HomeMy WebLinkAbout0046 MARIE AVENUE - Health F '46 Marie Ave
Centerville
A=226-134
UPC1 34� VII he
•
�+�►stwoar.lt4r
FR'! .......
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.WA)............._0F.......Z3 .................................
Appliration for Dhqpviial Works Tonstrurtion Famit
Application is hereby made for a Permit to Construct W_) or Repair an Individual Sewage Disposal
S stem at
......4,1.,0 ........................ .. .......................... ---....... .....
Locati n Add
0,
Owner Add ss
-S
................................. ------4� e=---
Installer Address
Type of Building -3 Size Lot............................Sq. feet
U .................Expansion Attic ( )
Dwelling—No. of Bedrooms........................... Garbage Grinder ( )
Other—Type of Building ............................ No. of persons--_------------_--------- Showers Cafeteria ( )
Otherfixtures ......................................................................................................................................................
Design Flow..............Z�-----------------------gallons per person per day. Total daily flow.........2.��42....................gallons.
1:4 Septic Tank—Liquid capacity/MAgallons Length-if.'6.".. Width.4.�t4_"_.. Diameter________________ Depth,5..
Disposal Trench—No. .................... Width.................... Total Length_._................. Total leaching area.....................sq. f t.
Seepage Pit No........./.......... Diameter..._...6........ Depth below inlet.____.._.___.._. Total leaching area.-,.�_'/.sq. ft.
Z Other Distribution box Dosing t '7
Percolation Test Results Performed by..... Date...... .... .... .......
Test Pit No. LX_1 .minutes per inch Depth of Test Pit--/,I........... Depth/177 o ground
44 Test Pit No. 2.11h�Mo...minutes per inch Depth of Test Pit.................... Depth to ground water....................___.
1
P4 ................ ...........................................................................................................................................
0 Description of Soil._31.14W.16................................................................................................................................................
W
U .........................................................................................................................................................................................................
W - ------------------ ........... .............V .......
...................
-------------------------------------------------"-------------------------------------------------------------
U Naturc of Repairs or Alterations—Answer when applicable._,/P_$.14F�"/ 5 ... . ..........
4 ........................................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal Systemin accordance with
the provisions of TL 1 Ti IE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a ert sate of Compliance has i ued by t oard of heat
I , .
at,� r - R
Sig ed
C -------------- --------------- .............. ................................ .
e L
Application Approved By.......................... . ....... ....
.i/ (------
............................ ..... ................... ........ ....
Date
Application Disapproved for the ollowi g reasons:................................................................................................................
.........................................................................................................I...............................................................................................
Date
Permit No.
. ....... IssuedL.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................. v... OF................. - .?
.................... .........................................
Trrtifiratr of Tomplittnrr
THIS IS TO CERTIFY, Th t the individual Sewage Disposal System constructed (e) or Repaired ( )
�-t . �
by ,'. �... i.. .............................. ------------ -------------------=------------------------------------------------------------•------......
AA ( r p,_,,CInstaller
at----------------------------------------------------------------------1----------------------------------- Cir�R� �Ls
V -------------
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as d cribed in the
�, f ----------------
application for Disposal Works Construction Permit �'o.____.�s � ._` dated__.._.. _. ___L
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCT//I N SATISFACTORY. �_
DATE...--•---�IF•...•-`•--------------•------•---•------------.....---- Inspector-•-•--------•--1-.........---•-----•--•-•--------------....------........---.....
(7n ri1 e 4'v` YN i�
THE COMMONWEALTH OF MASSACHUSETTS V `� (A�L
BOARD OF—HEALTH
:1 Y\J (, r l t c t "
�� �9 !J.....OF.................= `.�!5................................... C �2_
No...... .......---- �� FEZ...:-: ..............
