HomeMy WebLinkAbout0038 CENTERBROOK LANE - Health (2) 38 Cervle�eba-VL, 1-Q�
1
No.-'-z .��5 FEB .....
THE COMMONWEALTH OF MASSACHUSETTS
�-� BOAe R® F HE
L T
Appliratiun for Dispnii al Works Towitrnrtiun Vamit
Application is hereby made for a Permit to Construct (L-11 or Repair ( ) an Individual Sewage Disposal
PASystem,t,:,('#
Location dress �—� dr Lot No----- _ /��--
O
Address
_ln �0//. ...............................................................
Installer Address
Type of Building Size Lotp1!9-- Sq. feet
t-1 Dwelling—No. of Bedrooms.._...................................Expansion Attic (PLO) Garbage Grinder (�(�
aOther—Type of Building ............................ No. of persons............................ Showers (" ) — Cafeteria ( )
dOther fixtures ------•-•-----------------------------•--...-----------------••--•••--•-------------------------••--•-------------------...---•--------.....-----•--
w Design Flow..........,57 .................gallons per person per day. Total daily flow...........S5.a._0..............._gallons.
WSeptic Tank—Liquid capacity-000gallons 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.....__....____._s
Z Other Distribution box ( ) Dosing tan ) / c�
'-' Percolation Test Results Performed by._ PtC.�_ !1_C¢/!7.C6l/�i'_q. Date.._../
1.4 Test Pit No. 1 � ...minutes per inch Depth of Test ..... De*De* o ground water.... .f./.....__.
(1 Test Pit No J._minutes per inch Depth of Test Pit.__-//........... Depth to ground water.........................
O Description of Soil......Q_.i..�l......... ... .....�C ----- 12 ------.--•-------- ---------------------------
x
v
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 iITL U 5 of the State Sanitary Code—The undersigned further agrees not to place the syst m in
operation until a Certificate of Compliance has bee issued by the,beard of healt
ed.... -- CJ S�
ate
ApplicationApproved BY ..........................................................................••--------....... -•-•----........ z!o
Date
Application Disapproved for.the following reasons:-----•---------•-----------•-----•----------------------------•---------------------------......---------•------
..................................... ... ------------------•--------•-------------------- ---------•-----------------------------------------------.-----------------------
Date
Permit No... TJ ^���d ...................... Issued.......................................................
Date
4
THE COMMONWEALTH OF MASSACHUSETTS
....--w-----� BOAe R D _ F HEA T
- ' '
Apli irtttinn for UWposttl Works Tonstrurtiaan amit
Application is hereby made for a Permit to Construct or Repair ( ' ) an Individual Sewage Disposal
System t
..... ... ... .. '.... ....._ a...�� ............................. -
Location,-address . �
,
wner ----------------•---•--- ...._xlJ� � .. '��f -�"�fj ........ ......._
N
-�- .- Q I Address
-._.-.- -
---...•• --.....-••..................
Installer Address
Type of Building Size LoK __9ela...Sq. feet
U Dwelling—No. of Bedrooms__•..Z..................................Expansion Attic (1!) Garbage Grinder 06)
`4 Other—T e of Building a Other—Type g ____________________________ No, of persons............................ Showers ( ) — Cafeteria ( )
.< Other fixt s .............................-••• --------••-•-•-•.•---•- •--------•••-------------- •-----•----------••---••......••-
w Design Flow.._....._ __. gallons per person per day. Total daily flow.__......__3 .. ................. Ions.
im g P P P Y Y
WSeptic Tank—Liquid capacityJQ�?,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_.._._.....__....s . ft.
Z Other Distribution box ( ) Dosin tank )
'''! rf_ ?Cat
Percolation Test Results Performed by.: .. C Date... .. ....__ .
