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HomeMy WebLinkAbout0009 FULLER ROAD - Health (2) q W.Pr fidj (and. r - k" No.f Z17... ' Fx$Jr � ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ........................O F..............-.......................... ..... ApplirFation for DiopooFal Workii Towitratrtion Urrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Fuller Road Lot "J" /' ................__......-----...... .. ....•---•---•--.........---•---------- .......------..... •----...._. ...--••--•. ---•---..----------•--• --- Location-Address or Lot No. ...Vats,x1sL,.._.lac..y...11cla Ali qu patz.e_,...L)zes.•................. ...7.b a.....Weat.-I laim-_.St......Hyann.is.,...MA.....Q2 fzQ1.... Owner Address a ..Axch..QQas.tru Coas.tructimi....................................................... --Hyjann-is.,..MA.................................................................... Installer Address Type of Building Size Lot2Q-,.03_5.............Sq. feet U Dwelling—No. of Bedrooms............ ..............................Expansion Attic ( ) Garbage Grinder ( —) aOther —Type of Building tWoOd...Fr-a[aP.___ No. of persons......6.................... Showers (2 ) — Cafeteria ( —) dOther fixtures ..---------•-------------------------------•----------.-•••----•-•----•••••---•-----------•--•------•--------•------•-----•----------.............---- W Design Flow........55...............................gallons per person per day. Total daily flow-------------330.......................gallons. WSeptic Tank—Liquid capacity1.,OQQgallons Length....--......... Width__.n........... Diameter--------------- Depth......-....... x Disposal Trench—No. ...X/A......... Width.......-........... Total Length.........-......... Total leaching area..........-........sq. ft. Seepage Pit No.......1........... Diameter-----1.2.......... Depth below inlet...4............... Total leaching area.2.54..........sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ 1.4 Test Pit No. 1___ 2....minutes per inch Depth of Test Pit._12!............ Depth to ground water_11==erwountered fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W ...-.................................................................................................................................... ---------------•-- O Description of Soil......'M I19am- &..sub---aoll.......Z'=4°...m_e iunL--sand..mixPd--w;Ltb-..grayel-, U - 4 12 IQ�S�I�ICI__.^tryrld...---•----•---•--------•----•..........................•----•------•--•---•-----•--•----••--------------------------------•--•---------•---------•- W VNature 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 TI'L U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss-ed b�y th board of health.Sign d----------• . --�.� ------`•-------------•-------•--•---• --- ---- •- ......_ D Application Approved By---- . •. --------------------------------•-•--------------•-----•----•-------_.. 1'_= .: =---------- D e Application Disapproved r e following reasons---------------------•-------•-----------------------------------------------•-----------------------------•-•••- --------------------------------------•-•-------------------...-----------...-•----------....--------•---•-----•--•------•-•-•-------------------.....•-----•---•-•-------...-•--------------•-•----••-- Date PermitNo......................................................... Issued....................................................... Date NoV..:yz.- ................. THE COMMONWEALTH OF MASSACHUSETTS r BOARD OF HEALTH ..........................................OF........................................ Appliration for Disposal Works f Tonstrn.r#ion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .................._.kUI.P-r...Road................................................... ..........................L a.t.. J1t....................................................... Valand,Inc., DofiocI ku'Vtrt% Pres, 765 West Main S'E:;t �annis; MA 02601 ......................