The URL can be used to link to this page

Home My WebLink About0049 PATRIOT WAY - Health �eeeeeeeeeee■� i■e■■■e■■eese■ ��■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■MM■■■■■■■■■ IMI! i■■ee■■■■e■■■■■■■ee■e■ee■■�■■■e■■■e�eeeeee�eeee� ie■■ee■■■■■ee■■■■eeeee�e�■■e■■eeeeeeeeeeeeee��e� eeeeee■■■■■■■e■�■■■■■�■e■�■■■■e�■e■■■�■■eeee■�� i■■eeeee■■■■e■■eeeeeeeee■■■■■■�■�ee■■e■■eeeeeeet eee■■■■e■e■■■■■■■■■■e■■e■e�■ee■■e■■■■■■�■■■■■■■t eeeeee■�■■■■■■■■■■■■�eeee�■■eeeeee■e■e■e■■■■■■s� ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■l eeeeeeeee■■■e■eeeeeee��:�■ee�e■■■■■i■■eee■ee■■e� ■■■■■■■■■■eeeeeee��!�;��■■■■ee■■ee■eeoe■��t i��■�■■■eeee■eeeeee��■■ee�a�ee■■e■■ee■eeeeee■■■� i■■■■■■■■■■■■■■■■■■■■■■■se��■■■■■�■■�e■■�■■■■EN ■■ei■■■e■■e■■��■■e■�■�ee � e ■■■■■■e■■■■■i■�■MI ■■■■■■■�■■■■■� I■■■■■e■■■eMMN/ LO CAT IO SEW E PERMIT N0. 61— el V I L L AG E Hsi, 9K I (� Pg , I N S T A LLER'S NAME i ADDRESS BUILDER OR OWNER lff7V,JU-,. C®IL-)s7 . DATE PERMIT ISSUED v/g L T DAT E COMPLIANCE ISSUED ^_/v _ 7p r <. V (a/ NO......... FE............................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEP�LTH ..........V< �.n........OF....... ................. Appliration for Disposal Works Tonstrurtion rrrm' it Application is hereby made for a Permit to Construct �or Repair an Individual Sewage Disposal S S at: . ......... .... ..... L)j*...................... --------------------L6��.......i�t&......................................... LL ion e,s or Lot cation Ad'dres ......................................... n�e -Yl .. ....................... wn &Y. r 1./taller Address, Type of Building Size Lot..R .3.01]....Sq. feet U Dwelling—No. of Bedrooms ............Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow............................................gallons-per person per day. Total daily flow.......... ...................gallons. 9 Septic Tank—Liquid capacit/AZIniallons Length................ Width--..........--.. Diameter'---............ Depth...--........... Disposal Trench—No. .................... Width ....... Total Length--..........f...... Total leaching area.. sq ft. ...........Seepage Pit No...-.I----- -------- Diameter.:0-0.... Depth below inlet._ area ------ T $Wi g 14..sq. ft. Other Distribution box Dosing ~4 Percolation Test Results Performed by..... ......... Date........... .......... Test Pit No. 1......��n....minutes per inch Depth of Test Pit.. -�.... epth to ground water...... 0... 44 Test Pit No. 2................minutes per inch Depth of Test Pit--.................. Depth to ground water.-----..............---- 04 ...............-------%..................... ---k---- . I 0 Description of Soil------...... Zr n........1-00,xvn.......I ....-- $------------ �4 — _� ----------- "I...... ..................1-7 —-------- ...... — -------------------------------------**---------------*-------*------------............................................................................ -------------------------- ............................................ 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 i4s,/d by the and�ofl.th. . 4 - Z . e - —2 ,e . .. . . ..... ................ Si Application Approved By..... S.... .. 7----------------------------- ...... 74........ Date ...1_ Application Disapproved for the following reasons:................................................................. ............................................