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HomeMy WebLinkAbout0723 LUMBERT MILL ROAD - Health i , r �■■■■■■■e■e■■■eee■■■■■■■■e■■■■`�.��.�.�.. � ;�■■■■eee■■e■■e■■■■ee■■■■■■■■■■■■■■e■■■eee■■■�■ �e■■see■■■■■�■■■e��■■■�■■��■eeo■■■■■■e■■■■■■■■ ■■■■■■■■■■■e■■■■■eee■■ee■e■e■e■e■eeeeee■�e■��■ ■■■ ■■ ■■■■■■■■■■■■■■■■■■�■■■■■■■■■■■■■■■■■■■■ ■��■ ■■■■■ ■■■■■■■L�� Il.GJIli�■■■■■■■■�■■■■■■■■■■ re�■� ■■■�■■■®■■■■■■e ■■e■■■■■■■tee■■MEMOS -no ■ ■■e■■■■■■■■■. ■■■■eccc ■■■■■■■M■■■■■■■■■■■■■ ������■■■e■■■■■■ee■���■eee■■■e■e■■■■■■■■■■■■��■ MENEEMEMEMEM �■��■■�■■eeee■■e�■e��e�ee�ee������eeeeeeeee���� ■ ■ ■■■■■■■■■■■■■■■■■■■■■■■■®■■■■■e■�■■�oe�■■■ ■■■■■e■■■■■e■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ I■■■■e�eeeee■eeeee■�e�ee�eeeeeee■■eeeee■eeee�ee ■■■■ee■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ee�■e�e■ �����■■■��■■ee■■eee■■���■■eeeeeee■eeeee■■e■eee■ r�■■■■■ ■■■■■■■■■�■■■■■e■■■■■�■■■a■�■■■■�■■■■■■ �■����■■�■■■■■■■■■■■■■■■■■■ems■■■■■®■■■■■■����■ ■■ ■■ ■■■■■■■■■■■■■■■■■■■■■■■■■N■■■■■■■■e■■■■ r■■■��■■■s�■■■■■■Mee■■■■■■■e■■■ee���ee■■■e■■■e■ IMMEME eeeee■eeeee■■■■eeeeeeeeeeeeeeeeeeeee■■■■eeeeeir 793 LOCATION S E W A C PERMIT NO. VILLAGE CY- INS A LL 'S NA i ADDRESS 'i BUILDER OR OWNE DATE PERMIT ISSUED DATE COMPLIANCE ISSUED Z�_$l � : �� �� �� V� (� l �� �� \\ © � No.........1....7_l........ FRa ............... THE COMMONWEALTH.OF MASSACHUSETTS BOARD HE /TH Appliratinn for Bi-spoo al Works Toutitrnrfiurt ramit Application is hereby made for a Permit to Construct (k) or Repair ( ) an Individual Sewage Disposal System at: L cation-Address or Lot N Owner J yy� Address .......................................... ......--' i0 C v' ............................................. Installer Address ��,, Type of Building _. '' 017....Sq. feet Dwelling—No. of Bedrooms.•_..._... «� Size Lot............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures .-•-------------------------------------------------------•---------------................ .................... W Design Flow............ ...................gallons per person per day. Total daily flow-___-.-..-.--_------.-.-------._----------__gallons. WSeptic Tank—Liquid capacity-/00 l.gallons Length................ Width................ Diameter________-___---- Depth................ x Disposal Trgnch—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 P� �N Percolation Test Results Performed by.................. ...... _.................. Date...... ......._.. Test Pit No. l�i t pinutes per inch Depth of Test Pit... _.___...._. Depth to ground water----/V._g!✓�.___ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....l^CT v✓�9e Y ....... -• ' O Description of Soil---------- ... =-----.--. _- _. `te n?..�`. ........�...�_.:. �_ �/d�JJ °.f`Q ................... .• x U •••..........•--••--••••-•-••-••..............••--••••--•--••--•••-•-••--•------••••......--••-- --••-- UW ••---••-••-•.................••---•...••---•---••-............•••...:..................................� f✓ �.� 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 iITI,i4 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance hasjbDeen ' sued by the rd of healthSi ed• ! .� l-'� ----------- ----------- ---- - ate Application Approved By---•.•6 �----� ���-1 ------ Date Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------------------•••... ----------------•--------•-----•---------------- ------------------ Date PermitNo......................................................... Issued-....................................................... Date THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I M ^C&L DATA No �. .,�t..