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HomeMy WebLinkAbout0019 MARRICK COURT - Health 19 Marrick Court Centerville A= 210 - 184 to om—L4 LO.!2i-ff534. ' W. t HASTINGS,AdN I­71fD77-, No........ s.3 l� `" Yuic . ....mod......... THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH , t ,! ......�...-....OF.....- ...-.. ���✓� 1 .gyp ir,atiun for 33ii�ra's al arks Tonstr ' /- . Applicati0 eb made for ermit to ons r pair ( ) an Individual Sewage Disposal System at: ...................... L Aerfti IV;.... I. S......................................... ocation-Address or Lot No. -Ia(.�. AI--dA.5-.------•................................. Owner Ad ess ,Wa ....[�tvw...feola .! .................................................... ....... �2 3 ' �,� �C i-- �--•--------------------------------- Installer Address UType of Building Size Lot...1 , �41.........Sq. feet Dwelling—No. of Bedrooms..............A........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of ersons____________________________ Showers — fi, YP g -•--•-•-•-----------•-••---- P ( ) Cafeteria ( ) a' Other fixtures ................................. . W Design Flow............................................gallons per person per day. Total daily flow----------3.10....................gallons. WSeptic Tank=Liquid capacityRAQ..gallons Length................ Width-----........... Diameter---------------- Depth................ Disposal Trench—. o. .................... Width__.____ ....._...... Total Length......._...vv....... Total leaching area....................sq. ft. Seepage Pit No______ ____________ Diameter....._.! .... Depth below inlet........Y ...... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 1f �� aPercolation Test Results Performed by.....E n_D.JZE.A&,t._--CAJ�>I-/�dFE&N.6 Date...- ._ __----•----.. Test Pit No. 1_%2!-D----minutes per inch Depth of Test Pit.................... Depth to ground water-------_................ Test Pit No. 2................minu�y per inch Depth of Test Pit.................... Depth to ground water......................... O Description of Soil �/` -�� r _ ........... V -----------------------------------------------•------------------------------------------..------------.-.-•----------------------•------------•-------------------------------•------•----...-------•- W 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 agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ------------------- Application Approved B ......................... / Date PP PP Y••-••---- ---- •••.. --••fin ..... d �' 7 7 ---. Date Application Disapproved for the following reasons:................................................................................••-••-•-•---•----.............. ----------•-----•----...----•----•-------------•---••------------••-••---------------•--------------•------------------•--------•-----...--------------------------------•-----•-d..................... �� Date Permit No......................................................... issued_....�--v------�---4-7 1 Date elit 0, LOCATION - - - SEWAGE PERMIT NO. 7/_ d vS V! LLAGE 1474 cK eov2TT ;rod 2l C'yr�l r fr�li i INSTALLER'S NAME - & ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 77 a 3� , THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ OF.... '4�1............................................. (9prfifiratr of Toutpliaurr THj IS T-0-C—E I,0_ FY,/That the Individual Sewage Disposal System constructed or Repaired f _Y7 . by..----- .0 Z.