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HomeMy WebLinkAbout0149 RICHARDSON ROAD - Health (2) l44 R,��rdeon R6� CPnI- -A-010 / iea w �zOilPTT T No........ THE COMMONWEALTH P_F MASSACHUSETTS �r" BOARD C �...........OF........ .. - - -----------r Appliration for Disposal Workg Toustrur#ion ramit Application is hereby made.for a Permit to Construct (& or Repair ( ) an Individual Sewage Disposal Syst t :/= \ - .. = ---...---• .--• ..... Jaogation- ddre ` J 7a,t cSl...&joN� Owner �--� or -•-•-- Address,- ........ .................... .................._.............•.... ..........•••.. f................._..-•- Installe Address Type of Building Size Lot............................Sq. fe t a . Dwelling 1 No. of Bedrooms___................................Expansion Attic. ( ) Garbage Grinder 7)— pa Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q+ Other fixtures -----------------------------••• . W Design Flow...............�_.5__............_ gallons per person per day. Total daily flow-----;M�.a..._ ................gallons. WSeptic Tank V Liquid capacity gallons Length................ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No.•--------•--__.-_-- Width.................... Total Length.........._.. ._... Total leaching area....................sq. ft. Seepage.Pit No------,f--.._-___.•- iameter--------Id...... Depth below inlet.... To al leaching area._2.4.1!-.:sq. ft. z Other Distribution box ( Dosing t ) d /�� 2,— -7j�— Percolation Test Result Performed b ...kt� .............•................ Date..._._-_a- ..7�. _: Test Pit No. LZn-----minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water........................ ...................... O Description of Soil- - :.. �� w ----- - x --------------------•---•-----•......••••-••--•-••-•--------•••-•---•-•-----------------•--------.•----••••...•--------•---•-------•--•--------•-----•----••--•-•••••-••-•-•••--•--•-•-•-•--•--••-..... 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'JIT .:. y g g p y 5 of the State Sanitary Code— The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. • , e 1.17 Signe ._ �.. ...........••. �4_4-7 ................................ 00, ate Application Approved BY47---------­------ ! -�� ----------- Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------•-------------•-•-- ---------------------------•-----•------------------------------------------------------•-----------•------•--•--••••-•--•••••-•-•-•------------------------------------------•------------•--•--------- Date Permit No......................................................... Issued•--- /Z -•�- '----••-•------••------•---- Date � .� ,~ �.,� c ., r t, i « �I 4 c " r. _.. �b U FRs.- .�-................ THE COMMONWEALTH rQfF MASSACHUSETTS BOARD HE ppliration for Dispag al Works Cnnnptrnrtinn ratrti# Application is hereby made for a Permit to Construct (44 or Repair ( ) an Individual Sewage Disposal Syst at• C . . .._.. --.... ............••.-• .. ..... + LQgation- ddr //� Y : Lo No +ram -. ... = ......... Owner Address Wt •-••-••-••-•••-•-•••••--•-•-•••...............................•.................................. Installe :' Address ' d Type of Building ;" g Size Lot............................Sq.- f et U Dwelling=""No. of Bedrooms.____ _________________________Expansion Attic ( ) Garbage Grinder 1�- p`11 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) P I Other fixtures .............- --------------•------- - --. W Design Flow_ __.__.. -_J............... ..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.._.__/---- ____.. iameter__._...14.._.... Depth below inlet....... ......• tal leaching area___ 4__ ..�tsq. ft. , T z Other Distribution box ( Dosing k "� " Percolation Test Resul Performed b ...__- _f' i___-•__________________________ Date__ yr_ }'", ......... a y--•- a Test Pit No. 1. t t _._...minutes per inch Depth of Test Pit................... Depth to ground water-----------__:__.._____ (i Test Pit No. 2................minutes per inch Depth of Test Pit---................. Depth to ground water........................ �a O Description of Soil ' ��'' ` -. q--1. ,`.__ "'"--1�1r/-._.. s�¢�cs I' " � s 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 y g g p y S of the State Sanitary Code—The undersi ned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the board of health. Signoi j y f � e • Application Approved B lJ � ___._______ PP PP y--•-•• i --- -k—, s r - Date Application Disapproved for the following reasons:................................................................................................................ . ..........................................................