HomeMy WebLinkAbout0391 HUCKINS NECK ROAD - Health 391 Huckins Neck Road
Centerville
A =233 - 045
lllfliP.[ll� JQ�'�o
UPC 12534
No.2 3LOR
HASTINGS,MN
707
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH �2 33
.............V,, A-'-----.OF...........z �.. - ...._.... ........ ........... UU
Appliratiun -for RiipviiM1 Workii Tontrurtion Vrrniit
,>Q 3?/ V
s Ap li -ierr reby�m iS-h 2d-f r__ Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
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yst .................... .
c!/C V� � ".�..ocat / P;V / Lo,4�v� t�. `�.
................ .....--------.....------............•................. ..............................................................
.................. .. . ..... •----
< i % Address
Installer Address
U Type of Building Size Lot.... feet
Dwelling-Y No. of Bedrooms______ -----------------------------------Expansion Attic ( ) Garbage Grinder (x )
Other—Type of Building ---------------------------- No. of persons......... ---------------- Showers (/ ) — Cafeteria ( )
P4Other fixtur s ----- -----------------------------------------------------------------------------••-----------------------_---._-.------------
W Design Flow............. ......................gallons per person per day.- Total daily flow-------�4�-------------------gallons.
WSeptic Tank�-Liquid capacity/ gallons Length---------------- Width---------------- Diameter................ Depth.-..-__--.-.-_.
x Disposal Trench—No..................... Width._.._ ... o Length-------------------- Total leaching area--------------------sq. ft.
Seepage Pit No......./.......... Diameter����ej below inlet ___________ Total leaching area-.----.------_-.-.sq. ft.
z Other Distribution box ( ) Dosing tank ( ) dO (,/, /k- 7
aPercolation Test Results Performed by.......................................................................... Date-------...----------------..............
Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water--------.---.--.--.-----
G� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--..-.--.--.---.----__--
sr ---------i- ------7----- :-- - (
Description of Soil_..___6.`_`?� t*f._._ . 704
v ------------------------7...f.�.'<,.--2/_,�.l-cs� Lr ,r -• b'
O
------------------------------------------------------ ----------------------------------------------------------------------------------------------------------------------------- -----------------
U Nature of P.epairs or Alterations—Answer when applicable-----------------------------------------------------------------.................._.----------
----------------------------------------------------------------------------------------------•------------------------------------- -------------------------------------------------------- ---------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanita Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has issued b�yf the bo rd of health.
Si lA_ . -- � -�.
-------------•--------- ................................
Date
Application Approved By------ . ••. -- ..... -- .-•--. = f-.7 ----•-----
Date
Application Disapproved for the following reasons:-------•-------------------------------•-----•--------•-----------------......-------•-•-•--------------
------------•----------••-----•-----••------------••-- ---------•---•------------•---•--•----•--------------------------------------------------------------------- -----------------------------------
/�_ e� Z�J Date
Permit No......................................................... Issued------•q............. ( -- ate
Date
70-1
No......................... Flzs...f` ..".`.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Q�C,!/y------.OF............. , -------------..............................
q� Applira. tinn -for Bigouittl Works Tonstrnrtion Prrniit
Application is here made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
G System at• jZ
.............................................................. ...._ .. .•-------•. . •---
J ` Location Address or Lot-No.
Address
Installer Address
U. Type of Building Size Lot... feet
Dwelling--Y No. of Bedrooms------,................:.:..::.............Expansion Attic ( ) Garbage Grinder (� )
0-t
Other—Type of Building ._------_....__..-------- No. of persons---------------------------- Showers ( ; ) — Cafeteria ( )
Otherfixtures ----------- --- -------------------------------- ------------------------------------ --------------------------------------------------------------
fW Design Flow------------- ------------------ -gallons per person per day. Total daily flow------- Q ""j--- -..._......_.gallons.
Septic "1'ctnkF—Liquid capacityl .._-.gallons Length---------------- Width-----_.-...._.. Diameter........._._..- Depth..............
..
xDisposal Trench—N/o. .................... Width..._•......_...�f o . Length.................... Total leaching area........_....-------sq. ft.
Seepage Pit No------,!_-..._..... Diameter�.�", .. D low inlet.................... Total leaching area..............-_..sq. ft.
z Other Distribution box. ( ) Dosing tank ( ) d 4 l k, f G/
aPercolation Test Result`s Performed by--_------------ ......................................................... Date.....----------------------------------
aTest Pit No. 1----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water-..____.._....----_.
f� Test Pit No. 2----------------minutes per inch Depth of Test Pit........._.-_-..__- Depth to ground water:.:..._.._...........
- _ --
Description of So*1---- s"?�w*+, - '�'��"'- '°► •.?---- .f ++►cd � /
x ---- ._. ..
tJ 7---- -- ---r---- r!�___._ .( -_� -r _ "„`
--- ------- - --------- - ----- ---- -- - ------------------------------...-
VNature of Repairs or Alterations—Answer when applicable.----------------------=n----------------------------------------------------------------------
---------------------------------------------------- .
Agreement: "
The undersigned agrees to'install the aforedescrib-ed Individual Sewage Disposal System in accordance with
the provisions of Article Xh.of the State Sanita�ry Code— The undersigned further agrees not to.place the system in
operation until a Certificate of Compliance has been,issued by-theboard of health.
S Si
----•--------------------
Date
Application Approved By.,- ------------- - --- -------------
Date
Application Disapproved for the following reasons:-----•----------------------------------------•-------•----------------.-.......------------•------------------
-------------------------------------------------•------------------......--------------------------------•----••-------•-••----....-•-••--•---•--•----------•------• ----------------------------------
Date
PermitNo..----...............-...............................,_. Issued......4
------------- ------
Date
{
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.P t........::O F...;.: �� ... .............................