Test Pit No. 1 ti/ /_ .._._...minutes per inch Depth of est Pit.__._.f__�`___.._ Dept�to ground water
LL, Test Pit N�4 minutes per inch Depth of Test Pit.�j------------ Depth to ground water...f/
�Zq - r -- ------
O Description of Soil...... .1 .......;! �/ .1' r!'"� S;i t_Ill. ---------------------------------------•----.----
Wx
-------------•-•-•--•-•-------------.......--------••-•------••---••••-•-•-----------•-•-••---•-••--......-------•••-•--•----•-----••-•---------...--•-------•--•--••••-••---•-----•--------------------
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 TITL4:. 5 of the State Sanitary Code—The undersigned further agrees not to place the sys m in
operation until a Certificate of Compliance has AbDeissued by the d of healt ,,.•-� . ate I
Application Approved By,_:._..... : ' } - �' '7. z .cf
Date
Application Disapproved for the following reasons:................................................................................................................
.................••-•---•••--•---•-•-•---••--•--------•---•-•---•-----------------•-•---•----•--------------------------------•-----------•-••-•-------------•---•--•-•••------•--••----•-••------_.....
_ Date
PermitNo... ;�`J ' ----------------------- Issued------..................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
r
BOARD OF HEAL3H,
����c� ...................OF..... . '.Zf.� ,.,,((
�rrtif�ftttp ��af f�unt�rlittnrr � � ..
TZIS IS TQ_QERTIFY t the Individual Sewage Disposal System constructed ( or Repaired ( )
by. ..�lzs _ _S-_fit' '_?5. .. ...........................
at..QCG� � 5' .._ .r'" /y �iJ inscaji f c/"f/le�!l_-Ir
has been installed in accordance with.the provisions of TITLE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.---- ........... dated................................................
THE ISSUANCE OF THIS,CERTIFICATE SHALL NOT BE CONSTRUED AS GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE.-•--•-•--......!Q........ .. ... ......-•-•--•=-------•----......... Inspector............ --- -••.. •---- .. .----•---...------------.............
k:
THE COMMONWEALTH OF MASSACHU TTS;
-"- BOARD-OF HEA T/P�
/ ) L�'
�J
No.........................3�J' i FEE.J.2.----.......
t �a t1 Work, Haan tr inn �rmit
j
Permission is eby granted 1: _ _ ..:!!.:d"hL"3
to Constr�f ( or RRair ( ) an I 'divid Sew, ge Des al System
at No..... Pam' `/" � �P /7. C�'/7T '�lid
-----------•----•---...............................................
Stree 119
t J T
as shown on the application for Disposal Works Construction Permlt.No......................Dated______..__:__....._...____._......._..
.. ..........................------------------------------------•-•--------------
`� .. Board of Health
DATE............. •• . ` Y �%
FORM 1255 A. M. SULKIN.; INC., BOSTON -
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p� ILAA
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No.1095 b O
RFSS/0NA1 E� A
CK��:
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.LEGEND T�. N= `
EXISTING SPOT ELEVATION Ox0
'EX!'STING CONTOUR. — o - �� ��D t=°� CERTIFIED _ PLOT PLAN
FINISHED .-SPOT ELEVATION �_
; FINISHED CONTOUR. 0 j;.s,ti:1 7 z - 7 rr -
NOTE:- The .,l'ocation ofrtany existing underg { sewerage,
' wells, or other. utilit;es shown on this plan is Mlrox_ - IN -
tmate only-as 'd--termined from .records and/or verbal �, �/ J L,
information. The' contractor- is responsible for the
verification of the e'xistin locations in the field:, , / " = 40 DATE � '�
g SCALE
, G2N(32rc'k
—L--QR—EDGE ENG/N£ERING CO /NG�,
CLIENTS 1 CERTIFY THAT THE PROPOSED
'
, EGISTERE REGISTERED JOB NO. 84V 7 6UILDINO SHOWN ON THIS PLAN
Y<r CIVIL*-. LAND CONFORMS ` TO THE ZONING. LAWS
f :F EN(IiINEER RVEY R DR. -- — : ,.OF.8.4, 5. MASS
y I
`• 712 MAIN STREET CH.W3 ?2 I3.
