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Home My WebLink About0236 GLENEAGLE DRIVE - Health (2) oZ�l� Rlen2a9le C3'.e caj . ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD Of HEALTH JC42, __.... ...........OF ..................................... ..4!�4-4� .. ........ Appliration -for Disposal Works TouBtrurtion Vrruiff Asmp Application is hereby*made for a Permit to Construct or Repair an Individual Sewage Disposal Syst9m at: .... ..................................... -------------- ----------------- tion -t dress ��E.b %- ... .. .. .. .... ....... ................................. ... 44--�Z ............. wner Address ............. .............. .......................... ;............... ....... A4 ............r----- Installer Address < Type of Building Size Lot----------------------------Sq. feet U Dwelling4�No. of Bedrooms-r Q_0------Zk__ ___________________Expansion Attic Garbage Grinder T pe of Building ---- -----14 At — Cafeteria Other y 11-4----- No of persons............................ Showers Other.fixtures --------------------------------- ------------------------------------------------------------------------------------------------------------ Design Flow......_.__ r ..........................gallons per person per day. Total daily flow__-_..._... -----------------.....gallons. 1:4 Septic Tank—4--Liquid capacitv4®PA-gallons Length................ Width................ Diameter................ Depth------------- Disposal Trench—No- -------------------- Width_____.--_---_-____-- Total Length......_......_._.... Total leaching area....................sq. f t. Seepage Pit No-----4............ Diameter../° '-V.� Depth below ijet..... Total leaching area---------- .......sq. ft. . ,;eL Other Distribution box Dosing tank ( ) 4�:, -2— t;"--r4— Percolation Test Results Performed by--------------------------------------------------------------------- .... Date--------------------------------------- ,4 Test Pit No. I................minutes per inch Depth of Test Pit..._....._._..____.. Depth to ground water...._........._......... r3;4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water---.--------------------- -+--- --------- ------t------ ........................T ......C ----------......... -------------- 0 Descriptl*pn of Soil_ --d----- -- ....... A ................... . ..... F ---------- ............ U W Z --------------------- ............... ..............------------------------------------------------------------- ----------------------------------------------------- --------------------------- 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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be issued by tkZ-bea5o of health. Com pliance ------------ gned-- . .......X----- --------- ...I D--t... ----- Application Approved By------- -------- ------------------ Application Disapproved for the following reasons:...................lam. .... Date ........... ......... .... - ---------------- .................................................................................. ........................................................................... ..................................------------------------------------------------------------------------------------------ Date Permit No--------------------------.............................. Issued....' .................. Date --------------------------------------- cz 1 NO.-1,32........ Fas...t................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _�. .... ... -. ............OF..................................... . .---------......_...........--........... Appliration -for Miip ottl Warkii Tonotrurtion Vamit Application is hereby made for a Permit to Construct { ) or Repair ( ) an Individual Sewage Disposal Syst at: r L `Lot�NsA . .- _.................. ......................... �i ...... � :..?.. (/Owner � Address W ................................................... . iJ ........ Installer Address Q Type of Building Size Lot............................Sq. feet U Dwelling'—No. of Bedrooms:"r`��________ _________________________Expansion Attic ( ) Garbage Grinder ( ) aq Other—Type of Building --.-9%_: ::+�+�•--N- _o. of persons .......................... Showers ( ) — Cafeteria ( ) dOther fixtures ----------------•-----------•----V-------------------------------------------------------- W Design Flow.......... -_____•------------------gallons per person per day. Total daily flow...........-..-`_'°-----------------------gallons. WSeptic T:.nk'—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. �u z Other Distribution box ( ) Dosing tank aPercolation Test Results Performed by-------------------------------------------- ............................. Date........................................ ,� Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water.__-__-_----_----_- 0:4 Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------ ....................•-------- --•------------ O Descrip 'on of Soil--- -0-.`:.. ' . ..: /s!� _ �t/L<r�r/t.0 .�Gt-s.__A_... ✓i !�_.y 1� f% ' = 7 ` P�':�S:P,-P / ` f /i 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ben issued by-the-bo of health. -Signed..-- --`------ -----k �"j Date Application Approved By------------ ��. ' � t <�. c__� ': �� "'' 7-- ~ Application Disapproved for the following reasons:.................. -------------�-----------•-------------------------------------------Date------------•- -----------------------••-----------•------------•----------- ..............----------•---•--•---------------------------------•-----•---------------------•------------- .......................... Date PermitNo......................................................... Issued...............------ ................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '7 ,+(........OF......... ~--......................................... wrdif irate of (�ontpliatta THIS,IS TO CERTIFY That the Individual Sewage Disposal System constructed or Repaired ( ) by........... '��'" <------- - .eft-`€ Installe e , at_._•_,� , ,,5 r�----- __L%7 x._G?-r f..t '. �`-`'!.. I ./r l !d�, sC: !o.... has been installed in accordance with de provisions of i-tic'le XI of The tate Sanitary Code as described in the application for Disposal Works Construction Permit N ,/�.___� 5_ ______________ dated___._. _.'. _.5"'.-.___ _}_.:..::._. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UED AS A GUARANTEE THAT THE SYSTEM WILL.,.FIJt��10�SATISFACTORY. ((�<bbJJ!l, J_ DATE.----------•--- ••-•-----•-----•---•-••---•-------------•-•-•-••......•-------• Inspector------------------- - --- ................. THE COMMONWEALTH OF MASSACHUSETTS '''/7 1 �`"1�...a BOARD OF' HEALTH ✓� -} 6 / t _dL 4..... . ... ... .......I......O F........... j/...��. No........---::�.�------. FEE__ _ %spa al 011rh Cn=91rug ion ramit Permission ' hereby granted ..f-��g----- t��- •-- - - - -------------------------------•-------•----••-•---•-•- to Constru ) or RepMir /�n Individual $ewag-,D.isposal System A Street,, r - as shown on the application for Disposal Works Construction Permit No._�_�'._______. Dated... __.�_�-— 7.1.... � �`f =' ------------ ` �,� � Board of Health •_ DATE................................................................................ G�6%� FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i 1 /�-5 .S'�i o L.? 7l C >'� ✓L/ 1,� /�` f` 1�G ;r7 �/ ��r� 26 /,1 . .2 / r �✓ � w .l 7- Jr �r oM; .�a 7- 16 -9 oti t� 1 , /4 ' izt 34 ' CJ w t N J CERTIFY THAT THIS PLAN SHOWS THE ACTUAL LOCATION OF THE STRUCTURE ON THE LAND AND j THAT IT CONFORMS WITH THE BY-LAWS OF THE TOWN 1 O PLAN of LAND �H a C�z� A/7E' R, V/4,4 E_ MASEW. OF yds. .-Zr �+M OWNED BY / O©. cc --�\s,' -, .. orb y�'rr1 �r �.', �0,5EPN � ��+�Ei✓ v FRANK a WN10 =� T c��A" FRANK CONE,RY 5 TREN1ON A . p Me. 6232 No'6 13 HYANNIS, MASS. OZWI �'/S �A0�` } �P� REGIS FOWD KNOINitaw a LAND SVRVFvr w t i 4�D SUKY� ''►�, , 1 SCALE 1 IN FT. rt t i