Loading...
HomeMy WebLinkAbout0111 BRIDGET'S PATH - Health .11 BIZIDGET'S PATH Centerville , A = 170 — 225 UPC 12534 2-153LOR lG- No. ca HASTINGS, MN ' 5 Fss. ......... ........... THE F Ts OARD OF HEALTH ►v.V ..............OF.....�.AR!15T ��----•-...............--•---._.. Appliration for Disposal Works Tonstrnr#uan Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................._........_.............. _�91 ............. .•LET - 3R�ol. ! .....__.Lo ation-Address or Lot No. .. _9�5_._..�2.�f.. ................ er A dress �....�•-•--.....--•----••....................... �t = .lJ ..... ..... 1.-k 1 . -------- Installer Address Type of Building Size Lot_saZ7,1,311......Sq. feet Dwelling—No. of Bedrooms________ ___ ___________________________Expansion Attic ()Q Garbage Grinder ( ) aOther—Type of Building ..... '------------- No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures --------------------------------------------------•------------------------------------------------------------------------•-----•------------------- W Design Flow------ �' ..............................gallons per personer day. Total daily �ow. 3� --------------- Flo�� .. Width................ Diameter_ ._ "S" Septic Tank—Liquid capa rtyJ�� ?__gallons Length.. /1�-4----- Depth---------------- x 10 Disposal Trench—No. _/(� ..•........ Width.................... Total Length.................. Total leaching area--------------------sq. ft. Seepage Pit No.....__./-.__-____-_ Diameter.......... Depth below inlet.._......16....... Total leaching area... (0...sq. ft. Z Other Distribution box ( Dosing tank ( ) Percolation Test Results Performed by......................................................--...-•-----•---•--- Date.................. •••-- aTest Pit No. 1..L�"..minutes per inch Depth of Test Pit...../..._._.._ Depth to ground water-___/- -1- -- -----. Test Pit No. 2.L_7"___minutes per inch Depth of Test Pit.................... Depth to ground water.................... Q+' •---•------------------------------------------ - O Description of Soil..........L).`�...... e?Icr•�� a'... .................................... .."' U ------------------- ------- •-- !�d- MQ UW ------------------------------------•-------•--------•-------------•--•------•-•--•-------------••-------•-----•-•------------•--•----------------•------•---•-------•---•--••--•-----------------••-- Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------------------------------- ----------------------------•---•--•------------------••---•-•-•---•--•--------------...............--------------------------------•------------------•--------....................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with he rovisio s "'ITS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in o r i ti Ce to of Compliance has been issue y e board Signed.............. _. . ... . .....-••---------•----•-•••---- ---- �. S' ate onApproved By............ ..... --••• . .. ..............•-•.••... !� -9-5---------- Date APPlication Disapproved for th ollowing reasons---------------------------------------------------------------------------------------------------------------- .......