M°YA►.N N I S, IV A S 9.
t SHEET.,— OF A E REG. LAND SURVEYOR
/1(OTE /F Et.TNER Tt/E SFPT/C T.efA//G OR r .
LEAC/+�tNG PtT AR!° MORE THAN /2 BRLow -,
/D MlN GRADE, ?4'G/AMETEK CONCRW714F CONEF'
SMALL ®lr ,&R0&6NT TD'�i/gAO.E.�A1✓.EiYT�c'A • 1
4. PYC R/PC'
CONCRr'T!E JYEAVy, C^ST/RON C //.O .ff R SHALL BE USEy.D' I
L 6 3 M�a. P/TGN
' COYERS ► 'O � . I F/N. L>R/VEH/A Y "
y� M00 /VC t�T
CO✓ERE CLEAN .SANG
VIX LAYER
-
., _ . BACaCF/LL
$nIED(!Lb 4O.
lte PIPE �� CJ �, o . ' 'o.P
b ^'I JAVI P/TGN . GAL • . • • ► e �� WASHED S"MC
/�'pit
• .. BOX • � � e r •'•� � .�� •
rAAW
.P
PIT
e
_•,� •r � � �oit_�Nest F�u�� � O �,. e- a ,! o:•• 1 ��.e •
a • ' PRECA T S
SEEAI+QG E
/ ra .K ! . s• • • � o e . •• • 1 .n
INYl�R'�':t'lEY+�T/DNS l��T c�/9�ci7 y 0 Gs�L A�,aY s •of . • • e. a . . • • e `o P/T OR V/V {..
/NVEJ@�T AT Bu/LD/NG I'o 9 F7.` FT: D/�lM
SEA'7�98L/LATION
iNCE�`sEvr�c T•4NK fT FT O/.4M G C .
OUTLgT'SEPTIC TANK
S GROUND JYATEIW TABLE /►+_,..
/N,LET DISTIL/B6?ION BOX � F'f� E �'-- :SECT/0/�✓ aF ' � � �:e.��:�o uia,-t3�-c.o-�c. �.9
ovrzE�D�sTlz , 1/rio/v S3 6 FT - ,
o SE'J�6IA6E ' 01,T At �5KS7'�M
lnrl:Er LEAcNi1vG /�►/T, Fr; _
LEi�IE'f fdl/1/ry P/T F?.
f ... StsLE '�
DrES16N RI TER/A 401AFAWS/ON
NU1F!®ER�OF�BEDROOMS.:. 3. �• `
GA
RO,a�Eo/soos�sc v�tir/r No SO/L LOG
ToT�@L EST%Mr�rEO `F.LOrV 3 3 GAL�A,44r SOlL TEST l�`/ SOIL TLCST 2'
SD/L ?'SST
NUMB,E�P �•�AGX!/YG I�/TS / • -: - ELEY -SZ•S ElaY, .DATE OP SO/L TEST -
S/OEr LC!�CHIA/G PERO/T ! S! f�7 ,I . .1 , . ' � cll]/J
RESULTS #Vl7^VESSED BY
.BOTTOM AA;4cN//VG PgR.P/T — + MIIN�iNCN F7; As1tCO.CR7-YvN RATE 1
'TOTAL�FACH//YG AROA. ?b g" SO 4FT � �c, /°ffRCO'L�4T'/oN NA'T!F
RESEI�YELEAC'Nll1f6OF
ARE�
SQ. FT.
S-
°'t� A G #
LOT l�2t2 0%
o
oRSEC.�1��TE
EFiUCE ' �"', W 35 No.10951, Q _
�( ECDEAJ��FGIST ���'� ,
ONA
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-.�� ::..t. '.-., -.: f ..�. .M•.,,:.'��..:£k..,.T:o94 :._ -.b.--._. �.......&. iw�'+A -,.. ..d'�.nvx��:.A_..W..�..-. ..:ek'a_,of'��w1.%t'•'a `:._ �s.,..t3:._.....�.�_.:....sr,. �klr.� .-.�-0^;''.��`y.
