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HomeMy WebLinkAbout0008 CONNERS ROAD - Health (2) Co nnocs Rd S M E A D No.2-153LY UPC 12934 smead.cam • Wade In USA SUSTAINABLE FORESTRY INITIATIVE Cortlfsd Fiber SaurdW W�W'Y r IV LOCAjION CU �,� , ,dE AGE PERMIT NO. VILLAGE _ INSTALLER'S NAME&ADDRESS BUIL ER OR OWNER DATE PERMIT ISSUED Kz) 4 DATE COMPLIANCE ISSUED 7 �, �� �,�e.l� /y � _ / � it � ' 3 3y ' I �v, Q- No-7s, F�s..�� .......... . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH App irFation for Dispog al Workii Tnntrnrtiun ramit Application is hereby made for a Permit to Construct (,C or Repair ( ) an Individual Sewage Disposal System at: ................_..... ?Np 2�- ... -tD............................ .................................... ...... ...... Locati Ad e o Owner ` ,,' ddre a `fit.... -= Q9.i� (•-•---�C`?.L �------------------` .... Installer Address Type of Building -�-1 Size Lot___��t_79._..._..Sq. fe t U Dwelling—No. of.Bedrooms__.___.:tr._ - �____...............Expansion Attic (mil Garbage Grinder ) aOther—Type of Building __N/iA__________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfi�tures --•------••-------•--------•----•---•---•-.....•-•----'•----•-•---------------•---•----•-.._...•------------------------•----_._...•••-•----•---•----• W Design Flow...........�J.............................gallons per person per day. Total daily�tflow.............3���..................gallons. v e� a/O w W Septic Tank—Liquid capac ylo_.®.gallons Length_��b_.____ Width.._.___ ___ Diameter_.N��______ Depth_�_`�___. x Disposal Trench—No. '..-.---. Width.................... Total Length____________________ Total leaching area-------------------- ft. Seepage Pit No-----I............... iameter.__.___J�i_..__ Depth below inlet._ ___.___.._...__. Total leaching area_24_Y_.:__sq. ft. z Other Distribution box (V/ Dosing tank (�� � 1JL®c✓ - Date_--V' --- _ Percolation Test Results Performed by_________________________________•---•_- --�.....................-- - ��"-��ff-------•--...__. Test Pit No. 1____4 minutes per inch Depth of Test Pit____/_�__'_____.. Depth to ground water_.N �_.._.._. Gr4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__. - -••----••----------------------------------•---•---......................................................... Description of Soil -Q.; P_�-?�! 'c..�JofAr ---------------------------------- ---- •........ =------------------ --•-•_-----•--.. -----•--•--------•••----••-•••......------- ----•------------------------------------------------------------------------------------------------------------------------------ = ........ U Nature of Repairs or Alterations—Answer when applicable._______________________________________________________________�,_.______.__._._____________.. ----------------------------•------------------•-----------------------------------._..............---------•-----•---•--------••---•--•----•••-•----------........................................... Agreement: undersigned agrees to install the aforedescribed Individual Sewage Disposal. System in accordance with the roe sions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place th&_�rstem�n o era ' tm a ti f' ompliance has been issue the bo rd of health. Sin ------ - - - - •- .......................... D' App 'cat n pproved By............................. --- �( � ---•--•-••-----------•-- Date Ap li tion Disapproved for the following reasons:................................................................................................................ --------...•------••...•--•------------•-----------------••-...-•---•-•--_-------•-.....--------•--.......----------------••----••--•------•----•-•-•••--•---------•---•-----•--•-------••--•--------_-_ Date PermitNo......................................................... Issued....................................................... Date No- THE .. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 0...,v 1p i.............OF..E�).ArZM-zs j.Ao9C.