The URL can be used to link to this page

Home My WebLink About0055 BRETWOOD LANE - Health 5'S C,fny'trvi1le KMEAD KEEPING YOU ORGANIZED No. 12534 2-153LOR 0 ALE � MIN.RECYCLED INITIATIVE COMENTIO%® CorABea Fiber Sourcing POST.CONSUMER wwwAprooremorp W12M MADE W USA GET QRGMVED AT SMW.CQhA 0 LOCATI N SEWAGE PERMIT -NO• /? .+�T1yD VILLAGE / INST'A1-1,E.R''S NAME i ADDRESS- 9-3 S U21 L D E R OR OWNER zz 'DAT. E PERM-1T ISSWEW ' D; -TE COMPLIA_N-CE ISS`UED P s t a a 1 .a i ea— Fimic THE COMMONWEA�TH OV�MASSACHUSETTS '1E ��,•, BOAR® OF HEALTH rr� ApplirFa#ion for Uhipoii al Morks Towitrurtion Pronit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an,ndividuaNSewage Disposal Syst atat: _ ,�..... l . : . ............................ ....................................... - -............:- -- oca on- ddress t No. ti A•-(...... ----__ G�.-----.. ...........-•---....... ---- . ................... caner es a ....................................... --.......... -- -- ----.........• •---- -----•.... �1�✓�-�_/K ....----•---•---••---------•----••... Installer Address Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms......... ...........................Expansion Attic ( ) Garbage Grinder (mod) 04 Other—Type of Building ............................ No. of persons-------------------_-------- Showers ( ) —'Cafeteria ( ) Q' Other fixtures ------ ------ -----------•--• . d0................................. Design Flow...........J----_1�... ...............gallons per person per day. Total daily flow..._._...2.__............._..........._gallons. W Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area..... ___ _....sq. ft. Seepage Pit No......./---------- Diameter._1O............. Depth below inlet...�4___�.......... Total leaching area. __sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................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........................ R'•+ ---•------••-----------------------------------•-----------......-----------.........._...----------•-------.......-•••--•••--............................. . ODescription of Soil.............................................................................................................................................4.......................... x c, 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 TITL IE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been sued by the boa of health. /� Signed.._ �... .......... .•-•-- ,y Date Application Approved By.. "_. ° .-�. ..................... _' � 1-: Date Application Disapproved for the following reasons------------------------------------------------••-----••--------...---•-••-------•---------------•--••-----•-- - --•-------•------•--......:--••-•-----------------------•--------------------._..._..-----------••---•--------------------------•----------•-------•--••----------•-••----•--•--•-----__---... •- Date �. Permit No......................................................... Issued...................................................... Date �4 .. ......... ........ THE COMMONWEALTH 6f44MASSACHUSETTS � F -.. BOARD OF, HEALTH ............ ...........................OF................-........-.-..-........ :.................. . ApplirFattuff'br' Di pos al Works Ton,strurtinn Vantit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual t at Sewage Disposal ,` U ....................................li. .......................................... Lojt, - dress�a ...... ................:..wner -- ddyes ' Installer Address UType of Building Size Lot............................Sq. feet �-, Dwelling—No. of Bedrooms____.____�__________________________Expansion Attic ( ) Garbage Grinder (414) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures --------------- -•----•--•---•-----....._.--------••••••----------•--------••--••---••----••-•••--•-••• r w Design Flow______._____�................gallons per person per day. Total daily flow_.__._._ __ .......................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_ ____________________ Width............. Total Length..................... Total leaching area..... _._ sq. ft. Seepage Pit No--------/---------- Diameter__1G............. Depth below inlet.... ............. Total leaching area__-r, q. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date....................................... Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water__-_______________.____. 04 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ C4 .........................................................--.................................................................................................. 0 Description of Soil........................................................................................................................................................................ x w 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 TIT1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee ued by the boa of health. Signe G � -•---------D••ate----------------- Application Approved BY ' �.