HomeMy WebLinkAbout0032 WATERSIDE DRIVE - Health 32 WATERSIDE DR
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ASSESSOR'S MAP NO.&0-2 PARCEL 16( N
LOCATION 3 r SEWAGE PERMIT NO.
�V LLAGE
� 1NSTA LLER'S NAME a ADDRESS
B U I L D E R OR OWNER
DATE PERMIT ISSUED _��
r
DATE COMPLIANCE ISSUED
y -� ® -7 l
THE COMMONWEALTH OF MASSACHUSETTS F.imB/ ...............
0 BOAR® OF HEALTH
...................OF....................................•...----------------•---------------------------------
% Appliration for Dispati al Workii Towitrurtinn Prrutit
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
j System at:
....... Location- ddr s or Lot No.
.....°�0._!a!✓ .z':..T�[. - '� � �1 ��f� ?' ...lE✓..✓IC_r_ A/YR-�Pl/1.J.�..........
_....------•----•-_.._.
O er Address
sal
Installer Address
Type of Building Size Lot____� i................' Sq. feet
Dwelling—No. of Bedrooms............................................j Expansion Attic ( ) Garbage Grinder ( )
� Other—Type T e of Building von « No. of persons Pa YP g �-•--•--•----...--•-•, P ----------••-------- Showers (L,-) — Cafeteria ( )
a' Other fixtur_?
w Design Flow...................
.........................gallons per person per day. Total daily flow............3 d....................gallons.
WSeptic Tank—Liquid capaci y.b�e_gallons Length________________ Width--------- Diameter.... ....... Depth_______._______-
x Disposal Trench—N . .__P/tt....._ Width....._....... Total Length______ __________ Total leaching area---:__—..........sq. ft.
Seepage Pit No_________ _________ Diameter....... Depth below inlet........�f__......... Total leaching area_.�y......sq. ft.
z Other Distribution box ( !� Dosing tank ( )
aPercolation Test Results Performed by...... :'.__ ----`_t--'..____r_____________________ Date...... ___________-.
Test Pit No. minutes per inch Depth of Test Pit......� �______ Depth to ground water.... ______-
fi, Test Pit No. 2._,.-.--_Z—._minutes per inch Depth of Test Pit.......C?-........ Depth to ground water_______'_(______________
a
0 Description of Soil------------•-• f f 3 l� f v soy ` - -
__ 9)
.�_._.._.1......... -------------------
w G �'L—
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 iITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
ation until a Certificate of Comp ' nce has b sued b e bo rd of health.
nedp`
cation Approved BY•-•.............•••-••-•• •••-•--••--••••• •_._.......-- ._.__...-• "at
$�
Dat
Application Disapproved for the f ollowi reasons-------------------------=-------------------------------------------------------•------------•••-•-...._•-----•-
-•••••••-•-•••-••••••-•-••••-•---•--••-•----•---•-••----•••••• •••--.....-••••-----••••-•••••-••---•- -----------------•----------------•••...-••---- •••••••--...--
Date
Permit No....... ---••••-• Issued.......................................................
Date
-----------------------
y`
No......................... FEs.............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........................................O F.......................................
Appliration for Bispoottl iVorkg Tonstrnriion tIrrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
................_........_..................:................................................... .....-----•-..._.....---••---•---•---...--•--•--------•----------•----•--••-•-•---.....-----•-----
Location-Address or Lot No.
�
.-------------
W `�/ � � • �"�) Address
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
a Other—Type of Building ____________________________ No. of persons_______________________--_-_ Showers ( ) — Cafeteria ( )
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 ( )
aPercolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Gz., Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
19 •••••-•--•----------•-•---...--•--•---••--•-•••-------•-•---•-------•••-----------------------------.........................................................
0 Description of Soil........................................................................................................................................................................
x
U ----------------------------------------------•-------------.-.----------------------•---•----------------------------------------------------------------------------------------------•••-------_•-•--
W
U Nature of Repairs or Alterations—Answer when applicable._.__...........................................................................................
----------------------------------•--••------•-•••-•------••--------•••-••••---•------•--------•-•••-••---•----•---•••---•---•------•--•--••--------••---•-------•••••-•---••--------•--------.......__.
Agreement:
The undersigned agrees to install the afofedescribed Individual«Sewage Disposal System in accordance with
the provisions of TITLE:p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
ation until a rtincate of Com •ance has been issued by the board of health.
Si ned.............
j Dat
ication Approved BY-----•••-••••-••--•---- �•• :. -------------
--•---_-•-- -----------.--
Da
Application Disapproved for the followi reasons:...............................................................................................................
.
Date
PermitNo........................................................ Issued..................-....................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
f.:. L. OF........ <,......................
Cwrriifiraie of font �i�anrr
THIS IS TO CER Th t the�ndividual Sewage Disposal System constructed or Repaired ( )
by-•---•-------••---•-----------•-•-:k�t.-�-----<JCL ------------------------------------------------•••-•---------•-----_---- --
' Installer _ •�
at
has been installed in accordance with the provisions of 1I rT r of The State Sanitary Code as le r' ed in the
application for Disposal Works Construction Permit No-- ,.��.______.__._ dated-.._._ _________________
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUA ANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.............................. "rs �. ................... Ins
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F—.HEALTH
C ..............Z ...........OF.--------............_........._.... --•---......._.. �=
No. FEE........................
