HomeMy WebLinkAbout0068 LIAM LANE - Health 68 Liam Lane
Centerville
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEA, LTH
....4wxo�.............OF............ ...........
Appfiration for Disposal Works Tonstrurtion Vrrutit
Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal
System at: /"- � l
y 6�
.......- __._ �... ..........................1.. 1_ - ------- -$. ....
t' re s or Lot No.
..... - --•--••-.a '� C.s11 ..... ...... . �..... ..............
ner Address
j1,,w
taller Address
Type of Building Size Lot_.�LL 5_L_5________Sq. feet
U Dwelling—No. of Bedrooms--------------•-�-••- __ _Expansion Attic (AV Garbage Grinder k%1`6
____________________________ No. of ersons______.__.__:_.____.________ Showers — Cafeteria
per,,, Other—Type of Building p ( ) ( )
Q' Other fixtures ................................ .
W Design Flow.................__ _................gallons per person per day. Total daily flow.___._..__.__.__�_3__0............._gallons.
WSeptic Tank—Liquid capacity_(t_a-ogallons Length................ Width................ Diameter................ Depth................
x 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 ( )
~' Percolation Test Results Performed by............................... ....... ?ieA- Date........................................
,aI Test Pit No. 1... N_5_._minutes per inch Depth of Test Pit__.___ Depth to ground water_..
f=, Test Pit No. 2_____-�'�ininutes per inch Depth of Test Pit____________________ Depth to ground water------ovev�
a �-----•-••---------------------------•-•..._..•••---•..__.....------•--- -----•--•--•-....-----•---.........••--------------•-•--...._...-•-•--•_----.
ODescription of Soil........................................................................................................................................................................
--------------------------------------=-------------------------------------------------------------------------------- ...........................----................................................
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 TAIT I E 5 of the State Sanitary Code—The undersigned fur :e agree t to place the system in
operation until a Certificate of Compliance has been issued b e board of he th
Signed........................ •-•----- -- - •- -•----------•-•••••--•---• ------
Application Approved By.......... j----- ---- !------•--•-----•-----•- -------� ,lr� ..
Application Disapproved for the following reasons----------------------------------•••----•---•-•••-•-•- t,•--•--------••-•----...............................
Date
PermitNo......................................................... Issued.......................................
LOCATION SfWAGE PERMIT NO.
1,1 ,r- / a L; k� -2 v
VILLAGE
INS TA ENIS NA i ADDRESS U
/ - c
8 UILDE R OR OWNER
DATE PERINIT ISSUED � fl
DATE COMPLIANCE ISSUED
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47
No. .... .Z......
THE COMMONWEALTH OF MASSACHUSETTS,
BOARD OF HEALTH
/ `' ---....OF................................... ':......... .. .....I..............................
Appliration for Uigpos al Works Toustrnrtivit Trani#
Application is hereby made for a Permit to Construct (- ) or Repair ( ) an Individual Sewage Disposal
System at: - .S t
................_....--......:. ............................................? ..... ... = :�-,...----- ..... . .�_ ---......--------•---•--•- -
..
fLbaatl0 .Address /F �( or Lot No.
... - .
Owner Address
�-- s.
.......................................................... '...------........ --. ...
� —Installer ` Address
UType of Building Size Lot........ .`?.'._a......•..Sq. feet
Dwelling—No. of Bedrooms.................. -•-___------__-•---Expansion Attic (sue}} Garbage Grinder {4&
Other—Type of Building .... No. of persons............................ Showers
(, ) — Cafeteria ( )
dOther fixtures --------------------------•---------------------•-----••••--••-•--••••-•---••-•--••......•-•-•-••-••--•-------•--•----•-•--...........---•-------•---•
W Design Flow................ .....................gallons per person per day. Total daily flow................_�_.1.0...............gallons.
9 Septic Tank—Liquid'capacity 1:.r�za.gallons Length................ Width................ Diameter................ Depth................
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box Dosing tank ( )
Percolation Test Results Performed by..............................F. �t`-{. +...... r Date........................................
as Test Pit No. 11___roc._..minutes per inch Depth of Test Pit....._t Depth to ground water.._ -
(i, Test Pit No. 2.......7 .minutes per inch Depth... r � f!Lam" of Test Pit.................... Depth to ground water.__..��' � ':Cr«�a'
�-•••--••--------•--••••--•--••....•••-•-•••=•-•--••.......--•---•-•------•--.....-•--•--------------•-------•-•••-•---••-•-•--•-•-•---•---._........•....
ODescription of Soil.......................................-------•-------------------------------------•--------------------------------•-•---------------•----=------•-------------------
-------------------------------------------------------------------------------------------------•--------------------------------------------------------------•---•-------------------••..............
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:E 5 of the State Sanitary Code—The undersigned furtl er agreesi(not to place the system in
operation until a Certificate of Compliance has been issued by-the board of health. 1
"0'
Signed....................................................................=................ ................................
•' Date .
Application Approved By..... �� .✓� �.�'� /
•sate
Application Disapproved for the following reasons;------••----•••-•-•••-••••-•-•--••-•--•-•--•••-••-•-----•-••-••----•--•--•••-••-•-----...-•••••-•-••---•-.--•--•
•----•--------------------•--•-•-•----------•--------------......._......-•-•--------.........---•----------...-•-----------•-••--------•-•-•.....•....................................................
Date
PermitNo.............••-•-•--------•--•......------------------. Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
. . !✓:' '......OF................ ., ` Fie.���'. ..f ; I/ f
.............. t ,. .........
