft. Seepage Pit No....... ____:_.. Diameter._ -........: Depth below inlet.............. Total leaching area...#Z47._�sq. ft. Z Other Distributiombox ( ) Dosing ( ._ /� a Percolation Test Results Performed by.-.!. ... . ...: tt _____ .._.'��?�__.__ Date__._._..__. Test Pit No. I................minutes per inch Depth of Test Pit..................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................. Depth to ground water........................ QI' ....` L.. f, ! ............................ Descript' npf So.I . ..--.-•-•-•......•..----.--•--••-• --....•----•....--•••..............••--.�.• `A___. .-_-_. --- ____ 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 TITI 4 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. Sign ................•----•--•-•-•----.... . ,•� to ,,,;. Approved BY - . -_... ::_.. -:_ - tt=-o�------------------------------- Application! -"-R: Date Application Disapproved for the following reasons:------••--=.-----••••-••-•-•--•------•••---------------••--------•--••-•-•••-•-••------••------•-•----•-------- ..................•••-•-•---......-•---•....-••••••-----.....................--•...........-•.......••--•-•--•------••••-•-•••••••••--•-•-•--•-••-•------------•---------•----•-•------•---•---••------- ? Date PermitNo......................................................... Issued-...........................................-•-•------- Date '11THE:COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1. :..�/� :....O F..........., ::.... Trr#if irFab of Tomplittnrr TIJIjk IS TO CERTI*, hat the ldual Sewage Disposal System constructed ( or Repaired ( ) by--•. - . .----•---4........ ........,.............. � n taller, �.. ../ : l has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Co fl . as de•(ribed in the application for Disposal Works Construction Permit No......................................... dated------ -- .. ......_"4.. ......... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE ' SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS a` BOARD O, HEALTH,. 4� �.. ......OF...... .. .. .. 1 ._.. : .................................... FEE....� ..•-�'"""�.,� Mops orkii T on#r W it Permission 's reby granted..----- - '4. ,. to Constru ( )for Repair ( I ivi Se} ge ispos em . ........ �'. - - ] / r r -E..,.fi6.� f at No........> _.._ ` iY Street as shown on the appli tion for Disposal Works Construction Per No... --------- Dated... /J -� --------------- -----•------ / 4 .. 7� Boatro DATE ( / - FORM '1255 HOBBS & WARREN, INC.. PUBLISHERS min t'-11 :o C Ar�s,or �21 wrc7 t� Igo•q'L 457-j S 6.P D. V - US4E2 C>C7o tcjD S F. Svl`t-��vc A2FA z r:;;O ST-. �{ ++ �S N �i• ToTQt_ r_,atL.�f FtAuc.�'�= 3�p..E,.F?D. _'" Si5 �;Y„�� {1► GEf`�('.t7t_l,Ttt�tJ i;�''l�TE to SMI O L�LXvSS 67 o q 1. itr'tA.;'i Pr1' IL 10, ..,;.... ems` 14z Tor F''+u o.go t 4. t►JV^q�,a t,oAm 'f'Pope I o00 1w. SJBSa,,. 4"Pf's � lw &AL. qG,S 2'!z / 'Sox 9t;,2 scar tc l o tuv TAwW. SILT` 1000 54• iNv. lov. S,WD GAL. 84,,S 84;7 :. wm4 LGAG t-1 F't461 P,T +/lG INLET .: TEE CUT Of* I Ahoy& , 'Top Qt ikvmr t WALF11B1? STO+.i� SatrD? �. t_eQTtT IEID �PLc�-r LoCATtol--1 Weer G� Y i{� ►�1� �G�.`T►_ 4./-1 t..l.:- 't�w �V 1� V1 TwL (�rtoPt 'b p E_ �,tJ P t e r e►.�c_a C U�IZ T t Vz-{ T ti-1 A-r T 1-1 G. t-1i.1:1 151.1 Gi;,lilt>��(�i fit/ 17N Ti-1 �jl DE Lit.l� � ,.`T (P"7 AWa !,ACV G'CGic�►isCAit�►-jT� OG 'C µto �' IZcGtS Ct��`-ri i.-/�1-!G SUZv'�=`fut�`•: T 1-1 t-S U�,-i A••J USTE�'v�t._U"= c� 1�rt.1Si• ttJS.('C':J,:�L �•1�' .�U�:�/iy' � `i'ii,.:: �Ft=��r°� 1�tGtalt� A.N►�1_t C_n.!`..l T' r Tlo i�r�'c:►_141t►J1- ED'� l_tN�= '> _. _ _ _ --- + p�lav �� _-� _ TELEPHONE: 362-486b ' 362-6106 LEEMAN WELL DRILLING SERVICE S OWNED & OPERATED BY CLOUGH & CAHOON WELL DRILLERS INC. WEST BARNSTABLE, MASS. 02668 � 9 J 67 � a J� J.Al�,O Jol -te -V , e