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Home My WebLink About0039 HITCHING POST LANE - Health (3) No. THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH r.4 ----. ----.OF.-....- .............. ... ......Y.4 ApplirFa#ion for Uhipvii al Workg Tomitrnrtinn ramit Application is hereby made four a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: / + d ,Lj✓ ✓ �� --.......17.`••.............. _.. ........................... ..-••....--••-••-•---•••...---••• � ............................ --•••••--••••-••-•• ...... Log�ion-Address / 0 I �? 4 [ _ -.._ Add.._S.__.._.. Installer dress ^ Type of Building //�� ize Lot_. (__/___.._�.___._Sq. feet U Dwelling—No. of Bedrooms._________._c..�_____________________Ex ansio Attic (� Garbage Grinder (1✓0 U g P aOther•—Type of Building ____________________________ No. of persons.____ ________-__________ Showers Cafeteria ( ) aOther fixtures ...................................................... _ gallons per person per day. Total daily flow.._..___r�_'__�� ___________________ Ions. W Design Flow-------------- -------------------------g P P P Y• Y � WSeptic Tank—Liquid capacity-1 ..gallons Length---------------- Width................ Diameter________________ Depth................ Disposal Trench—No_____________________ Width.................... Total Length................ Total leaching area....................sq. ft. Seepage Pit No-----------/...... Diameter____________________ Depth below inlet.................... Total leaching areaA26.(_.._.sq. ft. z Other Distribution box �/f� Dosing tank A,� " �°" Date - a Percolation Test Results Performed by--- ______....._ �._-_.___._t_.___ �< _0�41__ Q� N e th to round water_ _ ._cI Test Pit � o. l._._._�_.__mmutes per inch Depth of Test Pit.._.�.:�._.___.__. p g ./.�' t_.F..dsov G%, Test Pit No. 2................minutes per inch Depth of Test Pit____________________ Depth to ground water........................ -------------------•---- ---------------------------------------------•-------•-------------------------------------------- ODescription of Soil C _._Q'L :4.----------------------------------------------------------------------------•----------._..........---- U 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 iITi l-E 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 boar of health. 1 1 2r.."o—Jptlmv lat Application Approved BY------ -----------••••-..._..._.. �...... - Date Application Disapproved for the following reasons.---••-•••-- -------------------------------------------------------------------------------------•••...._-•••-- ••-----•------••----•-------••---•-----------------•---------...----------••-•---•--•--•--------------------•••--••••-•-••••••••-••--••••=-----•-••••-•••••----•••••••••---•-••--------•---•-••--••---- ate PermitNo......................•••_=--• r~ ., Date No....,l.l...._._....... Fis. ... .........'�J THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH .............OF...... L LZ.,............................. Appliratiou for Uispuiia1 Works Tomitrurtinn rantit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Loc tion-Address or t No W ..... i�?�:f.!. ..... �/�Ow�r. r••7+—�2...................... .Y4 :�. 