-............................................................................................................................................. Date PermitNo.......................................:..._......----... Issued_....................................................... Date i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH {� ...... �40I`1_1"P7.......OF................ ... ... ........................................... Ter ifir air of ToutpliFanrr b'4't J� TO ERTIFW, That the Individual Sewage Disposal System constructed ( ) or Repairedby � - ' f ............................................. •---•---•-•-...•.•......._ Y ¢NtHer • 1L � has been installed in accordance with the provisions of j of The State Sanitary Code as described in the application for Disposal Works Construction Permit N .. ='.; dated ` ` . ------•--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..........ji.-_. .'... fl_- Inspector......� ............................................................. . THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH 7 � 04 ..... . j..........OF.... '?.'4 - '.,...... F , O EE... • ._ . fIS Distu 1 irk onotrudilan rrmit , Permission is ereby granted... tl- - " :_ r to Construct o Re air )�a ndivid L,Sewage sp al Sy at No .�. ----------- '- -----•-7 /f//j(���'��•�'6- � .•.. (/f-tom �;` Y street p - - as shown on the application for Disposal �t�orks Construction Perrriit o ________ __ ___ D "�' ...................... r Board of Health DATE------------------------------•-----------•---•-•--•-----•--••-•-•-••--•-•-- ` FORM 1255 HOBBS & WARREN. INC., PUBLISHERS - - No.......................-- Fus.................. ........ THE COMMONWEALTH ,QF,MASSACHUSETTS BOARD OF HEALTH ............. ................O F.........................................:.-------------------------------------------... Appliratiun for Bispoii al Worko Tunitrurtiun amit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...........•---........................•--•----.......•.........................••............... ....•--•••-----'---------•--•-••-•••......--•---•••-•-•-••••'-----••••-•--•--••••.............•--- Location-Address or Lot No. Owner Address W Installer Address QType of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons..................---------- Showers ( ) — Cafeteria ( ) a Other fixtures ...-•-•---••--•---------•--•.... . W Design Flow............................................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..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.--.----_-........ Depth to ground water---.------...........--. Test Pit No. 2................minutes per inch Depth of Test Pit----........----.... Depth to ground water---.................--.. R+' •-•--•-•-•-•----•-•••••-••-•--•••---••-••----•---•-••--•-•-------••--•--•-•••--•-•---•-•--•---------......................................................... 0 Description of Soil........................................................................................................................................................................ x U ....•-••-----••-•••••••••----••••-••....----••--...•----•-••-•-••-•--•------•-••-•••---•--....--••••••---••••••-•--••-•-•-•-•---•-••-•-----•--•-•--•.................................................... 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 TITIE 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. Signed...................................................................................... ................................ Date ApplicationApproved By-----••---•••--•--•-•--•---•-•••----•--•-•-'•-•---••-•--••••-••-•••------••-•.............•-••--- ---------------------------------------- Date Application Disapproved for the following reasons:--....-----•--------------------------------------------------------------------------------------••••......---- •------••-----------•---------------------------•-----------------------------•--------•-•-•----------•--...-------------------------------------•------------------------------------------------------ Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... TwWrtifiratt of Toutpliunrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by•-••-••-••.....-•-•••---.......-•--•--•-•-••-•._...•-••....................•-•••-'-•.....------------------------------------------------------------------------•-----------•------•------------ Installer at------------------------------•----------------------------------------------------.