Mipma1 orb n ton anti
Permission is herebyranted--•-•- � __
g ------------
to Construct (n
or Repair ( ) an Individ�}al Sewage DisPosal System ,
at No.•--•-•--•••--• ---------!'O''t `•� 3 Wcx*f.. rS_(-d� l�i�:�_i?._ �.�-v�.X.�-c�/-�!t.�
Street
.as shown on the application for Disposal Works Construction Permit No................. Dated_._ :_.4..._.....................
l Board of Health
DATE--------- ----------------------•---------'
FORM 1255 HOBBS & WARREN. INC_PUBLISHERS
56441
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!0LEGEND Z ,C . 3 ? z9oE
EXISTING SPOT ELEVATION OAO
EXISTING CONTOUR --- 0 --� CERTIFIED PLOT PLAN
FINISHED SPOT ELEVATION
FINISHED CONTOUR 0 Z e)7 Z 3 14/_ 7/\ u<� �;- J re 6LAC
NOTE: The• location of any existing underground sewerage,
CEO/7� ;/I Z- L.E
wells`, ' or other utilities Shown on this plan is approx- IN ,P�„iscv S z3 €'6
imate only as 'determined from records. and/or verbal 9 A•F1 j1kJ.S 7A.9 �A � +
information. The contractor is responsible for the -_,�J
� _ Sry t3 86
Verification of the existing locations in the field. SCALE, / �' DATE / 35�
.DREDGE ENGINEERING CQ IN01 ` wry~K*vE ,J6go
CLLIENT.., c. i CERTIFY THAT THE PROPOSED
CGISTERE REGISTERED JOB N0. cfSy70 BUILDING SHOWN ON THIS PLAN
CIVIL LAND �'' . DR.BY� �A '.�.: CONFORMS TO THE ZONING LAWS
E 0 ER RV OF BARNSTABLE , ?MA33.
712•.M AI N STREET. CH. BY R,.r3.E• 4A/ E
MYANNIS, MASS. ZSHEET—' OF REG. LAND SURVEYOR
/VO7"E : /F E/TN&A? THE SFPT/G TANK OR
LE/ICs•//NG P/T ARE MORE 77NA1" /2"&ZLO-4V
/G FT. M/N• �"Rr'1 DE, �1 24'O/.rl M E TER CONCR.F TE C4 iiER R
I S/yA1LL ®F B.POUOSyT Ta GRAD.F.�.9N .FX7•RA
CONCRC'T� i y'PYC P/per JYE,4VY CA ST /RON CO Eft Sh�AI- C3E USE'O
CL 3� P/7-
.�,. 3 COVERS 'oER FT /t'/N OR/YElVA y
�A -__ - dAOE COVER
CLEAN SAND
L/QU/D LEYFL 70±
DIA.
SCkE�uLE4O zLAYER
MIN. PfrcN GAL. , p.moo
SEPTIC TANK D/ST. • . . . • . • , IYASHED S7�%NE �.
BOX 1 $ • • • • , •. •
314
• • • D�PTN • • ' s . WASNED STONE
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113 x /•o = / 13 i r. � • . s s • , , . D • r PRECAST SElr�4G£
(b��' �°LFYA�/4IVS P/7--C--iP,-iC'-rl `�9O r� ♦ •o� � . • • ♦ • . . l A '• P/7OR "U/V.
/NY.ERT AT BUILDING 25-,o FT. A (•fT OIAIJ'?.
/NL ET .SEPTIC 7AA1K Z y'v-FT, f 2 FT. PI AM. C SEE 7�9BULdTI UN>
OUTLET SEP'T/C TANK 2y
IWLET DISTRl45t?IOM BOY 2`/ y A-7 SEC7'.'Q/L' CF GROUND #4447-ER TABLE
OUTLET Di 5rRIB[IT/.o)y BOX-2 y z-- -/r7
II/LET LEA CH1,Va I9>/7 -IVC) FT. .s�d�/AG� ®lSPOSA L .SYST�/r! To4SULATIDN
L EA CHtN6 P/T
DES/CAI CRITENIA JCALE : %4' _ /=o" D/ME/1l.T/oN A � XT.
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NU.&fBER of
3 D/Md7VS/ON C—�FT./17"`/-
GA.4Q,AG£D/SPOSAI- U/Y/T /ru 11E SOIL LOG
TOTAG e5r/P'3.•STED FLOAT/ 33 y G,41.10AY SOIL TEST AI SOIL TES7-02 SO/L 7''E57'
NUMAER OE 4E•4CMINZ; P/Ts I f-FtZ.V -Z �• A— -,V. 2 , ° GATE OF SO/L TEST �/ f �--
G `�-
�� ,� � � RESULTS JS/ITNESSED dYl3.�YT�rr � I'%=
BOTTOM L 9CN/NG PE P/T Pe-ACOLAT/ON RATBr ^IjAV/NCN
i TOTAL LB4CN/1Y0 AREA -' PWNCOL/AT/G/V RATE'1*2 '� MIN.�lNCN f
RESEiY E LEi4C'//1N6 AREA F' SQ. FT. 'J
�$4h OF L, f i/ , L 0 T 7-3
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