Qwrtif ira#r of fI'limp aurr
T 1 . TO CE IFY, That the I ivic ual Sewage isposal System constructed ( ) or Repaired ( )
n�taller
at '.�� Al ' f 'Il-
-*lam •--• --- ----
has been installed in accordance with the provisions of : rtic XI of The State Sanitary Code as described m f>?e e
application for Disposal Works.Construction Permit No. .............",�`�"'.____.._... dated.... ` /.. - `t =._ .. ......_. J.
THE,;ISSUANCE Of' THI&,.CERT4FECATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM'WILL "OUNCTION SATISFACTORY:-
DATE............... °Z.4 .................................... Irn`s:pector....-- --..---..
THE COMMONWEALTH OF MASSACHUSETTS'
r
BOARD OF EA LT
...... OF.... ... .. � �.................. c
'No...... ----------- FEE........................
. . �i�p>Q tt �rk� ��an�trnrtinn rrntit
Permission is hereby grad.. %t<�7 .......... ..........•---..
to nstr (. ) r Re ir' ( ) an Indiv- ua ewage ,is osal System
as shown on the application for Disposal Works Construction Permit No--------------------- Da �.. �... .W ------------
an
DATE.........:..... 7 -_------_-. -- •-------
FORM 1255 HOSSS & WARREN. INC.. PUBuSHERS
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CERTIFIED PLOT PLAN
' HuCK/NS NECK Rom. CEIVTERY/ALE"
NEW CONSTRUCTION ONLY :
TOP OF FOUNDATION IS FEET _ IN `-, •\
ABOVE . LOW POINT OF ADJACENT . �.;rlkl 'L .I�A$111a� IIIASS S4
ROAD.
SCALE: r/� = 6ofrDaTE : MAv z7,/977
ELDREDGE ENGINEERING C0.lN 1 CERTIFY THAT THE DWELL/NG
CLIENT G.E:Tiz.�rr SHOWN ON THIS PLAN IS LOCATED
EGISTERED REGISTERED JOB NO. '76033 ON THE GROUND AS INDICATED AND
CIVIL I LAND CONFORMS TO THE ZONING LAWS
ENGINEER SURVEYOR DR. By: A.A.Pl, OF BARNSTABLE I MASS.
BY: L R-f-
33 N0. MAIN ST 712 MAIN ST. CH. S z� YZ
SO. YARMOUTH, MASS.- HYANNIS, MASS. SHEET L OF 2- DATE REG. LAND SURVEYOR
' I
f
20 FT. MIN.
IO FT. MIN. _
4" PVC PIPE CLEAN SAND
Elev.= 1010' CONCRETE MIN PITCH -
COVERS 1/8„ PER FT CONCRETE
10„ COVER
q : -
... - .•.A
10
�-- LIQUID LEVEL
2" LAYER
OF 1/8 - 3/8
=' N PfPE • • • , • • ' WASHED STONE
7- MINA DITCH.
SEPTIC TANK DIST.V4 •, . . . . , • • .
rt I*R FT BOX ° g . . o
!► • ° °° r , . ELECTIVE' , 3/4 - 1 1/2„
lot
DEPTH • ' ' ' WASHED STONE
ISO IS 0
° • • PRECAST SEEPAGE --
t i f • 9 • , • • a a . ., PIT OR EQUIV.
m
INVERT ELEVATIONS I_- 6 FT DIA•
INVERT AT BUILDING 91•0 FT. 10 FT DIA. �C (SEE TABULATION) ,
INLET SEPTIC TANK 96•$ FT. GROUND WATER TABLE
OUTLET - SEPTIC TANK 9 6.(r, FT. SECTION OF
IN4,�T DISTRIBUTION BOX q6 5 FT SEWAGE DISPOSAL SYSTEM I
�ET DISTRIBUTION BOX 96.3 FT. SCALE 1/4"= l D" '
#NUT SEEPAGE PIT 9r..0 FT TABULATION'
DIMENSION A 3 FT.
DESIGN CRITERIA DIMENSION B 6 FT.
NUMBER OF BEDROOMS 3 DIMENSION C 4 FT
GARBAGE DISOOSAL UNIT I _
TOTAL ESTIMATED FLOW 300 GAL./DAY SOIL LOG SOIL TEST
` NUMBER OF SEEPAGE PITS I ELEVATION DATE OF SOIL TEST J�'^'£ 18 19-I6
SIDE LEACHING PER PIT 188 SQ. FT. -L.oA.M RESULTS WITNESSED BY
BOTTOM LEACHING PER PIT -78 SO. FT. Ig' Sua.SoiL_ PERCOLATION RATE 2 MIN IU IM
TOTAL LEACHING AREA 266 SO. FT.
RESERVE • LEACHING AREA z66 SQ. FT
-`H OF M� Stu pt', 5 SAND Ca2A�/EL
'\(HOFdl4ss' 0 ��4 Ssq�ti \.
NUCKINS NECK RD. CCNTERv ILLS
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4, 33 NO. MAIN ST" .719 MAIN ST.
GMOST��yae ` ,1,,; a�t'� No G ou D U1 6R SO. YARMOUTM MASS. _ ")ANW M,AS
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A LL R'S NAME & ADDRESS
U f'L D E R OR OWNER
4 T E PERMIT ISSUED .
C ® M,PLIANCE ISSUED
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I N S T A LLER'S NA M E & ADDRESS
I! U 1 L D E R OR OWNER
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED
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