__.................................••--•----•-----•--•--•-••._.......----- •--....---. . ----•----------•-=-----•-------. ------•--- W Arch Construction °"°� Hyannis, MA 02 ess a nstaller••------••--•--•••-•--•---•• ----- --•--------- --------- ------------------------- I � Address UType of Building Size Lot..20,_03.fi...........Sq. feet ., Dwelling—No. of Bedrooms.............3............................Expansion Attic ( -) Garbage Grinder (= ) aOther—Type of Building .WQ -•.Qd._Fxarle No. of persons........6.................. Showers (2 ) — Cafeteria dOther fixtures .---.....-•----•----------•-----------------------•----•-•-•-••-----...-•----....-•--•--•-•------......--------------•-•-..•---•----------•----•--••- W Design Flow..............55.........................-gallons per person per day. Total daily flow--------33Q_.............................gallons. WSeptic Tank—Liquid capacity..L.A0 allons Length......:------- Width.... ......... Diameter--------------- Depth...-.......... x Disposal Trench—No...NIA-......... Width.........-_........ Total Length...--.............. Total leaching area.....-.............sq. ft. Seepage Pit No...... Diameter....12_`......... Depth below inlet....4............. Total leaching area...264........sq. ft. Z Other Distribution box ( ) Dosing tank ( ) IH Percolation Test Results Performed by.......................................................................... Date..........=..............-.............. W Test Pit No. 1..!...2--.-minutes per inch Depth of Test Pit.................... Depth to ground water-._-_-_------.-.-..-.--- GL, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 •---•----------•-•-------------------•-••---........---•------.....-----......--•---............--•......................................................... D Description of Soil..�r.^2 . LQam__&•sub soil,._._ 2'.-4'.._Medium sand mixed with gravel, x4----12 --medium__sand. ....... ............. .... .......•-------•-•----••---•-----•--•--•••---•-•------•-- ------•. •....--- --------- V - W ----------------------------------•------------------------------------------------------------•••-----•-------•------------•--••------•---------•----••-••---------•-----------•---••-••---•-......... U 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 TIT11 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been�byt. d of health. Sig d-- Application Approved By..... f"J•-•--•-------•--- •----•.. ..................•- -••---...... Date Application Disapproved or he following reasons:.......................................................... --••.............•--------....---•---•--...-------•------•--•------------...----•-------.......-----•--------•-•-------------•-•-------------------••••-••----•-•--••-----•••-----------------•......._. t. -f ...�. Date Permit No-----------------------------------•--•---••--•...t. ; i Issued ....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................I................OF..................................................................................... (9rdif irtt#r of Tnntplianrr I S TO CERTIFY, That the Individual"I Sewage Disposal System constructed ( or Repaired ( ) by -!� --------.- '_ -- -------•-------.--•-----•-------•----------------•-------------------------•--•-------------•-- 'Installer �- at----•--=-------------•--------•-----------•--..:..--•-'-----t... _..r_.._..._...----------•-------------------•----•--••-------------------------------•----------•---•- :i�e'd... been installed in accordance with the provisions of T TLEE 5,Q The State Sanitary Cody as Ibed in the application for Disposal Works Construction Permit NO.