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................_.-.....--- ......OF.............:.::...... .................-. : ................................... Applirtttion for Disposal Works Tonstrnr#iun Prratit Application is hereby made for a Permit to Construct (If") or Repair ( ) an Individual Sewage Disposal System at ....�r.:�a...._�....'. ......... .........................................................f ....••�-(--•.---... ......:/.(,._. ------....................--•--••--•-••--- ... Location-Address i'7 or Lot No. F'f�� /d!`aG� jJ�i'.� �J'^,! W ..........-•-�l� 1......-•-•----•--•---•-�.�-......................................... ..........---••..........1�•--�-y•---.......-------------------•---•--...........-•-........ 1 Owner J Address J Jill Installer Address _ Type of Building a Size Lot..(7 0 0............Sq. feet Dwelling—No. of Bedrooms.._.. J...........................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria Other fixtures ....................••••-......- W Design Flow............. . . ...................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity./<?r,1�_'..gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width..............__._.. Total Length.................... Total leaching area---- �pp._ .. ....sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..,1...............sq. ft. Z Other bistribution box.(x) Dosing tank ( ' '_' Percolation Test Results Performed by . ... . ' '1 `r'• Date_._.._.5/% //�!.....:_.. ,1.4a Test Pit No. '1 °rj.__:�_minutes per inch Depth of Test Pit._._:.._~___=_..... Depth to ground water.___ ": a- f= Test Pit No. 2........ ._minutes per inch Depth of Test Pit.................... Depth to ground water....^ ,!t — Phi ' _ ..... .... IDescription of Soil........................................................................................................................................................................ x --------------------=- -------•-••----•--...--------------•----•--------------------------------- �'- ------. ..................................... W �_ ............................ 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 TITT-E 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 hoard of health. ` r rr / Date Application Approved By....._ _ -.. y�cvL�j , _. .a .�l._.._..._ Application Disapproved f or'the following reasons:................................................................................................................ ................•----------...-••---..........-•---.-•-•_._...._._.....••-•••-••---••----......----•----•--•••-......-----•--••-•-•-•------•------•--•---•-••-•-••--•-••-•...••_...----•--•-•-••--•-•--- Date PermitNo......................................................... Issued------•---•----•-••...•------------------------------ Date---•------.._.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................oF........r. % / ".f..� ,%....C.................................... �rr#ifirtt#r ,af ft�ttnt�rlittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ("r)or Repaired ( ) Inst ll 1,0p, at G'*7 r� d E, jet , is rfi� ............... --------•----------------------------------------•-•----------• •••• -----�-----------•--- :. has been installed in accordance with the provisions of T F 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N ol- ----- 'q' .............. dated---I.....1 _A_ f..__...._........