Loading...
HomeMy WebLinkAbout0708 CRAIGVILLE BEACH ROAD - Health fag Cr oOpl i re - C vt 114 N K b MSMEAD No.2453LY UPC 12934 smead.com • Made in USA koNNAIM INITIATIVE Corftd RborSoAtN �i I NTo z � AZ 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 3® Q h 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 r L 2� Lo-r O'T T13M ELa i e ioo.o Pf -74 ° 7 ' /o" E / D9, Ff' �,cr D'�Jlj W.o _LQ 7- Z,¢ +I � I 10,� V) Ito) z Fwb EL n WAIL P..NE 4 . Y - -- .G! 14'± _ 74' Lotil QB l� io5.o — ' 4. w ao 10,000 S•F. - i-! 71 1 /000 Ng oa' Ta�✓K�ti l (q ! WIUI,� Q ^!� �f'K�2' I°{" COCi E v r-A v.A10 1° 41=1 7' - 70 Wes/ W4 / tJa�N Oi N (ft 2WH p SU4�� LEG 4 E1dD CERTIFIED PLOT PLAN J EXISTING SPOT ELEVATION OxO 4r' EXISTING CONTOUR 0 _ _ ,r C_o '�� FINISHED SPOT ELEVATION Q (F A l7 ` 51�0 7 FINISHED CONTOUR 0 NwR 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 !O RT- M/k- SRAOE♦ 24'A/AM ETER Co VC.PE7%r- COVER tom- S}IAL4 BF ®ROUGNT TO GRADE. �.tiN. EX-;-RA CGNGRrT�' h'EAvy C^ ST /.PCN Co✓ER SN,4L,L. 3E VSEO " MIN. P/7CN IF/N DR/�E1S/A y w EL= 106.5 COYERS ►fe"PE.Q FT 2 MIN. CD/VGRE•TE A �ti— G .qo� CO ►�E.4 CLEAN .SAND 4'. �J �' •' ` . 2'LAYER r ::..RON P/PE o o G.4G. .: - a •a a i • s a . • • t t ��. af' 8 3/8" r WA SHEO STIJNE D/ST. r-T SEPTIC TAAIX BCX•. o • i � • • • • • t .•� • .. -. e a•s• i t •Ef'fECT/YC + � ♦ •r 3�4+' f �2 • ' t • . DEPT/I • • e + ` o o.. bYAS.SdED STaiYE r` • •113 ' PRECAS T SEEOAGE D E jo PIT .rA -tTY CAT L40Ge4t Q y• • t • • s • • • t a o P/T OR E4L//t/ CA l�f/Y RVAT/Ol i S _ ` INVERT AT Ol//L®/NG 103.5_ FT _ ' .3 r /2 FT. O/i4 AW C SEE TABULATlON> o3.T.4 K F .N '1NtET` :7 Ot/TtET SEP'T/C TiililK; aj 3, l_fT. - 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 - Mom, SA vD Lp T z� C,ehre;R�,,L4-� C41 �M ALS ti� rz�i T- ar SE N 0951 o N ELOREDGE ENG/NF.FI�/NG CO,IMG. �. ELE✓, 9 ZZ... 712 Ai,i/N Sr ; VYgA1A11.S, ivlASS F �y G! E :- fsS�ONA�Ea� NO GROUNt7 Yi�.4TER ENCOUNTERED. CL/ENT:N/cKu S DRTE 3 /7 S t. Q GRO UNQ LvATE.P AT ELEt/, a JOB NO' ,3 re S=?- SHEF••r-7-0F 7