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Home My WebLink About0041 MARTHAS WAY - Health 41 Martha's Way Centerville A 041 012 1 1 .r�� r■� �ir � ■■E■■■0 rrr■■► ■■■■�■■�■■■■■■■i�� MEN MEN■■■■r■■■■■■■■■■■■ . 1■■■■■■■■■�■��r�■��■■fir■■■■■■■■■■■■■■■■■■■■r■■■ it■■■■■■■■■■■■�■��■�■r■■fir■■■■■■■■■■■■r■■r■■��■■ 1■■■■■■■■�■�■■■rr■��■■■■■■■■■■■�■■■■■■■■■■■■ram■ ■■■■■■■■■m■■■INN ■� ■■®■■��r■■■■■r■■r■■■■■■■■■�■■ • r-it D*4 '4�" i.ni!.rR eb �■�■■■■■■.■■■■■■■■■.■. ■■■r■■■■E■■EE■��■■■r■ ! !■rr■■r■r■■ra■rrr■■■00 1■rrr ■��r■■■■■r■■■■■■r ■■■v■�rr■■■r■■r�■■■vr■ �rr■��r�rr�■r�■■■r . ,.��r � ■r■■■■�rrrvrrr■■■■■■ ■■■■■■■■■■■■■■■■■■ ■■■e � �■■■■r■■■■■■■■■■■■■ 1■ ■■■■■■ ■■■■ ■■r■�■�■■�■EMI■■■r■■■■MrMr■O■ErE■ MEMO MENNEN ■ ■ ■■■r■ ■■■■■■r■■■■■■■■■■rr■r■r■r■■■■rr■■■■■ '�■■■■■■■■�■■�■■■■rrrr�■fir■■ r�r■��■■■■r■��■r■E■ ■■■■■■■ ■■■■�■■■■■■�■■■■■■■��■i■■■■■��■■■■MEMO ■■■ ■■■■■■■■■■■■■■r■■■■■r■■■■ror■■■r■■■■o■■■■■ ��■■r�■■■ ■■■■■■■■■■■■■■ ■r■■or■■o■■■r■■mr■■■r0 ��■�■■■■■■■■Orr■■■■■■■r�■■r■■■�r■r�r■■■r�r�r��r ��r��■�rrrv■■�r■■■■■■■■■■r■■■■■r■■■■■■r■EMISSIrr NO ....(.°j FEE.-•,••,••,•,-,•,,,-„•.v. THE COMIMONW ALTH OF MASSACHUSETTS BOARD PF HEALTH (lAZ ..........OF..... . ... }r !✓ .................................... Appliratiou for Uhipoiitt1 Workii Tonotrur#iun Prrutit 1 Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewa a Disposal Systemf� ti1 . / at: .# - ---••-•• --••.................••-- ..--...........-----•-•---...........--•--- Locati ddress or Lot No. w � ....... �, . J_.... - .- � ...., � v%GO Address/ C ,�.L'. ..._..... �3�................. % � a Installer Address dType of Building Size Lot..,/.o-�.......Sq. feet U Dwelling—No. of Bedrooms..... ...................................Expansion Attic (,t/j Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ....................••-•--••-••• - w Design Flow..... ...........................gallons per person pe day. 'Total daily flow............................................gallons. WSeptic Tank—Liquid'capacity/ie!:..gallons Length....&1... Width...._y-..... Diameter................ Depth....-O. .. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.......... ... sq. ft. Seepage Pit No.......... Diameter.........w.... Depth below inlet...........-.... Total leaching area�. �,?..sq. ft. Z Other Distribution box ( ) Dosing t nk ( ) Percolation Test Results Performed by...... .0A/... T/"&.4........................ Date....." 1.-. .. ..... a ..minutes per inch �e th of T t Pit.................... Depth o,.� Test Pit No. 1.�I.....�. p p ept t ground water........................ L=, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..... N!a ----•----------------------------• •----....-••••----•----........ - O x Description of Soil------6.,a..-...Z !............. :11A w. ..... J.a.�. _.. _...... ......._............ U . /... 1..3..2.....(2l�C��e2....tea � �c,C?AF.....g?aea 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 iITILE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Cgrti�te of Pmpliance has bee D-uedy the board of;?th. Sined--. . . +�-................-- ................................ I D to .•---.APPlication Approved BY.... ..........� ................................... ..... � ... Date Application Disapproved for the following reasons:-------••......................