------------------------------------ , ppliration for Disposal Works Tonstrurtion ramit Application is hereby made for a Permit to Construct f ) or Repair ( ) an Individual Sewage Disposal System at: . S..... Local- . Ad re s or Lot No. 1 Owner Address ............................................ � �r \i•'s-vcr u�5=y'�..... - C _...... R .... Installer Address Type of Building Size Lot_ 1,._7'?_7.........Sq. feet Dwelling—No. of Bedrooms....-T_ Aa .....................Expansion Attic ( ) Garbage Grinder � ) a Other—Type of Building .ell /¢------------------- No. of persons............................ Showers ( ) Cafeteria ( ) Otherfixtures ..---•... ......:......••----------------•-•------•-------•--------•----•--•---•------------•--------•-•---------------•-•--••......•--•-•...--••••-- W Design Flow....... j.........................gallons per person per day. Total daily flow_.__........ gal g -., - - - g P P P Y• Y �_��.._._-•---------•--_ Ions. f� n / y W Septic Tank—Liquid ca.pa rt}ic,8c....gallons Lengthr?'.�.....__.. Width=��.._..... Diameter�%.�r......... Depth":�_._._.. x Disposal Trench—No. �............ Width..................... Total Length.................... Total.leaching area....................sq. ft. Seepage Pit No.. ---------------- Diameter....- .7........ Depth below inlet_. `............. Total leaching areal_&.`f-------sq. ft. z Other Distribution box . Dosing tank/YA), Percolation Test Results Performed by.............................J !�'�..� c?t✓..'___.......... Date_ rl "/1_._._..._.._._.... Test Pit No. 1.4ZZ...minutes per inch Depth 'of Test P' ---/0.........._.. Depth to ground water/j e........... fX4 Test Pit No. 2................minutes'per inch De a pth of Test Pit.................... Depth to ground water........................ i O Description of Soil Q: � � 1�_._t_ A� tl ---•-•------•--------------------••-----•----------------•-----------•----------------.-.-------------_-. W ------------ •---------------- - S -J.: x .............. ---------•---•----••••----••-•••••-•-----•--•--•••----•--••--•--•••••••-••--•••••--•-•---•••-••••-•••--------•---•----••......---•---•-••••--•---••••••••••--•••••---•-•......--•-....... U Nature of Repairs or Alterations—Answer.when applicable..................:............................................................................. ----------------------------•-----...--•----------•---------------•-------------------•-----•.••--•--------•------------------------------------------------------------------•------------------ Agre ent: T e undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with m rr -� e p visio 5 the State Sanitary Code—The undersigned further agrees not to place the system in o do til a Compliance has been issuedby the board of health. ry A li tion Approved By............ ............................. ......................................................., r z .. Date A ication Disapproved for the following reasons-------------------•-•---•-------------------------------------•-----------•-----•---------------------------•--- ---•-•--•-•-----------•-••---•------------••--------••-----•-----•--...--•.....................•-•-•-----'••....•••-•-•.....•--••-•••----•---•••••••-•-•••--•••-......----•--•---•••-----......•....----- Date PermitNo......................................................... Issued....-----•------•..................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH E ..........................................OF..........................................................I.......................... (Irrtifirate of ToutpliFatty THI�Sv� CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) `y --- •-_----__----•--•--------- by •• ... /at. ---------------------------••----...---•------------•---••••-----•------------- ---41-951 has been installed in accordance with the provisions of 13I'he State Sanitar, ibed in the application for Disposal Works Construction Permit No......................................... dated----------...................................... THE IS vAN E�OF THIS CERTIFICATE SHALL NOT BE CONSTRUED Z ANT THAT THE SYSTEM (L gU , N SATISFACTORY. Y DATE................. .