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Home My WebLink About0446 LUMBERT MILL ROAD - Health 446 Lumbert Mill Road A= 146-010-002 Centerville I o a OPendaflar 0ESSIOf 4210113 ORA 100/6 K P Nd....... ............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® HE , _H1 ...OF............ ... ........................ Appliration for Uhipaiial Work,5 mitrurthin rantit Application her, b- MOr a Permit to Construct or Repair n Individual Sewage Disposal System at: .......... ................................................ ........................................... E.t.;i;n•Add s No. ..................... 691-11--------------------------------------- ---------- .- Address ..................... .... ..... ..... .................... ..........0 ................................................... Installer Address Type of Building Size Lot.-/-/7 !�p-----Sq. feet U Dwelling—No. of Bedroom's.._____._ 22........................ E p Attic Garbage Grinder 0-4 - �4 Other—Type of Building ............................. No. of persons___-----.__________-____ Showers Cafeteria PA Other fixtures.......................................................................................................... .< -----------**------------------------ * Design Flow..................j.��5...............gallons per person per dV. TotaVlaiLy flow--._..... ..........----gallons. * Septic Tank—Liquid*capacit: W Y/-00-V-gallons Length----/..0.... Width________________ Diameter____&-------- DeDtht............ Disposal Trench—No.-----/............. Width_--------------I.. Total Length.__......_._.....__. Total leaching area.2.6_� sq. f t. Seepage Pit No---_----------------- iameter------------------- Depth below inlet_........_...._..... Total leaching area/-----I..........sq. f t. Z Other Distribution box Dosing tank s Performed by------ of)T Percolation Test Result it Date.._1 Depth to ground water.Test Pit No. I----C�_.minutes per inch Depth D, 44 Test Pit No. 2................minutes per inch Depth of Test Pit_.............._.._. Depth to ground water........................ P4 ...... ------4...... .......................................................................... ;-Ir—--------------7 0 Description of Soil .... .. .......................................................................... ..... ..............Te�f -,5-A-v- ---------------------------------------------------------------------------- --------------------------- ------- ... ......Wi., . ...... ----------------------------------------------------------------------------------------------------------------....................................................................................... U Nature of Repairs or Alterations—Answer when applicable................................................................................................ .....................................................................................................w----------------------------------------------------------------...................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL I TL 1E 5 of the State Sanitary Code—The undersigned further ag operation until a Certificate of Com I' h oa;�f ....at ;s not place the system in fiance a;,�� issued by Si ... . . ............ . ....... . ..... ...... ....... snot place the system ApplicationApproved B ... .. .. ... ........................................................................... ........ ............................ Date Application Disappr ed r t e following reasons:------------------------------------------------------------................................................... ...................................... ..................................................................................