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HomeMy WebLinkAbout0000 SHOOTFLYING HILL RD - Health r� c V vl-ll�l WA- k k �ct ad N SMEA KEEPING YOU ORGANIZED No.10334 2.153L MADE IN USA GET ORGANIZED AT$MEAD.COM 0 r L 0 C A T I _N SEWAGE PRMIT NO. VILLAGE I N S T A LLER'S NAME i ADDRESS sUILDE OR QWNER% ' ., Z tdL C 'L � DATE PERMIT ISSUED g �- � DATE COMPLIANCE ISSUED is-ag.61 J j I f ��� �� � - / �.�. �� � ��' ," •-a NFR$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD AHEALTH ...... ......... --..........OF................ ...�1.- W. /.. -- ............----------- Appliration for Uhip a,ial Workii Tongtrurtinrt Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System t o f d�- �1 c .. l .`f.. ............. �� / �. cation-AddrW or t N t -`�� .JQ....�... Owner , A dress a --- � .U � .. ......---•-•------------------------------ ................. .-� �..�rrke ------------------------------------------- Installer. Address Type of Building !� Si e Lot_��--p�.7...Sq. feet Dwelling—No. of Bedrooms____________________________________________Expansion A tic ( Garbage Grinder ( ) a Other—Type of Building W� .. 4_IN f No. of persons.._..__........... Showers ( ) — Cafeteria ( ) Other fixtures . --------------- W Design Flow...................�..v.............gallons per person 4ay. Total daily 49w____--_-�..FP............_._._._gallons. WSeptic Tank—Liquid ca a ' y./O.gallons Length..... ......... Width...Y.�Q..._ Diameter................ Depth...S.... x Disposal Trench—No. . ...... Width.... ... Total Length Total leaching area.._.....--_ P i ... g g sq. ft. Seepage Pit No.--_______(---------- Diameter---------/O.._. Depth below inlet........&.!..... Total leaching area... ,- w",tsq. ft. z Other Distribution box ( ) Dosing tank C - '-' Percolation Test Results y�Performed b -_----___-Fe_4,-��._ �__.l r•!!fDate....._. /. ._.__.. 0-4 Test Pit No. �k"'.hinutes per inch Depth of Test Pit----14Z.......... Depth to ground water-----_44_ - . 44 Test Pit No. 2..`.........._minutes per inch Depth of Test Pit.___...=......... Depth to ground water....... --------- --------------------------- O Description of Soil------... ---- ¢-•---- ;;' ^-----............................................................................ v °-------- --- ------•-- ------------------ ............... ---------- •-- - �---°P' 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 iiT�.^ p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in e board of he lth. ' P g y / c, Qe�C 27 operation until a Certificate o Compliance has been issued b th ined. . --- -- ..--- -•.... ............ F.- l dA Pi¢,s. e Application Approved B •••-- -_�_�.. = .--•• .............................................. --�ZZ-----�---------- Date Application Disap or e following reasons:................................................................................................................ ............................................................................ Date PermitNo......................................................... Issued.................................--------------•-- --- Date } No."!•- _....... .............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH - - --------------OF.....................I.......-......... ......-............................... Appliration for Uiopooal Works Tonotrurtion JIrrutit Application is hereby made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal System at: ................ -•--•---- ---•---- ---.... ..... Location-Address or Lot No. ......................_.......................................................................... --.....-----•----------------••---...----......_......__...........-•••-......._...._•___...___... Owner Address W Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) a f-4 Other fixtures -------------------------------- - W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length-------_------- Width-..._--____-____ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) •-' Percolation Test Results Performed bY.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit•-__-___.•-________- Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.........___--__--_____. R+ ---•------•------------•--•..........................••----.........-----•--------------------_-----......................................................... 0 Description of Soil.............................................................................---------------------------------------------------------------------------------=-------- x U ------------------•-•-------•-----------------•------------...-----................