HomeMy WebLinkAbout0503 BAY LANE - Health 503 Bay L,atne
Centerville
A= 187-057
/N SMEAD
No.53LOR
UPC 12543
smead.com • Made in USA
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LOCATION 7 �u�.-® SEWAGE PERMIT NO.
VILLAGE -; 19 7-OS7
INSTALLER'S NAME i ADDRESS
• U I L D E R OR OWNER
r
DATE PERMIT ISSUED ^ ff
DATE COMPLIANCE ISSUED
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No.......1.. ..... _...............
THE COMMONWEALTH OF MASSACHUSETTS
NOISSI5-0 BOAR® OF HEALTH No'j-VA83SN03 3 8VISN
� , ?' � C"------------------- a- 'VftJddV o.t 133ranS�s3
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Appliratiou for Dispog al Works Tonarnrtinn rumit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Di posal
System at: 1 _.
..........
Locati ddress
/ � or Lot No. -
�t✓.11�l ...... Owner_.
... �. ---------------------------•-•-•............--•--
Installer Ad ress
U Type of Building Size LotQa.._/td1d......Sq. feet
Dwelling—No. of Bedrooms___ _________________ Expansio Attic ( ) Garbage Grinder (V)
Other—Type of Building
No. of ersons______:_____________�___ Showers Cafeteria
a yP g P ( ) — ( )
dOther fixtures .....------•--------- -• •--.----------------------•--------------------•--•-•-•---••-•-••-•--••-••-•-•••••......•---•-••...
W Design Flow....... 0......................gallons per person,per day. Total daily flow...,...........................gallons.
W ,Septic Tank—Liquid capacity. !gallons Length./.4........
Width...7.......... Diameter________________ Depth_r........._..
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area___--__----_------sq. ft.
Seepage Pit No_&%............ Diameter.................... Depth below inlet4A4Z"t_._. Total leaching area... 10Osq. ft.
Z Other Distribution box ( / ) Dosing tank ( )
~' Percolation Test Results Performed by...................................................... Date........................................
Test Pit No. l/4._J'Z-.C-.-minutes per inch Depth of Test Pit-_/4®®.V••- __ Depth to ground water----•A9 ....
(14 Test Pit No. 244Jl iinutes per inch Depth of Test Pit... Depth to ground water----A1St '...
9 .......-............................................................................................•----•---•-•_...
O Description of Soil......!r1_ 0fQ, *.... ���1-___efa-'"----�r�- , �.1 �,_.__ ® e ------
U -�.�,0-/ ......•� � ---------------------------------•--------------------....----�--------
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 iITIZ 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�L:
------- ---•--•------------•- ----------------
•..............
.
� �� .......................Date
Application Approved By--• . ... ... --1vA�
Date
Application Disapproved for the following reasons-------------------------------------------•--------------•------------------------ .............................
•-------------------------------------------••-....................................................................................................................................-------------------
I/ Date y�,,
Permit No.---••...••--•--•----•---------------------------------- Issued-•-..Ir...._` ! j•-•._...—..
Date
ME/. ....._ Fps. "'"-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
7*�
(!..(a//1/....................OF.......,J�--t.�fW.Tf_ �' :.....:......_...
Appfiration for lliipnstaf Works Tonstratchon ramit `��'� �s'G
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal -
System at: -
.� 4'_......... i9 . -.........•... ........ -- ......... . c
Locati ddress or Lot No.
41C
Owner Ad ss
1 i��r .... 'A�_ =-------------------------------------------
Installer ddr
UType of Building Size Lot,`j_ ..fG,cl......Sq. feet
Dwelling No. of Bedrooms___-y....................................Expansion Attic ( ) Garbage Grinder (V )
aOther—T e of Building g ......V&_A1,zOn.. No. of persons_______________________ Showers ( ) — Cafeteria ( )
Otherfixtures -----------------•------------•-----------------•--....------------........--------..._.........---------------------------------•--------------------.
w Design Flow.........4/.y.O......................gallons per person per day. Total daily flow.... ...........................gallons.
W Septic Tank—Liquid capacity./-O.Clgallons Length_/d........ Width...
`J........... Diameter---------------- Depth_C-.*.......
x Disposal Trench—No. .................... Width.............._..... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No...I�K------------ Diameter.................... Depth below inlet._/!� .... Total leaching area._.J;3 ___.-sq. ft.
Z Other Distribution box ( / ) Dosing tank ( )
aPercolation Test Results Performed by-------•-•--•-------•------•----------------••..---��-------------•_... Date........................................
Test Pit No. 11 .��Ininutes per inch Depth of Test Pit../.4A.__.�✓ Depth to ground water.....4A ._.
44 Test Pit No. 2.P:.LC-n' tesper inch Depth of Test Pit---- Depth to ground water-----AIOAO .r_'...
- unu
...-----•---------------------•----------•-----------------•---....------------.....-----•---.-•--------....-----------•---------.----
D Description of Soil......4,1 0404*1--g I.G :..,5��1 �" �j 1� �'Q�7�57 �.5'i%'/1✓
NifT �« ............................................. ---------------------
w
UNature of Repairs or Alterations—Answer when applicable... _____________________________________________________________________________
•--•--•.•-------------------------•-----•----_----•-•------------•---......_....-•------------------......---•------...----•-----------------•----------•-------••-----........---•--------------•
Agreement: ,r_
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.
aned_^. •---- - 9 g ----------------••--- -------......--------------•---•--- ....--•--•----.........-------
/��,1144-a,&l
Date
Application Approved By.....- g rr • -- ..... v------- �.3.` `-. ........
