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Home My WebLink About0046 RAINBOW DRIVE - Health S M E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR SUSTAINABLE FORESTRY MIN.RECYCLED INITIATIVE CONTENT 10% Certified Fiber Sourcing POST-CONSUMER www.sBprogram.org6 I+ SFl-01290 MADE IN USA GET ORGANIZED AT SMEAD.COM 7 LOCATION SEWAGE PERMIT NO. 1,07-, ,Of yr- VILLAGE INSTA LLER'S NAME i ADDRESS 1 , ®BUIL 'D/ER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED r vT t2o.vT x 3� �Y 3x No...... ........I----- Ymx 5..v..4............... THE CPMM(j�WEALTH OF MASSACHUSETTS BOARD OF HEALTH .........__......0 F................ /......................................................... Appliral ir 11isposal Workii Tunstrurtion famit Application is hereby made for a Perrm to Construct or Repair an Individual Sewage Disposal System at :0/0/ ..................... ...2jq� "7Y ./ a ...... ........................................ .............. .. Locationor Address Lot No. . .w....Lr... � n :7 Address ...................... ................... ----- --- ---- .. .................................................................................... Ulai� Address Type of Building Size Lot............................Sq. feet U 0-4 Dwelling—No. of Bedrooms...........................__..___.Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons...._..._....__.......______ Showers Cafeteria Otherfixtures ...................................................................................................................................................... Design Flow.._.....!j ..................gallons per person per day. Total daily flow___........7.1.6..................gallons. 1:4 Septic Tank—Liquid capacity/LMO.gallons Length................ Width................ Diameter---------------- Depth...._........_.. Disposal Trench—No. .................... Width................._.. Total Length.._..............._. Total leaching area...Z.-64,.sq. ft. Seepage Pit No---------- .......... Diameter............__...... Depth below inlet_........_.._._.._.. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) , r,Percolation Test Results Performed by_______________________ ........... Date___._._.____._ Test Pit No. I M, utes per inch Depth of Test ........ Depth to ground water.-__.i 11 Test Pit N, t rnuates per inch Depth of Test Pit.................... Depth to ground water........................ ................................................................................................................................................... ......... ................. . ..... A.). 77 0 Description of Soil.................................................................. ......... ..... ........................... ...................... .......... ..1._1.......... _/_V ar ----------- ----------------------*--- IL—k— ------ rl,------_---_------------ ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answg when applicable............................................................................................... ..... ....................................... 