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Home My WebLink About0017 EBENEZER ROAD - Health 17 EBENEZ_ER_ ROAD Centerville A = 147 — 077 S M EAD KEEPING YOU ORGANIZED No. 12534 2-153LOR (SUSTAINABLE FORESTRY MIN.RECYCLED INITIATIVE CONTENT10% Certified Fiber Sourcing POST-CONSUMER® www.sflprogram.org SFI-01m MADE IN USA GET ORGANIZED AT SMEAD.COM J ... ........... THE CbMMONWEALTH OF MASSACHUSETTS B.0 A R H - ---------------- 0 Fy. ,Are_ _A�.� ....................................... 17 �irttfilan fvr' `Biiivviial Workii Tomitrurtion ramit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at* ------_---------------_- ......... .............................. .. ............ ----------------------- ------------ L ti Address or Lot No. e7_ .......................... ...... Ab�............ ..................1.) .................;40....LIZA....... - Own ................ 5X .. ......... ... ........ ............. ..................................... Installer Address Pq 17 -0 Type of Building ...... .0.7/1-M.Sq. feet .0 Dwelling—No. of Bedrooms----------j-_-----_-------_-_-- Exp io Attic eize Lot. Garbage Grinder ( ) ans 04 Other—Type of Building ............................ No. of persons__...z.................. Showers Cafeteria ( ) P4 Other fixtures--—----------------------- W Design Flow____________________ _____________________gallons per person per day. Total daily flow------------ ..15- . ....11---------------- 1:4 Septic Tank—Liquid capacity/O.P.P.gallons Length________________ Width_______-_-_____- Diameter-1. ....... Depth_.__.L-2....... Disposal Trench—No...................... Width...._.......______.. Total Length..__._____.......__. Total leaching area-_________ --sq. ft. Seepage Pit No....../_---------- Diameter------1..�....... Depth below inlet...�_.,-5.......... Total leaching area sq ft. z Other Distribution box Dosing tank Percolation Test Results Performed by...... ....... Date--- W. ............. 0, / - Test Pit No. 1.24�----minutesperinch Depth of Test Pit..... Depth to ground water......e"V40Pt__4;57 Test Pit No. 2................minutes per inch Depth of Test Pit_.___........_._._.. Depth to ground water_-_________-____-_______ ..................................................................................................... ..... ---- -- ------------- ------- .. ......................................................................... O Description of Soil.--....... .... .. ..... U4. ........................ ------ .................................... .................................. ---------------- .....nzt, - - -- - ---- -------------I................................................... -------------I .... ------- Alterations—Answer when applicable U Nature of Repairs or --------------- - -- - -------------------------------------------------------.............. ........................................................................................................................................................................................................ Agreement: The. undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'THE, 5 of the State Sanitary Code— The undersigned further agre of to place the system in I- operation until a Certificate of Compliance has been issued by he board A hea_kh. SiV--- --------- -- ....... ... .. Date Application Approved By.... . . ..... .................... ...... "------ ......... Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date FE.B ..:................ } THE COMMONWEALTH OF MASSACHUSETTS BOARD--.Of! !—fE .LTH Appliration for Uhipati al Mirk i Tnnitrn.rthin 11amit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 1 - - ................4 ......••.... ................... ............................... --------------------.-------------- ............ -•'^ f �' Location Address orV LotNo. i .. O W ..,. . +.} 6 wner �. ; ................... . . . Ad..... Installer Address ol +' dType of Building ` ize Lot.....--_•_-__•_ -K-'�-_-Sq. feet V Dwelling—No. of Bedrooms.......... _••-----------------------Expansionn,Attic (� Garbage Grinder ( ) Other—Type of Building ----------- --------------- No. of persons.......(a--•----___________ Showers (/�) — Cafeteria ( ) a Other fixtures •-••••............. ___________________..._.....__...._..._._._..___._.._..___..__..._......%"'P�. ................------------- -ell Design Flow...................Syry: ...............gallons per person per day. Total daily flow.._...._.__:..... gallo WSeptic Tank—Liquid capacityZ gallons Length................ Width................ Diameter_-__9....... Depth......6_.----. x Disposal Trench—No. _:..,•.............. Width.................... Total Length.................... Total leaching area...___ sq. ft. -_ Diameter____________________ Depth below inlet.................... Total leaching area.-_�_X_; '._.sq. ft. Seepage Pit No._.___�.._______ z Other Distribution box (. �) '" Dosing tank,.( a Percolation Test Resins Performed b - - "�'" j �f`'" -_• / '�j Y -- n . Date-5.........• Date Test Pit No. 1 Y-_---minutes per inch Depth of Test Pit------- ------.. Depth to ground water_._.....'IV� LT, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ...• ••• ••---•.....•---•-••-----••-------•--•-•--._......••••........0.....••••..---•- D Description of Soil ' �t'n M. �_ _--------•----- Ze V�i r —'/ �i'kr*'.s"i 5 ......, '�..•• -----•-------------•-----•-----•-----------------•---------------•---- ............................................. 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 AITi y g g p y 5 of the State Sanitary Code— The undersigned further a ree� of to lace the system in operation until a Certificate of Compliance has been issued by the board of health. j J Signed._? ..!.. T��j� ��?`' �,w�,,+ �� --- d---- Date Application Approved BY----------- - .:/1 '............................ --- -- te�---''�----- Da Application Disapproved for the following reasons---------------------------------•-----------------------------•----------•----------------------•--•-•--•------- ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS j BOARQ�O'F HEALTH � . ; II &rtifirtt#le of Tomplianrr THINS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) b �'�?f � .................................. •; r Installers r. at has been installed in accordance with the provisions of TITLE of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..- /��._ .5.!�............. dated................................................ 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,,O --) HEALTH, , Nol..Z . , FEE........................ Difivalip,11 Workn Tnnotrnrtwu pamit Permission,Whereby granted..... t••-----� •-----•-•-••-••--•-•••--------••--•••---•--•--••.......••••...............•-•---•--•-•--- to Constr c ( )ion Repair ( Individual Sewa Dispoa�I atNo....... .............................. -•-- a. WA.................................................................. Street as shown on the application for Disposal Works Construction—lj'ermit No......•.._.._......e. Dated.......................................... -Board of Health DATE - -.....r.......... ...................•------............__ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS H St T•sP L, . 39 3A �Y OLD lot in Ti BUNIKI c No.22162�0��1 ��plew�t F`310NA\-�a6 wg /C, vW LEGEND � �;►� CERTIFIED PLOT PLAN- EXISTING SPOT ELEVATION OxO .