-------------------------------------------------------------------------------------------------•--------------- 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 A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................ ........ --------•------------- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................................_OF..................................................................................... No......................... FEE........................ Disposal Vorko TDunutrnrtiun pamit Permissionis hereby granted............................................-------------•------------------------------------------------•--------------------.............. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo....................................................................••.....-••---••---•--••-•..-•--•-----------------••••-•••-•-••-•-•---•-•-••-•------------•--•--•--••--••-•................ Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... ------------------••-•--••--•-•-----•---- --•-•••-••---••---•••-----•-••-•-•••••--•-----......-•-••-•. Board of Health DATE............................................................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS No........................ FEs.............................. THE COMMONWEALTH,OF. MASSACHUSETTS BOAR® OF HEALTH OF.............................•.......................................................... Appliration for Diopos al iftrkfi Toaaotrortion amit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ••--•...................................••••--.....----...............-•--•-------............... ---••••••••----------••-.........-•••••---••---•......-----•-•---•---•-••.......................-• Location-Address or Lot No. ......................-.......................................................................... ................•...........••........•..............I............................................ Owner Address a ------------------------------------------------------------------------------------•-----------•• ---....-•---•----•-------.................------•-----•---........--•--...............-••-•-••---- Installer Address QType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms----------•--•------------------ .Expansion Attic ( ) Garbage Grinder ( ) 'k Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures _________________________________ W Design Flow............................................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..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by-------------------------------------------------------------------------- Date........................................ 14 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water....._.................. R+' •••---------•---•------------------•••-••--------•----••-------••...-•----------•--------••---...............•-•-•-•........---•....-•-•-•.......-••--------- 0 Description of Soil------------------------------------------------------------------------------------------------------------------------------------------------------------------------ W U --•-----•••••----•--........................................-••••••--•----•--•-•-------•--•--•--•••--•..._....•-•-•--•----•-----------------••----•••••--•---•--..................---...............•-- 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 TITLE p 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. Signed...................................................................................... -------------------------------- Date ApplicationApproved By--•••••----------••---•-----•-----•••••--.......-••-••--•-•.._..-••--•----••....................• ........................................ Date Application Disapproved for the following reasons---------------------------------------------------------------------------------------------•---•----------•---- ....•------------•••----------------------•••••-------••----------------------•---------•-•-----••-•••--•.._....•••-••••----•-•---•-•------•-•--••••-•-•--•-•------••-------..........----------..._..... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... . Trr#ifiratr of TompliFarcrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Installer at-----------------------------------------------------------------------••-•--------------------------------------------------------------------.----•--------------------------- has been installed in accordance with the provisions of TITL_, 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated_---------..................................... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT TIME SYSTEM WILL FUNCTION SATISFACTORY. DATE....................................................................