••-•---•---••---••---••••---••---.....---••••-------------•--•........•------------••-•-----------'-•------•--•-• ••----------•---••----••----- ----_....-•--- Date Permit No. CJ__-------fir. __...... Issued �.. �. Date ----- ------------------- FEB. . ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH U. .��....... .....oF....� . �. ..Ia-l1 ................................. lirtttion i1i` ` i o gal Works Tonstrnrtion tirrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location-Address or Lot No. ......................—.......................................................................... ....:............................................................................................. Owner i Address ..................................................... ...........................�_ ----• -- Installer Address Type of Building Size Lot_ 1 24.......Sq. feet Dwelling—No. of Bedrooms-- ... ...........................Expansion Attic (�) Garbage Grinder ( ) a Other—Type of Building ..... .............. No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures -----------------------•-------------------••------------•-•-••••-••••----•-----•-----------•---......--•-•-•••••••---•-••-•-...........--••---•----. Design Flow......5.�-�55............................... per person per day. Total daily flow------- . .................... Septic04 Tank—Liquid cap a ityi,.000..gallons Length_ ?��.. Width U:'__!.0."._ Diam .��.eter.'V ------ Depth.5:- ------- Disposal Trench—No.,c1! Width.................... Total Length..____.........;._. Total leaching area....................sq. ft. Seepage Pit No-------/.____ . Diameter..._..__.L0...... Depth below inlet........L........ Total leaching area...... fO......sq. ft. Z Other Distribution box (V,,-) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date................... 14 Test Pit No. L.G�__-minutes per inch Depth of Test Pit..../U......_.. Depth to ground water_-_N©!vE........ 44 Test Pit No. 2.i� :2-....minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •----•-•••-•-•-•---•--------••.............. .....•--...-------•---•----------..........---•---••-------...------•----------.....--------•--•-----•---...... D Description of Soil.........1.1- .........� •�����-•---'..'f>o 6�.�o�I_ U -•--•-•••••-•-•-•--•-•-•......---•-•--••-� t -.....M +J= G -----•-----------------•----•------ W x ••-••-•---------------------•--•--••-•••••-•----------•-------------••--•-••...-•-•----•--••-••--•--------••-••---------------•-----••-•-•--•------••-••••-••-•----•-•--•-•••••-•-••----•-.........••••- U Nature of Repairs or Alterations—Answer when applicable._.............................................................................................. ----•--••-••••-----••••••••••••----•--••-•--••-•-•-•-••-•--••-•-•••----•--••••---•..............•-•••-•---••••••--•••--•--------••-••••--•-----•---•••-•••-•--•-••••-•---•••--•-•-•-••••------......... Agreement: The undersigned a reel to install the aforedescribed Individual Sewage Disposal System in accordance with rn the rovisio s ✓ T 5 of the State Sanitary Code— The undersigned further agrees not to place the system in o i t' Ce to of Compliance has been issuednby t"-. r he board of alth. r Signed---•••..... .. __3_ _�t_.._�._.. ate li ion Approved By--•---••--•• • :_ �� Date Application Disapproved for th 11owing reasons-...........................=-- _ ...--•-•-------------------------------------------•.....'..................•••• °••••-••••-•-••••-----•--•••-••-•••--------......--- ......---.__..-- Date Permit No......... S -------•---- Issued a--- ---�g , :�.._... - - ------ - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH � .. c"t .b.� ....................... Trrtifi atp of Toutplianrr THIS-IS TO CERTIFY, That the Individual Sewage Disposal System constructed V\), or Repaired ( ) by............... 32bo........... ........---------------------------------------------------------------•...------------------------------------........ r— staller at...... 'ti..-� —D-..........E-.•-'` ....Gt ._1 ........... I' ---------------------------------. T�tt��S ,_��; has been installed in accordance with the provisions of TIT E 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._____....1?S..-5................ dated------I_'IR.-$5.................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAR TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........ S .. ._ ...-----•-- .... a ........................................................ Inspector........ THE COMMONWEALTH OF MASSACHUSETTS QQ BOARD OF \,HGEALTH Q ............ A)............OF...... �:� �� �................................ Disposal Works Tons#rion rrutit Permission is hereby granted................................................ to at Constr! ( ) oRepairi2 J L I SeKragesp�� System _ .� .�. 001 as sho r on the application for Disposal W ks Construction Permit Street No.1;5 4`�..__ Dated..................' / � � DATE.......... C�Aoard of Health • _ FORM 1255 A. M. SULKIN, INC., BOSTON t a S r A 6 'x O aQ0 a ry CN � 3p- 00 15 ,��, V 4 , : l � 2� Zoe/I O/ / o P�f OF&P `" WORSE to ; a - /�s'� ° Sv y ,v/�✓ T1/Rs, 9r�, 5 o V/L /u; g. y r /3 v K s'x,,.. o tia 7: �q\Fs6laNAl.LEGEND �� 9 _ 1 �Y� wEXA T,I"N® .0PO.T ELEVATIO O160 ,`. CERTIFIED PLOT PLAN fy� 'P.LId -CONTOUR r __ 0 9E® SPOT ELEVATION v i 40 T.. 3 T3�!�eTs `iYF NEV.- CONTOUR ® ,: a,Rl , y, •.y r� Ceti` T t �� L LE }° +C� I=4 � The `location of any existing under i ourd sewerage, "0 �rells,?or-`other utilities shown on this plan is .approx-. {N 0 a:mate�.onl as determined from records and/or verbal O v y S ��-S fA-9 12 A ASS* n£oxmation The contractor ,is responsible for- the /I J rv`$x f `cation,,of the existing locations in.the field. SCAI.Ej 40 DATE , //�z. Ak-s� DREDGE:,ENGINEERING C� II�G. Me K c-"o r✓ CL{EPlT,________._ I CERTIFY THAT THE PROPOSED -k Fl� ` E81STERE REGISTEREQ ADO® N0. g.¢ / BUILDING SHOWN ON THIS PLAN 59 ` `C{VIL LAND CONFORMS. TO THE ZONING LAWS 0 NICER RV DR.SY�. OF. �B.ARNSTABLE , MASS. •T 12 MAIN STREET CH. BYgS � -------- Fey f HYANN I S MASS: 2 = + SHEET.:L OF 0 TE E(3. LAN® SURVEYOR. >xs 20 FT. J`�IN. /Y07 E ' /F El7H—R THE SEPTIC T.4N/< OR a� L.Ef1CH7.,,fG FP/T ARE MORE 7-NA/V IZ-8& 0,#V /® F7 /+�/N. Gr�A®E� fA 24 s®/AM ETAER COWCA C- COW&A SNAL L B.F ,&Al0V6,g7 T® 6B'A�® .