Disposal Vorkv Tono ration f rrmit
Permission is hereby granted............... - -------- -. .-.. •----•v`" .. ..•�•
- .....................................
to Construct ( or ReQair ( an Individual Sewage Disposal System
at No.............. ----.......:1----.....�:: '�t1.F f v G't7{✓ k� ��`/E�_i?! r G 1 Je'Jv ......
41
---•------------------------------ .
StreetV� _ZC�
as shown on the application for Disposal Works Construction Permit No....."....:.........�b �._.
� .............
\ ---- ------------ ---------- ------------
Board of.Health
DATE..................J-4... --•-----•--. ---_..... l
FORM 1255 A. M. SULKIN. INC.. BOSTON
J --
No........................ Fxs............._...............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..................... . ................O F..........................................
Appliratiun for Eiiipuuttl Works Totw4rur#iun ratnit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
................_--.............................................................................. ••••••••••........_..••••••••....••....••••••••........._......_..................._....._....•---
Location-Address or Lot No.
W Owner Address
a ---.......•-----------------•••----••----•••----............-----•--•-•-••.....................••• ._..........-----------•.............•••.....••••----•••••...----••............•....._........•..
Installer Address
UType of Building Size Lot-------------------- ------Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
Other—Type e of Building ....... No. of
� YP g --•------•----------- Persons____________________________ Showers ( ) — Cafeteria ( )
dOther fixtures --------------------------------------------------------------------------------------------------------•-•-----------------------•--•--•-••••-._.....
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity............gallons 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.......................................................................... Date.................................... ..
W
4 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------..................
0 a ---•------•-•---•---•--•--•••-•----•---••--•----------•----•---•...................................•........................................................
Description of Soil................................................................••-------------------------------...---....-------•---...----......-•----------.....---•--------------.
x
U ............................................... .........................................................................................................................................................
--------------------------------------------------------------------------------------••---•••------------------------------------------------------------------------.... ----------.--
x Nature of Repairs or Alterations—Answer when applicable...................................................•..............................._...........
U
...................................••-•----......------------•-•••----•--••--•---•---......----....--•••.............
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT 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 board of health.
Siged--------••--•---.._....-• ,1 _.._
e�ate
Application Approved By...... ---.-•-- ------. 'T 6
..Date
Application Disapproved for the ollowing�reasons____________________________________________________ -.--__..-•.,_
l�
--...--•----------------•--------....-------•---•----------•---------......-----•------................--••-••----...--••-------------------•--•------•--•------------•---•------••-----........._•••••.
c
_ Date
PermitNo......................................................... Issued-.......................................................
Date
i tc. On+ i�
L
���
5+ d�� ;af S, '�l'yG 1` 71WERT: y�'t,� t��t
xF Q8' n p r/J o q r.,,
g ',r MORSE v,. /veTB VA2/1�NcE Tau.1.
� I,pIFDG a �' /�No 109' o ,} r t� 0•,'T GT /Sa F& 1"
-�,.�,,,,.'_6'�,6.
4.
k2j� Z 9367,: ", . tom!%M r 1 Y } 1 Z t %
�, a��, .090 �`C I T ,mow ¢ .<` C� 'r� � ( l;B _
,(
I, '-r C� E71$T Ea. �� t Fa ' 4z 1 r T
> . '* �s1c a� ... gam- - CAG�w�l
' aHaIt l��a K!� i. !4_ ' ?� .
1 t} I G Ka C3 N µ 1�
r� jrl4rd K�"PX irr: �� tl�.r•1 r1� ` f�' ,::./ (Mr GP' :+, NPW
fR �` a , Mc1 irk 6:.`1,,, ' *'G f`i� � L R'
o. ti I _
,;�j PUS ti, G v 4q� . _ '� �' S0 - '
i s`,,.7Z}Pf s. \ V , q(D - J ( Cg
Rt .
i r '.may} �'"ia 5st�/�i G-�:_. L o.:/. \ ,�/� �C ,
µ ,k . �(
I.