�...... � Aelt" ---- - -- . . ................... ...w.....Installer 0 ....Of' ......... '---------- has --- - been istalled in accordance with the provisions of T T F, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit Nc...... .......... .......... dated...... Z /Id--------- -------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS ED AS A GUARANTEE THY E­ SYSTEM WILL FY*CT1qN SATISFACTORY:.- DATE ..................................................... Inspector..... .... .... ..... ... .Lll."- .............. THE COMMONWEALTH OF MASSACHUSETTS t--IBOARD OF HEALTH .....OF..........71P A.. ..................... A) FEE... ............... Trutt Disposal grko us wtion "a Permission is hereby granted------'............... .. ....... .47 ... ...i•......................................................................... to Construct (��or'Repair an Individual 'ewa Disposal ystem A at No...... O.r...... .........IVAARISK...... e&M. .YtCk if............................ ............... Streets A.N.ST U k,n jvi7 ual a e-li )ispos % ............. ..CP* -- . ......... as shown on the application for Disposal Works Construction Per N i Dated.... ...................................... Board",of HealtC' DATE----------------- --------------------- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS Nom�i. ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD Pf HEALTH ---------------- - -- - .........OF...... ........................................................ Appliration for. Disposal Works Tonstrurtiun Frrutit Application is hereby made for a"Permit to Construct ( ) or Repair'(. ,' ) an Individual Sewage Disposal System at: ....... ......... , ,. ......--....--•...._.--•---••••-•......-- ocation- dress or t No. .. .a.: �rA............................... .........• � ,� ...... Owner A%Ix-g _... t_v.�, _.qi.<..t{ ' :...._ . �....... I T.atr' �. ---------------------- ------ Installer Address Type of Building Size Lot---ZS.102, . .. Sq. feet U .' .... ,.� Dwelling-No. of Bedrooms............... ...................•__-Expansion Attic ( ) Garbage Grinder ( ) pa Other=Type 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 fQ'00..gallons Length................ Width................ Diameter........... ''D',*Ili ........ x Disposal Trench—N ..................... Width___.._._.___....... Total Length.. ... Total leaching area.i•.:..: :__ ....sq. ft,. -- Depth below inlet_._____.7........ Total leaching area__________________sq. ft. Seepage Pit No......./............ Diameter._.. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by._.._a$.% [}���?�se�.___�t�Ers1 � Date_._��o�,_�� _..._...__.. as Test Pit No. L.-Ar_Q...minutes per inch Depth of Test Pit.................... Depth to grq.und water..__..__..........._._ . Test Pit No. 2................minute per inch:;Depth of Test Pit.................. Depth-to ground water ,............... /, rr Description of Soil...........�---- -....�-�----- -........ --•-L.Q- -- �� -•------ -- .......-- -----....---•----•---._......-•--- V W -•------------- ------------•-------- •-----....................--------•------•-----------------------------------------.......-•--------•--------------=---------------------------------------•--•-- U . Nature of Repairs or Alterations—Answer when applicable.........................t.............................................................:......... Agreement: w The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of ITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation--until a.Certificate of Compliance has been istsued by,the board of he th Signe set ................................................................. .: ,. . Date Application Approved B .......... . .............. f. .... -"-f"•-7 7--•---- Date Application Disapproved for the following reasons:------••-----•••••--- -•---•••---•-••......:.......