- .............................................................................t-------------------------------------------------------------------------------------------------------------------------- I —' Date PermitNo.......................................................... Issued......5••. l --•-•-......-- Date r� THE COMMONWEALTH OF MASSACHUSETTS BOARD F HE 1 TH A�ppliration for Disposal Works (foustrurtiun Prrutit Application is hereby made for a Permit to Construct X�or Repair ( ) an Individual Sewage Disposal Sys - :'ta ..................... .. .6......................................... L ation-Ad ess or Lot N". W Owne ,-, '. A re I taller Address tt Type of Building Size Lot•l(Vf,,,a .t...Sq. feet aDwelling—No. of Bedrooms___..._____ ____._____._Expansion Attic ► Garbage Grinder ( ) a Other—Type of Building ____________________________ No. of.persons............................ Showers ( ) — Cafeteria ( ) Other fixtures . d _...................... ;-' -------------------------.--•-•--•--- - ._.........---- W Design Flow.......................... gallons per person per day. Total daily flow------- gallons. WSeptic Tank—Liquid capacitf€2z allons, Length ____ . ,,Width_______________ Diameter__._...................Depth................. x Disposal Trench No W>dthl................... Total Length............. _. Total leaching area__._ _. sq. ft. Seepage Pit No. . ._:_.__. Diameter �Q Depth below inlet_.._ . ~;.�,�. Told g area-- �� sq: ft. Z Other-Distnbution box Dosing ~ `��" ' ate__ �'w�... " W Percolation Test Resul Performed by.... _ - f �: ._______... 1� __________________ Test Pit No. 1....._______----minutes per inch Depth of Test`Pit•_> ___"C __ Depth to ground water_.___. 44 Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth.to groundwater........................ a' O Description of Soil i�_"" �' ._-...... ... :... ---------- --•------------ W --•••-•--•-•-----•-•-•---• �- r rh ....t_.7 ................................................. _ - 4 ---•-• UNature of Repairs or Alterations—Answer when applicable..____._............................................ : 4 :______________ ______________________. --------•-------------------•------•-----•------------------•-----------•---------.......----•-•----•----•-•--•----•••-••--•-•--;------•-••-•--•--••---•-•--••-•--•-•---•••--••---•._.._.__..._----•-•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with R1T�'1� the provisions of ,I E, 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beewi s d by,t e ar o e lth. Sigy . .................... ...•-•-f-'� Application Approved BY r` `r ----± __ ......... Date Application Disapproved for the following reasons---------------=------------------------------------------------•-•----•-==--------•------ •--•-------••----- --.........-•-••----••-•------•-•••-•---•----•--....--•-••-•..._..-•----------•---•--;;•-----•-:•-.........................................................................•-•---••-•--•--•----•----- Date Permit No.......--••.._..--- __. Issued_ _:.... - --... t Hate --•-------------•------•--- THE;COMMONWEALTH'OF MASSACHUSETTS BOARD OF H��,,�EyyA�� T., Tntifiratr-�of (10*0lianrr TT?S�j IS TO CERTI haft th Inu v 1 ewwag Dtis sal Sy, . m c nstruccte 3 or Repaired ( ) by........Ct �__'_P .r. __..�.• _... ........'