2�. ..... L--------------- ----Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'L I TL IE 5 of the State Sanitary Code—Th undersigned further agrees not to place the system in operation until a Certificate of Compliance has been is the b o calth. Sanitary Code— I undersigned further agree has been is the bo 0 calth. Signe ... ................. ... ......... .. ....... ......... ........... .... ;e/late...................... Application Approved By................................................................................................. .................. Date Application Disapproved for the following reasons:............................................................................................................... ........................................................................................................................................................................................................ Date PermitNo......................................................... Issued....................................................... Date ------------ --------------- No...... --..Q... FEs.....5 2..............._ THE COMMQNWEALTH OF MASSACHUSETTSk i BOARD OF HEALTk .-------- --- --------- --------------OF.......................... Appliration for Disposal Works Tontrnr#inn jhrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: oe -• -- - ... � /PCs p..... .......... -----'-------------- - - - - •--------•--- ------------------- Location-Address or Lot No. ................... ..........._ � 0° ' ��. ddr... .......................................... f�� A a caner ......... .....° ... ......... 1....�x. ----•---------..........................-•----.............................._..... Installe Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons................_........... Showers ( ) — Cafeteria ( ) Other fixtures .. W Design Flow............................................gallons per person per day. Total daily flow____..._. .._.__..._4f.__.._......__._..__gallons. WSeptic Tank—Liquid capacityV R�Jgallons Length................ Width................ Diameter------------- De th_.._._:........ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.._ �.Ksq. ft. Seepage Pit No---------------_---- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Resul s Performed by.......................................................................... Date........................................minutes per inch Depth of Test Pit.................... Depth to ground water.__ Test Pit No. 1_ _�e_sf_l�. p p p gr ,,�J�, (� Test Pit No. 2-- minutes per inch Depth of Test Pit.................... Depth to ground water .................... a ------------------------------------•----------------•-------------------------------••------•-------.--------------••-------• ------ D Description of Soil..................... ............ U ��.2: ...................... --•-.--•------..... - 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 i the of 1lealt Signed -.. .. .... Mate ApplicationApproved By.................................................................................................. Date Application Disapproved for the following reasons--------------------------------•-----------------------•------------------------•---------------------.:......_ ..-•-•-•--•---------•-••-----•--------•-----------•-----•---•------••---------•-------••-----•-•--------.-•..................•-...----------------•--------•---------•--•---------•---------•-•...------ Date PermitNo........................................................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF................... Tatifiratr of Tomplianrr THIS IS TO TIFF, hat t Individu Sewage D•spote System constructed ( ) or Repaired ( ) by ......... ........ fi r f 4�_. `e'l ...........................................................taller been installed in accordance with the provisions of TITI , ` of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__......... / 81 PP P ----------.......-I dated THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................