�A1V .EX P'RA 4"PYC P/Pz coHclgLTo h+E.4Yy: CA 5T IRON CO✓LwR SfVi4Ll 9E US�17 N/JN PITCH /FIN I7R/VFyt/AY �' ICL /CJ.fo G'OYEJQS �®'IDgR FT. I CC)AVER CL E�i/�/ SAN�lr WNW tA. ® scHEo UL+Y „.•7 - i "LAYS J2 - ¢ �1�G P/PLr 0 a o µ JN.P/Y'C/i/ UOU GAL. , / e o • • • • • 1 ® ®,• WA5NFD STONE i9oJt P7 l SEP77C TAJYIC D . • o ® 1 1 • • • _ • •.1 e 0 o- • o ®OJC ® e ® A • • i 1 1 "00 a pv O 1 e IEAEL� Y,- • if a r ® • D,�PTis/ • o e • ° p JSl.9SMED $TB/'/E Ioe o • � • 1 8 • ® • • s i 1 A• o • �,:..'o /�-�X 2-�S •P_ "�.7 Q - D e ®p 1 e • • • • • I 1 ®p w 7dx / v = -zo ►'o0 1e . o s • •1 • � •av PRECAST SEEPAGE s -%P� Y +o 1 s o •: • • • 1 1 !Ar O 9So 7 OR LVII/V. lN!/�' r 4MEVA AWNS ��TG' c,.-7 leEL. /NY,6AT AT B!J/LA/Ma �C�Z'� FT. j c FT. D/.4m. 1/5/LEF 6S�`FT/C Y.4NK M/9 FT, 6 y FT P/6d i99. C(S�E T�lJLa4T)0M> OlJ9LET'.SEPT/C TA4/VK /D/-(" Fr 1,vZ Er O/S3rN/®U7'/D/V BOX / 4 F`P. GROuVD WArfX TABLE Ol1TLETD/S7`'RJBIJT/®19�.�0� /��• Z F7,' � SECT/O/1/ O F" ' IMIUCr L--Ac,4IAla o/7- CYO 1_0 Fr. lJl A7'lDli/ A� L EACHIIV45� O/T 3. -SCALE /�. Dj1w=1vj10Al DRS16N CM TER IA ®/�9Ed�S/OM NL/d�9SER F OF dE®moo®�9.s 3 ®rwfElvSi®N G T.Al ir+ , G4RdA6EP1SPO5Al-UN/r 4057' TOTAL ES7 MATED 330 46-c,41,/ +', SOIL TEST A/ SO/L 7E5 7-02 NUMOER Wr L0,4CMflVZ; 017:$-- •_ /-e"LEK /d z? r-�c Y, aOA7 E OF' SOIL T4657- l/ !f S/O LEEACHlNC PER PIT l 5''E 50. W7 Ir /3 C_ JSt�'SU,�7'S !'a//TNESSE® BY � 90r7*0M L,04CH/NG PER P17- 7 S Sq. PT. y PE4COAAWON eA7`-0Af1 Liss MJAIIINCH TOTAL. LEACH IM6 AR,EA4 z6,6 Sip, :FT.. G 3 0 I�JKOI-A77O OV JA'ATE RESEJRVE L.-ACM/N6 AREA ' b SQ. FT. c Zi- /7 ' So /L FEST P- 3o 4�0 ,6DFA44rs �l Ql tJ/• 7 3 7-3/7 l /DC-��T'S /�i4T •st A FLi E0i : �'{. o ORSE cn }O Z ?/AZ!' 14AIAl' 9T-� /•`�7/'.A/{f/Vf$, /IidJS�`' at . rh sI>� d ., „p tv �" - s:.g, ; -,�.--nk�. �:x, :k u .R,.,..f.,.. .S,'�:. ^a a ..s •d �Ci f Vi:/=.,,. � `4��—•�..: ,,;,puwn6�i�'r�,�....s�s, t.. � -r; ,,7.y+ �^+ •- ,rS _-.�F, r t r ��` Y�^w �" t�,� e.x -�vt .r.�a�. 'ti -�-,� �+' ae _ - � +a,. sib x. ,":., �+. '�� .•a%,Z r . •� �.h. *,., v, 1 .,fit,., a.* 7> i..� }x 9„,..!,. '� r�.a: h.. _. -.., ._J; _. .,,. m+.. -_, •t .. fit�..�. 1�`..�.3 $';{:,� •:�a. t"r�M :t'. .w "r .•� _',�2�1•. , .t: S ,.x.r:. ,r•.#:<*+ .:;@ k.,,+� �, :,"Yr. a-. ,� s--.R;. M��:� }} a, r, �;r �^ se� '� a f°' .s. .t. -3. ..�. ..y yt.Y E.•C. . yY "Y�mT �� x.1± .Ls.!} 4 a.ry.rW,� Y "�. M1 :.9: - ....... ;t' .. •= . <=:. „4 .�. m b f -...''� ^;.:.. ..�r 4. a�4'. �r, � L t ..,,1.. •S"xr°, tr �y ?.FtS--:.'�. �,. ,-.. .. ;.�,. -, .�. .fa--u �... -S,rx.�^ry. .. .z�. -..S.i?.2 �.:'+�". ,..t� :'..': ,�rt. �• ..K .ye :.se. X'#. +:Yc 'k•,;.,.....rr:?+���. t1 ., .:.>..s 1 .�-,- y:.}--., r.. .c,...U.,r >..� �.� L�., ,•,�,... t,d .. a S,<i;.:,,,. ...:�s.,..i. ...?•.t..w. .a.:�:+ti-3 fC v.y.. •.:'.°s�w�# .sa'-....'w,.>;,< ... 4 .. x„A,.,,,... `..__-{4-..H�S?..�,�k•�`.�",.<to. ..,7�,4�J3�4:•�"-5 r2�}r-'v.,r�s�^A���*3.a�.�`-;nL-,h..st�t..Y+.'.,, LOCATION. SEWAGE PERMIT NO. _ L o_7' 3 VILLAGE I N S T A LLER'S NAME L ADDRESS co , e U I L D E R OR OWNER ti DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ��Gk �` �y° 3n -- a