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HomeMy WebLinkAbout0085 PATRIOT WAY - Health■��■■■ ■■■■■■■■■■■■■■■■■■■■■■■e■■■■■■■■■■■■■■■■I ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■� ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■M■■■■■1 ■■■■■■■■■■■■■■■■■■■■■■■■■■m■■■■■■■■■■■■■■■m■m■1 ��■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■1 ■ ■ ■■■■■■■■■ ■■ ■■■■■■�■■■■■■■■■■■■■■m■■mo5s1 ■■■■■■■■■■■■■■■ ■■■■■�■■■■■■■■■■■■■■■■■■■■■■■■i IiR■■■■■■■■■■■■■■■■■■■�■■■■■�■■�■■■■■■■®■■■■■■�t� \■■■■■■■■■■■■■or \■■■■■■■■■■■■■/ \■■■■■■■■■■■■/ ■■■■■■�■■■■■� 'LOCATION SEWAGE PERMIT NO. , VILLAGE I N S T A L-LER'S NAME i ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUEDL 3 F, ® �' LOS AT ION SEWAGE PERMIT NO. a ° eZ VILLAGE d,4 INST ! ! R'S ME & .ADDRESS � 2 I tUKDER � � OR _ DATE PERMIT. ISSUED DATE COMPLIANCE ISSUEDr/ - A6 C7. �`3 f - + No.......3 ......... Fs$.......a..:....... .. ... .t THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............A-e>t JA).........OF....... ............ T pr;.�_.L�.---._............--- Appliration for Bhipoo al Works Toustrur#inn 1hrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ....... .lca.... ..... � .1 -. •cation-Add r or Lot No. Add ress ..................... w er O W -.....•_•• c. � .I.S.$....._tom..................... Installer Address s-- U Type of Building Size Lot_.,,f...���7....Sq. feet Dwelling—No. of Bedrooms______________ .....................Expansion Attic (>4 Garbage Grinder ( ) aOther Other—Type of Building ____________________________ No. of persons_____..____________-__._.___ Showers ( ) — Cafeteria fixtures .. W Design Flow............................................gallons per person per day. Total daily flow______ 10..................gallons. WSeptic Tank—Liquid capacity. allons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No...........I-------- Diameter---10..'_ --- Depth below inlet...... , . Total leaching area__ _4�_.sq. ft. Z Other Distribution box � Dosing talik ( ) a Percolation Test Results Performed by---- ........... Date•••• 1A............... Test Pit No. 1.....;Z....minutes per inch Depth of Test Pit.....!_a__LC? Depth to ground water_.t_o?_E 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ � ---••••••••---• ._.... _....... Description of Soil-----. -.. -)- •• s QD.1,501 L„---•-•-----------------------------------------------•----•---•---- ' ' �...._�-t-� 1?,,,r1�_I_��1�------------------------ x ••-•••-•--•--------------•-•-----•••--- -"...t. ------------ fit .T;------ --------------------------------------------------------------_________------- 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 iII= 5 of the State Sanitary Code—The undersigned furt r agrees not to place the system in operation until a Certificate of Compliance has been i u y the b rd of he h. _�Ig • Date Application Approved By...... >. • -• •-•...... /,J• - ---------------------- -•••-- 7� Date Application Disapproved for the following reasons------------------- -- ---•------------------------•-----.....------------...------...-•---------------•-----------•-------------•--•-•_..-••-•••---•-•••-•---•••---•-••••----•--••---•-...................................... f te PermitNo......................................................... ISStled..-- .........../---�--•------...a...------ Date r, NO&...... Fmat THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........: .?A.........OF....:.� .. .:... .. ..................... , pplirFation for Disposal Works Tonstrnrtinn ramit Application is hereby made for a Permit to Construct . or Repair ( ) an Individual Sewage Disposal System at location-Add ( g - j �s --?' . i jos)d4..R kj or Lot No. .Q _ ._ .f..... IA..................... W t O�w raw j Addyres r-a ........... -- "y...... -�'� 1F"'r -1_+�!? .: ... ......._.. Installer Address Type of Building s Size'Lot.14: _-S �....Sq. feet ►� Dwelling—No. of Bedrooms..........................._.......Expansion Attic Garbage Grinder ( ) �`4 Other—Type T e of Building yp g ............................ No. of persons..........................:. .Showers ( ) - Cafeteria ( ) Otherfixtures -------------•--------------------------------•-. ••••••.........••• --••• t -. W Design Flow............................................gallons per,person per day. Total daily flow :.. ._gallons. WSeptic Tank—Liquid capacity. llons Length._::: ...:__:.. Widtli_: .......... Diameter............. Depth:: ............ x Disposal Trench—No ...... Width..r Total Length .. It ... Total leaching area.... _.. sq. ft. Seepage Pit No........... .......... Diameter••- Depth below.inlet (40-61. Total leaching area -sq:;ft. Z Other Distribution box Dosing t' ''"' Percolation Test Results Performed by.. .`�' .... W .. Test Pit No. 1..... ._...minutes per inch' Depth of T st Pit Depth to ground water..1 .Q P P p g �... a Test Pit: Depth to round water .... fs, Test rt i o. ..._ minutes per me Depth of ------•••-•:......••. O Description of Soil.... " ' 1'�r1 .. L r �4-1" ------------ .............................................. V Wx t .............--------------------- U Nature of Repairs or Alterations—Answer when applicable........ ......................................................... ....................... ------------------------------•-••-•••-•--.................-•--••••••••••••••-•-•..........••-•••......•.. ........................................... Agreement The undersigned agrees to install the aforedescribed Individual._-ewage Disposal System'in accordance wit' the provisions of TITLE 5 of the State Sanitary Code he undersigned furt ,r agrees not to place the system in` operation until a Certificate of Compliance has been ' u y thee.b rrdd of`h h. Sig _� ':.. ............ r Date Application Approved By......... , / "' `,� Date Application Disapproved for the following' reasons: ......:.. ----------........................... a... Date Permit No.................