•----............._.. :... f.m ! ...... . Inspector..._n- - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF................................................................................... / �i��ro��t1 or�� one' err i� Permission is herebygranted............. ..... tom...... to Construct ( ) orRepair ( ) an Indiv' ual Sewage Disposal System , at No............................ - g----------- .-- - C Street as shown on the application for Disposal Works Construction Permit ----------------------- Dated Dated.......................................... �✓ Board of Health DATE.--rJ-'------------------------------•-----------•------ 1' FORM 1255 A. M. SULKIN, INC., BOSTON f h-4 L Le77NI / ?5, 53 L0TE QO / /S 7 Z7 S,F• •x /r q V a `: 7.0 tz 4 o f 4; y (a0:7o rot... d'—•• � 3 ` _5UO O s,r s AM4S b,oc7 ? n $ 42 A00 Xv A. g o ORSE y R 6 EoGa or 9 7 A4VS47 Y 9q. No I .<< A'P�FGISTEP��4. I iV. D'vyr 0 AL n LEGEND i CERTIFIED PLOT PLAN °f tXISTIN0 SPOT ELEVATION ^OxO t�. EX.o3Ti1d0 CONTOUR ---- 0 -M s� „ c LOT E N/3� ORIvE pF'IN.I.$HE® SPOT ELEVATION RoaERr FINfiHED;,,CONT.OUR ® ucs .ELDRED IN w APPROVED s BOARD OF HEALTH' , 1y;t ` =OAT E: AGENT . _.. SCALES / — 40 DATE • 7 8 �.URE®GE ENGINEERING CO IN N/cKv�gs t°v1.LENT.,.-----..-- I CERTIFY THAT THE PROPOSED EelSl'EFLE REOISTERE '840 Z BUILDING SHOWN ON THIS PLAN JOB, N0. C.1VIL LAND CONFORMS TO THE ZONING LAWS EI►00 NE ER RV Of t� ry .BYe OF BARNSTABLE $ MAS 71.2 MAI N ST'17EET.`: ' CM.:BYe _,RZB 9 (y t HYA Id N I $,. AA:A$S t. t S:H,EET ..._ OF A E REG. L ND SURVEYOR 20 FT. M/N /V07E /F E/Ti'/ER ?NE SEPT/C TANK DR ZZ-ACg11VG PiT ARE MORE TH�9.r`✓ /2"REEDJ�V /O FT /''//N SRA OE, A 24"O/A M E TER CO/yCR F_ T� CO;I&A1, �� SHALL BE t9ROUGHT TO GI?ADE. / N EXTRA f �- �1 4"P✓C P/P�' ' MERVy CAST /RO/Y Co//ER Sh�.4LL !3E USE.t� CONCRL'TE M/N. P/TCH .a .. ��-. C!9.0 CO//ERS� r /F/N DR/✓EN/A Y I. /B pFR FT. v' GR•9oE CV VER CL EAN SA A' L/ U/O LEVEL • -' : �� 6 4`'CAS7 - _ ." 2 LAYER IRON fJ/PE i 1000 �Yo 6 /y'/N.PITCN GAL. ' d • • • . . ago n e �4 %'Pei /rr S�PT/C TANK D/sT, o . e • • • . • • , o , q i'YASHFO S72�NE BMX • • •• • r • • OEP7," • • t • • o 0 WA5HEP STONE a - ti, ° v • • • • • • • • I p o , 7 on o //3 X' /_O = ! 3' .. . o v. • I • e o e • r • p o•j, PRECAST SEEPAGE a all P/T OR EQU/✓ !/VV 1,M �ics� fL4 1 . ., a o EL.TB70 /iVYERT AT B1//LO/A/G, _ FT lNLE7` SEE' %C:Ti4NK FT PIAM.' ��SE�.T�ULAT/ON �.,041LET SEP'T/C,WANK s u R Tim /NLET D/5FR/8!/T/ON S F Sec 4 ? GROuNo i1TE L� T OUTLF7 /®iJT`®INX S Z t-T}f • , S .S� lNCET LEACNIIVG / tT 95 F]� _ €•. Fn ? L�,3�A�Et 'T�I�llL.A'TJD . . Q DES%GIV Cxl rE IR- NLlM®ER Of OEOR00/►9S 3� 3'' ` ,k D/MENS/®/V .G ¢'x FT M tN • GARa.a �o/sot u�v/r° Ava.v'.�E TOTAL EST/I44rED F'Lodv 33 o GAL" DAY SOIC' TEST" I SO/L. TESTS $D/.L. TE`�T a `, • r /{7!IMA,6v ac LOACNINCa P/TS OLY EY PEF S®JZ: TEST 5140Z L.&ACHIKG-P�a.st P!T /.S> SQ, FT. / U _Z!. REs LILTS l4l/TNESSED BY 3 E�, ./.4 c 6 i 60TTOM L�gCH/NG PG=R P/T /13 $Q. FT !�/� ^e Fa.-ACCLAWON RATS I Le`SS M/JVrJ/NCN C zG(,. .. - svc3so�L TOTAL. LEACHINer- AREA .. SQ, fT. PIFRCOL'4'T/CN R.+47E 2 'TN' M/N1lJdCH REs CHI NC-AREA zb 6 SQ �T. 2`- 6`E.. M e-D :5A ., z;a � aim - .. OF hi ��HDF�yIs 6 �-fZ� ® J~� . T�'AEnIB.OROSEER Ad�rvE BRUCE ELDRE I4: 5 Np v ORSE Y ¢ No.10951.p N s � � � �� / l�f�Cv c��/1VC: E� o� .o PF Coll r, 4*; .7I2 .M.a IN•ST,.{., /yY,�ir!/v/;S, M4 SS: ST G/ 3� �� '.ISfD G` Gl a ►-� E Goun%rE.�eEo4 G 4/ER/T t ;� ,• '. - :; � �. - IgOu 17-t•�s/ATER'jgr.L:s.L�f/ y-� 5< z EET, - - ,y...t -i, ='ek+,�-.:�'=5 ,t f'F..i f- � Mom.-;.,b. "e.j•'`3 -,'aj ,.n: e. "rro *...,y. , :. .. .. ._.` ,:..-: .. .,.- ..." .. ,:.r_+ �' ++d..Z` � S d -r s�.,.�:.,� .,� -r''' .?s`c.%.,`` �.0�` „dy •.s..,g.:t'-;.}r r''-{`.�.$..� Kr` f :mot€ .s�'