�o �' EXISTING CONTOUR --- 0 e� e,► FINISHED SPOT ELEVATION FINISHED CONTOUR 0 —�— 'IN APPROVED BOARD OF HEALTH SAAAS tAALjl,.WAS3* DATE AGENT SCALE$ / m DATE16: S LDREDGE ENGINEERING CO. IN CLIENT �� I CERTIFY` THAT THE P1tOPOSEO Y' EOISTERE REGISTERED JOB N0. BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAW$ 1 \ENGINEER4 Y R DR.BY _' OF BARNSTABLE, MASS.. 712 MAIN ST. CH. BY, HYANNIS, MASS. SHEET OF DATE REG. LAND SURVEYOR IV07E /F E/TNER TNESEP7 TANk DR � - - ---- �L.Er4CH//vG PIT ARE /rJORE , THA."✓ /2"BELOW /O PT. Al"Al. :TRADES A 24"O/AM ETER G'ONC'A'ETE COVER 4"PVC PIPE StIALL BE BROUG/4rT TO 4,TA0E.�A/✓ EXTRA CO/VCRCTE i JiE,4Vy CAST /RO/Y COVER SAIA4L 13E USED .� /OO.O M/N, PITCH -� CoYERS r IJ=/Al ;DR/VEN/AY' yg IaFiQ FT 2 A :o: 7 M/N. ONCRE TE GRAOE. Cc).►�ER. CLEAN .SANG •� L/QUID LEVEL '' �� . . . . . ,'a - - •". • • . . z LAYER `. CAST IRON PIPE i JOG!/ o o a /r�.ro o Q� //a p.3181 Ii MIN.P/TCN GAL. • I • • • • • • • a o a + %4"PE/+ I'T SEPTIC TANK X o ob , • . . . . • • ,ob d• WASHED STY>NE :. ' P o � • •EFFECT%✓E • i 314. o I4�r45HE0/ iY STOE I • P r � • DEPTH • • • • • o O to • • • 10• 1 oe • 1 • • • • • • • a, • • • • • • • • • • p y PRECAS T SEEPAGE !JVIVBR'T CLEYAT/oNS F/ s'f- d :e• r • • • • • • • • paw o r P/T OR E4L//V. /NYERT AT Ott/LD/NG 97.G FT 6 FT D/AM. T INLET SEPTIC' TANK o1 G,r FT• C SEE 7�9BUL.4T1ON� D<JTLET SEPTIC TANK Q6' FT, f-_ INLET D/STR/B!/TION BOX 'G FT. GROuIVD W,4TER TABLE SECT/ON O x" OUTLETD/STR/B!/T/ON BOX FT INLET LEACHING /P/T �'� FT. SELVAGE DISPOSAL SYSTEM LEACH//VG I0/T 'Ti4BULATID/V -SCALE DESIGN CR/TEl41A : %s = / -o DJMENs/OJV A 3 FT. t M D/Al,ENS/ON 8 FT. I1/l/MQER OF 6EORO0AfS 3 D/MENS/ON C _FT.�"* GiaReAGEO/sPosAL uvlr_. SO/L LOG TOTAL EJT/MA'T'EG SOIL TEST _G.4L.1DAY SOIL TEST At/ SOIL TEST#2 NUMBER OF 40ACNlNG P/T.$_ / FLEY. 94C.0 ELEY, pATE OF SOIL .TEST Iva 5/ r S/OE LEACHING P.ER P/T / 9 SQ FT. D- 1 RESULTS It/ITNESSED BY •` / 6GTTOM LEACHING pER P/T 78 so* /CT. �a14 P S4�s PEitCOLATI.ON RATE jo/ !E-Ir Ml/vj//NCH TOTAL LEACH//VG AREA ��t�SQ. FT. PW#VCOLi4T/ON RATE 02 //Cy RESESRI!ELEAC'f/ING AREA66 SQ. FT. G �' G rc M e OBER P. l � :N+Ka ELOREDGE E/VG/N6V1?/Al1G CO,/NG. ['f % No.22162 O l V. Li 7/2 MA/N ST. No G/tovND L{/,4TER E/VCOlJNTE�EO HYIt NN/S /'�13'S. Fs10w4L�N�' j� G/�O[J/VO Lv.�►TE.Q AT ELE✓. _ .JOB /VD_ G SHEET�.4F P LOCATION SEWAGE PERMIT NO. see cow' • VIIIAGE 1 ST L ER'S N E R ADDRESS B U I L D E R OR OWNER s Ll� e DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED e S 40 1 LOCATION ` SEWAGE PERMIT NO. VILLAGE I ST LA ER'S N E i ADDRESS BUILDER OR OWNER 6 s DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � � � fb �� ry U� 5 _: _ J LOCATION 4 (j SEWA E PERMIT NO. -► it/ �7i% ✓ 0' _ VILLAGE • _ _ �a��x��w INSTA LLER'S NAME i ADDRESS I U I L 0 E R OR OWNER DATE PERMIT ISSUED /go DATE COMPLIANCE ISSUED _e_ �g / o�S I 31 f' 0 , 6 D 3< J 5 a M THE COMMONWEALTH OF MAS.-SACHUSETTS �} i BOARD ® r 1 SALT �.�. ............OF..... .. Appliration for Dispatial Works Tom3 rnrunn Jhrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal syl Tt,/ Locatiion-Addr ss orhot ...........- ........................--••.................................................... Owner '.w ddress ... _......� ........ f - •--.... .....: �............... O- ..Sq. .........-'-- Installer Address d Type Buildin Size Lot_____ _�. feet welling No. of Bedrooms.___________ ____________________Expansion Attic ( ) Garbage rinder (14/6 Other—T e of Building No. of persons____________________________ Showers — Cafeteria Q' Other fixturgs •-•--•-•••-------••------••-•---•--••-- - W Design Flow.......... ��___________ _____gallons per person per day. Total daily flow.-_-._.��'_„ ......................gallons. WSeptic Tank—Liquid capacity �galIons Length................ Width................ Diameter--------_---.-__ Depth'___-_______-_-- x Disposal Trench—No. ______ _____________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.____--.--�'k.. Diameter.................... Depth belo inlet_.__......__..