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HomeMy WebLinkAbout0082 CAPTAIN BELLAMY LANE - Health $2 cgP-r �3D r-/83 S M E A D KEEPING YOU ORGANIZED No. 12534 2-153LOR l�J SUSTAINABLE MIN.RECYCLED jQ ll1 INITIATIVE CONTENT1AW Cooed Fiber Sourcing POST-CONSUMER www.sfiproprmorp SFW12M MADE IN USA GET ORGANIZED AT SMEAD.COM Ao LOCATION SEWAGE PERMIT NO.77 VIL LAG E --- I N S T A LLER'� NAME ADDRESS * " d 1111 D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE . ISSUED g _ 7 _gs l __ �. _ . L� � / II . . . I ` � _�, o �.'. (�� a�r='*. ''�ij;:� 7 �� 3 � � �, � . � L�3 6° D Fps... .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...................OF.......4.?A 4..;5rA--6, ........................................... Appliratiun for Mipuual Works Tnnutrurtiun jiumit Application is hereby made for a Permit to Construct (/or Repair ( ) an Individual Sewage Disposal System at: ... er :l�l ..........................••--•-•-•..........--- Location-Address or Lot No. ..._ : Ti.,Yd� ..a�3z Owner Address ... ..................................... ....................... ........................................................... Installer Address Type of Building Size Lot3,86 ---...Sq. feet U Dwelling—No. of Bedrooms.............3.......................... Attic (No) Garbage Grinder (No) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ...................................................... W Design Flow......... .............................gallons per person per day. Total daily flow.-_3.3...........................gallons. 04 W Septic 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 b ..... ........... Date... .1/ t! u____________ ,.a Test Pit No. l._<..Z,,.minutes per inch Depth of Test Pit...../..rZ...... Depth to ground water...Al4DP.V.-& _ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -------------------------------------------------- ----------------------------------.---------------•------ -----------------•............... O Description of Soil -C?.:_.Z _... ±4M A1VzJ .. t v .............. Z- � t P�..F2&.4U_r S t ...AN.Z?..<: �.V��..------•----------------------------....---•-----•--... ----------------------------------------------------------------------------------------------------------------------------------•-------------------------------------------------------------------- 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 TITu% 5 of the State Sanitary Code—The undersigned further agrees not place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed................. ----- ......... ......... ...... ..Z.4._ °— ate Application Approved By......... ...Q2. ................................................ ---- � D- . ..._._.. Date Application Disapproved for the following reasons:................................................................................................................ ------•-•-----------•--------------------•--•---.....------------•-----------------------....-----•••-•...............---•--------------------------------------------------------------------•._....... Date Permit No................. -b----- --••- ._. Issued. Date BOARD OF HEALTH Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: � - � v°"� . � , ' Address � Installer Address Type of Sizefeet � Building �� � Dw�ling--I�o. of Bedr000�v-'----'. �-__----_- Attic �^o) Garbage Grinder �o� Other—Typeof Building ............................ No. o[ persons............................ Showers ( ) -_ Cafeteria ( ) p~ -- '� � ^� _ � Designgallons per person per ' ' �` gallons. Septic Tank--L�u�� ---'�aUouo Length................ Width................ D�mrtcr-----.'. Depth................ Disposal Trench--No- -------------------- Width.................... Total Length.................... Total leaching area----'-_-'--mq. f t. Z Other Distribution box Dosing tank --' Pit < -- per ^ ^ ~ ~- ~- -- � inch Depth of Test Pit ground �J ' ^ -------.-.---'-- | U Nature of Repairs orAltoradoom--Aoowerwbeo applicable............................................................... -'----------------------------------------------------------- -'---------'- '�,-_-_-. ' The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with operation until a Certificate of Compliance has been issued by the board of healthon Date Date the provisions of T I T LE 5 of the State Sanitary Code—..The undersigned further agrees not place the system in Date ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF...8AVWS:rlkt:��. ....................................... ............ .................. fly THIS IS TO CESTIFY -That the Individual Sewage DDisposalSystem constructed or Repaired by.........:4?�:!-------- @4:!