(9rdif iratr of Tontph anrr
THIS IS TO CERT ,Y, That the Individual Sewage DiTgsal System constructed ( `):�or Repaired ( )
b .........................................,.r , ,::... ...•-- 1`� ,° ' ...
r
.. Installer
at........................ .._ 3 (~ . l ? 4'°7 C`v, d fr ...� r
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No....... V--------- dated_.........................................
THE ISSUANCE 9F THIS CERTIFICATE SHALL NOT BE CONSTRUE® A A GUARANTEE THAT THE
SYSTEM WI L UN TION SATISFACTORY.
DATE...... .,1 Inspector-•---- ....
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
' c.f/ ... 1' ,`...... OF-------------------.I..:1. t r...:'J ,e .
No ........::3
r.. _..:.
FEE........................
Eliopoottl g,*.. Tonoirudion rrr i �
t
Permission is hereby granted ' = ................................•--- .............�..
to Construct.,( ') or Repair ( ) an Individual Sewage Disposal System f '
---'- h
at No � 'I "
4 r a t it ... •- ..�
r t I t Street
as shown on the application for Disposal Works Construction Permit No..................... Dated..........................................
s
DDATE. ................................................. Board of Health
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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G •�P o 0o p u� f3 EAs-r 4=)Q Laws I5 eC lCo s.F J �o,
RQ . ELEVA-noi-4 = �7.06 115'W I DT14
c� t' cn J 30'
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EGEND "'� * ;, CERTIFIED PLOT PLAN
,
EX STING SPOT ELEVATION OAO ��`:
EXISTING CONTOUR --_ 0 _-'-- ,'` PHI! P �-I �M -A�-►�
FINISHED SPOT ELEVATION
we C�►.1.� cR/o L.L-E— �
FINISHED CONTOUR 0 ssIN
—
APPROVED , BOARD OF HEALTH : +$„yVA ���
DATE AGENT SCALE, I So DATE , e'I i4 83
1LDREDGE ENG/NE'r"VG Ca IN [Joe
LIENT�5ktD-3Zd- I CERTIFY THAT THE PROPOSED
EGISTERI: REGISTERED No.� BUILDING SHOWN ON THIS PLAN
� CIVIL LAND DR�BY� CONFORMS TO THE ZONING LAWS
ENQ- EER RV OF BARNSTA LE . ASS.
712 MAIN STREET. . CM. By'
HYANNIS, MASS,. I 2 Q►-1ATa --
LAND SURVEYOR
a0 FT. MlN. n 11107"F /F E/TNE•4 T.wE S=PT/C T�.V rC OR
�'_EACA4 /V Cr P/7 ARE MO RC TH-4:`� /Z"BEL.OiV
/O Imo. /+•l/N. 1,4A OE, 24"O/A M E TER CONC-�' T'c C"G vER
svALL 9F BROUGHT
P,PYC P/Pr
CONCRCTd 1--0eA vY CA S T /Rory' C O YE T S/l�rrL L 3= J
M/N. P/TCN
a ElL=49.5 COPE fg PE,Q FT/
•-:..IRON. P/PE � 1 C100 . ;
SEPT/C TANfC DIST 1 i r'r ShFO S •YE !
BOX i v • t •1 B • • • . • . e
( . • • . DEPT/a • • . • o o 4 5,1iED 57-43N.
G i;., • . o
188.5 X 2.5 4-71 is l D. i a. • ► • .� • • • • • i O ,�o P.?ECr'3S T SEE.P.4GE
lNY,- T GLEVA7' s -78.5 x I. o. = .-78 G/0 a •• '� • • • • '' a o �/7 C.4 E4U/v
/Nt/ERT AT BU/LD/NG 4 S FT. p�'�'���°��''{ 549
INLET' SEPT/C TANK �•o- FT FT. 01,4 M.
_ � �C�SEETA3ULAT10N>
OUTLET SEPT/C TANK 45,8 FT.
/NLET D/STR/8UT/ON BOX 45•o F7_ SECT/ON OF GROUND W,4TER TABLE
0urLE7DIST/eIB4rT'/0N BOX 44-.8 FT
/NLET LEACHI�vG P/T 4 .o FT. SEls/.4GE O/SIpOS'A L SYSTEM
LEACH/NG P/T 7A BLL ATlON
JCALE
DES16M CR/TEX IA a FT.
NUMBER OF BEDROOMS 3 D/MENS/ON C 4 FT. (M 0 N)
C,ARBAGE D15R05 L- UNIT' ►Jouf= SD/z- LOG
TOTAL E?TIMA'TEO FLOW San G.44.1OAY SO/L TEST .*l SOIL 71-S7-*2
NUMBER QF 4eACMI)VG P/TS_ I 4-v 41L•o �~EL�Y. PATE OF S®/,L TEST MA--� 27' 198/L
S/p6 LCAGHlNG PER P/T 188 S PT. RESULTS ri1/7'NESSED BY
Lo,�M
30TTOM L ;4CII/,vG PER P/T 28 SQ. Fr 18 PC-op$o,L od,tC04A-r/ON /eA7-_w Af LEA /y/NCl/lVClf
TOTAL LEACHING AREA SQ. FT, PEfiC0L.4T/ONRA7'E�2 af
�ESERIiEGu4CXINGAREA 'Gr- SQ. FTLF
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N�SUSTf RV�'y0 S�ONAI ANC' [✓]ENO GROUND yvi4TC`R ENG'OUwTEREO CL/EN)*;C,�,,,r3 � DATE o1• 14 • 03
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DATE: ,�j-I�'O 7 REVISED
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