•••....•-•••... > . . .. xIssued. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tntifirate of Tilm�rli�anr�e . THISA TO CERTIFY, That 1he Individual Sewage Disposal System constructed or Repairedby ( ) e5taller has been installed in accordance with the provisions of T ` o The State Sanitary Cade as described in the application for Disposal Works Co,struction Permit No.. ___--••--_--_-- dated.... .��•-'.��'•............... THE ISSUANCE OF THIS'CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANT. E THAT THE SYSTEM WILL FUNCTION SATISFACTORY.`: DATE................................... Inspector... ......••••....----•.._...•••...................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF- HEALTH ?.. A,.......OF..... ', .. � , N 7 ....... FEE........................ ......... ..•....._.. Bisposi ]Marks Tu trnrtion antit •• .. Permission is herebyanted--•-••• ........................................................... to Construct or Repair ( ) a Individual Sewa a Disposal,System ' r at No. .......0...... r'. .....-. 0.` ..& _. . Street as shown on the application for Disposal Works Construction Pe o ated ..I`� :...--.-.... „ax'= _ x _ - •• •••-••....---•.............._ ?' Board of Health DATE FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - i4' sF74fF���'w ,�f,;�v1 4. •:f tta .�'+ # �+, r - i H d -. "-� a , i{1rI� .., a+.r....,. �, 't P'^•'n ',7i'` '"' „eaa+� J ' ape &, T`,5 � �`f 4 +, a x!€ � E } :� ,� 'yd ;i y± i a, +�S r ,•., Fi'if� y� Et� t��� �.� �� •.� 3 � �' 3, �,. P 4�Yr [�{ b+v.X�y "f �h1. �� iie ti^ � r� 1-€ li., 4 r• £ "` ' t �, ,+ r h f e P t r r�i r,,1+ r py .� '�P?',s4it•h ! Y.,A • � •-y. f f `� - �, y_ .1 , �f.1. F. 4 � kn�t 1a,.H�,��'a•r...- Y - r d _ 3 + ° F + i ,.. + r pv�:� �'T•+ i ��7�i�,� t �`. � .., ,_ ! � r:., a .; »r + .` [ F �A(/� P�' 1 p Jrf {; �` F r ,, Y ,V ��� '2-7/f 3 rp C ✓ !'"�) h. g . o /3 s rc» rig a L0 T- t7m �,DO vws,,•+ ��, �* _ we>'' - .4 .�.�0 -7s OAI44, zh• r� � ,. ��, piTP p�ST•RaK O O �'. "` r„C, a.dzwt <.- y �' [k '�r �_ �S i pp00 �A-L � � - _ 4 •`;�f 'te��fl +f � r€ ;.A e.r t ',• }Y ^y" , r1 ti � p7l a .. + �„ rrr} P tr x i{�1(f �, a . e M f N� �•-.Y SB�'Ai✓K.. .W 1" /) �. -r, k y, .'� . ��aa kti._ tr i'�a s-r• ,� � ti nt .Q - / ,. > t.", t1'' "'i � :4'+.�.�'lla+�'yy..•/(e rr}'; }` i,4' S '1Y i; - �' ^ 35 37rr>' o J t � - � ' { •f,. fi k'' "'�.9 ' 6FUC�iY iS'J �� ! h� S" .� V/ \: N' J •y" T"+/ �,:i J,� b. �S,y�Y�! .� f+i r • t -�. " � � N' '�� "� r � r rw k'a�e � 11f•* �Y li1.#A ihl'., 1 y. h b' :� � ' a I - F. � � ./�i •� r}4.'9 �rt i'yr ',i-p Y O - i,t r"r v' •a '�'. :t Y � !ice N f ,r, r n4'y f �• j K��t i .ypr, _Z=.ay r�., .e w' .