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HomeMy WebLinkAbout0503 BAY LANE - Health 503 Bay L,atne Centerville A= 187-057 /N SMEAD No.53LOR UPC 12543 smead.com • Made in USA J4��Y�O 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 y F _1 A*x- r ` � 3y , , No.......1.. ..... _............... THE COMMONWEALTH OF MASSACHUSETTS NOISSI5-0 BOAR® OF HEALTH No'j-VA83SN03 3 8VISN � , ?' � C"------------------- a- 'VftJddV o.t 133ranS�s3 y oF....... . . 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 aim M 1b o Jam,, �,.m,edr`- Coe o I N.c I rB I Tsr PRoPoSttDl\ p \ o 10 SeR77C / 0 pp o Delvew�+y FN.6[.`ZZ.o I 'Z• ��a — � --' _I VL EZ t"r/, TAP of CawC. l I I I I I I I M ca .o J r M ' ro Q /VOTE— LoGciS Lor ,es 9 . zz /oo sue. 187 7 nior�- Etw.gr oNs a9ssa oti 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 `. Y % 6'6�. . �t € 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 L zb�o0 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 zero ? . B•9y 1-�/e. . . 1 '`" fU tof= •Yb0 � (Ni u iA n ,�. BG4i2 �f of TiS!!`!. 13G4�/� - o G/STEM �• - SS/ONAL oVEeZe>O -_ D,e VG PETITIONER C�iv�-�✓.c-�� •Nl�9s5.. . . - 6'� i'j ��