I.
w * #rtJ..t.1�I'f�' /fir-IJ:14�s 4
5 c ,(.
(►�1c f 5� f"- G
1.
1.
j ��
U�,
,�,
��yrt `,
f a '
iCf,. 'p �lk� !S 1�n) J it ':� v� , pw �fW ' ��1'�•
tG;y3 ��,�Jyys� . 1 i a.- t t `A l/ / �..G_ h Ofl)..'
t @ f
.';_1!.,..,.,A��.-,:'.i.;..:�.-.,..1.I�.-:,.�..;-;,.A�..��..-,;-.,�.�.,:-'*,-`-I.,':"�:,...!-I...,::...�.�-:..��OI.,..�..,.�1�-,.,'_.*,.:::::,...��,-"I./;:�.��-I:-r';�.'.,."��.*?�-,�.*,,,-,-'.,.�.....;.,..,.�.:z'�l..f�",,t'.,."�.":,I.�I
',.�P���-�,.��....�;W'?;-',...,.�_.',.'':�.-.)-:'.,,..,.f..,...:..._.�.-:,-.-....-,.I._:.I,,_:.....,;-\:-I-,,.d_"�...,�..;.'a",,.�...',....o...I.:"
M1i ' , !r
"k1�%,�.,_��,',-..1I/,�-,,
a �Sj3 � 4 S f�d i,4 .y� r - „t /,.:" I ' ,L t r !'' l � .
t'� ;,► M as:.r Fx�'t;}'I,�iZt r-. w•.k i _ /: L'' r ' _i• I. ; a ' 4+ A
.a.,.I....'�.."."`M e",f;-.I,.�,";..'..,..7....�;,..,.,.I-,!".
I.,.:....-�".-:,'..',�1_.,;;,.;.1,1.V:,,!,'...,',%,',;:.'_.....��;-1:'_.,:.....�"1.T,.�.I..-,.,..tI'-%I.%:1.".
I' t eye, 1 +
1.
`�k �LY Pry Ott 9 .,y,, t 1n \'7 ( .r� '"Y.. ` �
P /.y ;t'rYwz ��jr �f I E v
k. 4P'`
I. a�,�,1��,f ,�l�M�'�1 P,��.r4(,�v .U�. .\ � '��C �.1,\` , . 1 r ')�. �;�., L L�. /NIM�%�
d r } £
�y . —""
+ x xl ;�„ q ', Pam'oWN�
Ir
c�,
\ .� V u,r.
r /j
' i ,R.tr+r(Y�w g vim. pgs'T°"� ../
"',: f��� `k "wk; / 7, :LAG ohF A✓^�_ '
6� - �
H..4 +.. t� V
..
-:.:N.,�,.....,.I_,,..1..,�.,,.�:��.1':6.,:.I.:�_�-I-..I,,�*..�I-I,;.'.....-.I-�.�:1..@��;.,.,.:.,.0'4.:.,1...s�-1.
�!s k t . 1 E- C CSC
r�
t ;, ,,a H�- ;w LEGEND �+,,,,�
. �., K Guc
1 , RX1aT1NA ,>sPOT: ELYA1,10N 0 0o -
sLW5A ' CERTIFIED PLOT PLAN
1.
5.
II
EXIlITINA CONTOUR -- :gyp-`- - sys , POL_
Z .1N1.1lHED, SPOT ELEVATION!,. 6twm M2.. 1. Z,( -- 6ory-1 9 ` `-sw.S MAP22( j
�.E:IItISNEO CONTOUR _
,,, w Le r ti -, ".. 0 - _ -
' :ti. a„zl" lon of :any ex�cting (fr routs sewerage* —�_ ' •— _
y ?,-0 other utilities shown: on. this pld is approx '
IN
' t one `dstermxned 'from records,_ a r verbal ;' <1=
kQmatiori� ;'Thg contractor is responsi for„'the _ 3 / ` 3 cg
1yxC�ti�orlof the eXisting locations In :the field DATE /
t �.D'RE .0 *WGIlIEE'KllyG'�CO.-M - :yoga(1` 1 '
} _ CLIENT.____.__.._ . I CERTIFY', TN AT :THE PROP..03ED
� t B 5I 6�o BUIL"DING `SHOWN ON THIS PLAN
, ?.A,; EOM TEE r REGISTERED JOB NO. ._.�.._._.. '.
