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0150 GLENEAGLE DRIVE - Health
1S0 OkAw-Ir vi I Lb 1` h- 153 SMEA® KEEPING YOU ORGANIZED No. 12134 2-153LGN SUSTAINABLE FORESTRY MIN.RECYCLEn INITIATIVE CONTENT 10% Certified Fiber Sourcing POST-CONSUMER . wwwsfiprogram.org SF401290 MADE IN USA GET ORGANIZED AT SMEAD.COM ko) 4 LOCATION SEWAGE TMIT NO. VILLAGE � ,,..� _ / I N S T A LLER' NAME i ADDRESS B U I L D E R OR OWNER i zl � 1,/a7er LLv DATE PERMIT . ISSUED DATE COMPLIANCE ISSUED '' ,r rep = flf�o e-,*,-,/e. i No................. Fims............................_ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H A TH OF...... - . .. ---- ..................................... ;06 App iratilan for Disposal Works Tnnstrnrtiun ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal Ii�lSystem at: -� ............ '#'S��?2 r9 ! ., -= .Z �/...... "-••-"..................•"'............ Lo ion-Address or Lot No. ! .............. c49e�", .4. A-4 ....... Ow Address.--_-... Installer Address Type of Building Size Lot_Zs_tia`'�_'--.®.......Sq. feet .a Dwelling—No. of Bedrooms..........!a...........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures .... -------------------------------------------------•-----•----•---- P IGt✓ cBiGav;a W Design Flow...................11G7..............gallons -per day. Total daily flow......................Q..o......_.._gallons. WSeptic Tank—Liquid capacity.eta a_gallons Length.9s4u_. Width._'9L�:/!?'_ Diameter_______________ Depth•l'-_P,r. x Disposal Trench—No..................... Width-------............. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No._-____>-._______-- Diameter......10_eZ. Depth below inlet._ 75...... Total leaching area-a247......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 04, &/h-"— / aPercolation Test Results Performed ....................... Date...-�./.. 9............ ,.a Test Pit No. 1.. .. Z...minutes per inch Depth of Test ..... Depth to ground water......... ............ Li, Test Pit No. 2._.G._2-..minutes per inch Depth of Test Pit____ZSe�._.. Depth to ground water----- ............ ------•-••-•----------------•----'•--•--••----••----•'-----••----•---. ............� , /o �co. / O Description of Soil-C �_"-. _fU. e4.�_ t�.�S�iL x lc�. D---------•-----------------------------------------•------------------ v 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 iITL- 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. 2 Sig ed.-•--•---------•--------•-----------------•----...--------•----- ............Date----........._------ � Application Approved By--•---/.�.` � �L�NI 7�' J Z!5�.....------. Date Application Disapproved for the following reasons--------------------------------•-------- ......................... ........................................ •--•---••-•...................................•----•---•-•-------•----......---------.........-----•......-----•------.......---•--....------........................-------•------- .............. Date Permit No....................................................... Issued_.....4 — .......................................... •--•-•-••---........ Date F No........ ._ 30_ Fim$':. ............... s `+ rT;HE COMMONWEALTH OF MASSACHUSETTS BOARD OF H ...---...... . .. ..........OF..... A,!p liratiun for Disposal Works Tungtratrtiun flermit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................_--....__...................................................................... ....................................................•••-----------------.------------............. Location-Address or Lot No. ......................_.................................... ................................ Owner Address W _ Installer Y:. Address Type of Building Size Lot............................Sq. feet U Dwelling No. of Bedrooms.......................... ..Ex anion Attic g •---=•-- p ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. ,of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures, 'a.........................................................•.................................................... W Design Flow............................................gallons per person per day. Total daily flow.............................................gallons. 1:4 Septic Tank—Liquid*capacity............gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No................. Width_...___............. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 00. /p C4K — aPercolation Test Results Performed bY=- ?=- ----------------------------•-----------•----------------•------- Date........................................ Test 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....................... P-I' . ... ........................•----............................................ .............. Descriptionof Soil-----•-••-----•---------•..................................................••-------•-------------------------------•---------•--------.....--------•-•-.....--•-•-•---- x V ----------------•------••-•--------._......-------------=------------•-•--•-------•-......-••---•---•-••••------------••••---•-•--•••-----•--.....•----------------•---....------..........---•--••---- 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 TITI.i� 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 ed--------•--.......•••-•----•.......................••-•--••------------•-------- . ---•----- ---•-••--..._.... -=---- ----- Date Application Approved By...... _� Ltll l g± Date Application Disapproved for the following reasons:-----•--------••-•---------•----•-•--------------------•------•--------------------•........................... .........-•---•------•-----------------------•----•------------------------...---•-----------•---••------'--........--•-•••----•--------------•--•-----•--------•....................................... Date Permit No......................................................... Issued_._..!'�i`'�'� - - 7 7-7---------------------------- Date r THE COMMONWEALTH OF MASSACHUSETTS- BOARD OF HEALTH )LjO'�rf�1. ..._......OF......X'a!1 � �........................... (Intifiratr of ToutpliFaurr THI IS TO ER WY,Y, Th the Individual Sewage Disposal System constructed ( 4''f`or Repaired ( ) ....... y................. _____ __ by . Installer has been installed in ac ordance with tlfeprovisions of r of The State Sanitary Code as described in i application for Disposal Works Construction Permit No _._. _. 1 :� dated__.._�''s _ ^._7. ................ PP P -- r' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT„BE CONSTRJUED AS A GUARANTEE THAT THE SYSTEM WI L FUNCTION SATISFACTORY. DATE...... 1- -• ••-••-••------••-•--•-•••-------------••• Inspector. ............ •------•-- . / ---------.---------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH q .....7?tt� ....OF..---..----- [ -1............................................ d � NO......... .....+--.. FEE......................... r ' iuuuttl urk . 0,untratrtiun Wrutit Permission'is hereby granted__.._.r.11!... to Constr t or Re r ( ) an Indio ual wage D osal ystem �f p� y... Pet as shown on the application for Disposal Works Construction Per No.._..._ ed.._._ Q ..__...._. f __..... / f��' Board of Health .., DATE.......... r"" / / ...................................... FOR,m 1255 HOBBS & WARREN. INC., PUBLISHERS - - _ o T _-4. . ✓61xa ✓-fS..z3 _ ,yi ul AIIAI 1- — � O' _.:/4 as c;bz •O Al ilk ,v ; �s •: vs LDT Eµt"Of,w N OF IV RICHARD z 3T TAMES - 0WARNy .ti.694 Q to 9 �0�8T��4; � O { SANItaR� LEGEND. o auRv� EXISTING SPOT ELEVATIONS O,A EXISTING CONTOUR- - 0 - - - - FINISHED SPOT - ELEVATIONS- 0.0 FINISHED CONTOUR.. 0 PROPOSED . PLOT..PLAN APPROVED3 BOARD OF HEALTH .6,Q.P/VS T41 ,.MASS. DATE AGENT - � �D-T"'�¢Z -Gt��r�a���:0.�iv� • , _ CERTIFY THAT THE PROPOSED R. ✓. O'MEARN, INC., RLS, RS BUILDING SHOWN O.N. THIS PLAN 1348 , ROUTE 134' CONFORMS TO THE ZONING LAWS EAST DENNIS, .MASS.':. OF MASS. DATE: SCALE JOB N0.7 -- CLIENT: c us.vtJ. 4 p�ATE 9 tGISTER LA D`SUkVEYOR C.R. BYSNEc T OF _. r___ •� ,� r., ` ,. ` 1. : Ga r` j 2-7 h! Tow_.v `✓a..rr.e \ y �i /aao CSC �. SEA TlG :T�dJIC A Aj j T. yi k - - is 23 ZH OF E�tH OF A,� t►� ' \_ �� SUCHARD y� RICHARD 4 ;: JAMM a JAMES can o O'HE 9RN --4 Nw s 4Isl ENO: do RvE{� s rITA LEG -r EXISTING SPOT ELEVATIONS EXISTING CONTOUR- - - 0 -.- - FINISHED SPOT ELEVATIONS 0.0 FINISHED CONTOUR- 0 PROPOSED :PLOT : PLAN APPROVED' BOARD OF HEALTH ,Q /SA1 MASS. _ DATE . AGENT _ �a,-'�¢Z G.��✓���._�",���v� I CERTIFY. THAT THE PROPOSED R. ✓. O`HEARN, INC., RL S, RS BUILDING SHOWN ON THIS PLAN 1348 ST ROUTE MA EAST CONFORMS TO THE ZONING LAWS DENNIS, .MASS. :; 3a ' OF MASS. DATE : SCALE- _Z - -.. ; JOB N0. 79-4G —_ CLIENT: c v6.vt;.y OF DATE tGISTER LA D SURVEYOR CR. BY __/�� __— SIiErET _�--_ . . -1, i", � - '.�''_�"_';��.4 � -w I. 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