�V _� ft. � pag � p ._ Total leaching area._2 d .-_sq. Z Other Distribution box ( ) Dosing tank ( ) - �" 1 •��,,,, a Percolation Test Results Performed by.... .!l_-...........�:___ ..�_" 5:.._____ Date.___7..�- a_____________ ,-� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ... --•••- of ........ Description of Soil__._._-_ ___ P U ..................... -----p=---- -------------------------------------------------------- -.____-____-__-------____----------------- w UNature of Repairs or Alterations—Answer when applicable. .........................-.............................................................................................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individu Sewage Disposal System in accordance with the provisions of TILT�.;,,. 5 of the State Sanitary Code—The unde gned further agrees not to plac the system in operation until a Certificate of Compliance has bee ued by e bo rd of h h. tgne -•--••_•_.... ••--•-....................... •---•---- .._. Date Application Approved By............. -- ........ •-•.:............ `✓�•-�... Date Application Disapproved for the following reasons__________________________________•_-_____---___------__•-__-___-___-_-_____..._____-______.__-__._.....__....... ------------------------------•••.....__......__....•-•--•-•_.....__.._......-••••-----•--...•••••-•---•'-------------------------------------------..----------•----------------•--•---•-•••••••-•--•-- Date Permit No......................................................... Issued-- ..... Date .7..... FEz ................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................ ..........1_'..0 F..... Appliration. for '"V tspaiiat.18arks Tonstrurtion Permit Application is hereby made for a Permit'to Construct or Repair an Individual Sewage Disposal System,at: 1°f4e ..................................................... .................................................................................................. Location-Addresse ............ I k_ft ...........4.................................. ....... ...................................................................... Addressr Owner Installer Y ~ Address Type qfBuildin_�/ Size ot....Z4_ A...Sq. feet' Dwelling . No. of Bedrooms.__......_._:i........................Expansion AtticGarbage Grinder Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow..........9.. .....................gallons per person per day. Total daily flow........ ._............_...._.-gallons. Septic Tank—Liquid capacity allons Length................ Width.._............_ Diameter................ Depth........ Disposal Trench—No..................... Width.................... Total Length......._............ Total leaching area....................sq. f t. Seepage Pit No................k. Diameter.................... Depth belo inlet._..... .._.... Total leaching area..:tik.ej_I...sq. ft. Z Other Distribution box -Dosing tank Percolation Test Results —Performed by..-!!!...ty.Nn........... ......... Date.....7-AZ.mE4............ Test Pit No. I................minutes per inch Depth.of Test Pit.................... Depth to ground water.......______........__. 44 Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground, water..._........._......_.... ....................... 0 Description of Soil...... .7:...... ..... ........... ......0�f......)N i.4.444d.s................ ...................................................................................................... ...........................................................................................................................................................................**........... ------- U Nature of Repairs or Alterations—Answer when applicable._.............................................................................................. ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed IndividuqA Sewage Disposal System in accordance with 1.1 the provisions of T 1T LE 5 of the State Sanitary Code—The undersigned further agrees not to I the system in operation until a Certificate of Compliance has been issued by the bo I/d of I lath. yx I p 7L,ign .... ........0......��3 ........................................... Date --------- ----?� Application Approved By.... .4..4.4 Date Application Disapproved for the following reasons:................................................................................................................ ....................................................................................................................................... ................................................................. Date PermitNo............................................................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ..........r4o.- ...........OF..........i a-444 ............................................. Trrtffiratr of Tompliatta HII re�' Y, That the di ual Sewage Disposal System constructed 41__O�r Repaired by......17...... .... .... .. y //;---------------------------------- ...... ............... . ..... Install ------- ----- ----- jW ....... ..........I ... ..... RXI 44 at A'W_,�- ------ ............... has been installed in accordatice with fhe provisions of 5 of The State Sanitary Code as &scrij)ed in the application for Disposal Works Construction Permit No----...........%7-((..I......... dated__...? ... 6--V............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE,CONSTRUED As A GUARANTEE THAT THE SYSTEM 1A/I4 FIJfiCTION SATISFACTORY:. ,." � �®��%s� DATE.......Ul- ........�-O........................................ Inspe'ctor...,6_�.4'............................"41.THE. COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. .....OF.........--- ..... ......................................... No.........�7 r-7 ................ FEE...%JA!..!.......... Roposa r trurYfi....n rrmit 0- 0 ....... . ..... Pernusj'on)!,�ereby granted........ ..... .......... . ....... ........ 5r.ej7d� .... .... -1................. ......................... to Constr* or Repairvid an Ioivij ewagePi3p 3 y�s to'J�� I VV , ?# ! . 11 12 . 4 . . ..... ............................................ at No..PTow......A.d.En!.... ...... r 4ft I . .................... Street as shown on the application for Disposal Works Construction Perem,1 ,_ __ �ated.... -------- .......... P--- ------------- alth DATE........................I......................................................... . ... Board of He FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 0 {�- T:�'�t ti_'-( �-t-uw = 4 t b � 3 = >3 b G•P•�. 9 7.5 1c��Tt c `t"��-.t K. = 330,E 150 % • �-�i S �.�D. � � N r�N P`,° c� Pep? _ S' (C>C>C) 4.G J• ' 'p �ySWF ,vi r o�vt ,cue t=n= � sr-: c�p Ste. TOTAL. -c�eSic ki = 425 T"oTA t_ PMfZGUt_LTIC,L l Z&TE CIO SMI W 02 LF-SS. � t X/ \ -\,J 41 (��'11\\�A 6 . •'�'''��G f� tit � ..� .f T �f`+�.�� / , t Tor V*,l L+oo.C. 97•0Ocx-f-- 77, o A wt d ppe loco !uv- 'n S RSn� . 4'�p� f -Box f5 G SEwrlc 95 2 iuv t T-At4 loco 9S.o ,.,�, t►ry :• PE�C T GAL. 95.Z ys4 PIT ' WASb1ED I STO" C_e~C-TtFIED t_OCA T I o tJ C E�TL'C a/�t.t_E✓ 6G85• IL ►.10 ScA �.�- �aCAt_ � I ua �A-r� 'I to ?Sp Flo W*7rrL I Gt�tz� tF=�{ Tt-(AT TNE- Fou�tvvATlot�T 5ttowu PA- atJ �i=F��c►.1 c s= t4 ;:L t_Oj-j Ga,tikPCI-IS \A/ ITt-k Tt-t`: St>Jrzt_t►-tE. !eT �Z�a A w r> ':E T t3A C IG V r j!Z u i Q e AA E-►-1TS O t= T N L= 167 UATG 1 to $a C �l,/" ' �,.t.r" ' 8/S.XTt=<< IZcG1e r IZGX�- `j't-•11 S h L A E-1 i� t..1 OZ' L:A;C C7 Ut.i /Jal 0STE..zv�L-t..C- u.1st"�J �_w �,uc_.it_�{ • Tt(c� c�t=� ��tom, �tlowt pL t r1T Cat:, u•:.Uc> I-C) Or Yiat-'M ,4C Ln'T ��'✓t�r�.-�C-