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HomeMy WebLinkAbout0060 WILLOW RUN DRIVE - Health �0 w I"I J o c�c., (�u.n pn'�� �,n���ri ice- __- � , �� �� i e � i �� gym '14-C,) S���n piA61J0N � S E W A !�V N0. VILLAGE /' •� � //� I N S T A LLER'S NAME i ADDRESS JOH,N A. AALTO:BACKHOE SERVICE IbU Walnut Street _ ablest Barnstable.Mass, 0266A B UIL0ER OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED-, �/(/7 k�4. I ` Iry y / Cl �0 O LVN ----- ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l..A2. . ...A'--1 ........................... Applirtation for Bi_qpu,ial Workii Tnntrnrtion Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: __.............. ......... ."--..... Locati n.Address or Lot No. r� � .... ........................ ..........f�%gyp / r�.-arm On:.....� ti e e_v„t a V d A/ • .� /!J caner................•---'-----....._.......... .....-•------/.-L l a!�.SAddregs�/� s.............................. �� Installer Address d Type of Building Size Lot..ert�.,.0..O f lO...Sq. feet U Dwelling—No. of Bedrooms................. ._...Expansion Attic (V47) Garbage Grinder (Piz) ~ .�// ....___._.. No. of persons.-_ '............... Showers — Cafeteria p`"., Other—Type of Building _ p ( ) ( ) a' Other fixtures . ------------------------------------------•-•-•-----..........--------............••.. Design Flow....... .......gallons per �� ePday. Total daily flow--------- ..................gallons. WSeptic Tank—Liquid capacity l':kMgallons Length................ Width................ Diameter____________•_.- Depth................ x Disposal Trench—No........... ..... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...Z-__t. ... iameter........13.__..... Depth below inlet....0... ...:............ Total leaching•area. &q...sq. ft. Z Other Distribution box (W Dosing tank ) / Percolation Test Results Performed by.....A_t._. ,._. .4/WYikkl..................... Date_._....... ..`..l��r..�1... Test Pit No. 1..<:7--minutes per inch Depth of Test Pit---Z®._°...... Depth to ground water.._.,e.1.,0..!..._.. Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..................... -.. •--•-•'----•-------•------'-•••..................................•--•......................................................... Description of Soil.......O...m-------•-.<...Y..s--------------------s.. ---. ----------- '-•-•- _e.04Ar.e_-_.5*/9/v�J 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 iIT s:'. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Sig --------- --...................................................................... ................................ .... . Date Application Approved By.. L`rfll -- a'I'Z Date Application Disapproved for the following reasons:............•---•------------•--•-••----••--•••-•'-•-•---••---•-------------•-•----•------ ••---•......----'-. -------------------------------••-------.......----•----••••--------------------.......----'-------....-••--------------•-----•-------------•-•----......-••'•--•-- '........................ 7q� Date Permit No......................................................... Issued of— ........•• !-r•---•---'------- ate....... Date ce4 5•� N FEz K THE COMMONWEALTH OF,MASSACHUSETTS BOARD OF HEALTH OF....... ,� lirtt#io orDispa 'allUoru rCn t rnr iun pamit 'Application is.hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ... ............ ........................................................ .. . Locatrqn� -Address o Lot No. i caner Addre s -•_... __.. ..... •................. ..•------- Inst'aller. Address 03''j d 'Type of Building Size:Lot._ Q__4'9.'h_0...Sq. feet U Dwelling—No. of Bedrooms._.:. ..___Expansion Attic & ) Garbage Grinder (#49) ' pa,, Other—Type of Building : No. of persons...'.r. ___________ Showers ( ) — Cafeteria ( ) QI Other fixtures }!� W Design Flow......�_j!0...........................gallons per er day. Total daily flow----______11-�,y LT- gal c4 Septic Tank—Liquid*capacitylSOOgallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. � 1 � ✓ P .... ..... ft.Depth Total leaching area_._ Z Other Distribution box ( Dosing tank ). Percolation Test Results Performed b .__. t._ _: ._ Date_____ a Test Pit No. L__4°_ :_minutes per inch Depth of Test Pit #.. .... Depth to ground water....e-AJ'!..I*....... (s, Test Pit No. 2................minutes per inch Depth of Test Pit____________________ Depth to ground water........................ ---•--....• ---•• -•--- ---•-• ---- Description of Soil------ ••--!°:....... 4........!-- -•--S. !" fd/'�;h[ .----- -`� ! l9/tLA L"► V ;.. ----------------------------------------------------------------- -----------------------•---------------=-•,------------------------------------------------------•---------•--------------------------- 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 iIT .;•. p 5 of the State Sanitary Code—The undersigned further agrees not to.place the system in operation until a Certificate of Compliance has been-issued by the board of health. �- . ...........................................•--•---•---------•----•-•••--- ................................ Date Application Approved By..... = !r -•� .,. �a T .... p Date Application Disapproved for the f ollo'ving reasons: ..................................... ;----------------------------------------------------_---------------------------------------------------------------------------------------------------------- Date PermitNo......................................................... Issued------•---•-------------------------------------------- '. Date THE COMMONWEALTH OF MASSACHUSETTS rl BOARD HEALTH ....... ... ...�i.... ...........OF....... . ....... ............................................ Currtifiratr of Tomplitanrr T S S TO R That the Individual Sewage Disposal System constructed ) or Repaired ( ) hby.... .._....•. .--• -•----• •--••• .......................................................... -..... ---•_ ° Instal • has been installed in accordance with the provisions of T j f�The State Sanitary Code as described in the application for Disposal Works Construction Permit No'__ ___::_.__ -�T-- --•------- dated_._ X---- ` '_______________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL F�V�C�1 N SATISFACTORY. DATE.......•.) ..... ........................................ Inspector--- U. /.......... -T;HE-COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH €.w• ._. .... .................................... No:_._.:0" 'f.:... FEE....... ..--•----- •- „ , Mop 1 or. . o '' ion Vamit Permissions rebY gra _ •. • ............. •'• ••--•-•-------•••••............................. to Constr t ) or AR ipai �an dual Se a e Da Sy em Street,; F as shown on the application for Dis osal Works Construction It oY _. :- ...... Dated_._ _ _.'.� ................... PP P / Board of He ✓ y 4 x. DATE-------- -----•-� x FORM 1255 HOBBS & WARREN, INC., PUBLISHERS ��"- t e:" SEPTIC SYSTEM YiVIl1ST BE. ON.�Tt��LLE I'!.! c 8NSTALLED' 1N C ,?IPL ANCE SANITARY III STAB,€ . 1 ' ' , , TARP CdD AND-TOWN ,._. U EA REG. LATIONSo 0,'c �(.�,+ T�G�-E' ,. Y—=__ I 40 A 4 . j '� _ — ' • �,: r 2.9 � { Tri !�L c- L_,4 i✓c RO13ERTzk ' s 4 F YG aBuAnKfS fs' 7'fir d rt « • l,. 22162��J t 7 r r a I STEP ONA� LEGEND EXISTING "SPOT ELEVATION.. OxQ ; - = (CERTIFIED PLOT EX STING, C0NTc�U o T / 7vlL�a4v lzu pei✓E {.j FINISHED SPOT ELEVATION L0.0� vp FINISHED . CONTOURS=---,0 ;APPROVED ;BOARD, _ OF HEALTH s 4 IN ' DATE 'AGENT : ,. SCALE —'¢0 DATE_ r LDRED GE ENGINEERING CO. lNG € -- CLIENTHAsK��� I CERTIFY THAT THE PROPOSED `Y ' (iEGISTEREt� REGISTERED� JOB NO. ?�°9 BUILDING: SHOWN ON THIS, PLAN CIVIL" LAND CONFORMS TO THE ZONING LAWS _ _ f �ENGINEERS� SURVEYORS DR. 9Y :- '_. OF BARNSTrABLE MASS. 1 NC 'MAIN ST 712 MAiN �T CN..3Y ' c ' ���..a z Aj�-��• r�a- A S' ,YARMOUTH, MA ,S.I'` 'HYANNIS, .Y SS: SH'EET_.L OF ___ DATE R'E�G. LAND SURVEYOR '4 - n�nTc /� E/TNi R 7"N< s�P7iC TANK OR -LgAC14//V6 R/T AREyMORE 7-AiA,V /2BELOyV /D FT MIN. — uRAOF, 24 I�/AMETEK CONCRF_ T,e-- COVER sNA.LL BE ,9/POuCaH7-� To G/TAL>E. N EXTRA g"PVC P/PE CONCRETE• N EA V y CA S T I/ 'ON C O�/ER �yA L L C3E U S E1' 4 14 .o: !^ GRADE CU ✓sR CLE,A/�f /L.L - - _ _ L/Q[L[O LEVEL _ � >- - •• _ •, y� .e I� G w " p c OF i IRON P/PE c E7-O OA4. F ono 0 1 • •. • , • • I of t v 17NE WASHED ST-" '6••MIN-P/TCN _- D/SST P''T < I ,: .- • • • Its "COX v • 1 �e •w s / o � e..�o ° o . .. ' a vD I 1 AFFECT%✓E ' s j 0 314 .;o. -,.r..• _: :. ti. ► o / e PT. e • I ► v,(}o a �W!ASNE STON D E �"'" o • P � — PRFCAS T SEEPAG E. P/7'OR EQU/✓. /All A r E4EVA7'1d0NS-,: INVERT AT BU/Ld�/NG 9}�.� Ar f r� 6 fT i r /NCET SEPTIC TANK 0/AI+J; ` C SEE TABIJLATJON> OU7LET SEPTIC TANK 1A( .ET DIST)gOB6'T/ON BOX q °s FT GROvNo, hov,4 T 0,ZfE' �CLTLET.D/STRLB!lTt:Ql�l dOX FT ¢ •SECT/Oi. F t, r �'" SL1�f/�i Ca'E ®/S'i�0.5 A L ,SYSTEM f [.EACNING PIT 94 FT. - T,q^BIJLA'TIDN " L.EACf-dA/1rG .SCALE DE5/6N CRITERIA o/MAVVs�/ow' 8_ Fr.�•� NUMBER OF BEDROOMS 3 FT. Mice• GAR9AGEDISPO.SAL UNIT ,SOIL L'.OG �r f= TOTAL E3T/MATED F'LaH/%3 Q G,4L.1,oAy; 'SO/L 77E5T IbE/ SOIL TEST #2 SD�L TEST ,VU141 Ei tJ�F � CH-I/a/di P/TS_ f^ELEY. 9�•� ��"ELICY, DATE OF so.':c TEST, 9 ��5�7 8 S/DE 4eACH/N6 PER P/T >7_�_3Q, FT.., x Sil3so!L BOTTOM L--ACH/NG PER PIT SQ. FT.' , { �; "Lt/tCOLAT/ON !e TE�E% Z— M1NyfINCH TOTAL LEACH//YG ARC-A 3'3 D•SQ, FT. �GR VEG F /�ERCOLA7"/a'N k'AT� 2 I+�!/d.�INCH RESERI�ELEACN/NG AREA 3_3 0 $Q• FT. _. GU iz s r� �P11(H T / ,�/✓iL lv w T�vN R I ✓G- V KKK of P. , v BUNIKIS 61 _ >` r ❑t^r-NO ..l�Gwi2ii�r^t/CN/aii�'.: 6..V Y&�34 R RM//O �VT K�OM,A/No.22162 O SMS G• . nO,/v74/NST.0G/ST 7/2 M A/N ST � HYANN/3 O NNAl. �sDUAi � 7 2C 4 2 S rH i Oil ' 725 r t a - . r , i y 1 F