••••..-•--.. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................O F.......-•------.................-----..........................:.................._.. No......................... FEE........................ Diopooaal Work.6 Tonatriulionpamit Permissionis hereby granted.............................................................................................................................................. to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No Street as shown on the application for Disposal Works Construction Permit No--------------------- Dated.......................................... •...............•--------------------•------------------------------------------------•--•----...••.--.•. Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS t .:YC'r5����.!'�{"fiiv+�rY,_ df •7'., _.��+ # it '� � j'i ,. ', { 3 + •� .:�� +t j_�IJ�� t7_-x � tl 6x t 2 {�,+..r dr J 6+h}. Y ,�.�. dF yte� p' tigtvgy _J v s i C t+4tl r' E+ LYyy )ii1x: t Y-r� 1y't� M1 pt ��S f_. - • r *t Y '' F t fl.l'� �' a�'S h are "'ti �i.. i x r 7P ;fig r f r ` o/,I�AP h J`ti ;t *,yi 1 P s"Arm ��'+ ; .S 4 C• di �` ! M x p . lb f_6at QCOr'MS, 5 Z /UD O } z /009p p b,' 7igNK t-\� z^ t � lr �t�gRi. ,Sl � �, U - .4EX/�i�NS/01✓P� •, � �- /`U00 GAL .d Ja '4 rtrf d ,,zr r m - t tvr p L_EACN/A' s s w ,yN x"" S - - _•Q raj y �. P/T «.�f � �.e�F gr4c��� y aw^• ± Al' - � \ nil, OF *" r w ROBERT P. BUNIKI r17 . t o p No.Y2IST 162 O Q t`, e h t a sS/pNA E. LEGEND EXIS;TING SPOT ELEVATION OxO CERTIFIED, PII nT,.y-TQpi FINISHED SPOT ELEVATION 10 0] L vT T�'/� �'``e�>'_5UN ` R t., FINISHED ' CONTOUR -- O P JF t 4. ,APPROVED : BOARD OF HEALTH ` DATE A.a AGENT SCAI E / �� ¢.0 DATE ot", '!ELDREDGE ENGINEERING CO ING�, , -- x CLIENT I CERTIFY THAT THE PROPOSED " (FRJOB N0. EGISTERE �REGISTEREDJ 7�0 7� BUILDING SHOWN ON THIS PLANI _ / CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEERSr SURVEYORS DR. By ! 1f1 �1�.-- - --- -� ' - - OF BARNSTABLE , MASS. s` 33 NC -MAIN ST 7!2 MA!N 217 CH. BY: R' -P.i3 rt :10. YARMO' rH MASS. HYAfVN!S, o'5 SHEET-_/— OF Z .__ /fT�E EG. LAND SURVEYOR�? 4'FK.. v�.`-!'�-� 'tt"�`' 'R-� .c- �, n ,� a �f}� vS �5.,�4`a t, ..;., _•�, n, ��«; yy`T�` v v': `L f!' t::� � Rum ,=,�i� ac at 20 Cr ' M/N a n N0 l-L /F E/TNE�4 TfIL S�F�7-1 7-, OR P/7-ARE MO RE:: TH�9,V /2''BEL0i'V ' CO CONCRETE / 4 "PVC P/P� SHALL BE I�IPOUGHT To 6 A`o y M.W. P/TCN MEAI/ :CA ST /?Oiv CO//ER 5.,1.4 L L /DE USF1J ., EQ FT N C7R/✓E co WA y i 177 CL E AlN , A .SA N p .6 4, _ CAP/PE I 2�La�4yEK ?' MIN. v/TCN l� .40 O U : GAG. '' ++ J o 0 01 � i/g /4�PE/� P'T SEF'T/C TANK U/S T, A ! W/A 5 HFD S7TiNE CS a' BOX o uti .y r •. • • o `• . . •pn q o ,� lE t er lr: 1 0 ` ° � e pEPTl/ • .I • � y• wo I• _ ., � �� � r • • • • . • • • �_, � o i W,45HE_DSTONE { � .b o vo o ' . - `. I a a o � � � • • • . o • • e . .� p o s v i - P/�ECc.45 T',SE.EPAG-E=-- — •,i lNl/eKT ELEVAT/ONS 1a � ooY r . ■` • • . � .� eQ o% P/7OR EQL(�V.. j //vVERT AT BU/LD/NG . gl�d FT 6 FT /�/faM: /HEFT SE/�T/C TA/V/C _9`� S F7 /_D FT. LU/,q/+� C SEE T�ULATION � I -- �. ----- - - - - - - I- OUTLE�'`SEPT/C TANK 1N.,LET G�ISTR/49UT/ON BOX 9a� 8 FT 'SECT/ON OF GROL-wo WATER ZAd. E r ! ,O.UTLET`p/STR/BJT/U/1t�BOX_9��•� FT. " tt r G'EACN/NG OJT 9 f FT SHJVAGE �/.SPOSA L SYSTEM. _ LEACH/NG P/T TABIJLATID/V SCALE / ¢ ,. _ /�_ O,. U/MENS/ON A ._FT DES/GN CK/TER/�l / D/MEIYS/ON $ -- 6.-- T. NUMBER OF BE�RoOMS 3 D/Me'NS/ON C— _FT aA-R6A64—o/SJoo_5A� SO/L `LOG .TQTAG EST/M«4TEU FLDI-{/_ G'4 1,0AY SO IL TEST A4 I- SOIL TES?-*2 SO/.L._TES.T. �iVU.iNIL4ER OF �aC4C..N(NG: J�/T_i_ t � � i � i ��E✓. �8.0 1--EL. 1! - /SATE OF .SOIL TEST : �Z�79- 5/OE LEACH/NG-:f�E.'t P/T �i8^�.,$`,7 F7; � - I 6UTTUM LF,gCN/NG F'ER P/T�:h�� 3 ' + RE•SIJLTS kV17-/VESSED •BYR•._n. S4• FT NCH �c o PtRCOLr4T/ON RRTE / O TOTAL, LEACH/JYG AREA —ZLG 6 SQ. FT ',. S i'/3 S o Jt_ PE�COLA7•/ON RATE AL RESERIiE LEACHING AREfj_ ' vSQ, FT I.. " M1 K' S�Mv t SAG y /� 4AIC' ,�s � ;f Fr LD-T / /�'lcf-l�RD,So.7 ROBERT -yamA � v -�I r l - -- -..1, a {�. ^ �•- BUtViKI ` ` s S. w �q Y� =•&•SA NO ,nt r i a -"A Gx i?c,.'? -x, e•!`•a. •t x 'w::;P,p. 'Y ,:.N ,pT,`r _ f _ Na221s2�OOREDGEENG' N.� %14/G C'O,/NG^. �. O •~: �sISTE `i► 5 rxi e �L#� �t �� '' ' ,� 7/2 M�9J%Y ST NO.'M,Ai.N HYANN/S :MAS,S SO;•YiORME+C/TN`Mi1S�" ' Pao' / r , rr - ,- ND H E"s Z �;•` ,..:.. ,. �> :r_.:,$�"°'Sq ,..... 4::,s-�.. >.. ,+•.^ .:.° i : ,, .. ✓ �r'. .p, v F+f "�""�..,�--�'�,,,0..;'`_"'ai."C+�..'.l�nr.;1-,w.f«�'Y ia.':. JO[`3 S -� � ..3..e .....-.h..f ,}F,....�„e,.�"C'" ,.��^ v...,. •:.-r' ,f;".' v-.w a.']3� _. i • .. + .��,k�'i'r�" �,��'F v 1+.,.fn.r•v4�.m... ,+�y