�.._ -- ---•------ I sal - A�J� at.. --------------• t . - 1----•- t.. _ --__......._------ has been installed in accordance with the provisions of T F / The State Sanitary Code as described i the application for Disposal Works Construction Permit No._ dated x1 THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ' DATE................................................................................ Inspector....._._.......-•---------..._..----------------•-••--•------.....-----__•----____-- y :THE COMMONWEALTH COF MASSACHUSETTS ` h' BOAR ®F `HEA TH ..........OF....... ................ . ..... __.. ,.,......._._.-_......... No....:.... ..... r FEE........................ Dt"Pu l Works onstr i ermit Permission ereby granted. _ -: ._.: IU to Constr t R air ( J Ind idual Sevva e ispos ystem /�t at No... i("t_ - -�...... t .J�. *.*.... Street as shown on the application for Disposal Works Construction Per. No.A .o _ Dated_______'1_____ '�' &':��.__ .. .-...------••---------------- dd� Board of Health DATE........... " __' ,/....................................... FORM 1255 HOBBS & WARREN, INC., PUBLISHERS � '�'i !• �r,.�m_�, k 99 1 _—— _ spy f 4 .� n•Y{1+n��,r�4.tl r`:'. n •i ` L ' , a - ,.a 9 ,+. IV- ugst " o C cK � y' �Y r7 t r 15'5 vo k fig. L v O �'Go A, 7 5,, fl k •, ol s wit' a } J �li 5 yiy,r nta.R�i ,,•i, in': du4y ,d� ?t "7s,u� '�a •F.1 t t � grif.f. 4x,^�1 t > rs v.• .rr.f �i r;r �, ,p 'if•a} r '$Y ��y°➢�11 t a � x ..� a 9 '`Fi� litl>y t�+ri � Iv r r 1 ' tJ' �.../. L..► 1 c S 7 yea �k � , ` f r ' •�.. ,� �3 x ......... i3 fa. Yl �' "r fk LEGEND '' t ►N� :;`SPor 'ELEVA.TI0N Ox0 ®^ CERTIFIED _ PLOT PLAN ,x �H Cr of �./' / a �/2/i fXf T1NG ; CONTOUR 0 - /<�� s4� c /` z r � IrD 'SPOT ' ELEVATION O. Oi C. o ROBERT t ED ' CONTOUR 0 P. IN 1 U BUNIKIS -AF?PR`OWE.O BOARD OF HEALTH �� o� o p No.22162 10 �� 9 A it �\�. �r"� � � 9,A A '9Li FG/STti r i'/,++� A E ' t= L/ 6 }? AGENT I r _ G -�D A T E ' REOGE E•NG/NE'FRING CO. //V CLIENTV'' W�rh�°'` I CERTIFY THAT THE PROPOSED EGI ;TE.REdi ' REGISTERED�'� �Gl� BUILDING SHOWN ON THIS PLAN JOB N0. . p� CONFORMS TO THE ZONING LAWS CIVIL LAND , d'r DR. BY } lNtGINEER� i. SURVEYORS -- OF BARNSTABLE , MASS- � ► a CH BY / - �av•. . *�„- nn .� _ - / � /r. � Tr pt"r: � nun .CItRVFYnR i.!�" 2 PC- '44 71 TA A,lkD R No Jm 7' 1411V. 110Rff 7 -A A )Z"SA-4 0 Pv --- : Za' a 7- -rO *RA N .EXTRA m jVA?0eJoS'q V Y CA S 7- /,V 01V C 0 VJ--N 5'A'A.4 1- 9,-. 41 CoNcRene IF IM Z;IRI VEAVA Y' I CO V-- 'f Cl-ZEAN -5-AAIO 5ACile -47 z*LAYER 4'CAS7 OF. 11B 3/8" 'A (I a 0 CYA 1- a ey a & o a 0 0 0 4� M1Al.RJrcN a 0 e 0 off f, a WASHED 5701V, sepr1c rAIVK . APEI-7-,ogi WASHED 570N�C 4. 4 0 0 P P)lii-ECA 5 7 5--AS-A Cr E IAIV&RT e4RVA7'1DdV5 V D 0 1 0 10 7 OR LVLoll V • IAIYAE.oRT AT-AlY4114A01MC7 044 Im. I C.(5_-E 7,JBjJL A 77)OA�) F77 INLET SiERrIC TANK Fr 01AM. 04174ZET' SEPTIC 7'AIVX FZ' IML,Fr 49157RIA5417101V A90X SHCT-101V 0A- GRovAlo w,47,ET TABLE Box FT. SEJVA64E AVISROSA 4 SK577,I IM4.�=7' 1-,=-AC,41lVa 0c`,l'r Fr. _r,048ULATAO I-EACH11V45v 7' DiMEN-TION A DA7516N CdR1-rE1?1A TCAL-- : /4 DIA14ENSION C,-F'r. )V41Af 46ER OF BEDROOMS SO//- /-0& C%,ARdA4G4E'P15P05AL- 4loVIr .5�4011- 7W57' TO 7A 4 Rr5T1,wA7-,eD j-=Y-o w 3 30 o.4i-.1,oAy SOIL. -T,-srp*1 .So1L. 7-45=s-r#2 NUMBER 0-lC'l4eACqllV6 PITS_ A'I OA're OP' 50/4 TEST 510Z 4eACHPVC, R1-r so. FT. REsuj--rs Pw-rv&sszz> gy A 450rrO/K Z-&*4Cq1NCr .XWR P1r Ar TArA*1-,Foq C 0.4 A ION RA ^f1?,PV/JlMCH 7AL I-Z4CH11yer' ARA=-A NA_AAA4d 15-URVE 4jS4CNl)Yr-r ARE,Q Coors ROBERT P. C,e-, v, No`-2216;1 0 eM&1MjWR1A4'G C4!7 -r L WA 5 4-D 0NAk- q )V40'6 'A 0 UAIA9