�C...................................................................................... ......................... Installer. 1� 7Z...... 4,. ............................................... ......... has been installed in accordance with the provisions of TITLE of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__..___.__--------------0 .................- ..... dated___.(L__ 4!, THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON RUED AS E SYSTEM WILL FONCTION SATISFACTORY. DATE._... ............. Inspector_..-_----- ....... ----------------------------- 1. ...... THE.COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTI-k 7T- .......................0 F... .............................................. c� eta No... FEE........................ Disposal Varks Zonlitrurt, ion,Virrutit Permission is hereby granted..A.Nt!�c,:::-,- IDzis, cclk.� .......................... .................................................. .................................................... to Construct 4 or,Repair an Individual Sewage Disposal System 1 . 4- .........C' ­`7 at No...... 4....Z ...... -A *t.4 . .............AAJ .... # ......................... Street as shown on the application for Disposal Works Construction Permit.No.5 i........ ......... . ................................... ............................... ----------- ---------Board of Health -7 DATE- . ..... .............—---------------------------------------- FORM 1255 A. M. SULKIN, INC.. BOSTON O ' I ` Y 4-1 Ic -7 Z. 1,93 a -7 2, 13 � .rX�f Q SEPTIC I �-ly -- N OTH IJ/l rr�0sh3L � Ai)7 1 t 4554,j&7�� LaT l \ `'can�p.T"EGTlOn/ AErt� a ,q RT 1I� 5 EC7 T . O r _ f -7 0 i; 90 PV i o � F TA T� cc t 1 LEGEND L`EXISTING SPOT ELEVATION Ox0 �1w or rs,�� CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 b �." LoT Z CsEr T Ye�c,�r� Y LA NE F►NISHEO SPOT ELEVATION R08ERT ; Y FINISHED CONTOUR 0 B.ELDREDGE CL�f7 � �� n+o. 70—ss7 n=, IN APPROVED BOARD OF HEALTH DATE AGENT ✓y SCALE= / ": �o DATE= Sv�3 � LDREDGE ENGINEER/NG CO. IN GRcEn/�s2'c—R CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB N0. 830 9 / BUILDING SHOWN ON THIS PLAN [ CIVIL LAND CONFORMS TO THE , ZONING LAWS E ENGINEER SURVEYOR DR.BY= �_/� OF BARNSTABLE , MASS. f 712 MAIN STREET CH. BY: „ o HYANNIS, MASS. y _ SHEET_L OF DATE REG. LAND SURVEYOR /VOTE : /F E/TNGR THE SEPT/C TANK OR 20 FT. /-///V: zE/1CtIi,,VG P/T AN& MORE TNA/V /2"DELOJt/ /O FT•. M/N. 5R/�DES 24'DIA M F TER CO VCR.F T.E CO iiE.P SWALL BF BROUGHT TO 4RA DO.6f+N EXTRA 4'PYC PIPE i h+EAYy CA ST /.PO/Y CO►/ER S/N.4 L L. BE USED CONCRETE MIN- P/TCN �1 j COYERS '� fg PF,? IF/Iv �Ri✓Eyv.a Y s Iw / / { �� Co/VCRLrTE d�.�oE / CC YER CL EA SA,v O - LQU/O LEVEL` .t .< •- .. . � LAYER SCNE•D uLs 40 , . o o aF 1B, -j'B pVC. PIPE /y c� o ° ,' M/N. P/TGhI GAL. D/ST, 1 • •t • • • • 1' e •,'I WA SHED STr"rE 111 %s Pe/s rr S.EPT/C TANK , 1 • .� • . . 1 / . •I BOX / 3 11y8 • . • • • 1 • � Arit 4 - � r�2WAS.YFZ> STONE / x z,S= 47 n •� 1 1 • • • • • op PRECAST SEEA4GE -7a r p - �— , s. • •• O P/7 OR EV411V. 4 0 • • • • • . 1 I yveAT fLEvAr1DNS 121T-GA-r A c,7-y 54& �,¢� �•�1?- Y , 1 1 . v EC- 47.1 NYERT AT 441/41D/A/6 s FT. `� D/AM SEE T�481/l.4TION NLET .SEPTK Ti4/VK 53,9 fT, �y F .. D/,4,W. .w74E7- SEPTIC TANK -7 FT. G,QOuAlD /+4JTER TADLE NLFT D/STR1aaTION BOX S 3,S FT SEG'T/ON OF wTLETD/STR/BdT/ON BOX S 3.3. , lr P/T s3�1 FT SEWAGE 0/SPOSA t SYSTEM ,VL.ET LEACN/N 7rA5Vj_ATION, L EACHING P/T DIMENSION A T f T DESIGN CR/TERIA JCALE : %� p/y,E,+yS/ON a ,VT. 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A;. pt/F�/T•'. r3 r� �rz 5 ` d',. :`'Lt iE � ;d, 9' . GJST�`,�''rj Nd GROl1N© 'YYArem ENCOGIN,.T�"rRE GR Z �fY'gg 33$$ °� �`�' /�`' 1lTER;I'!T €LEY, /N� 3 U ! �M@JS'I'Z / d .� "" t .. . . ,y3 X - _... ,.: ..., y _,r�.,_ �,. i .4 rk c i �"' "t fd,,,. �.'y_$ r ate§"t`. <�;+f G�to x ; __ . ;, � n 13 4� , 4, M ry / 16 a o- '' •\/- `. `moo d, -' W17, wr r13. /ao �v x Qs N � - /� .per C ` z r ` I S iwr 0., i F 3 LQ!� T RD vi \ zv x q3 i f O fir<T J 4 /1 o x LEGEND CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OxO ���{ OF P�hs .EXI.STINO CONTOUR --- 0 Lo CA AT. ��t� 4M t t, qROBE, c T / Z Y . LANE FINLSHED SPOT ELEVATION „� T s: CCII T2FT "FINISHED' CONTOUR . - 0 LZI„ . , ' � ELDREDGE ' ` No 19367 IN APPROVED = BOARD OF HEALTH `� Al r ; f'DATEr AGENT ° SCALE= "=40'' DATE] 5 /3 `�8 { "D.REDGE.'ENGINEER/NG CO. 'No' CRcf,✓grzrc-,� M CLIENT ° � - I CERTIFY 'THAT THE PROPOSED EGISTERE . REGISTERED 930-9 / BUILDING SHOWN ON THISt PLAN ' F JOB :NO CIVIL LAND CONFORMS 70.JHE 'ZONING LAWS"` w ENGINEER SURVEYOR OR BY OF BARNSTABLE MASS.-, Tzl,b� 7f2 MAIN. STREET CH.' BY= � \ h ,.3 N:YA N.N'I S - MASS. 3 lam' � t ' SHEET ,OF �" DATE REG. LAND SURVEYOR