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Home My WebLink About0045 PEEP TOAD ROAD - Health EM EAD KEEPING YOU ORGANIZED No. 12534 2-153LOR MIN.RECYCLED 111 INITIATIVE CONTENT 10% c.rofiedRmSou«ino PMT-MSUMER swogruwg 3"1290 MADE W USA GET ARGANVEn AT SMEARCOM LOCATION SEWAGE JtERMIT N0. 1� �-- ►' > - l 1 VILLAGE - .o INSTA LLER'S NAME & AD.DRESS /14 BUILDER OR OWNER J-A DATE PERMIT ISSUED I _ � , 7T DATE COMPLIANCE ISSUED �� , zap 6o' r O No...... - F�$.... 5................ THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ------- 1..........OF.......... .. ..mod ......------- . ppliration for Bilipnsa1 Works Towitrn.rtturt Prrutit Application is hereby made for a Permit to Construct (i ) or Repa• ( ) an Individual Sewage Disposal Y...... Lo tion-Address or Lot No. ----. .... --••-•-------------_-__________-_-------------------••----•-•-•--•--------•--------------••--- Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.__._..........._..............Expansion Attic ( ) Garbage Grinder i(60) aOther—Type of Building ____________________________ No. of persons............................ Showers (! ) — Cafeteria ( ) a � Other tures --------------------------------------------------------------------------------------------------------------------•------------•-----••------------ Design Flow_ __________________________gallons per person per day. Total daily flow......... __ ..................gallons. W . WSeptic Tank T Li�luid capac--y_/0_0Qgallons Length________________ Width__.__..._._..__. Diameter________________ Dep h_.___________.-- x Disposal Trench J-No_ ____________________ Width_,l'_f............ Total Length___a2. ...... Total leaching area___ _ sq, ft. Seepage Pit No................ iameter.................... Depth belo in et__ _._...____.____ Total leaching area..................sq. ft. Z Other Distribution box ( � Dosing a ( ) d �� _ �o` 2 A Percolation Test Results Performed by----- o die_ _._. __ 4-le" _____ __________________ Date__�F_::_°t_�_`__�� a ._minutes per inch Depth of Test Pit____________________ Depth to ground water-----------_............ Test Pit No. 1 _...3_.-_ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---- ...... --------.--- -•-- --•••..__-- ------------------- - -- �---E- --ODescription of So•1 /-......... /-----------------------------4 � � ---.._._ ... 1`4 t --- --------- 1s77 6�f UNature 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 iITL- 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. Sig - -••-- •••••------••........:.. ....C°: ---••- ----.................... Date Application Approved By......... •--• •-••••--_ _ ?�1 ...._. �' • '.�£'':.. Date Application Disapproved for the following reasons:................................................................................................................. --------------------•----,---------------•---------•-----•--•------------•-•------------.....--------------------------•--•- •-------------------- ------ Date PermitNo......................................................... Issued..... ------!L ••--•----------•- Date .. P No...••---y.---......... Fizz............... .... THE COMMONWEALTH OF MASSACHUSETTS K_ ar° BOARD OF HEALTH ........... OF.................... .. ............ ....... . ppliration for Disposal gor�,sTonotrurtion amit n made�Per i•, C,, tr or Repai ( . ) an Individual Sewage Disposal S a i `gl (cf' - /,�',/r,�rr//Loocation-Address --....7_ 9"..Fr•e.. .................. ....... ..... . —or Lot No. ' caner Address Installer Address Type of Building Size Lot-_ -----------------------Sq. feet ., Dwelling—No. of Bedrooms............................................Expansion Attic ( ): larbage Grinder ( ) pa, Other �f Building ............................ No. of persons............................ Shc wf�' ro — Cafeteria ( ) QI t fixtures .......................... W Design Flo>6v........................... .....gallo per pers d on per ay. T.o �aily fl ow-------------------------- Cr _ ,gallons. WSeptic Tank—ciquid capacity------------gallen Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................k6ameter.................... Depth bell it r-_•-v 14 lea eja►ifX area..................sq. ft. z Other Distribution box Dosing " p • ��-a x- 7 aPercolation Test ResjA 3 Performed by....................... ...• Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit........_.._......_. Depth to ground water........................ ,7.....P g ter N' ♦ Iv . i WO Test Pit No. 2......._D�inunutes er y�ch Depth of Test Pit e th `o�oun�� w � DescrLption of S � ` - --- -- --• -----•----------------••-----•......