••-•--••--•---------------....................... ---------------------------------------------------------------------------••---•---•---...............----------------------------------------------------------------------------------------...--•--- Date PermitNo........................................................... Issued..................................................----- 4 �t t �@ AU �• -k d tr e—*;r.'-' � + � t t *. `. . ,.� �� •.\ �`r �4ar�'r. ��i >'x1 .:p.� ,r 1'. a'�r�,i�,'" ���,�i''j t f•.i 7r�. .y3^,;4 y .; � vtl z '..,^ r t . ri1 F �S, ham-- a S t „M �� ka n .� p .t r �r�^iy� Z•�'}� r tr' �r 4 °y lf S4, t�v �� °iB2ty K:J, '•ai' WM `".FV, J�4U •;lr 1k �..... :Ft k _ ... 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E tx� ♦ y,�� 1r . 3 § Et. , '^ �� L;•tM(�rrr j� "tt i � p i t �_".• x a :�'a 'a� wr.y�'�+j� '� �EGEND CERTIFIED PLOY,f P� 'A <� Lift a LItd®-: SPOT '.E'LEVATION Ox0 A .. tii$TI<W6.. CONTOUR' 0 — , L `7 t� `M ?2ictC. Cbrl�1 ' " 11"IGNE ":SPOT ELEVATION "L� _ CCi✓i��'✓ � �tr�:, � fEv;PCt)NTOU IN a � t� fl BOARD 0 F HEALTH . t 6 fi A G,EPIT j . SCALE, / 40* DA4EF�h ENGINEERING t;Q.IN CLIENT -- --.- — I CERTIFY . THAT THE PR lSTERE REG`I37ERED JOB NO �707i BUILDING SHOWN 0N : TH1S "�PLAI 4 ,� CLVIL' LA10 CONFORkiS TO THE ZONING LA1�f8 D R.B Y ✓4. Ii;-.r .t. r ENGINEER SURVEYOR OF BARNST BLS �sr�'°kIASS xt 2i 3i_NQ ,MAIN S.T. 712. ,MAIN ST. CH. 8Y: �� o YAI2MOUTH, MASS. HYANNIS,;MASSISH'E' ETS OF D TE REG. LAND SAV66� A" A -oo o" r 17 .7' 17 : 7 iffofA -.;F M A 40 MSA APO .4F -1-1.1. - '_ 1_1- . -" .- - .f - x, A PR 'C.C)t- A=­ogr `C4&=*Wa SAND SAC* fi ID • L46 I-AYER ve or cA WASHED 570E At J)v.jp/rex A 7A' MX, 'n" wcr 7;", AI4� WASHED S70 t p9,eCoq5 7-54,9509A647,oo, # P/7 -OR ev L11 lk ,jMVZAT AT OWL F7 SEE 4 7. 7 ANK 0 0..Scr . ,ou-r4 7- SEPTIC 'TANK 0-3 Fr W,4 TE,'W TABLE 1 - GROuND ox 0.= 0U7,_44r7.V1-5rMf0Lrr1oN Box 9.9, F7 hV4,E'r FT LEACH11V6 *1=/1 7 , 01MEIV51 0 A/ TCALE /ME-N5 . 10 D.0516N ,Cql ,=-,qlA AU'AfMR OFAEDMOOMS , .SOIL TOTAL 4 =I_0A-V_3 3 y ,GAL./oAv SO/L 7-e57- r#/ S014 7L=ST*2 0 4" NUMBER OF 4rACRIMCw P/,r-s ev DATE or SOIL TEST 7 By P 'P. r J3 L.,P Ai I NE54/47-5 W1771VAESS�-D PERCOLATION RATEA,f IIJ.IVI.INCH &o r-roW L,04CqIN&PER P1 A So. -5--v,13 S 0 TOrAL LM4CH11VCr AREA 330 33 0 Sip. 77 AREA- 2. 0 3A L 0 P /11 A4Z C-0 ull�T I VA OF 1-0 T /Z I C_K _A/7,&--/Z LE BERV tc P. RuNtl(ts gn'62' 777 Mcrl-)�. -J, 37 NAU_ At, V4C7 I Z 7 NL ls" 75 7�-- n zy , ._'C1.j \ 4• , i+ # �. i4 t',„H iyC/{vS #x S +r - U - c � F r •= 1 t Y JY f�t d 1v1�� .A / h a q; lip- wa 52 R or �9 ps�UN a x is Ft r At. J Lo7 y �� r Vl N o r: � - LEGEND �.' �• EXISTING S`POT ELEWATIO'N Ox0 o ALBERT ' CERTIFIED PLOT PLAN : EXISTING CONTOUR A. I� LD .T F9NICI�I�D SPOT ELEVAT-ION 0 MORSE �a p No. 1095I O' FINISHED CONTOURI Sr 40 IN -- A.PPROVED -,,60ARD OF HEALTH P i A 4 ' ®ATE AGENT SCALE: � �i ¢O DATE rr &L.—DREDGE ENGINEERING COMA! 1 r j lL--4C' CLIENT I CERTIFY ,THAT' THE PR®P®$ED • ; EOISTERE REC3ISTERED JOB NO ��� � BUILDING ,-SHrOWN ON TH13 - PLAN " r dy r, CIVIL LAND CONFORMS TO THE ZONING 'LA1�S ' ''. . ENGINEER SURVEYOR ORrSY— _ .-A -- OF BAR-NSTABLE RAA,S3. r i 33 :;NO. �AAIN ST 712 MAIN ST. CH. BY SO,. YARMOUTH, MASS. HYANNIS, MASS. / f{ H,EQ L/�P1D° SURVE SHEET—.OF ,;AAT , i r: