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Home My WebLink About0037 WATERSIDE DRIVE - Health 37 Waterside Drive Osterville A= 207-159 i No..K-- 141 - Vll�s THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........o /............OF........ 19, r✓ %�4 t-z—' tI . ........................................... A:P111irattun for Uiupu,ial Workii To' nstrurttun ramit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: _ r'..o i...................................................ry Lvf}?-�2 L.c_.....'T..... �LL MA ((�aa�tfn-Aress or Lot No. ................... ..._.. S:iC .................................................................... Owner Address W Installer Address Type of Building _ _ Size Lot..«_,__f'��.01-_..Sq. feet .-� Dwelling—No.-of Bedrooms.......................� '-----__Expansion Attic ( ) Garbage Grinder ) Other—Type e of Building No. of persons............................ Showers C4 YP g ---------------------------- P ( ) — Cafeteria ( ) a' Other fixtures ............................................. d •------------------------------•-------- .......--------------------- .._.......... Design Flow................�5.........._.._._...gallons per person per d y. Total daily flow........ ...................gallons. Septic Tank—Liquid capacityl15?gallons Length 1 .:. .. Width.5��. 77 Diameter................ Depth-+-.-$�Fr x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.. ? '... Diameter..l- .1�!F Depth below inlet_�-Zt GE-Total leaching area_-—.j_ _.sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by............. ...t^'......._.....`.1..... ........ G._:-. Date_.6�-'7�—!�-__. Test Pit No. 1..Gz-:.._muiutes per inch Depth of Test Pit...j_ Z___....... Depth to ground water.>°?..... '._. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x *'•--------------------------------------•--------•----------......--•--- ................_........ .........----•. O Cc� Z_41b /.&.ea � s soi Z �/aS '1—I� TT Sa Description of Soil :.............. �.__.... ----•--- •. ------........................_....1....._.�;.._...p ._._........ : � �/!� `T�/� p'Z -- c�v -lam joa-l -- -.. �!. s�Q:..�_f.1Z..-- ... w ..........................--- ••- !.rsc� ^...._)----� � 6'' .... V 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:I':LZ 5 of the State Sanitary Code — The undersigned further agrees not to place the system in operation u til er i i te- Compliance has een issued by the board of health. Signed., .................................... ......ti.` Application Approved By............. .__.. _: ��at�� ...................Date ....... Application Disapproved for the following reasons:...................................................................................................:........... ---•---------------------•------•---•-------•------•-------..........................:--•---•-•--..........-------•------•-----------------------•-----...............---------.............._.._...-•••- Date PermitNo......................................................... Issued....................................................... Date r THE COMMONWEAL OF MASSACHUSETTS .•, 1 i _ BOARD OF HEALTH ......... ..............OF........ Z ,/S?`-9 3L - --- -----.....................................liration for Digpviial Wnrkri Cnnnitrurtion 1hrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: f-Lqcation-Address or Lot No. ................... ...... c-� .--••-------------- ...--•--------------......-•---...--•-•--- -------. , ....................•............ Owner Address Installer Address Type of Building _ Size Lot.1 P�.!..._Sq. feet V Dwelling No. of Bedrooms__`:___ CCU"__ Expansion Attic�•-� g— ----. p ( ) Garbage Grinder �) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) QOther fixtures .-------•-•----•-•------•---•-•-------------•---•--._.._..._--•--._.._..---._._.__-•-•------••--------•---•-----------•--.....--••-•-•........._-•--•- W Design Flow................ ____ _*..__.__...._.__`_.gallons per person per dry. Total daily flow,_._.____4_`�..�' ......................gallons. WSeptic Tank—Liquid capacityht_wgallons Length/ :_ __ Width:t-'__;.A�Diameter________________ Depth4!_5_�Fr x Disposal Trench—No_ ____________________ Width.................... Total Length................... Total leaching area....................sq. ft. 3 Seepage Pit No... Diameter..I.d_s' _F_F Depth below inlet_ _.iF Total leaching area_;4��:!:_!__sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 54C( -7 `" .>w+�./ Cam) c e:I1/G-:_- Date.i /L.._`�,./�iPS � Percolation Test Results Performed by...................... ...._._.. Test Pit No. 1._.':.:�,.Z-..._minutes per inch Depth of Test Pit..._4:.._.._._. Depth to ground water.�a 41 z-_. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground,water....___.._..__..__.._... a ---•..........................................•--------•-•-•--......-----•------••--••-•-------.._.._--•-• T / ....................... -. •. .SO Description of Soil----= - Z. ea :. .T-: '�Z � a � . } . ..' /a e..-U -•-•----••--•-•--------------- --�_ � ' W ••---•••----------------••....---••-)! . ._... --- - •-----•--•-••••••---••--•--••------••-•-•---•----•----.._......__1._.4..•�..}.U Nature of Repairs or Alterations-Answer when applicable_______________________________F�__.....___..___.._....._.__.._____........__........._._._. ...----•--•----------------•---•---------------------------------------•-------•---•------•-----•-----------------------------....----•---------------•----------•----------•-••-•.....I............_.. 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'Ceifiticate of CompliaSigneds- een issued by the board of health: Application Approved By__ __ ...... ..._.._.. __ Date ............. Application Disapproved for the following reasons:............................................................................................................... •.- �,. t ............................................................. ••-•------------------•.._...-•-•---•--•..•---•-•----•-----------------•---------•--.................._........•• ............. Date Permit No. Issued__ ... Date ,. THE!COMMONWEALTH OF MASSACHUSETTS t c- �� rf _ ,)C)BOARD OF HEALTH � , 3 ..........OF..............::................................. f.... .................................... �rrtif irtttr�of f�unt�rlittnr�e . THIS IS TO CERTIFY, That the Individ/u'al Sewage Disposal System constructed j011) or Repaired ( ) by........................................................................................................ •----•---......_........-----......---....._.....---..............._ has been installed in accordance with the provisions of TITLE 5 o�ppThe State Sanitary Code as de-cribed in the application for Disposal Works Construction Permit No. ."�_._l_5.. ...... dated.......��. _ �. �.............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ;. DATE----....._r v•--••' ................................................. Inspector !` _nn:.:._.._.. = .................................. ».,_...................... _1_11.,4.�.,.,,..;_».4......,........._... .._.. .a.: _., _., .., . ,.. .....,........ ......... THE COMMONWEALTH OF MASSACHUSETTS E BOARD, OF HEALTH ........... y'�!a N1 ............................ Ca`�..?ez'..f_�. FEE........................ Disposal ur s Tunstnutiun rrrmit Permission is hereby granted............................-- ------•-----------......-------------•--•••-••--••----._.._............... to Constructh( �or Repair ( ) an .Indivi al Sewa a Disposal System -.1 Street as shown on the application for Disposal Works Construction Perr6t,,No :r7 -t ' - �y � d_,__ae -- �`�. >__........ Board of Health �1 DATE............ --- •. •--•-- .............................. _. s r LOCATION / /o�s� SEWA E PERMIT NO. VILLAGE I N S T A LLER' NAME .A ADDRESS S U 1 L D E R OR OWN ER DATE PERMIT ISSUED 10 DATE COMPLIANCE ISSUED �� ,_ ��•� �5 '1 �' \� � SECTION - SEWAGE _ so -SEPTIC TANK - ?jc7 - 'D"BOX - I LEACH TOP OF FDN � 1 SS.S (MSL)it "2"OFIISTO42" GJ .i \��` WASHED STONE 1 IN• 5 OUT• IN- OUT• IN• =SEPT d� f �ffEV ELEV. . ELEV. (� Go S I • o Cov ELEV. ELEV. �� I —�� \ .a� -- OF 34"-142" WASHED STONE r TEST HOLE LOG ' TEST BY t-A A WITNESS __--- TEST DATE DESIGN BEDROOM HOUSE o�T.H. 1 2 E 55.E a T.H. # D, —1[ LEV. ELEV. NO L Z DISPOSER DISPOSER PERC RATE 1oo�m s�bso� �z, �s_c7 MIN/IN. ` \ •� -mod _ S- �� FLOW RATE 7j�o(GAL./DAY) 4`-A5 S' - �a�a � •_,.q/n - SEPTIC TANK N , � •• REO'D SEPTIC TANK SIZE LEACH FACILITY SIDE.WALL Llz C��?r = 1ee"' Q.•s) _ -t) -Z G/D. 4 �\ \� \ ¢7�� _ BOTTOM = 115-E (I.o G/D. TOTAL �— I USE. a �- ►� -f' LEACHING WATER ENCOUNTERED \ 1 z . NOTES: (UNLESS OTHERWISE NOTED) 1.DATUM(MSL)+TAKEN FROM.�}�jYN S_QUADRANGLE MAP 2.MUNICIPAL WATER—____!S "_.______-.-_AVAILABLE �1N �f M�p� 3.PIPE PITCH.'A"PER FOOT �IL `WC 4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- -44 yG 5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1) FT. ARNE H. 6.PIPE JOINTS SHALL BE MADE WATER TIGHT OJALA 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. CIVIL y SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 NO. 30 ' C ZjcZ 17T�1�/CwA`! O 4'E T > /�� H Of ygJf4�y LOCUS: oo ARNE H. RE NAL ENGINEER OJALA o #26348 REF: down cape engineering �`'(E' 'DEC1$T PREPARED FOR: ) ,x's"' J CIVIL ENGINEERS �� M Ct��t�T`�XT►c7�� G[�j , LANDSURVEYORS -- ----- BOARD OF HEALTH 920 main SL REG.LAND RVEVOR. �� —12� CONTOURS (EXISTING)----•-- (PROPOSED)�—O—O—O— APPROVED DATE �A�� 't-� MA �C> � , SCALE ( —�� ' Z4 D,4eTE