�''�� -----------------••----- ------C-.P?fY................ Date Application Disapproved for the following reasons_______________ ._._.__---•-•---••-•--•----•-------•-----------••--•-------•------•-----._.•. --------••---- •-----•................................•-••-•----...---•------•--•------------._......-----•-•-•-•-----...__-•--•-•------------•-----•-•----••---•-__....-----•--•------• ............................... Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ._ ..........................................OF...........................................I......................................... Trrtifiratr of ToutpliFanrr THIS IS T CERTITY th5jndividual Sewage Disposal System constructed ( ) or Repaired ( ) ` taller af°�.............................................. ..... -- k..--••-----•. .........................................................--.... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No---4Fl_n_&. ________________ dated_.---------..................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE t, SYSTEM WILL FUNCTION SATISFACTORY. DATE............................•--•----•--•-----------�..J.'2 ---. Inspector.......... . -�-----------..._..---......_....__. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �r .......................................OF....................._.........._._......._-_-.._.._.__......_..._....-.............. Jr FEE . ••-- -_•--•- ElifiVa al IV rkn Tnn� nrti.vn rr it Permission is hereby granted............ �rZe�..,..-----. -•• .................................................... to Construct ( I o Repair (� Individu Sewage Disposal System , °'110',. at o. �._... � Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ..........Mn._:a .x.....�� ''r� ............................................ DATE..................... ..Z. ......................... JKard of Health FORM 1255 HOBBS & WARREN,, INC.. PUBLISHERS 1 i j �L--v T l 9 I t'o sGape f � 1 FoVn/D. tV g N /D(o.O20 JAI Q. N 2y00 _SG/°Z3 "1j "'2' o Lo � f -- —. --- o , � J J JJ /�� — -- —. •- - — —' -- _— _. —. � �' dr., y / AL PERT l�r{' - L�•' 1/(tip..... O, i a [} h(IU I'l JE LEGEND CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION Ox0 EXISTING CONTOUR --- O --- - -. FINISHED SPOT ELEVATION R 13E T ., �� t+ r< \z / t- FINISHED CONTOUR 0 r' l a>iuct tl rc. R- �� IN APPROVED � BOARD OF HEALTH ��, su DAT E AGENT '+ � SCALES / 3 U DATE LDREDGE ENGINEERING CQ IN "r� l� ✓�R L CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTE-RED JOB NO. . BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER RVE DR.BY M, . OF BARNSTABLE, MASS. , 712 MAIN STREET CH. BY, ("/ ,_'.1/...!•.—.. , ��-,....�.....,—may/�� HYANN I $, MASS. SHEET 0F OATE. AEG. LAND SURVEYOR 20 FT. M/N. n/OTF /F EITHER TslESEPT/G TANK OR i ,!EAC.+,iinrG P/T ARE MORE' TH.q:"/ /t"BELDIV /D FT M/N. rRA OEM A. 24+O/A M E TER CDNCR E TE CO;I C e Q'PVC o/Pt sJ4lALL BE 6.ROud"T.TG 6RAoE.6. ,v .EXTR/q CGNCRALME oz-,4 YY CA S T /RO/Y C D✓ER ShN,q L L 13E !/S EO M/N. P/TCN '. EL. 1060 . COYERS �B"iuRFT /FIN .DR/YENiAy Cd VER CL E.4N .SA V.0 5,4 CA. , . 2 LAYER IRON P/PE o a v � � ' OF /1B'__s/B MIN P/ " 'd . TGV • �. � GAL. D/ST, o� � � • . . s . • • A. •moo WASHED S7t7NE . 4 /4 PER/T. SEPTIC TA^,'X . b • • . . . , . , BOX o � • a • 8 • • • • • r . pi Q•' 13�k • � .e 1 r •EFFECT/VC r � • � 3�4 - � /2 r • • pEPT// • •• i o . WASi'iED STaNE M-36LO r • • • • • 1 p o e • PIT CAPAC.G7-/ ��•. • • • •. • • • • oO o I _ . �. . r • • .• • . • . r d ••g PREG45T SEEPAGE !N{iPRT LLEYAT/ONS / FlFfx z,S: 470 • a• ► • • • • • • 6 a 0 P/7 OR EQL//Y- 7 /NI/ERT AT DU/LD/NG /0 3.o FT. / 6� D/AM. I} 548 6,4 tf v A y /NL T. SEPTIC TANK /0 2.SET, L _/_0 FT. O/AM• C SEE TfiBUL.4T10N> Ol/7ET SEPTIC TANK /°Z.•3 FT. r F INLET D/STR/BbT/ON sox /0 Z.° FT. GROUND WATER TABLE O t/TLET D/STR/B t/T'/ON BOX /••aid g FT, SECT/ON O F INLET cEACN/NG o1T 97-a FT. SF1�fIAGE OlSP01S'A L SYSTEM LEACH//VG =/T TABI/LATlD/V SCALE %4~ _ /=O� D/ME/KS'/ON A 3 F.T. DES/G/V CR/TER/A ,o/M.Fws/o" 8 6 F7-. NL/MBER OF BEDROOMS _� D/HENS/ON C_�FT. 'M 'N 6AR8.4GE DISPOSAL UNIT 42 SOIL ZOG TcETAL e3Tl -TEG ,=I-o / 3 3 o 0A4.1DAY SOIL TEST At/ So/L TES-r*2 SD/L TEST / /YIJMBER QF LEACH/NG PITS_ �^-ELFi! PATE OF SOIL TEST SIDE LEACHIMCI PER R/T / SQ, FT. 73A xT-,e `F S'�. BOTTOM L6rrICN/NG PER P!T 7 0 ~ 32, RESULTS WITNESSED BY �% FFy rLy 54. Fr. o� �- R NCOL�770" MATO At/ /-ems15 All VItNCK `_�?A�7 -� {R�TOTAL LEACH/NG AREA Z� 6 SQ, FT, of S�13 S� J9FotCOLAT/CN RATE 1�k2 M/N.1/NCH RESERI�E LEACN/N6 AREA o SQ. FT. 2 D i 3i - 13 tPhl�nfi _ 4 ? M c01 t Al 9-RT E DREDGE ENGINEERING CO,lNC s �. / LJ L LL`V. s 7/2 MAIN ST. yYANN/S, MASS. NO GROt/NJ Y144TCR ENCOUNTER.rD CL/EAtT; DRTE Csm0 U VO WATER AT ELEt� tea - JO NO' Z o SB SHEET Z OF "Z—