__-__�--°2_f�__________________ dated. fA ............................... ISSUANCE.OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. i,.,: DATE......................1:0.----....--.-•-5 A`-�'�Z1....------. Inspector-----------)L(e I............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No......................... FEE........................ Works �aan #rilan lettti# Permission is.,hereby granted.......... =•--- ---------------------------------------- ------------------------ ----------••-•---..--•-------- to Construct :) � r ( _fin Indivival a Disposal System atNo. ___________________J.....__....__......_..._.._._......____.....___..__................................................... Street as shown on the application for'Disposal Works Construction Permit No.......... '_._0Dated.......................................... ............................. -•------............................................................... Board of Health DATE -,ts---.�J..--�-•-----------•--•-----•-•----•--•-------..... FORM 1255 A. M. SULKIN, INC., BOSTON r _............ C�tJ1c��JiLI_E (-'aAlG�StAI?7�£= , MASS. ,r,F_nR \/t�',LA,-Il) ppT l) bErz. 23, 1983 L!< t " ' 4<, , —712 fAAo..1 L 100. 101' 03C- L J n s p [f Ioo, 0 Qn 7 PPoFrr In WATE(Ll-,uE I��• lam. l! 9 I�W W oLL •p to \ 3'A4 �t T 100 �� / Ip'S \ �9 �J �✓"p�OF�itq � �� Ste' �4 2� /� �� Ioo,to K / �o SON .o5z ISTEp�O �� Lo, Ooo 1. F JANfTAjk%%* F. S. a . _- 25 - - cx Isn QG ELEVA-n0W &,::-,= u R. � s�°F �q PAR D PLc�T PL_A�1 D ELf-=vA"nCW 2L Cau-rc cuP- or ` 5 c pl N w at,J4 1 N APPPaED: 15=ARD of EdEHAL.-,,I � �Q�8T6�```�4 b4'fE A6ENT SC4L�: I = `�ol DATA : 13 84 cLIgLj-*-: VALAND 1Nc. L uEQEBY C0Q-nPY 71-447-n4e Pkc>R$D I=LEIS Sl,�./EY1ti1C� I►JG . ,Jpla US $4•i9 BUILNL16 Sf4(nw J OIJ 7 CIS PLA►-j 2q musi(- GET LAwE DQ J E. OF TO 7l4a Zoe-jw6 LAWS .BY: .L. 6AP-QSTAB E MASS. G�LfT'�c(�/11 LE MASS.., 02.(032 � � � � SWEET I of E DAB R52 SIERED LAUD �lbae%R LO 1=T. MII.d, t_IOTE I F EITHa2- 7,--1E SEPrIG -F,4, tk o(- — I -� LFAC"I W b PIT A-QE MoR'= Tl-I A+-j 1 2" &ECow I !!) GRA-DE , A 44NDiAAAa-Ta-Q r'4=% rDr=Ta cj=N/r---R I I Sk4ALL. f� DPtvEwAYS PE I DF AQ EXTRA Ht=AvY D> r CAST IDouco/1=R.� FT. ) cLi=A1JsAQD 4.�"c-A�T -__ _2 ,LA-f= I -I Pi PE �i �.o o e GAL. o s--- wAsr-It=D �1= PIT-I-1 ° I /4 Pry FT. �lG TASK l]IST. ° o , ° BOX g o ° o • o ° ► e E'FF r-7P%fE ° 1 ' CE Rrl-I W ASH E D STcxrC Y 1 e e o 0 0 0 . e - _ PQ ECftS'T `.=E PA6a ° o ° e , , -- ° I 78 G/D 1\1EL= �4.o 1 eJ�/1=RT AT BCJ I L D t u� 0 a 11. F-r Dt A M. e (t.l L.E-T •SEPTIC TA"4. I co.8 FT. to FT, DiAM•�, C /gam TAB�Ano�I ck-Yr LET SE P i G TA+J K. I CDC.L. FT. } I IJ LET D(STQ I P 1Tt olu �X +o o.4 FT- SEC r I o 1= G Rav"D WA-I>=R TrkBL=- : J L-E"T DrSTP-I&� 'Lx>X I oo.2 FT. ItJLET LEA,::HtQ,:r= PIT +oo,o ram-. S�wAG� D ISPoS L S�(ST�M n n ��5161 1 CKITI=P-tA X�4t� t�4" _ ! r o DIM1=tt7tou A 3 FT• (� D 1 M i=NS I ot•J 8 � FT. ` tJLJMR-Z=2 of 5aDa"=YAS DIMEuStott C- 4 FT. � GAP-e'AGE >SRsaAL ULJI-- NoL1E AIL LOG ToTA L E5T7 M ATED FL oW 3 I 0 6Pd-. DAY S-I I L TEST e.J' I So I L TAT IJ e.2 5�I L 7E ST I }JUM(3 of L1=Acr{,+lb PrrS ! �L=. IO2.o EL = (>47T--- of S.otL T7=ST mA-P---rl 5_ S t DE La A-H t u6 P)E R- A t T 1 8 6 Sc�. Fr, 2 Loht-^ RESuLCS R.r� ICY J�= 1 JA.cvr'I t3 TAM LEA,: H 11-- PeR AT -7 8 � FT. � �rZ=pr�- T,O-TAL hIn_LEAeHte 16 �A 2CoC.. SCE. FT. CEQGOLA�o�� 2ATE eJ'- I L='S5 M r-j /Iu�.-1 i /j.. 4•� MEfS sAti,O PE RGOLA'1'101-+ R..F�T)_ IJ"- �L I U / 1 UGH I LEA--t-a 1 W6 14ffA 'L G, fk:3?. FT �+ 7=i�I -FEEs-r �—F : P - 3o-7 p�SH OF tlfq t ! . it OF y�E s Mr=DIVM PAI«—L- .. J ^ _ (^uLL�� Lc=,AZ 4 12 y� G�+_tT� �� I L_L_C sa;N D �o o a N ' E� � CfST 6 M EA EL=mac o IL-1 MUSKEET LA► a, �JZVILLE, ASS t 4�p StJA�"® 4 nAR0 Q tilo 6 Rouu D wAT=Q Euccu,rT�f2�-0 GPouuD wA7E2 a EL= cu�t.rr: VA LA-,_ID Z�)47T-- 3 13• 84 1oP� 2 f 2 ue: a 4-►4'1 sl I r o . •� I I