-------------------------------------------------Date---------- PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS A - H BOAR® E .... ..... ..............OF........... �1,R ......................... Appliratiun for Uispoii of Works unstrurtiun ramit °wxoApplication is hereby made for a Permit to onstruct or Repair ( ) an Individual Sewage Disposal System at Z. Lqcatio -Ad oI No { O` e r �� Address a ............. ..........;Q .... ... .>_. ........... ................... ......... R! ------------------_... .._...._.....--•--_-_..._ Installer Address , � . S -feet U ��Type of Building � Size Lot- --�_...... q. . ,,,r,•,,;� '"' .—I Dwelling-No. of Bedrooms......... _________ ____________Expansio Attic (- ) Garbage Grinder. � � aOther—Type of Building ____________________________ No. of persons__..._.______.__._.... Showers — Cafeteria ) Otherfixtu s ----------•---------------•-------•-----------•-•._........... WDesign Flow............ _ ................gallons per person per day. Total dajly flow----------..�'. _._._..__.._..gallons. .. WSeptic Tank—Liquid capacity 4"..gallons Length... _i .._._ Width---------------- Diameter__- De th. ___.._....-- x Disposal Trench—No. ..../........... Width................'... Total Length.................... Total leaching area�E ...... Sq. ft. t Seepage Pit No----------- ----- iameter.__..___.___........ Depth below inlet_....._.....____._.. Total leaching ar ................sq. ft. z Other Distribution box ( Dosing tank ) �t r Percolation Test Results Performed by..... _ _ Date.. ._ �- a Test Pit No. L_• — ..minutes per inch Depth of st Pit_.. Depth to ground water_, ..,,� :. fxq Test Pit No. 2................minutes per inch Depth of Test Pit...._............... Depth to ground water........................ / .# -y. ,s O Description of Soil......... �I� f f/ -?6 _; x __. x., ------ ------ Wn., 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 a s not place the system in operation until a Certificate of Co pliance has issued by o r f ealt S' ned_ ... � --• •• .......... --•• --• ..../. ... Application Approved --•-- --------••-•......•-••-••••--•...... t /f it Date Application Disapprove or the following reasons:................................................................................................................ .....................................•..._..-••••--•••--........••--•-------•--....-•••-•-•-----••__-•- Date PermitNo......................................................... Issued_...............................:..-----------------••- Date � THE COMMONWEALTH OF MASSACHUSETTS �..-•�^ ' BOAR f ;iJ4EAH f .................0 F......f.. ..... f CIrrfifiratr of TomptiFaurr THIS I 0 CERTIF, t the Indiyklual Sewage Disposal System constructed /orepaired ( ) by r `r -!- _.. .... - ---- ----- f ' � I aller • .. has been installed in accordance with the provisions of TI�d ` of?he he State Sanitary a*r. s escribed in the PP P • ? 7� y....applicationDisposalWorks ___ -__ {�_.._._._.............. THE ISSU N OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS UARANTEE THAT THE SYSTEM WI NCTION SATISFACTORY. DATE._ ..1.. .................. Inspector...... ------------------------------------------•--••-- THE COMMONWEALTH OF MASSACHUSETTS BOA F H AIT ....... ..................'OF... . .... z.., j No......................... FEED..........------_.... �iu�ruu 1 o $ �onu ion i� , , nted_.._lip-VI .....Permission is reby gra to ConstruM epair ( ) an Indiv•dua;l Se ,agef Disposal System d at No... L p' ' ------------------------------------------------ Street . as shown onWthe 'on for Disposal Works Construction Permit No.______-�. �� ed__________________________________•_••--.. 5 ----......•-••-•---•--•-•------••------- -- •----- Bo of Health DATE.------• ----------------------------------- FORM 1�255 HOBBS & WARREN, INC., PUBLISHERS A P7-iA I L U/UI �-- ' _ . 