'Y"k °` ' , 1T CIV14'"t? 1 `f" ./11 CONFORMS TO TME; ZONING LAWS
#� ` a 'R'! > � LV ND DRY BY i __— OF Imo. x.!JST '�Lt M A 3 5 E.
1 ter W; o- 4 L! CH .BY -.- �,-
aYv * %T 12 f 1�11 I N y,1,�T R:E ET -= ps '- � �-=--
fY ' ; ; '.1., M'. _;. 1. SHEET 4 OF DATE REG. LAND SURVEYOR
W y( a
y, t u zz r, f. * y Y j
15 A F Y.1F �U }T f J •1' - 1?l ,, }
T ♦l
i 1
1 , r C
.
j 1 '4 ` ' :` .fib ,�;-. r ,-y. . .- N -:
7N�N`/2'SfLOlV
K
ID .!'�/'�✓ rR/►L7E� 2-0 ®O/�.�9 T Ea G'ONCR FTF:.COiY.. 1'
SaVA L L ®.F B R UGH T TO 6R
O A o
CdNC.ttTE NE,4VY CAS 7 /RO/Y c-o✓ER
4"PVC P/PF
Hl.V_ P/TCN
�� ` F05 0:' FOYERS L7R/✓EW'4 y
MiN. �"CON ET
CRE
A
d ^b� Ca YE'R
LIpUiO'LEVEL 3 4
SCMEOvcc4o
t
F v G P/PE J
+�lI N.v/rcN O Z1 a GAL." , . o T o o Cf R/'8 E
Vs Pry >rr_ SEPT/C TANK ' see
O/ST. • • I I r F r n a i WAS�'YFO '
ST �E
®OX'
, • r • • GGPTt/ • r • • • W.QSf>rED.STd.yE
.x i too • •.• i • • • • ° a PRECAST SEDGE'
!/t�i�C�T El EYAT/aN.S Pi r c.4.�si i T y g•9 O G L��•v.X , , . ° • • . . . , . • . . %T OR;:'EQUI t/
'NYE/!T AT QUILD/NG /oz S FT. .. . i L
INLET 54�1>TIfC TA/YK � 3' FT L !Z FT_ APIA . C�SEF T�+B!/L.4 T10�V
74E7'SEPTIC TsNK: FT. "
//VLk_r DISTR14Z17/ON BOX 101117c FT •: SECT-ION OF GROUND P44TF.t TiIZLE <
�UT1ET DI STgIB LJT'/ON oar, 6 f: F7► .
JRYlET L E.+1 CN/M2 PI T. �FT S��S/i4 GE 0/Sf�aSe4 L SX4 T.F/ l : 4
7,-4QdlL4T/D
DFS/GJ CR/TERlrS JCALE ' AV _ :!' o� _ DIRylEN.SlON A2�S
Nutl�,4 OF_ QEAcoO/`!S - - D/MENSIORY G_�=FF .�2t�1' '�Y�
ARaAGE0/SPO.S4L'L/N/T NO E
SO/L� LOG
TO7A' L EST//►14reD FLOAV 3 O G.4G.�D.4Y. SOIL TEST AI SO/L-7�'ST** 6WJ_ TEST
YUMJZR OX LfACXIMG P/T3. '�
1fY. DATE OF JO/L TEST
57DE4--ACHIM0 PER PIT /5'
° 9oTTOM L�6�1�N/N�r vER P/T // Z ICESUl TS IVITNESSED dY
SQ FT J �O.f}/31 PER coz. r1ow R .ATE / �l�s S'MI/ys/lNG1
4T/RL LgACN!!YG �'tREA Z6¢ `s sr►�/' u
.� ET R�f°`�TCOLJ�7'ION RATS 1i2 MlX�lJVCl �
?ESE.C✓ELEACN//VSAREA z6¢ so FTwd F, Z►�` � � %:���t c� _:
Z� /3
p 4 �
J) •C .;'� t i`. r f :,:'fit
.a
'S '.,�' I�,` ..��• '-1. -� 's3�S:.': �\ s'-`�i ..ly !Sr.• :.. �� �!'" ' - .^:s>-• .�['.--%'y'%:?e.. a`
B r+ FLl •';i. rt-S'. $ =Yy:.`3}�•.•++r �:,•�#-F+1L .•X '^�'.
