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Home My WebLink About0013 MARRICK COURT - Health (2) ary-1 0 No......... .... ....... FRs %...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Appliraation for Elhipos al Works Tomitrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Systemt. . ...... ...........................------ Locatio Address I ot Ow per 9 Address ............................•---.....------. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms........ ..................Expansion Attic " Garbage Grinder (/( Other—Type of Building ....__._._. ...... No. of persons............................ Showers (Z-) — Cafeteria ( ) a' Other fixtur W Design Flow_______..-.._:5_____ ______________gallons per person per day. Total daily flow........3.3_.....................gallons. WSeptic Tank—Liquid'capacity/OA-0 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 ( ) aPercolation Test Results . Performed by.......................................................................... Date..................... a Test Pit No. l�t2.....til it�es per inch Depth of Test Pit......./2 __.._ Depth to ground water------ __ Zv-, .< Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground.water........................ ................................................................................... Description of Soil.........`�.:........7".._.'__.._ '�- ��---------�06t.?�St=..... ..._........................................................... V ..........................•......-•-••--••••••......---•••-•••-----------•---•---•..............••-•--•---•-•---------------••-------•••-....-•-----••--••...._....••-•-•--•-•-----•---••-•-•----•--•-- W UNature of Repairs or Alterations—Answer when applicable................................................................................................ N Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL, - 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. . I l` `?Q .Signed � ..._.-.-.... a_ ._.... q �_a Yale 7 f Application Approved By...... -./C ........•------------------•--•-•-•-=---------------------------•-•..---- Z Date Application Disapproved for the following reasons:----•-------•------------------------------------------•--------------------•-----------._...-•-------...------ . .....•---------------•-----------._._......-----------•-•-•..._...--------•---.........::•------•-....-----••.........•••••-••---•-•-------•----•-----••••--••--•--•-................................... Date Permit No......... �1�--------------------------•_..... Issued_--•-----,/=. .�'?!I ._... Date--------•--•--------- -----. j.. No...................----- +' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ra °J..ta.............OF..............1 'a .!`�`. - a / .......... Appliratiun fur Disposal Works Tonstrurttun rnmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at Jy{ // t�"f y �I"" (/ r //f/ ................_. --..... .. ----------•---• - J ...�....... r�... - -----. .....--------•--•-•---- ...... .... ..... ._ � LecatironiAddress, _ e: ✓ ----........................ -A✓ fi Ownet Address Installer Address Type of Building , Size Lot........................____Sq. feet Dwelling—No. of Bedrooms________ _______________________________Expansion Attic (,4f,-,) Garbage Grinder aOther—Type of Building ........ :_5._____ No. of persons____________________________ Showers O — Cafeteria ( ) QI Other fixtur S Design Flow........r____.. .....................gallons per person per day. Total daily flow..........33.0.....................gallons. WSeptic Tank—Liquid capacity/Z� _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 by.......................................................................... Date........................... Test Pit No. 1 :m riles per inch Depth of Test Pit....... ___ Depth to ground water___._.✓ "."lf° •y. Gc, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...................... •---•-••-••---------------•...i......--�... ................................................_._.. , ----•-----•---••-•------•-•-------•---•---•--...----..._. O Description of Soil............ ........ U x 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 TITLE: 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 heath. Signed---•--.�, !:"AeJ............ ......