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Home My WebLink About0218 SCUDDER BAY CIRCLE - Health 218 Scudder Bay Circle A= 188— 117 Centerville S M E A D No.2.153LOR UPC 125U smsad.com • Made In USA *'O`C14b or I�11iD Y 11SI�UCTIY SFI �� Muffmam L0� AT10N?4&�-:, SEWAGE PERMIT NO. YILLACE INSTALLER'S NAME & ADDRESS d Uhl=D E_R OR OWN ER DATE PERMIT ISSUED D A T E COMPLIANCE ISSUED jJC 2!I �CJJ GA�A j� PF� No.. .......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..... ............................................ Appliration for Dispatial Works Tonstrurtion ramit Application is hereby made for a Permit to Construct (�) or Repair an Individual Sewage Disposal System 0: D)CQDJQ.W_.ZR4....CLRU,.f. .................................................................................................. P Location- ress J phrollsr_ XjPA IL or Lot No. . .............................................4% ............................................... Address er Ovin s e s ............................... .......................................... ........................................................."---------------------- go Installer Address 14 Type of ilding Size Lot___________________________Sq. feet U 4 Dwelling—No. of Bedrooms.......*.................................Expansion Attic Garbage Grinder (90) Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures .................................................................................................................................................. Design Flow......I.41JC).......................gallons per person per day. Total daily flow-----1-5t.0........................gallons. 04 Septic Tank—Liquid capacityl,.2.50gallons Length................ Width_.......___..... Diameter..._.__..__..... Depth......_......... Disposal Trench—No..................... Width....I........_._._.. Total Length...._.............. Total leaching area....................sq. ft. Seepage Pit No...14-3- Diameter.....11........... Depth below inlet---1.6*....... Total leaching area.40PQ......sq. f t. Z Other Distribution box J) Dosing tank ( ) Percolation Test Results Performed by---- ------------------------------------------------------------------- Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.._.__..........__.. Depth to ground water.._....____._........._. fTo Test Pit No. 2................minutes per inch Depth of Test Pit.__.........___..._. Depth to ground water._____............._.... P4 ..................................................... ...................................................................................................... C) Description of Soil........................................................................................................................................................................ x U ........................................................................................................................................................................................................ W Z .........................................................................................................................................................................I.............................. 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 Ti LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in opera a Certificate of Compliance has b n i u y thVed of health. y Signed....... . . ........... ............. . .................................. ................................ ........... Duat Application Approved By........... ....... . ....... .. . .... ............................ __&.. ....... 'Date reasons: Application Disapproved for the following reasons:... ............................................................................................................ ........................................................................................................I............................................................................................ Date Permit No._.... ...... ......................... Issued----------- ....... ............... ....... Date ------------ ------- °d No.... -). YT.��._............... d ' THE COMMONWEALTH OF MASSACHUSETTS ! BARD OF HEALTH ..a4.?tJ......... ..................OF.....".1 � ----- •-----.....-•-- 4,110 Appliration for Disposal Works Tons rnrtinn Prrutit Application is hereby made for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal System uaQz..P .. .: _ __ Location• dress or Lot No. O ner Address ...... ..........— ...... ................................................ / Installer Address Type of 136ilding Size Lot............................Sq. feet Dwelling—No. of Bedrooms....-------. ---•--------•----•------_---•Expansion Attic ( ) Garbage Grinder Na ) 114 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) al Other fixtures ......-••-••... ---•-••------••-••....... Design Flow...•..............•..........gallons per person per day. Total daily flow...._. W P P P Y Y dons. WSeptic Tank—Liquid ca.pacity«'SO-gallons Length................ Width................ Diameter................ Depth................ xDisposal Trench—No..................... Width................... Total Length...._............... Total leaching area....................sq. ft. Seepage Pit No...1.4---1___. . Diameter----1.2i.......... Depth below inlet.....: ........ Total leaching area. .......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) W Percolation Test Results Performed by.-- ................................. Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.__.__............._ Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P -----•---•---------------------------••------...........----•-•--••--•--------•---........................................................ 0 Description of Soil........ U •••••--••.....••-•••-•-•-------••••--••--•=......•-••------•-•......-----••...............•---••••••••---••--••-••----------•-••••---•-•._.....-•••--•-••••••-----•-••-••......•----...._.............. 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 TITIZ- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in opera ' ul a Certificate of Compliance has n s by th rd of health. Si ned...... Da Application Approved BY......... —. . •---• ...•....a. ''1<-'` .............................. t Date T- Application Disapproved for the following reasons:_.._.................. ----•................................................................................................................ .........--•---.•-•-••••••---••••------•••••••--•---•••--•-•••....-••-•-•--•--••--•----------------•.......--•---•-••-•-•--••-••-------••-•-•--•--•••.........•-•••-----••--•-••--•---------•-•---••--•- �- Tu Permit No......... 1.0--------•------..... Issued....... S -Date Date - _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtif iratr of Tuntplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) bY----------------------------------------------------------------- !!�� /✓ -•-•- ----•------------ er at... S.tl_Z s ue/ Ins , — r J .•• has been installed in accordance with the provisions of TITLE 5yf The Slate, Sanitary Code as described in the application for Disposal Works Construction Permit No........... jVY.41 dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............3�`....� .---•---•.................•-•---•... Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH yy ...........................................OF.......... ,�. No........................ FEE..., Disposal Works Tnntrnr#ion rrntit Permission is hereby granted......... -••••-•-•••-•••-•-•----••••••._....-•••••--•--•-•-•-•....••••-•...••-•................. to Construct ( or Repair ( ) ag ndividual Sewagr,Disposal Systenk - , at No Street as shown on the application for Disposal Works Construction Permit No..................... Dated........................_................. .r ...__...=...1../C........ ......................................................................... Board of Health DATE. ...................................................... FORM 1255 A. M:-SULKIN; INC.: BOSTON r% r t . w RONALD G. SCANZII_L.Q, 0WNER DAVID . C. THULIN, P*E. 178 ROUTE 6A, EAST SANDWICH, MA. Iz z4AD N Dg [ LF V/ W s m 0 55 75 . Lir N� � i••. --111 y` � �7 p N 14 7 D ID o THULIN T 7 No. 76 N FS h1AL E SCALE �11-30' I CERTIFY THAT THE EXISTING FLAN REFERENCE*# LC " 27801 G FOUNDATION ON THIS LOT IS ASSESSORS LOT NO-* LOCATED IN RELATION TO THE NOTES.' EXISTING MONUMENTS AS SHOWN INDICATES CONC. BOUND FOUND DATE _------ - ---.._.._._.........._.................... it s lZ 1=-"-r 3--c s,4r,s-T I=-m.......... .....1:). c- s-r 0- N .... L-0-r -1-7!5 :P. FD u m 1=:"s Fz 3--v 1=FR F-C 0 A E> R 0 N A L D G G. _SC ANZI.L.L.0 t OWNER DAVID C. THULINt P.E. 178 ROUTE 6At EAST SANDWICH, MA. DESIGN DATA4. TEST FITS DATE AZT�83 STRUCTURE SINGLE FAMILY RESIDENCE EXCAVATOR J.P. HOP. Q .................................................. DAILY FLOW BoOoll AGENT VcF, GIFFOaD 4S0Z"Y, 1106PP/3DW - 4406 ENGINEER ..L67 L,L p 1,5X4-q-0 = TP NO.._I__EL 48,2- TP NO...Z SEPTIC TANK ---------------- ----------------- LDlt�,H �S-UBSOIL- -USE PF-P- TO,E> PERCOLATION RATEZ2 MIN/IN LEACHING RATES BOTTOM AREA I- 0. GPD/S,F I. HED SIDE AREA 2.5 GPD/SF AS LEACHING STRUCTURE I I I -TP I al-EA/-HPITS &,14>x-3.5' wjslt,,rowE BOTTOM I'Lz kTr/4 = 113 5F SIDE 12. x 71_ V 5,5= 13 Z-S;= CAPACITY to GF-C)UWC) WATEZ 7- (*,e4� W/1 1.5ro P- L-:Quiv. T .11-!> SF u 1,06PP/SF1 - 113edpo, S - - 5213 qo TOT q�2GPD ------- ----------------- 60 ----------------------------------------------------------------------&D LP I I S'WT-S I zz TP I 5D.5INA/ ---------------------- -- - ------ I 1NV 12-!5 0 INV F= , 47.9 Mt D Ll GAL 0=' v4ta I A, - Es I Isiv 148.2 .4 G)---------------- -- -------------------------------------------40 1416H 6W 37.C) ------------------------------------------------------------------------so .6\N LEVEL AL-.>,l Al\N 'Zt';0-Z0Qa [:) 4-53 Cor-'12.- EL- 37.0) SECTION THRU SEPTIC SYSTEM SCALE V - 10HOiRIZ. I"-10-VERT.