----- --...................---•------------------.. Inspector...... --......................... .............................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ` 3 ......j. .,').................OF......---- ca.i -------.__.._.__.._................. No......................... FEE........-----........... Disposal Works IVITUantrndion erani# Permission is hereby granted......__12A l.........-e............0'l J.2 .-------Co--••--•••-••- -•--•-••-----•-----•............................... to Construct"(y,) or Repair ( ) an Individual Sewage Disposal System at No.....•• ��-=�� - ��- C �-� -�-- - ----------------------- -- --------- Street - --------- -:5 j ��� as shown on the application for Disposal Works Constructior>,..Rer�p it—N.o..--___ Dated........../_________-- ............. ------------------------------------------------ _ Board of Health DATE ••-•---•---••-....._.... FORM 1255 A. M. SULKIN, INC.. BOSTON - Z0z3 � G • -2�onI'f- 7Z0—/ / z ' wID S LDT ` ASS cJM C L7 O r P or�c.7/0mV pr'I�a\ 0 J"' I�y' q �a WAf 13Y44 w/S V PIS 41> N , r 4 p°`�a �N �"r o � /Gam ! n �9 50 / - N U . % e A , MN TXO '\ �tH OF Mqs f90 `ROSERT �G U ; ELDREDGE % NO. 19367 �SS��iISTIQ A OF!,. ALSER : LEGEND WID ` o MORSEi c EXISTING SPOT ELEVATION OxO v �No.1��1n a EXISTING CONTOUR --- 0 --- A�\� �;T %�`%t� CERTIFIED PLOT PLAN. `lrlN.#SM'EO SPOT ELEVATION G o7 i � 1 7 C0/v/VUR5 T�L'• F 1,"90 CONTOUR 0 Chit/TG—' NQ2$ -The location of any existing underground sewerage, wells,; or other utilities shown on this plan is approx- IN imate only as determined from records and/or verbal •f�A ,�l S-�'A���, + ,information. The contractor is responsible for the _ verification of the existing locations in the field. gCALEs - 30 DATE 4 ks x _ M�K =OA/ ORE'DOE ENGINEERING CO. IN CLIENT. I CERTIFY THAT THE PROPOSED EQISTERE REGISTERED JOB NO. 8-5� 6¢ BUILDING SHOWN ON THIS PL AN CIVIL LAND CONFORMS TO THE ZONING LAWS ENO NgERW .SMRVZYQ DR.BY A �� � OF BARNSTABLE , MASS. �? { 712 MAIN STREET CH. By, *DT �HYANN1S, MASS, Z SHEET./- OF E EEG. LAND SURVEYOR .•wc4+raa.taar a.:..ter. ,1,..,�.i..+1.,: ,+cn+- .,,+•,�. ...r..tirµ,:m ..5, :.. _o_.t.•3._ ... _ .+�:a„✓s.� ...rs�.n� .. rw s;a;:z:. -...... ,.., �,,.,-.- — _ .._..... --. - _ .- _.... __• lYO.TE /F E/TN<'R THE.SEPT/C TANK OR �. LE^CNI,IVG P/T ARE MORE TNAN /2~eEl0IV !O FT M/N ,J,RAOEj A ?4.0/AM ETER CONCRETE COfiE� SHALL eF B.?DUGNT TO GRADE.,AN -XTR/g CONGRCTE 4 PYC P/pF T htEAYY CA ST /RON COVER Si/AL L BE USED COYERS MiN, P/ �F/N OR/YEyVAY { �l_ .lCi4.o •PFRFT m/)v. �� CO/VCRL�TE r J a AZ>Z / co ✓E/z CLEAN SA V O - BACieF/LL LekeL sf-VIA. _ _ - • . 2*LAYER SCXEo uu 40 �==� A/N. ) O o y G. L. • •�� • • • • . • • e 04 0 WA SH,=D S7r,/Y,-- D/ST, . • • • � � • . Prat.fr SEPT/C TANK . • , • •. • BOX p • o e • . • . • � • • 1' 3/ r t�' • • •EFFECT/✓L ' �. � 4%- / /2 • . 1 • • OL'PTN • • • . WASNED STGNE Ali 0 . 2 9 377 •••• • • • • • . . • . o p . PRECAS T 5 EZRA aE' /IS(�/eRT LrLEYA?'/OHS Per co+/��ac pry 4yo G!�°��•D`'!y • �. . • • • • • • � , is P/7 DR EOV/Y_ EL-9 6.0 / . WYZA7' AT O[/!LO/NG �1. -o FT 3 !NLE7 .SEPTIC TANK /°O FT Z FT P44M_. C( �T LLAT�ON� 074ET SEPTIC TANK f Ua.6 1. fT : ')VLET DISTRI45"10N BOX /UO•¢ FT. SECT/ON OF : GROUND /tQ4TER TA�I,LE. �OTL,ETDl STRlBUrION BOX 0 2-A7. . INLET LfACN�Nfi P/T no."Fr. SEN/AGE T/tEULATlDN LEACH/NG .40/7' oIMEivslOav Il 3 FT. JCALE DESISM CR/TERM. Dl�rwsraN 5--�—fT -arm OF BEDROOMS 3 D/ME/YS/ON G `f CsARCAGED/5P0_514L UNIT Wei S4/L LOG SD/L TEST TOTAL EST//r!A'1rEG FLos�t/ 3 3 tv G,�G. DAY SO/L TEST 0/ SO/L TEST#2 4 NUMALe OF I.-ACNIM:.P/TS I - �+EtEY. /0/ L�LEY, DATE OF JO/L TEST / - S/DE L1`i4 CHI NG PL•R.PIT / SQ,. FT {, -'3 RESULTS IVITNESSED gY f rrvj fO "7-rom L ACHING PL°R P/T )I 33 $Q.. AT. PERCOLAT/OX JeAT&r j*/ LEss' Ml/yJoI/KCH 'OTAL LEACH/NG AREA Sv�95w�L I�J�COLA7"/On/IrioTElf�2 T�'}'V M!A►flJVGH zb 9- Z.0 4ESE�t i�E LEi4C'NlN6 ARLC^ SQ F T. 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