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Home My WebLink About0177 FULLER ROAD - Health 177 Fuller Road Centerville A= 189-131 s I No.2453LOR UPC 12M emnd xm • Mob In UGA OIFI THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF H E-ALTH ........................._...._.....-..--.O F.....--..-.-.....-....-....-.--...._.._------------•-•-------------..._........-......__ ApplirFatinn for Disposal Workii Tonstrurtiun rnmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sy*- _/ .............................................. �_4..� � LOT .. ..... ....... .... ....... ........---------•-----------...........-` - L on-Address Lot No.--•---•--••---I•-••----------•-----•---•.......... .............ova.. mp.. ... A----------------.........------------ Owner Address-•---.. - �---------------------- C�►��O..Ey. : $. .......t.O------ .' Installer Address Type of Building Size Lot.... ....... feet U Ua+ ............................ ( ) Garbage Grinder— oBooms________________________ -- Expansion Attic Other—Type Building No. of -•------••-•-••-••••--•-_•• ( ) Showers ( ) — Cafeteria ( ) A4 Other fixtures ....................................................... d -------_--•------------------------ ---------------•--•-----------•--••---_------ W Design Flow_____________ __._.__.___________._gallons per person per'day. Total daily flow._____.___.__.______..________._._____._____gallons. WSeptic Tank—Liquid capacity/i.QQ_l�_.gallons Length__` +'__ Width 4'_10".. Diameter................ Depth_�I_�_.�_-. x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area...24P_(A-----sq. ft. Seepage Pit No-------- ._._....:._ Diameter.._._..4P--------- Depth below inlet___............ Total leaching area...................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `-' Percolation Test Results Performed by-___ _�4 ! __._...� � ____ Date....... .........�. _.�.._..._-. Test Pit No. 1 zt4___minutes per inch Depth of Test Pit_._._.S7r___.__. Depth to ground water_.__�41A_________. Test Pit No. 2_4 '_®._.minutes per inch Depth of Test Pil:......a;!!_!.____ Depth to ground water.-.h+_/_A---------- a -------------------------------•-------__.:.... -----------------------•----•------------___................. ....... O Description of Soil...............G!- -Z��-•--- -®±�M �L L ---------------------------------------------------------------------- --- V ------------------ •-------------------- ___•---------l-n"-------M !-'--"----��-~'--------------• ------- _ W Na Repairs or Alterations—Answer when applicable Nature of Re llcable________ �� `� ��1� U - P PP ... .. -•••---•------•------•------•-••--. - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of JITLE 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. / Sig ----�'(-f. +!•P - .------------------------ ....11. _$� I Application Approved B __ •_.fly____ �i Z- __- D ate Application Disapp ved r e following reasons:......................................................................................... ••--•-•--------------- Date I iPermt N ...................................................... ( Issued_____________________ Date I NO.A...�.. ...7 $ 7 ✓ - ' F� ':��................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF..................................... ..............................................._ ApplirFation for Dhgpoii al Works,� Tontrnrtiun 1hrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ion-Address �I - or Lot No. ? .. _ ^...•••-••-••---------••-•--- ................. ••••-•••••. ` - •---••-•••--•-_........................_..... owner Address W Installer Address Type of Building Size Lot............................Sq. feet V Dwelling—No. of Bedrooms________________________________ _Expansion Attic ( ) Garbage Grinder ( ) `_l Other—Type T e of Building No. of ersons___�!�________________________ Showers — Cafeteria P•1 YP g P ( ) ( ) a Design Flow fixtures ................gallons day.W gn g P P P Y Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity............gallons Length........... 'VVidth................ Diameter__._________..__ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlj°t.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ' aPercolation Test Results Performed by__________________________________________________________________________ Date........................................ „a Test Pit No. 1________________minutes per inch Depth of Test Pit_I}_................. Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit_I!_................. Depth to ground water........................ a •--•-•-------•--------••----••-------------------------•--------_---- .........••-•-•••................................................................ O Description of Soil------•-----••--------•-----------------•---•----------------------------------_----f-----------------•----------------.......---•---•-----•--._._......---------------- x U ---------------- •----------------------------------------- ___---------- _........................ -.I 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 :TT 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 lJoard of health. / Si . ed----•-------•------------------------------•------------------••-••----------------•• ------------ ----------- Application Application Approved � --•----------- �I --- Date Application Disa :g ove o the following reasons:-----•---------------------'I.----------------------•---•------------------------------------ •------------------ Date Permit ---•--...---•-------------------••••--•--------••-•-••_. Issued....................................................... Date THE COMMONWEALTH OF, MASSACHUSETTS BO OF H A L �..........................o ,..:............:. .. .C. .:..`:. .............._... �ntifiratr of ( on,ipltanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed �r Repaired ( ) by------------------------------------------------------------------------------------------------ �....... ----•---------------------------------------........-••- at ............................••-•----•------------•----------Installer has been installed in accordance with the provisions of '*'LE /`j�f The State Sanitary Co . as d cribed in the application for Disposal Works Construction Permit No ....-L?_,t_�_--------------- dated '/.._ ___2�., �-_______-________--_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A BJARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. v -•• Inspector .......... :._A_.�i�..:�................DATE.......................... ....G� - II THE COMMONWEALTH OF MA1_5SACHUSETTS BOAR OF H A T .............. � � . ......_.._____...__....___._.._..__........ NV 1�!.f..... FEg:3,0....:--r-M ..... �l Disposal Workii TInntr{itrtinn amit Permission hereby granted..................................................................•--•---- ... to Con u or air ( ) an ividual Se. age osE1 em at No...... Si�reet as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... -----------------------------------------•------•- Z Board of Health DATE......................................... ................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS A% 2 (4 � r S.�'. �+�,�, �3•� off,98 �'—�.-.:.�,�, v` `� _ �,1 , ' i. ,\VN 0 19 G / Yr OF A14'p o`er LB RT yG �,.> p� 9 j �! �r In,onn S. F N AV ol FJ v MORSE ti v '3 F.S. NO.10951 O Q GIs Gj .f? t U FSS/ONA1-Fa A55u i_G PC-.."isc ic [}._[`_ AP-1IcLE TO: cNA'PiL(L 1T .. Ca- E G l r\uC FATt iL '. L� c L Av .. LEGEND OF EXISTING SPOT ELEVATION Ox0 0� 7�1N' �, , CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 --- s s ti LpT FCJL.L�`/Z r 0,-1 FINISHED SPOT ELEVATION o C67V T f r V 1 4.Z E7 FINISHED CONTOUR 0 APPROVED t BOARD OF HEALT No suR��y� . { a INN, 1 9 MASS* 2EvtSEt> MIL- 2-, 1962 DAT E AGENT SCALE] 3 0 ' DATE LOREDGE ENG/NEER/NG CQ 'Na) CLIENT MAH14, I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED J08 NO. �/ �b�'_ BUILDING SHOWN ON THIS PLAN CIVIL LAND fj i4 �jl CONFORMS TO THE ZONING LAWS ENGINEER SURVEYO DR.By OF, BARNSTAB , � 'SS. -A2 MAIN ST. CH. BY HYANNIS, MASS. SHEET- OF 1_ DATE R LAND SURVEYOR 20 FT. M/N. NOTE /F E/TNER TNE.SEPT/C TANk OR LEACi•I/ivG P17- ARE MORE THAN /2"SELOW /O I.4/N rRApF.# ,A 24"O/AMETEK CONCRETE COVER SHALL BF BROUGHT TO 6RAOF.(AN ,EXTRA CONCRCTE q'PYC P/PL c,4vy CAST //PONY COINER .ShL4LL az= use M/N. P/TCN �L, ('00.0 COVERS V. �pFR FT !F%N DR/VEh/A Y 2 MiN. C'O/VCRE TE CONER CLEAN SANG .•-� _ L/Ql//D LEVEL � .>:r � • . •�/ z R +LAYE .4"CAST ; - - ' ' • �, •c e QF I/g'_J/B IRON P/PE• D 0 6 L. so a o P o a MIN.PITCH D/ST, o� • . . . . • • d �° WASHFO S71�NE I/ PER:Ir. SEPTIC TAAlX o �, , • . . . . . • • ,ae a , ,..� BOX , c • • B • . • . . • , a • i a.' .� �a� 1 • •EFFECT/VE ` : i �y '3l4 - / �2 t ° r • • DEPTt/ ° • • v o WASHEO STONE p sob a , • . • • • • • • p p PRECAST SEEPAGE IN{rieRT ELE✓/!TIONS b �fr lg? Z,S = ¢7 v CT fD o a e r • . . . . . • • • a o P/T OR E4L1/V.. 7*- <0 /,v -7 8 �` a Aar /NYERT AT O!I/LD/NG 9� 0 FT, cam+pi c l T/ _ -- S4 8 (:Vz> INLET SEPTIC Ti4NK `�� 8 F,T. 10 FT. OIAM. C SEE TABL/LATJON� OUTLET SEPTIC TANK FT. INLET D/STR/8vT/ON BOX 96.4- FT. SECT/ON OF GRO/�NO N�ITE TABLE - ouTLETD/sTR/BtJ770N•BOX 9�o•2--FT.-- -SE,�AGE O/S/�O1SA J. SYST.EM /NL.FT LEACHING /'_"/T a FT TABULATIDN -I .. - IJI I/--_ 1s IT_- -. �_ . - - -_ _I t.�'�'��I/�7I/ram••"(—( . - O/MENS/ON .A- 3---FT- -- __ SCALE % _ /=p DES/6IV .CRI TER/A DI>+1rEIvs/o/V 8 FT. %A OF SEOROOMS 3 D/MENS/ON C FT. GARdAGEO/SPOSAL UNIT � SOIL.. LOG SD/L 7,037 TOTAL EITIMA7'ED FLOW_33GAL.1DAY SO/L TEST SOIL TESTO2 A(UMBER OF 4firACNING P/TS J f`ELEK `��'• �"ELEY. OATS (JF SOIL TEST a SZ 8 S/OE LCACH/NG PER P/T 54, /=T. d _ Z RESULTS /t//TNESSED BY R 907-TOM AA4CH/NG PER P/T 7B $Q. FT PERCOLAT/ON MATE#I S M/NCl/NCH ZG 6 Sv.,35vi P1EhCOLAT/ON RATE 1�2 f4A v /NC MlN. H TOTAL LEACH/NG AREA SQ. FT. l RESER{/ELEACHlNG AREA b b She. FT. 2I = /Z� 2-0 MA YA n/ Da�,/rsfr-> APP L- U,, {9 82 OF °F jkf,4 3 v p T. C /tf�ETZV/LL E ERT o re A p�No.ios �o�� EL0RED49E ENG/NEER/A/G CO,JNC. J.` Q/DER pQ• 9ocF PISTE ��` EL OF4.9 7/2 MAIN Sr SURV� SS�ONAL ® . NO GROUND YV,4T�R ENCOU/VT1rRE0 /yYANN/3, MASS. A GMOUNO Lti/-4TER AT ELE(/. .JOB ND. 8/ !S b SHEET OF z- • i 1 LOCATION j77 S WAGE PERMIT NO. VILLAGE 1 FST�NL L E It's A i ADDRESS BUILDER OR / OWNIER 1 FDA T E PERMIT ISSUED ��, G41. lk- DATE COMPLIANCE ISSUED 3 7." ,S