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HomeMy WebLinkAbout0978 MAIN STREET (COTUIT) - Health (2) ������� s��E a3�- 03� �d��� i -� S � P7"f � ®�lil 3MM vsn w aavn V050 VANn 0 r,r 71 7 s 03 d —0.30� f a• No....---� FRi .. ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . .....Town_ ...........OF.......Barnstable Appliratiun -fur Bitipwial Works Tonstrurttun Vrrufit Application is hereby'made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal ' System at: .......978--Main...Stre et--------•--------------------------------------- Location-Address or Lot No. .......Gnr-don..Brnwn........................................................ ...Cotuit............................................................................. Igor Address a Joseph- p MacoM er & Son Inc Centerville, ..... ---------------------------------------- Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( ) U . P4 Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) d ----P4 Other fixtures .............................................. -------------- ----------------------------•-•---......---•-----------•-----•-•------------------- W Design Flow............................................gallons per person per day. Total daily flow........................................ P4 Septic Tank—Liquid capacity............gallons 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------------------scl. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by-•------------------ ----------------------------------------------------- Date---------------------------------- ,� Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water...._____.__._..._.._-_- t�, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........._._....-....___ ----------------------------------------------------------•-----•---------------•-•-----------•---•-----------•----------........................ ----- O Description of Soil---------Sand._�...GrAye.1.........----- --- ------•. ------------ �°--------------------------------------------- t - ..`.. U -------;Y.,Yie-------Y'444 ............................................. ............................................................................................................................. ........................... U Nature of Repairs or Alterations—Answer.when applicable......1-O'Verflow -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 betsued by he boardo h .�� eCfj ------ . Da Application Approved By //° ------ ------- -------- • ` Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------•--...-----------...----•--------------------------------------------------------•-•------ Date PermitNo......................................................... Issued........................................................ Date ................................................. ................................................................................ THE COMMONWEALTH OF MASSACHUSETTS, BOARD OF HEALTH ...............T.O..Wn..............OF.......Barns table.............................................. I.T. rrtifirate of f.,11w aurr THIS IS.TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (X) Jose h P. Macomber & Son Inc . by--------------- §-= P--•--••--......---•--......--------------------------------------- . ----------------------------•-----•-•-------.-----------------------------------------•--------••-- - Installer at....9V... ain Street., Cotuit Brown .................................................. ------ ---------------- --------------- has been installed in accordance with the provisions of . it ol T1.e State Sanitary Coe as described in the application for Disposal Works Construction Permit No. ....................... dated__..... ..` -------7.7....... THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT RE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector---------I ------- No.......t-I •. FizE... ... ? ........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... Town.. ... .....oF.......Barnstable _ _ --------------- ----- --- ------------- --------------------- Appliratinn -for Biqu aiittl Workii Llar�t� r rti Yt rr��it Application is hereby'made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: 978 Mai Street ----------------------------•---• •. ...................................................... ---•-----....................................................................................... Location.Address �r /v Otuit or Lot No. 13-r Owner Address w Jose_p_ h P. Macomber & Son Inc Centerville, Installer Address UType of Building Size Lot----------------------------Sq. feet Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) 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...•............ Diameter-----...-------- Depth..-.__._._.._. xDisposal 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------------------- ----------------------------------------------------- Date--------••------------------------------ W Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water........................ G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__..-.._-__-.__-.__..___ 9 •---•.....••-----------------------•----•--•-•-----------•••---•••-------------•••----------•••--•--.............................................. ------ - O Description of Soil___._.__Sand._.&...Gr Gr.a-ve-1------------------------------------------------------= ..... U ----------•-•-••-•-•-------•-------------•------.------•----------•----•-•--------------••---•------------•-•---•-•-----------------..--------------•----------•---•-----------•-•-••----------•-------- W ---------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------ V Nature of Repairs or Alterations—Answer when applicable------1-Overf low ----------------------------- ---------------- --------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------- 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 b 'enh ed by the board of>he lth. Sig, rd....,f-.--;:-__... Date Application Approved BY --••--••----------- y Date 1 Application Disapproved for the following reasons......•-------•-------------- -•----•---•--_........._..------•-•-•-•---•---.....---------•-•--•-------•--•--•-- ......................................•-----------------------------•--...------......------------------.-------------•-._-----•------------------•------------•----• ---------•-------•---------------- a * Date t, PermitNo.................... •-=,:,.................. Issued--------------------------------------------------- I Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............Town...............OF.,- Barnstvb.J .::......................A.................... Trdifirate of TOMPHaurr THIS IS TOCERTIFY, That the Individu 1 Sewage Disposal System constructed ( ) or Repaired (X) by Joseph P. Macomber & bon one,. - -- -------- --------- ------ ----------- ................................------------------------------------------ •------•--- Installer at 978 Main Sheet, Cotuit Brown --•- ------- has been installed in accordance.,with tl e provisions of Art gXIr of The State Sanitary Code as described in the application for Disposal Works Constriction Permit No---- ,jj,.:__,p.�._` ``__._._. dated. __.___ .'. �q �, .J THE ISSUANCE OF THIS CERTIFICATE SHALL NOt BE CONSTRUE© AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .. ---••--- Ins pector................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TownO.................. ........... F.........Barnsa . .... N F EE--� OO Dinvo,ittl lark ��� r�tr > tarr�tif Permission.,,is hereby granted-__A!S! h P. kacomber .& Son Inc . --------------•-----------------------.......,------..._..------••-----•..... Co Construct ( ) or Repair (X ) an Individual Sewage Disposal System at No......9�_-�-..Main Street..-...Cotuit - Brown Street as shown on the application for Disposal Works Construction Per 'o _ _ D_ rated-_ -`.. ••.-•- t PP P J -------------• ---•• - 1 Board of Health DATE---.....Ll. ._ ---------------••---••-•-----•- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS :�w,