HomeMy WebLinkAbout0708 CRAIGVILLE BEACH ROAD - Health fag Cr oOpl i re
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MSMEAD
No.2453LY
UPC 12934
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INITIATIVE
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LOCATION 5 t W A G E PERMIT NO.
V i L L AGE Fio�s� tea.
INSTA'JLLER'S NAME i ADDRESS.
/�c�L✓t�`/�� L.pl1.s�.{rs��.J �o
S UILDE.R OR OWNER
GA T E P ERMIT ISSU E D
DATE C0M ®.LIANCE ISSUED /� �3
I
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N -I-B 0 ............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF EALTH.
...........X.. ..................OF............ ........... ........................................
Appliration for UhipvBal Vork,5 TouBtrurtion rantic
Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal
System at:
__v............................................
Location-Address or or L. No.
....... ... .. . .. ............................
Owner 7 Address
,.0
..................................................................................................
Ins.... ..... _.;.....
Address
Type of Building Size Lot../( .31'iJ ------Sq. feet
U
Dwelling—No. of Bedrooms............S3......................Expansion Attic Garbage Grinder ( )
Other—Type of Building ---------------------------- No. of persons--._..._-.-_-_.____.__-_--._ Showers Cafeteria ( )
Otherfixtures .......................................................................................................................................................
Design Flow............................................gallons per person per day. Total daily flow--------&_Z40....................gallons.
1:4 Septic Tank—Liquid capacity/0-C4.gallons Length________________ Width-_-----_------_. Diameter.--..._._.-__-_. Depth__-_.--.--_.....
Disposal Trench—No_.................... Width.................... Total Length.._-_____-_.________ Total leaching area....................sq. f t.
Seepage Pit No........../...... Diameter..................... Depth below inlet_______________.____ Total leaching area.-;;.?, 4A/.sq. ft.
Z Other Distribution box Dosing tank
Percolation Test Results Performed by.. ---- Date----
Test Pit No. 1$. ;f��,._minutes per inch Depth of Test ----Depth p---t-h----to ground water-------------------_---
44 Test Pit No. 2...... .-minutes per inch Depth of Test Pit.................... Depth to ground water----_-.....________.--..
P4 .............................................................................................................................................................
0 Description of Soil._-��*...... . . . ....... ......................
�4 e ��' ,-i�;�w-6 _71-0-------------------------------------------------------------------------------
U ......................................................................11..................................................................................................................................
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'1ITI!L- 5 of the State Sanitary Code The under"slued f ther agrees not to place the system in
operation until a Certificate of Compliance has been.is e by h.
d t Nboa ' of
....... .......... ...... .......... ................................. ..........................Signed.......... ........ ....
Application Approved By----- J;�Z......... ... ........................................... ...................Da-t-e..............
Date
Application Disapproved for the following reasons:...............................................................................................................
........................................................................................................................................................................................................
Date
PermitNo..................................................:------- Issued_.......................................................
Date
No.._.. FEB .. /
1g3_x ..
� Q.-�.........
M
'rHE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH :r
...... .... ..........................................................
Appliration for Disposal Works Toaastrurtioaa Vamit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: 7/,
5.......,C_"_-•----------- -----.-.....-�.---""••'•-- - > ?-1------=--------•--•-------.................--------
.Location• ddress •w-- / r Lot No.
/
er Address
..........................................
WW1G� .......---••-••-•--•-•--•-•................
Ins alley Address
Type of Building - Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
a Other—T e of Building ....._ No. of ersons__......... ........... Showers —
a YP g ---------------------- persons-------•----------�-----------------------------( ) Cafeteria ( )
d Other fixtures ----------------------------------------••-•-•--•.
w Design Flow............................................gallons per person per day. Total daily flow--------------------_.2�............gallons.
WSeptic Tank—Liquid capacity/P*4gallons Length................ Width................ Diameter................ Depth................
xDisposal Trench—No..................... Width.................... Total Length.................... Total leaching area______:"-•-..__•----sq. ft.
'-- Seepage Pit No.__----__..rl___-- Diameter.................... Depth below inlet.................... Total leaching area.2.ZP.5 sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
'-' Percolation Test,Results Performed b l ''t � f .............