----••••. -------------------•--•-- ia'yy► t ZPYIt :�si W =Y x4 Nature of Repairs or Alterations—Answer when applicable...................... . ................. --••-•......•--••-•--••-... --•-----•-•-•-••••-••-•.............•.-•-- ....• •-••---•--------••-••-••-•••-•-•-----•-•--••-••••..... ....---• -• Agreement a., The undersigned agrees to install the aforedescribed Individual Sewage Dis osal System in accordance with the provisions of iITLi� 5 of the State Sanitary ode—The undersign fuO� Z�grees not to'place the system in operation until a Certificate of Compliance esk4elard ltea Sig }.......... ....................�7yA / Tw 7a Application Approved By......... J! Date Application Disapproved for the following reasons:......................... J' .............a.................................................................................... t ' A Date PermitNo--------------------------------------------------------- Issued-.---- .............................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O , HEALTH ..........................................OF................................................................................P.. (Irrtifir0r of Tomphattrr THI D C I th I vid eW. Dispos System constructed ( ) or epaired ( ) ---------------- Pt at........................................................................ -------•------------- .......................................................................... ..----•-••--......--- pp ks Construction Permit No.__ ._. r ................... f dated_...__ .. cribed in the has been installed in accorda `/ (f - application Disposal ��Vor �' - nce with the provisions of I � of The State Sanitary Code as d's . THE.,ISSUANCE OF THIS CERTIFICATE SHALL,N' Ot jE CONSTRUE® AS.A GUARANTEE THAT THE .SYSTEM WIkj. FUNCTION SATISFACTORY.- L� ........ -- .. . •--....• Inspect or_ .--.-•-- ................................... DATE ----- THE COMMONWEALTH OF�MASSACHUSETTS BOARD F HEALT C. . ............OF ......•.. _ ...• ..... ......... ......'.•-............... No._.:... f__..__..... FEE...... Yam. Disposal IV k o tr ' n mit Permission i reby, granted.........._. y. . _._� ....................................... _ _ _ __ _ to Construc ( or Rep ' l� ) 'an dividu ra e Disp S em atNo. ._.... .. h , ............. --•-••• .............................. Street as shown on the application for Disposal Works Construction Per it o........ ---------, ed....... «_ T• ......... t B /�`//�`o" ��`a`� tfi "A ..... ;;- DATE....... -.._.... _ ..................................... '.FORM'•1288 HOBBS & WARREN, INC.. PUBLISHERS '=✓ a~`d � a {. '"v "i-" : »..�•r ..1}'.,*,+.' .. mt,'.�.��t� Y�ic'^�"w, • '"�°a��'�"$R'Y7":3Fy�'1,y,��tr� t n r } •t, a ` a SEA (l/ - , 1F� w . zL-0'> S 7G 17 /oz.9 74 �n n kA n PJ7 _ L v-7- 8 ' 6. ROB.ERT 4 3 O BUNI°KIS 4 a , v No.22162 / o �� •IST ONA.L F 'LEGEND I EXISTING SPOT ELEVATION OxO CERTIFIED PLOT PLAN EXISTING .CONTOUR --- O =- - Ln; FINISHED SPOT ELEVATION' 10.0 i FINISHED CONTOUR 0 APPROVED =BOARD- OF HEALTH �All i3,�l 5�t AS , DATE AGENT SCALE= DATE : r�2d 77 i DREDGE ENGINEERING CO. IN �f�'- CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB N0. ��G'''` BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS, TO THE ZONING LAWS DR.BY. A A. !'' . I ENGINEER SURVEYOR OF BARNSTABLE , MASS. " 3 7. MAIN ST. 712 MAIN ST. �/`3 � 7 f �,-�r � J-�•.� .--�+. SO. YARiAOUTH, MASS. _HYANNJ'S MASS. Z `- — — - --�---- J, SHEET_L_ OF DATE REG. LAND SURVEYOR �+(..- _. � _ .. _ _ _ .w .+- .,.r -."..�.—..+..w..w....... +•.+.......+sue,•, r.. _..:—._ 20 FT. MIN. � X 5 FT MIN. 4" PVC PIPE CONCRETE MIN., PITCH - 4" DOUBLE COVERS PERFORATED � I/8 PER FT PVC PIPE LIQUID LEVELS-- CLEAN SAND v s. 4n CAST IRON PIPE MIN. PITCH SEPTIC TANK DIST. I/4 PER- FT. C TABULATION) BOX , LEACHING FIELD r B SECTLON OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM F r 3FT. 6 FT O.C. SCALE: //4 /=0" X SOIL LOG ELEVATION 2 LAY.ER 4 DOUBLE OF I/8 -3/8+PERFORATED SOIL TEST M ,WASHED STOVC PIPE r DATE OF SOIL TEST �� :� _ CLEAN RESULTS WITNESSED BY — n SANDPERCOLATION RATE MIN./INCH DESIGN CRITERIA 4"DOUBLE" ° 3/4"- 1 1/2 ° PERFORATED WA WOOD. STAKES NUMBER OF BEDROOMS PVC PIPE SHED STONE SET 8 FT. , GARBAGE DISPOSAL UNIT ON CENTER ESTIMATED FLOW GAL./DAY SECTION X X LEACHING AREARESERVE /. AREA ' - SQ. FT. TABULATION SCALE = //4 = / - O DIMENSION A FT. d INVERT ELEVATIONS 4 DIMENSION B �•' FT. DIMENSION C : FT. INVERT AT BUILDING FT. `P INLET SEPTIC TANK ; FT. T ROB.ki OUTLET SEPTIC TANK ,o•: FT INLET DISTRIBUTION BOX S? FT. ELDRL-DGIE OUTLET DISTRIBUTION BOX sv,J FT. ELDREDGE ENGINEERING CO.J?21 END OF LEACHING FIELD �_FT. s 33 N0. WAIN ST.' 712 MAIC. -' �' � �'^o su/� '- • "I' ) S0. YARMOUTH, MASS HYAIyN1S., ,,w ., JOB N0. SHEET`O