\- V }. • F' �� - t fi fi sP P.;1 `�• s�"*' ••$r •+ y' rh K- . t t -,,P �... .i rtY,� in� ,� V :iOFk .;, ,r f ., .. �0� . ROBER 2 T,•, �yG � a L P. * . v BUNIKIS ' v�r 4a j;n }� f` Tx` �; /'"" Z / n '4 j p No.22162 dA`r7[ 1$'T� x 1• cZ Sri V 7 3 / // ,/ �o �GpSTE� k Mawk O t '//` 7 F P°^ ¢ A• i yl' "� �i Lr r. GV j4. j t: ONAL 'V 1� ,r-w , a ffi LEGEND r ., CERTIFIED ..PLOT PLAN EX�Ik$TING POT-: ELEVATION 0x0 ,. ' i.! r;.XItT.ING ''CONTOURi -- - ,.IyNI-SHED -;SPOT ELEVAT'IION jd.U��" � 7 Y FINISHED ,CONTOUR 0 --- - ,� ) fi„{ � ') ) 1 INu y r,Y ; APPROVEp- BOARD OF HEALTH ' �P��� r�,,f�a,�I o 'mot t. •, •.ri I,i. � r. � � J` ATE AGENT • SCALE l If=So j DATE t, DREDGE ENGINEERING C.O. Iie] CLIENT I�✓L=1zi✓ 2 I CERTIFY THAT THE PROPOSED fEGISTERE REGISTERED 7�/0: BUILDING SHOWN ON THIS PLAN *x�t JOB NO. __. . ty ;GLVIL LAND I CONFORM TO THE ZONING LAWS V r x � DR. BY R '. ENGINEER SURVEYOR -- OF BARN`STA LE M S. a 133t Nt';'MA11N ST 712 MAIN ST., CH. BY: f/ �. HYANNIS` MASS. Z � — 50 4ARMOyjHn, MASS. , .� ,r,r SHEET-L OF DA E REF. LAND SURVEYOR 7'E. E/TNLRE ` TANk.SiO v pR FT M/N M LEk/�1G P/T .4RE .MOItPE THAN 72'•'®ELO4V a;. r x: v Gi i1 DEj fr. IP4"D/AM.ETZAP C0Ni7mioTA�- Cop&- ' =4 � y " = • ' 'q'PVC P/PE `_ _. �+J�IALL �.1F il94DUC5/yT, 7°•'D GRAOE..�i�JIN .EXTR/4 R r _' jYEAVY CAST'/RON C0V,&R SHALL &E. 4/SE•O_,. EZ-:/O O O coI�ERS M/N. P/TCN %f/N;OR/i/EJ./.4 Y 2.. eltN. CONCRFT.E A Gh.�oE COVER CLEAN SANG - L/4)3v/D Level- .... . . . - 2 LAYER 4"CAST SIB IRON P/PE t o MIN.P/TCN `D O o GAL. ° 'm� • • • • o • •• • e °,• WASHED SMIVe %a"PBt: -pow-TrSePT/C TANK D/ST. o n • • • • • • • • v a BOX o • • � o . • • • � ,.°a • ..: o v p • •EFFECT/VE ' ` . v 4 • DEFT!•/ • • • ' • o WA5HED STONE •� .,. • • • . • . • • • e goo • _ e a. u • • • o • • • • p •ja PRECAST SEEPAGE 1Nli,�'RT e`LE✓A7"/0/VS ff ° o ► • • • o s • • • e sx o P/7 OR E4/J/V. /NVERT AT BUILDING 9 7.0 FT. 6 D/AM. JNLET SEPTIC TANK 9 6,5 FT• i_ / O F7 O/X1M. _ CSEETABULATION> -- Ol/TLET SEPTIC TANK 96.3 FT. INLET D/STR/BUT/ON BOX 96,0 . GROuNo yt/,�ITER TALE OUrLETD/STR/Bl/T/ON BUX r�9 SECT/ON 4F" INLET.LEACHING PIT 9 s s FT. SEN/AGE O/SPOSA L SYSTEM PA ELATION LEACHIMCP PIT 3 t �• _ /•_O D/MEN,S'/O N A FT. DES/GN CRITERIA scAL E /4 NUMBER OF 46EDR40OMS 3 D/NJEN /ON• C FT. GARe.4GE DISPOSAL UNIT � - SOIL LOG '.: • , TOTAL E37/MA7'Z=D FLOry 3 3 0 G.44.1DAv SO/L TEST SOIL TEST 2 p SD./L TEST il(UMBER OF LEACNlNG PITS�._L_ . f`ELG`Y. 277 D `-ALIF4 GATE OF SOIL .TEST S/OE LEACH/NG PER PIT RT. . _'. RESULTS h/ITI1e'ES5E0 BY ��M/�t-S a0TTO^f LEs4CN/NG PER P1T�so. PT. �M PERCQLAT/OJV R'ATAr 2- d mj V,I/NCH _ TOTAL LEACN/NG AREA ZOO �' SO -7.. Sv/3svic. AEXCOL.AT/ON ROTE ik2 - M/N.//NCH RESERVE LEACNI MCr AREA FT. 3 _ 6' • r UF,y��s F T G2�-✓Et, x O 7 !p 1; q 7 - JT ' Y ROBERT 6/ Cc/'►/T�/2✓/ -�--•�_ LnP. r ,A ANo.221.62 Q'�,1.' �'u f •�' c .kp.. A�" l ��6� �Q' , rEk•� t OZfrrN}/�H j4Awl, tGISTS L_. � tT R b i S�ONAI.tiN n• , _ y,+�Nb1�tt,!,` ;.,N'I�iS '�141, !•#ts.� NO,a R4l/i111�. kY.4E* T hWw y" -5_. r,.. �.:fi�rt :��a-.: 8 #� i 1-•�''c� N. w!•: F- .f.-.,.. '', •}.: eiy.,• �. 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