Test Pit No. 16{j .m utes per inch Depth of Test Pit_...1�_..... Depth to ground water........................
fT4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P ---•-•-•-•--••---------------------••---•----------------------------.....------•--••--•-•--------....---....-•------------------.........._......----------
0 Description of Soil...... .................... ....
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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been iss d by t oar f h th.
Signed.--•--••. • . . .-- .
J Date
Application Approved By...... �s- ...
Date
Application Disapproved for the following re sons_______________ .-.-..--•----_
................•----•-•••-•---•-----••-•••--••-----•-----••------••----•.....--•-----•------•••••--------•----•----•-••-•-....------------•----••-•---••-•--------------••-----•-------------------_...
Date
PermitNo.---•----••--•..........-•---•---•---------•............. Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................................................................................
Trrtifirate of &-impliaaurr
THIS I TO C�TIFY, That th Individu� Sewage-Disposal System constructed (�'or Repaired ( )
by
Installer
has been insta ted In accordance o dance wrtl he ions o L� 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No....... ir dated................................................
THE ISSUANCE F THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WIL F CTION SATISFACTORY.
// vv� �:
DATE.... ...............iII_.-...................................................... Inspector......... _. .................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........................................OF............................................................._.......................
No..... . ' 'f. D FEE.........CY.4........
Disposal Pprm %fit
1wwArurt' n ra it
Permission is herebyranted ,� •-----• �LI- c- r erg .
g
to Construct ( ) or Repair'( ) an Indivi. al Sew ge osal S stem
at No.....f-V....G ....... .
Street
as shown on the/a/pplinr Disposal Works Construction Permit No..................... Dated..........................................
------------------•--••--•••••----_••-•--
-� r--�•'- "'f''•--- of Health
� A DATE -••---------------•---•-•-•-•-----FORM 1255 HOBB INC., PUBLISHERS Y
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SE,Q No.1095951�b� 1011
APPROVED , BOARD OF HEALTH 9d�s��si �����' ����SIASIliMAS +
SloMA1.
-- SCALE, / � O I DATE ,
DATE AGENT
DL SEDGE ENGI IN NrcKue-as
NEERING Ca
CLIENT_.._____-- i CERTIFY THAT THE PROPOSED
EGISTERE REGISTERED J 0 0 NO..._3-055 BUILDING SHOWN ON THIS PLAN
V
LLAND CONFORMS TO THE ZONING LAWS
EER RV DR. OF BARNSTA LE , ASS.
712 MAIN STREET. CH. By'
HYANNIS, MASS• SHEET..1 OF �' DATE �EG. LAND SURVEYOR
n r NOTE /F E/TNER THE SFPT/C TANK OR
20 F7. M1� iEACX/NG P/T ARE MORF T BELOW. E
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IIV,G TD�STRI$VT/ON 8OX,f02.9 FT. SECT/aN DF
GRO U Ve HrATER 7,
ovTt�rniSTRisirr`ow mx f S'EN/AGE �<SPOrSA L SYSTEM
�' /I�LFT tgstCK/NG PIT Io2.S FT. TAJUL.AT/ON
L EACHING /SCALE %4 ' s /•-O' D/MENS ON A
B.ESl,6A CR IA
I TEAM' D I,•tENS l O N $�—FT•
Nll�dER OF BEDROOMS. 3. D/MENS/ON C�F T. n?�
GAR46tGE_D/5�705.44 UNIT W6we SO/L LOG SAIL TEST
TOTAL EJT/M�TEO FLON/ 3 3 0 09.4L.IDAve SOIL TEST Al SO/L 7Z7S7'#*Z
/04,Z / z. 8-`1
NuAfBER''aF LEACNI ver PirS_ f`ECEY. -Eco=K pATE aF So/L TEST
S � T !S Sta F/OS1�AC, INPER ` �r2'-2 1J �
90TTOMLFs1CN/NG PElg P/TSQ. AT L��!�! -` PERCOLAT/OlY RATE AEI ss hllN�I/NCtf
7-67AL-LEACH/NG AREA 7 ` S¢. F.T. TP�s p'�' AERCOLAT/ON RATE
aEsBRyEI,EAC/r/iVG AREA
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