1... ss.t... C.4,pfr.. ..... Installer Address C Sq. feet Type of Building �ize Lot.-17�•..•............ U Dwelling—No. of Bedrooms...........�......................Expansiop Attic (1/) Garbage Grinder (/✓p Other—T e of Building No. of persons.... .................... Showers Cafeteria Otherfixtures -----------------------------------------------------.._..---•-----------------------..-----------------....-•-------------.......--•--•••........... W Design Flow.............�r .................gallons per person per day. Total daily flow.......��_ �-�. ....................gallons. WSeptic 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:2G..�.......sq. ft. Z Other Distribution box�,/f lk Dosing tank ( ) '-' Percolation Test Results Performed by.. !�<Q<!..._.... j�. �'^�?'!c:^' ... .__ Test Pit No. 1 .....minutes per inch Depth of Test Pif___o -. ......._ �epth to ground water_/Y_1� --__--f'<<r�,.,. Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ --------•------•------------------------•--•----....-----..................-••.......--•--•---............................................................... oDescription of Soil._Q_-lt�. .LoMur. `-•S �i.S- -- --------------------------------------------------------•---------...........------......•....----•----- ..... ..�. ._ .....�-.C.�_ !✓� ...s. �1 .................................................... W --------•----------- ------------------� � J----.�Ofj r Z. 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 TIT iE 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. �%!�`.'----------------��' G s Signe .r:at.::=� {f�-.<-�`- •�.G--- D Application Approved By.-;,� o------ ..../ --�l� itsGf�.`:. Application Disapproved for the following reaso ...................................-------------------------------•----------------•------•--...... � ---•-•--•----------------•-•-•------.........._........._.....---............----•------•--•-•----------•---•••-------•-•••••--••-•-•--•-••-----•---•-------------•-----•-•---•••-•••-••--••---....-•--- !"•)A. Date PermitNo......................................................... Issued----- `� ...................... Date THE COMMONWEALTH OF MASSACHUSETTS 'BOARD OF HEALTH :....T .N...........OF......... ...�4.1Z/.11..5.7-4./.3Z./...................... Cy-rrtifirair of Tompliattre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ll�,/Or Repaired ( ) by.........�o. --•-•-•-- .......0 Installer > at °7 ° �� )��/Ch!//v----------7`�9 S -•-----� ------------c---�/L.G---- ...._... has been installed in accordance with the provisions of TI SLY, 5 of T e State SanitaryCode as des ribed in the application for Disposal Works Construction Permit No.._ -0_-� � __ da.ted .:3'._��.`�.�_______________ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM! WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... S THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........OF..... /1.1Z/11.5_T/9..1 .�:�......................... FEE3 ........................ Permission is hereby granted .G/3CIL7..... ............................................................ to Construct (1/_ or Repair ( ) an Individual Sewage Disposal System at No........ :AZ........ .. ... .Zi TC /_N .........1�.-_ ..7------L-&------- - . -- treet as shown on the application for Disposal Works Construction ,Pe it o...:.... Dated.... .............................. �,/ Board of Hea1tX DATE-------:/--`-lZ�_....�............................................ � FORM 1255 HOBBS & WARREN, INC., PUBLISHERS v. t r r POST �-� I TC N Cj I c�� 19 V !t SErrlLEACH 100 c TAPIIC `�l _ r ti 91 AA 61 gar , s x �.prrncrvn I t , e 9 } 17Q LEGEND --- - 4 . CERTIFIED PLQT:, 'PL`AtV s EXISTING, SPOT ELEVATION OAO _ EXISTING CONTOUR _ _ 0 _ , FINISHED SPOT ELEVATION LOT' / .l1GWfP.,tir -�OST �ANPidT&RWL air "`FINPS6iE® .CONT'®,llR 0 - _ -, , . IN APPROVED BOARD« OF HEALTH tam g9A11 `) 5 -1A9 .1a qp ,6 A i DATE AGENT SCALE: I = 30 DATE :M4ffA 18 tg80 I LDR pGE ENGINEERING CO. INd Dace • ,-- CLIENT _ I CERTIFY THAT THE PROPOSED ; ECJISTItREt� i REGiSTEREDl JOB N0. 8002.0 BUILDING SHOWN ON THIS PLAN I ;CIVIL LAND CONFORMS TO THE ZONING' LAWS j DR. BY J D -- _�NGINEERS} ( 4SURVEYORSy OF BARNSTABLE , MASS. 3 3 N C M A!h �' 7!2 MAIN T C H= B Y rt, / k? S0.`wYARMt�� iN Mi�SS. HYANN! MASS �� 1�� SHEE.T_L.. OF _ 0 ATE REG . LAND S Lip VE=1`OR , 7HFSEPT/C '7AA//< t�R. — — J E,4CH/ivG P/T.4RE MORE -ro TH.9.`J /2'�BPLOlw' , /D FT. M/N ,"" g s �+ .• ' . ---�� ( =R A OEM fa 24"D/A M E TES_CO/yC.�F. TE CO t�ER*` " . ) .SJ,rAL L 6t� /9ROUC�,yT G/q.A OE.C1;IV .�X7-,-eA EL IDO.O CONCRETE i _ ^'# `' M/A/. PITCH j t/EAVY C/q ST /?O/Y CO{✓ER S//ALL QE US ED COVERS.- YgFT. ( ! /F%N [7R/VEIV.4 y f k s f /_ CrR•4oE CC) VER CLEAN SANG PBACxF/LL (d o _ 2LAYER . 4.. CAST ,.. o 00 / 318". . IRON P/PE / I U y D V G O � [X IS'_ GAL. a leo • o o • • • • n mAp /�/. P/TCN D/ST WA5HFO 570 E S'PTJC rAAIK o n e • o • . 0 0 0 • o on BOX e i - p •B .O 9 • 1 o p °i v v vD I • eEFFECT/VE '? ° °` 3/4„_ �/2.. t o ° ' • ° OEPTJ/ ° ° 1 ' ° WASHED STONE 7 � 1 • e B • ! ® • • 1 v 0 0 0 c n 4 1 e eI • o • • e • • Doo y -- PiPECAS T SEEPAG E 1,VVe 7' EL EVA7-1,o V S fl o` F� 1 • e��yy• . a e • e 1 l e A° of P/7 OR EQU/V Ab JMYER7- AT BUJLD/MG /NL ET SE/?T/C TANK _9�2ti FT 1s2__FT. 91A 1w_ TfIB:YLATION) OUTLET SEPT/C 7-ANKi2_.'a FT, J/►1LET DJSTR/dUT/ON BOX 9 b o FT. -HCTJON OF GROUND Jv.-e#TE/4 TABLE OUTLETD/STR/BUT/UN ®OX 9. FT. J/VLET [-EACH/NG c-YT FT SEWAGE AOIS POSA 4 QSY.STfM "TA�l>d.ATIDIV I '/. EAC/-111 if A/T i DE5/6/V CHI TER/A SCALE %a " _ /`- o v/MENS/OA/ A 10/MZN5I0'- O FT. NUMBER OF BEOROOM,S D/MENS/OiV G FT; G,4ReAGEO/S�OSAL UNIT SO/Z- Z-OG TOTAL E3T/MATED fLObV_ Gg4.1DAy SOIL TEST /#/. SO/L 7ES7-#2 NUMBER OF a�ACNINL; BITS__.) _ �"FLEI! �� G f`-ELF1!��' G DATE OF SO/L TEST �' a/J S/OE LEACH/NG PEf2 P/T _I�£r_,SQ FT. ` BOTTUM LEr9CN/NG PEK PIT �' RESULTS .W/T/VESSED BY a f - -7�--54. FT. O `� PER COL�iT/O/V RATS I 'f M/M�/NCH TOTAL LEACH/NG AREA �•' SQ. FT. �c' c''� AERCOA_AT/ON RA7-.E RESER!/EGEAC//ING,giQEf�_ SQ, FT. T 1rCrtrn/�, Pose LANE ��fiEAV 1 LLDE d E�DRED6E EN&I AIR/AEG C®,//VG. 7/2 MA//V ST. �+ _ 33 NO.MAIM S'T. - �/VD G/QOUNe7 YV,47VM ZWCOU/VTER�O HYANN/S MA35`. SO, YARMOtlTN,MASS. Cv/Q®Lr/i/L7 dam..47"E•� A7- EL F_(/ ✓Oa "Jo. S�/EET OF. .i ..�,{n, .-a^+.e: ,.wr.. ,_ - `r- f.kt .2:,.. z..`.r�k'-;'«hb•-T•` ..+t=..� 2.x., ..,?- -� _ .. .. � .. .._ _