MORSE•:-�-- v, ''� �- - -�@ �}s•f s;+:.�...f _.� A-: � � t).,' �: 1
.�? �,1�!•'—VV�` �Ji_ a.`,! j}. (,�•�.�.1:' lr.�` TsSZS •i'. �J-�}r•..K Y.>•s� __ _ �
.. :4,, ,.,t a sf.(�. 3t,s: - y�' .f... _ •5:-rsZt; ."Tti!
hd fU3.5 Q -. tie . .,•.Z �'t. ter;: ,3. a c _
NtY 1 :o e -re .. -..r, .. c t G --!
`i•'�c, Ott`.:�'➢f 7- � .- `.r'— `e' lV- '� r �fi�,�y .,n.� _ :�a .�.-�,�".... f'�.�r.:•r t .y.r - y Q� �lT�
.>. � 61 �,$�:` Y' .Q, GI'tSt.�f:•-\ �'':.F'�"" `''d.�`'�i`. .�., �'G�„c'a�'.' - ''�-: �` -�.a-er�,�j�+ - r.�•.,�+.9_r,'"_ LL��\L��7�j�`/,�LT�JQ1�.,, rz.
r��,� ',�� �:�°.��~ ;�-:- .;�,� :•�,.�,. � '"_;��fs.��n��• � �� 3` _ �:�-- -�'�`' ,�' -� ,?fr3'.�►?���.�sr;�'��rY.;t'Ni�I,s��� � I
�., "�=, �,•L•'c'U?_'. �,'a- ,�.: '� _ .,;'_w. r--��a-:�T3."u�t�^�+ <.��V�y,.,;t��;'=1�5�r�l;�;..:�,�a�..•=t��•+`-��`xy�;:.)T_Ir`-���1-�- �"• �i /7 �c�.,, ] -• _
?�•� •��•; .M} _z".�. �{- \�.`- -�y�-�'si®�il�L7�TRO�/f(r�`iFl�,r� �+��40Si/�'1,4��C0�I d-'�Y;`M'��~ �`���T YJ�- `'.�R''(M�(�,}+r.-f•,�+'�q_•�C��- .�,�? 1':•:
;; . F X H. 4 �;,-�RCu�Q .a.:r�.:...�- __ .. _ .._,� Y--�.xr�••• �ni4-';4Afl'- S";f•� _, . OMr.?-, i
EDWARD E. KELLEY
REG. LAND SURVEYOR
CUMMAQUID , MASS.
02637
TEL : (617) 362-2266
Town of Barnstable March 9 , 1987
Board of Health
.Hyannis, Mass.
Ref: D.M. Ward Inc. , Lot #7 Marie Ave. , Hyannisport
The leach pit was inspected at the time of installation and
it strictly conformed to the approved plans. The system meets all
requirements of Title V and the Town of Barnstable Health
regulations and variance granted by the Board of Health ,
July 19 , 1985
OF ry S
r
C 9F
Reg. Reg rof:e°ssiorial
Land °Su`rveyor,/f