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................•-•-•--------....�� - -..!� .............. Inspector-•----. � '.2.(5. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH. N01-741...... ......................................................................... FEE j . Disposal nr Tttnstr ion "Permit Permission is hereby granted . .......Cd....------------•----------.•.........-•-•---•---------•.............. to Construct or_Re air ) an individual Sewage Disposal System �- at No.................. •---_......., � �/....�l.................... _.. Streets as shown on the application for Disposal Works Construction Per it No Dated.._�,1-. .+/�¢'.,l.............. - -----------•----------- ------_ tI eaith r+- oo' �� -- DATE................................................................................ FORM 1255 HOB ES & WARREN. INC.. PUBLISHERS { r �a' 'r A ,`,..* - - c.•r - ..y 5 r [..,.. = r 5C 1t,6+;fi � 1. JR Al. r k ;t�:`>� �t4 �. r.,., \ ... S �', X1�;. sy r 14 �r I� �y a �,1.!'•�' -,s % 1 rqNk r tlk 1 r '`id .4 k 1 ti�, �� �1�rF �y:kr'4� T7 i` 1 a. � . .�t F'�' e■ .. ' /�' .V t/-�,�. . .,��•4�'�. � .y� I t i t (.. ' *a `• ` � ,"'Y `9 OP J"`d 4 4s } � . ��• \ �,.,.00 Wn p 1 ri , y x Ri a 1-7 �yF�' .'BRUCE yes ' k IS LEGEND �+r �'• ALH-.RT. �S\\ CERTIFIED P�'V „F , h74 BTDNt� SPOT ELEVATION Ox0 A. �1 , 1'9Tttst®. CONTOUR -- p - -- ��,� ,no'Hse .e.a� ; v[NMtlfRF " . s 1 b MED SPOT ' ELEVATION 1"o.01 � `r��'t �' 1 c�vr,��►�ra�`_ � ���,'r' � �).4 ED,.'CONTOtJR 0 z , APPROVED BOARD OF HEALTH ®ATE AGENT tdALEt / `� ,� ,• s I d.DREDSE E`NOINEERIAW CO. IN �, �uBr ' . CLIENT � 1 CMfl'' iY ' `HA? Tl 1EBIB ERE REGISTERED J®®, NO. _ BUIL0i 314OWN •�i,y � CIVIL LAND COI FORNS' TO THE DR.BY AA7 r OIWEER RVEY R ---�- - OF BAiNBTABL 712 MAIN` ST. CH. BY HYANNIS, MASS. BM6ET_.__ OF 2— Wrg _ im OR a � <_, e , .. ^+4' '-[ -.... .-.:. ._ .:_ -... .":- af-...-.. ...E _ ..: Za• - '-f _ ')>r:�. _ �.� �4 .. .ice._z. « •_ ...a.-_. -._,.:•.. _. _ '�- "r. CoGlGI�tET@ . J�4+E DAY C`14` T '!' ::.G`D 1!'4� `J•'ih/i :r iL'CIE;'C .6? { x A n G• AmE. C U I�ER CL.E�N Ss9A/1� ,.,. .. h'F/LL t/Qelro-LEVEL � - 4_ "CAT Z�LAYE S R ' /�tvw p PE •• f.a�Zr=n•. .G. L. _ ` o � o- .. b /MIN.P/yCP/ D/ST o e • • . i ' •o e oA W SHED S7i�NE' '.SEPTIC TANK_ s -.. • • • • • o e „ ®�� p e • i -4 .,a•. °', DEPTl1 0 o WASHED STvrYE _ m a e • � • o cpD o • o o e o • o • D . P PAEC4ST S.=AMX;QGE lNI��RT E'LE✓AT/AIvIS . a o • • .. i1 • • e a °-"� P/7 OR EVU/VP. INN,ERT AT EU/LD/NG 9�•�FT. 6 FT D/AM. INLET SEPTIC Ti4NK "7��'FT. _ ! FT. O/AM. C C5EE WWVL A ON, L►�l7LET SEPTIC TANK 9 FT. /IVLET D/STR/BUT/ON BOX 96�S FT. S'ECT/O/V OF GROUND WA7-ER TABLE Ot/TLETDJSTR/®UT/ON BOX 9 N,` 'FT //VLET LEACHING o17- t .r FT. .SE�Vs4G� O15RDwSA L SYS-ram 'T/9B�LA'T/DN i-EACHIlV a P/T DE5/CiJY C/4/TE/4/A SCALE D .DIME/Vs/OW A FT. D/�f.ENS!®N FTr NUMBER OF BEDROOMS 3 ®/MENS/ON C FT GAReaGED/SPOSAL UN/r — SOIL LOG TOTAL EST/MfQTED FLON/ 3 $ 0 0A1.1DAY SOIL TEST.�A/ SOIL 71=S770_2 (UMBER OF 4,erACN/Nl P/rs ( �- f^F[�li � '"' -EYEY• DATE OF SO/L TEST S/OE LEACH/NG PER P/T SQr ArT. ^ ' E$ULTS iV/TNESSED BY 60TTOM"LF4CN/NG PLsR P/T i G 4^. 14 J�'nf�K!S r'k SQ. �T. A __ r"ER COLAWO" RATE TOTAL LEAC///NG ARE.°4 SQ, FT. , RPleCOLA77ON RA''E AESRX&-ELEAC/lIN6AREA SQ. FT. f EFTI • ,.r'"�, �7:/ �L3t�T . . � E�,{y;,'t�f.. BKU�'E 1 e I t4 r.GREGG£ f I � 1 ate` UNO H1�i4TL°tR:;�/1IC)VIVT'IZEO z►vy to �0 1�c1l�! £ .' '. - D A� 1 ©� - -f -1'Y.` - ?- _ .. 'a�F - yl..Y .�XG... 4 �-� �d` .:��-�-1+.a;�` F� �u 5S 4:b _ -- � K^�- - .ii-_ �- "w.f-�' '-'�• _ �+'�J.`.