4. __� ..__ _ —N �./ / U U LET.. 2 R/7 1. f searrc I ij \<n7- CIVIL60 rARA.66ECASI4' fN�eL: Io ' 1 � ri EL= Ico,oqA/GF2W+ p 15, o0cDIoo wIbT'- lsuav 'L c�' .F, . 6LEGEND �j" °FMsCERTIFIED PLOTPLAPiEXISTING SPOT ELEVATION Ox0 �.�' s,� �`- EXISTING CONTOUR --- 0 -- - Af t LoF 'L - LUkA(3E "-r- Mil_.LFINISHED SPOT ELEVATIONFINISHED CONTOUR 0No.10951 O IN APPROVED BOARD OF HEALTH ` .\SS/0NA1 � 9 pia;1�`� J f w4 J , .8a,! M.A z5��DATE AGENT SCALES Ir,_�, DATE , . 29 .6ELDREDGE ENGINEERING Ca IN CL.IENT 13A�s�De I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB NO. �3.� BUILDING SHOWN ON THIS PLAN LAND CONFORMS TO THE ZONING LAWS ENGINEER URVEYOR DR. � A OF BARNSTAB E , ASS. 712 MAIN STREET CH. BY s JPF HYANNIS MASS. 2 `�3 ;•, ?.� %.., ' SHEET—L OF 3 DATE it~�R G. LAND SURVEYOR /1107E /F E/TNER THE S�PT/G TANK OR 20 FT. M/N. �EffGN/NG P/T ARE :MORE TN�9:"/ /2 BELo w ID � MIN rRAOE� 24"O/AM ETER CONCRETE COVER _ S1/ALL BF BRDuGHT To GRAoE. EXTRR CONCRCTE 4 PYC' P/PZ /-IEAVY CA57- /RON G01/ER S/j.4LL 3E USE.0 EL-c✓.%o,?✓ COYE/GS r M/N_ PITCH /F/N DR/V"=WAY /B PER FT. G).•oE i CO ✓ER CLEAN SAND r 2"LAYER C.RST� - o aF //B" 0 ,alp Gi4L. ' ♦ • • • • • • 0 rD •vo MI Al.PITCM DI•S WASHED 57i7NE 0 SFPT/C ANK a o . b 8 s ; • . • :'a a•' } • • • • DEPTi+I • • • ' • . WASNED STONE • . v � o r r • • • • • ♦ a • o • / � 7-77 PREcA5 T SEEPAGE IAjV4wAr CLEVAT/ONS )i7 csAPAcr- - 9t� � ;`� ay o :.A ♦ ♦ • . • • ♦ •��Ev P/7 OR �`4V/V. a � Sal a /XYERT AT O[//LO/NG �1 C) FT. /Z FT D/AM. C CSFE TABULATJON� JNLET SEPT/C Ti4MK OUTLET SEPTJC 7A Vx 95-Co FT. EL= 64. S /NLET OISTR/6!/T/ON BOX4 197 SECT/aN OF GROUND n��4TfR T.4eLE VEER !EtbN G��tiD ouTLE'To/sTRieuTiont BOXY?FT. SEWAGE OlSI�O�S'A L SYSTEM wR-r�e cr�M cs /yLET LEACHING PIT AFT. TABIlLATIDIV LEACHI/VG P/T DjME/KS/ON A $CAL.E DES/G/V CRITERIA ol�,e/vs/ow 8 3 D/�yENS/CK C 4,2 FT. EDROO S NUMDER OF B M GARdA6ZD/SPO5AJ- 41M1, kn�� SO/L LOG eO7AL E37//44-reD FLOH/ 3 3 0 G.4L.1DAy SOIL TEST 0/ SOIL 7F57-02 SO/L 'TEST NUMBER QF LEACN/N6 P/TS f`ELEY. 9 S•¢ 1—EL1'Y, DATE OF SOIL TEST 3� ?/�3 SIDE LEACHING PER PET S f Sit RT. _ r , RESULTS h/ITNESSED BY J.CRE doTTOM LF�ICN/NG PER P/T f 13 C�- b - / z- PtRCOLAT/O!v RATE #/ ° =5' M/N1//NCH .L O'A m � TOTAL LEACH/NG.AREA.. 2 to 4 SQ. /VX FWleCoJ-A7/oN RA7,F1 pal- l/ `Cet=rf«N j Mt �JI c1 ri.. tH OF M1f� Te coM 5.�,i1! L v T 2 i• c G r< L `H OF,A&f =H 3 Cr GNP �o ALBET t ( r eL-g4.8 EL 84.4 tLu� ti M E y tEL O REDGE ENGI N.E�R/NG CO l NG. 951 O rl "flaY98T4"� o �� .w� 7/Z /►!/1/N ST. , NYRNN/S. NJ,gS?. STS pB gV�� FSS/CiJAI �� ❑ NOG OCJNt7 1�Vi4TER ENCOUNTl�RED CL/ENT: ga�s,DE PATE 4/2g / ?3 GROUND Lv.ATE.P AT ELEV. dIOB NO: 8 303 8 SHEET 'L• OF 1' .. -�C � H IG^s t-{ G�✓r0(�hJ a Wry i 'Q: CGM A S •. V Completed by L_b LIE ..,, HIGH CROUNU-WATER LEVEL� COMPUTATION Lot. No. "�- Site Location: L ujml'3E r AAiLL-_ c Address: G +:a z `.l.L_LE Owner: I�R� �� ►-CL Contractor: Address: Notes: �_j JA STEP 1 Measure depth to water table to nearest 1/1 0 ft. • • _3 / � /83 �_ dale STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: A 14W 1�0 } A) Appropriate index well B) Water-level range zone . . . . . . . . . . . . C STEP 3 Using monthly report"Current Water Resources Conditions" de.termine current depth to 2i•45 water level for index well . . . . . . 3/63 mo yr STEP 4 Using Table of Water-level Adjustments for index well (-STEP 2A�, current depth to water level for index well . (STEP 3) , and water-level zone (STEP 2B) determine water-level adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STEP 5 Est inate depth to high water by subtracting the water- _ level adjustment (STEP 4) from measured depth to water ��3_1�1 level at site (STEP 1) • • • • • - • • . . . . . . . . . . . . . . . . . . . . . . Apo, IL 2`1, iC-t