----------•----•-•--•----•-------••---------------•--------••---•----•-••---•--•--•-------------•---•--•---••--•---- W ••----------------------------------------•--------------------•-------•-•------------------•--•-•---------•------------•-------....•---•----•--------••----•-••---•--•---••-•---•----•...........------ 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:TT y g g p y of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. S-gned -------------------------•--•-----•------•-••-••-------------------••---. D ApplicationApproved BY ------ � • ------------------------------•--------------•--•---••--•---•--- -- -- -......... Date Application Disapp r t f ollowing reasons------------------••------------••-•------••------...-----•----•-•-••-------•------------------------------------ ............................... ---•-----......•-•---......•••..---------- -•------------ Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD ,. HEAL O F.. ,e .. :... .. ..... ............. ......... (Inrtif irate of Tontplitinre T �C FY, That the Individual Sewage Disposal System co trusted r Repaired ( ) b .�� y "Y- -- . Installer has been installed in accordance with the pr oils of l T r of The State Sanitary C ' s de ribed in the application for Disposal Works Constr, io ermit o.__ �-`. (V.................. da.ted..... �'`�_____ __ THE ISSUANCE OF THIS C ICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...--•••••---•------•-----•---. ................. Inspector...-----...&Z/A.&.......................................................... E COMMONWEALTH OF MASSACHUSETTS BOW.RF t.. .. r,. ...................... .O . : _�".. No. .............. FE --• ............... Diovo 1 kor�Tono#rnr#ion erntit Permission is ereby granted - --- - ---------------------- ---------------- to Constr t ) or Repair IT' Serra s Sy at No..... Q.-- .....lA_.... 1`. --- -- - - --- Street as shown on the application for Dispo al orks struction'Permit No4/' _... Dated.....fl..z ............. --.. .................... Board of Health DATE................ -- / ----_----_-------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS x e� z p L'�DT 70` LV 13 Io•x.to'LEP�r{iNF., PST ?i+ `- /f9C>C3 Gf1d, � 1/0 _ 1 z. h AIS?O/ 176 oc� Icx�.cc� .p No.29974 O ISTEFt�'�Q ENO S os y w t DT r 4 12_S ' LEGEND EXISTING SPOT ELEVATION Ox0 i =F ass%�� CERTIFIED PLOT PLAN EXISTING CONTOUR --=— p --- ALBL-RI- y:� o t- / SMoejT .FINISHED SPOT ELEVATION FINISHED CONTOUR 0 APPROVED BOARD OF HEALTH DATE AGENT SCALE: /"= 40' DATES }''I/4/�/ F L D RED GE ENGINEERING CO. IN °c.���°'�`����� CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED J08 N0. 91� Z BUILDING SHOWN ON . THIS PLAN CIVIL LAND DR. /} v� CONFORMS TO THE ZONING LAWS ENGINEER SURVEY R OF BARNSTA LE ,/ MASS. 712 MAIN ST. CH. By �� �✓ .I .��... " HYANNIS, MASS. Z o� SHEET-L OF DATE ! REG. LAND SURVEYOR PT/C TANk :� � „ ppr :I`tliV. : Er/.TNCR<TIVrESE :. OR L.ffigGkf^!G" P/7-AR&. oVORE THAN✓2"8Et0lV` • f� -/M/II�;� GR•40��/4 a4`O/AMETEK CO3VCAeW7—.E COVER GMAOW.CAN EXTRA- ` 4F`PVC P/Pl I GONGRL'TE j/E,4YY CA ST/ROW CO►/�R S.,YAL L B.E.C/SEO M//Y. P/TCX /lar//V DRIVEWAY, co `'paw FT.. /AFC ETE �JV 8 R x o3tAOE co NEA? CL E .SANO j h ,,lfl rEY� . 2"LAYER . 4 lo,vh'/PE (ISO;° s .• 0 • , r {` ! • .. • • •r • s ,. WA SHED S TL7NE MlJ1f:PITC/�F _ t TANK. . � . • ':� BGX' • t a �: .• s4r • • ► !• DEPTl+I • s• • ' WASNEP STDkE 4 . r • f a PRECAST S.A07AGE • ! p o a - r -i s t a. r:! • • .s • !!• ► .� P/T OR EQU/V- s /NI/CI�-E,CE✓A'IICWS` �� .. I�kB �• k_ 2 5';; 4Z:i G�F?D , t f. i � ♦ r • • • • � e _ �• ZB 5 A?"Et/f41�/IVG '^ AFT l¢S,S pi r c1aFAc�r Y 54� G i>D i FT. O/AM. ' C�5JF9 TAiWA.ATlON� OtJ�'LET Sfi?T/ /ViFF�C lOS GROVNO pWTFN TABLE / T DlSTRl�!/TION BOX FT SECT/ON OF _-_07; 'ro41sTWi®vrjONdour m49 P ► IrAWLAT" .SPN/AGE OISPGSAL SY.STE/�9 s:. ` //VLET Lt°AClN/Ala ic''!T Q S fT y /YG P/T EsACHI _ ,,. ple*fEMS/vl� Ail IcT.. DESISM CM17.OR,I �cAt� %s / o kIVAf R'of eFEc a+,rs 3: . . . - • SD�G- LOG _ - TaT.4t Esr/�awrEv l�tro,ruu 3 3 o p.4t/�4 '' ` SOIL TESTf- SO/L T�STs1F� /Q�' ..: . .: ELIrY,'f p S 'O` AwrL op- SOIE: Ti•ST S/1'DE LPAGH/MO PER PIT 1 g sit /T. J J /�ESt/tTS i�/ITN�SSED dY R� G, o r 90TTOML04CM/N6 PER P/T �F� SQ• FT. LO t?:�y7 A6RC0LAT/0X AArAF-01 Lcr rs V.#AVI VCN TOrA1 LGACNl1+t'G AREA 2 G Sys 'iT. �v/� ©i1_ S '''�E,. PEhCOLAT/C/V RATE Jtr2 . �MIN.li VCN RBSERVEGB��'N!/Y6,�Rlr�► "�$� Sdr. FT.. U C_5 /V 3'� v OF III4Ssq C?e 0 S/t:�07- Y/' T r ELLIS ti oLDREI�G�r'J1�G/NCR/JyIG CGt,INC: ,err E •- No 29874 �C7sT S E��O� C il �. E�..ry :°Q ✓ 7/2 MRINST.g�,�' yifNN13 Mif SS Foss/ONALj ,.? U. �" NO OM0V'NP WAr4w#T d7VCOCiNT�itEP': _ j.,. 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