Date
Application Disapproved for the following reasons: ...............................................____...........................
--•--•---....-•-•----------------------------•---------------•-•----.........-•------------•------------..._.. ..................................-.....................................................
Date
PermitNo.....................................------------------- Issued-....................................................
Date
`w
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALTH
t o-
Tntifiratr of TnntpfiFanrr �
TH TO } Y, That the Individual Sewage Disposal System constructed ( �r Repaired ( )
,.�/ __.
y --; .:!
at.- �------. ------. ' ._....._..
��m
has been installed in accordance with the"pro ' ions of 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit N4...../..../1..I&.............. dated-..... _ __`9".. ..........
e
THE ISSUANCE OF THIS-CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION-SATISFACTORY.
DATE................. ...... .................................. Inspector.......
... ...................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH .c
'L�........OF..........r� ,,�d �........................................ �r ,
.....J--1...! ....... FEE... ..."r..
%Vosa t Fork
n rnrtion rntit
Permission is hereby granted....
/`
to Construct or Repair n i dua P.wage Disposal'S
No at /�/fy . J +'Street `
s.....
as shown on the application for Disposal Works Construction Pe� No.___.__..:___.____:: ated....3..-
-
L{ Board of Health
-
DATE.---- _ -`-----•--------•---•-------------------•----._.....
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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SE�9 GeY�L
CERTIFIED PLOT PLAN
-f 4 LOCATION a`�e,vsrABG&' (Cpv��ne1/iGG6-1 MRss.
/i/ �, �wisElo r1ArL �Oi i'1Q/
4 _ SCALE . . . .'. . . . . . . . DATE
PLAN REFERENCE
Sf/o wN oi✓ A PL.4 N o/_ i SBA
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€ I CERTIFY THAT THE
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
lt/iGG/AM 2 BCA/2 AS SHOWN HEREON AND THAT IT CONFORMS TO THE
ADD SETBACK REQUIREMENTS OF THE TOWN OF
TAD/r.Y �_ $L�i e WHEN CONSTRUCTED.
DATE . . . . . .. . . . . ..
PETITIONER: CEN�2�✓iCLG--� /LJg55_
REGISTERED LAND SURVEYOR
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TOP OF FOUNDATION
CONCRETE COVER
CONCRETE COVERS
"e 4' CAST IRON ,
PI PE (OR 12"MAX. � � 12"MAX.
4"ORANGEBURG.(OR EQUIV.)
EQUIV.)— MIN. PIPE- MIN. LEACH
• PITCH I/4"PER. PITCH 1/4"PER.FT' PIT
„o PRECAST
o' —INVERT • Q LEACHING
EL../.7.?9. ... INVER INVERT p . e•� PIT OR
SEPTIC TANK /L �/ DIST. /� ¢ w ; EQUIV.
o INVERT EL...,. . . : . . BOX EL... ..7. ' : >x . .
/Soo :, GAL. INVERT F" o:
o; EL.�7,08... EL�G:G¢ INVERT ;•' `9 w w o. :;i: 3/4"TO I I/2
EL/.4./8. STONED
6z.3.s —
PROR LE OF GROUND WATER TABLE
6A3&qo on/ z>'wr,9 -=ZoM
SEWAGE DISPOSAL SYSTEM "s•°•s. 0pe,,,_,-1c.a-R6-%bA, ,
`t 77-419
NO SCALE
PRELIMINARY
SOIL LOG WITNESSED BY :
DATE yrGusr%7!979 TIME. .9: 3'.�:� P,vc� M`�ee`r`/ BOARD OF HEALTH .
TEST HOLE I TEST HOLE 2 T.t1a�?As �. .�CezcN P,E ENGINEER
ELEV. .R/80. . . . . ELEV. .ZR.40. . . .
wooDLos.ry WeoD L/+sy .
S�a So,� S�B so,c DESIGN DATA '.
ftwc• NUMBER OF BEDROOMS
4B" Ca wiz
---- S4" TOTAL ESTIMATED FLOW GALLONS/DAY
84- BOTTOM LEACHING AREA . .7 . . . . . SQ.FT. /PIT
CoA++Zs E S.9ND
SIDE LEACHING AREA . . .BBB �". SQ.FT./ PIT
GARBAGE DISPOSAL .yEs (50% AREA INCREASE)
NE D/ur.
Coi�T TOTAL LEACHING AREA 3¢ �. SQ.FT
Sa+.O
SA.vD /¢ StY.
PERCOLATION RATE . . . . . MIN/INCH
98o ce L.4o LEACHING AREA PER PERCOLATION RATE SQ.FT.
.!1 .WATER ENCOUNTERED
NUMBER OF LEACHING PITS
O/=S7DNE'oiV AGL S�D65. _ /S.G 7DNS.=` o/=STon/E.�
APPROVED . . . . . . BOARD OF HEALTH l
AEn P.T
DATE _- . . . . . . .•. - . . . . .
'ITIOivIAS E.KELLEY EOa
AGENT OR INSPECTOR. ENGINEERS—SURVEYORS
346 LONG POND DRIVE
SOUTH YARMOUTH,MASS. ��P�,(H DFMgss9
02664 0`� THOMAS c
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- SS/ONAL
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PETITIONER C�iv�-�✓.c-�� •Nl�9s5.. . . - 6'� i'j ��