`== r� Date ApplicationApproved By..........,E.................................................................................... ......................................... Date Application Disapproved for the following reasons:.............................................................................................................. -................................................................................................................................................................................................. Date Permit No........�4` ................................... Issued......-- ..................................'701 • Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................:f'............OF............ :s?! .t.. Trrtifi.ratr of TompliFaurr THIS IS TO CERTIFY, Th t the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by----------- .............6A44/1<u.-•--••-_... `a .. . ................................... --:....._ been installed in a1 s Construction has accordance, he provisions of-TI�E, 5 of.�The State Sanitary Code as described in the application f ; uction Permit No ' *�'~------------------ dated----------� $ 7 ,: THE ISSUANCE OF THIS CERTIFICATE SHALL NOT.BE CONSTRUED AS GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 1 DATE--- t 5 �. � ,, . Inspector.. -------- -•--•-__••-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF No........ FEE...... s Disposal Norks 19 nstrnrtion rrmit Permission is hereby granted.............1.744 d...............- _. _ to Construct 0 ) or Repair ( an Individual Sewage Disp& System at No........ " %...."� � �' ._...... !? ' n-- ---- e. ----------------------------- - Street as shown on the application .W' for py isposal Work -Construc-9t, it Dated ____ lt . oard o Health DATE.......ll x - ._.... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS "'<� a fs - 2 30 U T l ` //q s Cj T r u' )� ' ` � �°U �o ( Uy � It ,,.� (✓< o r. wG ,. { - R .. CRT �. p (y0.22io2 LEGEND CERTIFIED PLOT PLAN ° EXISTING'.+ SPOT ELEVATION OxO ,. — -- y ESii.STi"r ',. CvN=TGvR� __ �Os .-_ f_: L T !Ni%►K�cr K=rY`� -z f- -. FINISHED SPOT ELEVATION FINISHED CONTOUR _- - 0 ---- C .f,--1v`7 :A,"°AC>/_.E IN APPROVED : BOARD OF HEALTH a>t ,�! I ,� 1 .9 << A .rJ � SCAI E 1 � Q� DATE : 1 ` DATE AGENT `� - 13ALv0`iMAs iELOREDGE ENGINEERING CO. INCH CLIENT I CERTIFY THAT THE PROPOSED EGISTERE� . (REGIST'EREDJ ,JOB No.790 7 �" BUILDING SHOWN ON THIS PLAN y CIVIL LAND CONFORMS TO THE ZONING LAWS DR. BY ' " '�' ENGINEERS l.`SURVE_YORS — OF BARNSTABL MASS. 33 NC' MAIN 5" 712 MAIN CH. BY 1 SO. YARMOUTH MASS. HYANNIS, MA S. / Z ATE REG . LAND SURVEYOR SHEET____ OF ___ - �O FT. M/N. 7 IF /F EITHER r7 SEPT/G TANk OR N0 �LEACH�nlG PlT Alre `MORE TNA/V /2"BE4OW /O PT M/N. �rRAOE� A 24"VIA Al LITER CO/�ICRETE CO!/EJ� SNA _L BE 19R0�/G,•,�T�TO`G/�AO�.��4N FXTR/j CONCRETE " 4~PVC P/PE �EAYY CA ST /,eow «C ovev? Sy gLL 04- uSEd0 /N CO OR/V.—WA Y I�ERS� �B"PE�Q FT. 2 • MAN. CO/V<i:RL° TE l4 i cC) CL EA/V .SANG,.. _ &ACXFILL -•.: - _ L/QU/O LEVEL .f r. 2 LAYER q .I 4"CAST� OF 11B IRON P/PE 6 D a o •v 0 0 GAL. 0 1 • • e . . • • • A 4 {�{/ASHFD ST2�NE of MJN. P/TCN D/ST,, • • e • • • • • � � � ln „ Q i)i•' � %"PER lrr. SEPTIC TANK o Q D � o a n 1 � •EFFECT/VE • �, b. 4. :-.f. • • • • • ► ` WASHED STONE r * too Fio e D PRECAST SESEP.4G.'Ews . b �� G t 1 • 1 1 0 •' • • • 1 d�brP - - a � o � • • • . . • • • ' ei o P/T DR EQIJ/V. ; /NVBRT ELEVATIONS INVERT AT SUILDING 7. FT. _�_ FT. O/�11'rl• j �C CSEE TfIBULATJON> INLET SEJ�T/C TANK y 6 .S FT —a1 OUTLET SEPTIC 7-A V H 9 G ,3 FT. INLET D/STR/6UT/ON BOX 9 6 o FT. GROuNo WA7f EK TABLE SECT/ON 4 F" 0U7ZE7D/5TR/B9T/0N BOX `) s• 9 A7SEN/AGE O/S'POSA L SYS'TEM ', INLET LEACH/NG J�/T 9 S.S FT T�,�BULATIDN - �. LEACH//VG PIT i U/MEMS/ON A 3 • FT. ' DE5/6IV CR17E—RIA SCALE X•4- _ / - O p/JylEN.S/ON $ 6 FT. i NUMBER OF BEDROOMS 3 D/MEMS/ON C FT. GAReAGED/SPOSALUNIT SO/L LOG sue,/L TEST TOTAL EST/MATED FLOH/ 3 3 U G,4L.�DAY cS0/L TEST Al SOIL TEST y0t2 /7 ,VuMBER OF LEAcHtNG P/TSl f^FLEY. `� �O f`"ELEY. /PATE OF S01 TEST S/DE LEACHING PER -/7- l SQ, FT. / S RESULTS /�//T.;'VESSE0-�`Y �% n%g BOTTOM LEACM/NG PER PIT 7� SQ. FT �c - f'L`RCaLAT/ON RATE#/ 2-- d Ml/VI/NCH TOTAL LEN . . ' 3S lECOA740 i?AA 7E 12 Ml/y.�/NCH RESERVE LEACHI VG AREA_2"b 6 SQ. FT. Z L p s��✓� �iti tye,`p"►± � / Z LO T �/� Gaci/2_T 0F, E- .� o� ROBERT �c S,a,✓D ' �. P. n d o 1R/,V NC. BUNIKIS - x' ELOR :DGEENG/N6� G CO,! o Q No.22162�0 7/2 I►M11V ST.. 33 NO,MA//V.ST. r 9 FG �� 4 HYANN/„i MASS. SO• YARMOUTH•MASS. o�F �ST� � :; 2g'•"V0 GR0(JND w,4TBR AWCOU/VT1LRE0 r SS'ONA1 T UJVO LVL� E.P AT EL (/E .JOB=/Vn. 7$'O 7/ SHEET�OF Z