Corn[)1 e t t d by
HIGH GR0UIdD-WA1LR I_LVLL COMPU_lATIOIJ
Site Location: 6�5 i1kx_ 'iLoo(t. Lot No.
Owner: t- cc ress
Contractor. .
Address:'
Notes.
STEP V Measure depth to water table.
to. nearest: 1/10 ft. - . . . . 9/�Y/BYL
. . . . . . . . . . . . . . . .
date
STEP` 2 Using Water-Level. Range Zone
and Index Well Map Locate
site and determine:
A) Appropriate index .well . . . .
B) Water-level range. zone G
J.: STEP 3 Using. monthly report"Current
Water Resources Conditions" s
S determine current depth to q 02lK
water level for index well
mo y r I
STEP. A usirig Table of. Water7leve'1
t Adjustments for index well
STEP 2A current depth to
water level for index well
('STEP 3) , and water-level
zone ('STEP. 2B) . determine' �, 3
water-level adjustment . . .
STEP 5 Estinate depth to high water
by subtracting the water
: level adjustment (STEP A)
from measured depth to ,water
level at site (STEP ,1 ) . . . . . . . . . . - - . . . . ` r
j
77-777
Comp lefed .by
114
' HIGH GROUND-WATER '.A-VI L L OMPU TATJ 01
F..
q.
h. Site Location: _1 - 2oo(L Lot
Uo� ~r
Owner _ !� 2c � r e
Corlract;or: Address
*N, Notes-
-STEP''.,;] Measure depth to water table r
to nearest .1/10 ft. . , z
date r"
r
STEP 2 r-^Usin.g Water-Level Range„Zone'
t -
,•. , r
and Index Well Map;.locate .
Mx ' s t to and 'determine:
x ftv A') APpr.opriate index -well
;B} Water-level _-range zone G
$�,y t
STEP* 3 „ U,%ing monthly report"Curren.t C[
Water Resource's Conditions"
_ .-
Fri dete'rmi,ne 'current Aepth,to z2lf�
Nu
Q
water 'level for index well Mks�i , r
mo .yr.
STEP. 4 Using Table of Water level
.;Adjustments for index well
STEP. 2A current' di'pth'. to
water level ,for index well
(STEP 3) , and. water-level
zone -(STEP., 2B) ,determi ne,
: water-)evel adjustment
c
STEP 5 Estinate depth to high water
by subtracting the water-
r zY level adjustment (STEP 4)'
w. ,...1rom measured to, de depth water
s & 'M 1evel "at site (STEP 1 ) : . . 3
ai r
g 4
b _
4
President: Member of:
ROIJERT BRUCE ELDREDGE.R.L.S. CAPE COD SOCIETY OF PROFESSIONAL
ENGINEERS AND LAND SURVEYORS
ELDREDGE ENGINEERING MASS.ASSOC.OF LAND SURVEYORS
Associates: AND CIVIL ENGINEERS
ALBERT A.MORSE,P.E.,R.L.S. COMPANY, INC. AMERICAN CONGRESS ON
PHILIP WEINBERG,P.E.,R.L.S. SURVEYING AND MAPPING
AMERICAN SOCIETY FOR
G,\O EC�CSEE2Ed -\�J E9[Stpud TESTING AND MATERIALS
land �lvi� 712 MAIN STREET
ISusvE you inEE¢a HYANNIS,MASS.02601
TEL.(617)775-2244
Board of Health
Town of Barnstable
Main Street
Hyannis, Ma. June 3, 1985.
PE: Lot 12, Centerbrook,
Centerville, Ma.
Dbar Sirs:
An inspection was made on May 30, 1985 and we found the sewerage system
to be installed substantially in compliance with our design plans.
The elevation of the bottom of the leaching pit was 47.9.
Sincerely:
obert B. Eldredge,
Eldredge Engineering Co., Inc.
cc: Greenbrier
RBE/j ne
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