••---•-------............------...------------...........•. ............._ 1 -•-•-•---•----------•---------------•---•---------•-----•--...............-----..................---•--•.............-------------•------••-----•--------....-----------•. ............................ Date Permit No. �.r........... ._...... Issued.-------••------•--------------------•.. - ------ Date L � No......................... Fxs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD kol . EA,LTH F...... r iAppliration for Ui!ivvii l Works Tomitrnrton rrntit Application is hereby made for a Permit to Constru ( ) or�RePair. ( _ an Individual Sewage Disposal, syst r; 1 d,*00 l"C �`n� �' - off► i o �1... ......7/ ..... -•---••-------•-------•-••---------------•---..------- Location ddress or Lot No. 6wn'� ............rL' d` .✓._. .......... ddress .`.;' .° /✓rt"i/ . �t Installer Address d Type of Building Size Lot. r .......Sq. feet Dwelling—No.. of Bedrooms-__�'....................................Expansion Attic (G Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other 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-=..: 1,'...sq. ft. z Other Distribution box ( ) Dosing tank ( ) ~ f fld� .......................by------- Date._...`...._..4. ._.._.__.................................. .a Test Pit No. 1..........Z..minutes per inch Depth of Test Pit.................... Depth to ground water........................ P� Test Pit No. 2................minutes per inch Depth of Test, Pit.................... Depth to ground water----- C� Description o ............................................................................................. D f Soil...... = =` ?-t'-•......••-•--......`�........1�.f2 �----- �' '�1.Z..C- .................................................. W -•-----•-•-------------•---•------••----•--... --------- V 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 Cerate o ompliance has been ' ued by the board of health. �L Application Approved BY................................ .. - { ............ ........................................ Date Application Disapproved for the following reasons:-•-•----•......................•---.......--•----•-----••---------•-----•-------•-• ------..................... - --•---------------•-------.....--••••.....---•--.......... ........................................ Date PermitNo.....................:................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Al Al..............OF..... .. / Tertif irat a of Tuntpliatta j THIS IS�O CERTI Y, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) byv . ,� -. (---�:-_. ....................................................... ....... ......... stall _/� J`f00/ i has been installed in accordance with the ro�sions of T F r of T e tr€[te Sanitar Code s, crib in the P 1 Y , application for Disposal Works Construction Permit No.....................!'."�________. date( _....___`. -------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .-..ILL_-_L Inspector...... - -- ----------•-••---------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 03 .1� ` ..............OF....... � 7L 91� ..... . ...................................... No......................... FEE........................ Di11111r.0 1 nrk,5 on'nulion amit Permission is hereby granted--- C1(SL?.G.' . ......... G`A =-----------------••----.......-•------..........-----..............---....... to Construct 3F�_12ep�tir, ( p/)�an; r l�Hual�;S e isposal System atNo...........................-......................................................................................... Street as shown on the application for Disposal Works Construction Permit No.............. ----........................ Board of Health DATE.................................................................................. FORM 1255 A. M. SULKIN, INC., BOSTON - i S ,l ///, 410*44 s' WN OF BARNSTABLE LOCATIONZ-G7C Aq�rtl/t -fi�A7 SEWAGE VILLAGE Celi,�X7-n 112��.° ASSESSOR'S MAP & LOT,:1I INSTALLER'S NAME & PHONE NO� ,SEPTIC TANK CAPACITY-/-� LEACHING FACILITY:(type) 6 Oq / (size) 00. OF BEDROOMS PRIVATE WELL OR/PUBLIC WATER BUILDER OR OWNERS t.a/�;/E fJ'dlc�«� DATE PERMIT ISSUED: 17-1'7 DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No k f3A c-K 'yh i5 33 s� pp- qp SECTION - SEWAGE i p -SEPTIC TANK - I p - "D"BOX -. �p - LEACH PIT TOP OF FDN e0=e (MSL)$ 2„OFiISTO1/z" WASHED STONE X -----=------ ' ( -7-7o� - t7' ' a OUT- IN- G I� OEUT' i IN- Loa �O SEPTIC -/�, S� ELEV. EL� TANK �— 1�.Sa G" / G (111 ... ` _. i ^, } ELEV. ELE E I �( L L�T"&Oje�` \ \ ELEV. ELEV. j O11/2 DOS'F-� PJarTDr�l (o(o,b WASHED STONE _Trwl Z[7 TEST HOLE LOGY? \ TEST BY ,a•_O�A�-f�, 1�-.L. ��t G11=re�iZ7 r�.�t-�. l L1f��4Lt~ Goa101110"s To \/EAM F)EO To A. V E PTH or P� q-! Lo kl TEST DATE —¢ Z 1 $S WITNESS LEA-cO PIT �j . DESIGN BEDROOM HOUSE T.H. # 1 �I.c� T.H. # 2 �.� S 4`a �G Ona —_V_ ELEV. ELEV. NO L Z DISPOSER DISPO rr / ��A S r�So1� �A�� Hsu soil PERC RATE MIN/IN. (?I I O FLOW RATE (GAL./DAY) �0 SEPTIC TANK a S O REO'D SEPTIC.TANK SIZE -3---_-_—> me AGILITY ra TE' 1uly� LEACH F �e t C Nes= SIDE WALL ID�� = I8�•`7 (�, ) = q� 1. Z G/D. r, BOTTOM 'TO G/D. P -tN, 2�1'1 TOTAL USE: eE ,CtsT LEACHING PIT ^� N� WATER ENCOUNTERED —lam Er 1>14M X 6U EFF �E.PT4 U o — _ F: O�Q T 20 NOTES: (UNLESS OTHERWISE NOTED) L *'7 `� / nt 1. DATUM(MSL)+TAKEN FROM_____ _1y 1�Lfy�� - QUADRANGLE MAP 2.MUNICIPAL WATER �__� �tH OF �� \ 3.PIPE PITCH. /4"PER FOOT rr rj 4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- {-F D _44 I { � / !_ \ 1p yezv OiIT �/I 5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. C iRV ' ARN>r H. — -DISTAN E AS CERTIFIED 6.PIPE JOINTS SHALL BE MADE WATERTIGHT Q OJALA 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. CIVIL H 1 HEREBY CE TIFY THAT THE BUILDING SITE PLAN GROUND AS SHOWN HEREON&THAT IT STATE ENVIRONMENTAL CODE TITLE 5 N ' �792 SHOWN ON THIS PLAN IS THAT ON THE bVC�IFYsUP.�vuPa=A Gat.(t�ITio1.1S ra L :(off, �F �4gsJ9 LOCUS: of LoK.(STR(,l�Tlo(�l . _ 10 A CONFORM TO THE ZONING BY LAWS OF THE gRNE � �. ---- ------ TOWN OF \�-t NT Lev i L-L.>?��tom)ST�.� /1 REG.PROF AL ENGINEER H t{- V WHE;JVCONSTRUCTED. DATE OJALA �"� �"� �''C4-�' • "I '$ N26348 . �o/I REF:, ARN��TP it_� +4' IS �•S U�S _t rS AP WOWII CdPe., eaglneerlag F�i9 '$T PREPARED FOR: S R " CIVIL ENGINEE C. LANDSURV - -EY ---- - BOARD-OF HEALTH ORS D SURVEY- REG. LAN OR , CONTOURS- (EXISTING) - - �3P,R►•lSTA3LL- S MA Yarmouth.&Orleans,MA GALE (PROPOSED)-O-O-O-O- APPROVED DATE g '` DATE Z/ _