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Home My WebLink About0441 CRAIGVILLE BEACH ROAD - Health `�f�-I! ��v�1{� ��-tQ- C L !y2T ON SEW , GE PERMIT N0. VILLAGE INSTALLER'S N ME i ADDRESS BUILDER OR DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �z _� 'L�� - �-� :' � ; (�'� �� yy� �`� } ' � �� 3 ti `A . '`�, �'� U r 5 8 ai treet Ei.. n l r A= 8 76 i i i i i I 9 i �� e 0. . Fss............. ............... No. THE COMMONWEALTH OF MASSAgCHUSETTS j BOAR® HEALTH `lJ ✓ ...................OF........ -.------..._................. Appliratiou for Uhipoiial lVorks Towitrurtion thrutit Application is hereby made for a Permit to Construct (V,) or Repair ( ) an Individual Sewage Disposal Syst at: -------------- ems' L 0A ss /0- --re-- �6 ------- -.'` r � - ..,� Owner Address Installer Address Q Type of Building Size Lot_.__.`....................Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (MD) Other—T e of Building No. of persons............................ Showers — Cafeteria Otherfixtures -----------------------------�-eel"-bu------------------------------ ---- ----------------------------------------------•-------------- W Design Flow.......................,r/l.............gallons per persen per day. Total daily flow______...............__ gal WSeptic Tank—Liquid capacity/4/-��.. gallons Length._..._..__ Width____��____ Diameter________________ Depth.... x Disposal Trench—No..................... Width........7.......... Total Length.................... Total leaching area-___-_-_--_-i- ..sq. ft. Seepage Pit No—-----/-------- Diameter------f0....... Depth below inlet....... ........ Total leaching area--- 410-......sq. ft. Other Distribution box Dosin t n ( / r ,/ aPercolation Test Results f, Performed by. ��`'�4_ H.x... "''r` !?C.(� .f... Date.__!Y.�G'.... . Test Pit No. 1 minutes per inch Depth of Test Pit--- __------ Depth to ground water________________________ ll Test Pit No. 2_ b ' `...minutes per inch Depth of Test Pitf. .____._.. Depth to ground water........................ a ry'U`--•- 7 -- r ------- . O G -/ 1 �c a ?_ P� r �� A r S�- Description of Soil------------ ......---•---•-•---- ................. l yy �. o a �5 r Sri. G'�-a U Y2 A�1 ...Z.5'..�.........a.------�.�...-------a------------ ------------------------------------------------- W ---------------- -----------------------•--•----•---------------•-------------------•--••---......-------------------------------•--------------------•-------------•--•---•--......................... UNature of Repairs or Alterations—Answer when applicable................................................................................................ ---------------------------•------------------------------•---------------------------.......-••--------------•-----------------------------------•--•-•-••---------------•-•-------------------------- Agreement: The undersigned agrees to install the aforedescr' ed In ividual Sewage Disposal 'S-Y stem in accordance with the provisions of 1 I 5 of the State Sanitary C e— si d further agrees not to place the system in operation until a Certificate of Compliance has bee ' s - o of health. r Signed -- . �. ......---- r _ ;v,- � ----�-�. Da e Application Approved By............................. "• --....: . -- . ---- --=------•-••---; .....-•--- 1 Date Application Disapproved for the following reasons-------------------------------------------------------- ----------------------••-----------------------------------------------•......----------------------------•---------------------•--•------------- --------=-------------------------------------------- t Date Permit No.................. Issued..........=- -' ,---------------•--- P E Date THE COMMONWEALTH OF MASSACHUSETTS BOAR® F HEALTH :.'W. ......... .....oF. AV.Vfiraftou for BWVosal Works Tomitrortiou ramit Application is hereby made for a Permit to Construct eel) or Repair ( ) an Individual Sewage Disposal Syst at: c � 1 , ........... /s / � / �� .v-s 2eatio .-Llddress �� or Lo t ... ��4:ep Owner J f Address ........ ....... ---•----..............._._... t .- -. ------.................--/..-------- Installer Address l• UType of Building Size Lot_.�.__._."y_........_.Sq. feet �, Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (O ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------•--- e: 4� .....-•---•-----•-•-•--. ---•--•-•--------••--------•-•---•---•---- W Design Flow_____________________�1�1_....._�._gallons per per day. Total daily flow___....__.........._�....�.®..........gallons. WSeptic Tank—Liquid capacit}�(�G____gallons Length----- Width__.S._.____ Diameter................ Depth.._..___.__..... x Disposal Trench—No. .................... Width..__._..._........ Total Length.................... Total leaching area....._.______�.....sq. ft. Seepage Pit No......./.......... Diameter-----�1�........ Depth below inlet............... Total leaching area..2.............sq. ft. Other Distribution box Dosin � /� G '—' Percolation Test Results Performed by1_4 . ur_("!_r Lrl.._ �1 n � h �r f Date /r��U G Test Pit No. 1le5_._.......minutes per inch Depth of Test Pit-----------;'....... Depth to ground water...... fs., Test Pit No. 2T.2."-"__....minutes per inch Depth of Test Pit---/_�.......... Depth to ground water........................ a, Z 1 U--•------T ---.-= . Description of Soil------ .............••... ---------------- W --------------------------- UNature of Repairs or Alterations—Answer when applicable____---__..•________________________________•••--:--______-_______-_••-•----__--_-----------__. -•-------------------------------------------------------------- ---------------------------------------•------•--------•-------•----------•-----•-•------------....................................... Agreement: The undersigned agrees to install the aforedesc 'bed Individual Sewage Disposal System in accordance with TITLE 'iT�'1'•-� the provisions of T I T L: p 5 of the State Sanitary C e— nSlersig ed further agrees not to place the system in operation until a Certificate of Compliance has be ' s t� b a of health.,. -----Signed---- -�--- -•--��-.........-...... - -- --------------------------•--•-- ,r D Application Approved By.•....------••--- .. -• -•-• -------------•--•- �o ' ......------ Date Application Disapproved for the following reasons------------------------------------------------------------------------- ------------------------------------•-- ---•---•-•------•-•-•--•---------•-•---------•-------•••-•-•••----------------------•--------••----------'---•--•-••------•--•---•-------•--•--------•-•••......••-•----•'............................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... fn YL..........OF..... .................................. Trrtifiratr of from pliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by........... ---------------------•.........--•----------------------•--------------•----------..............................------------•---.....--••---•------------ Installer has been installed in accordance with the provisions of TI o 'E e State Sanitary Code as described in the application for Disposal Works Construction Permit No._. ._ ............ dated_._..................._.______._..._.......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.........f,1..................................................................... Inspector-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �/. ........... ... No.�,___, ...__ � FEE . �i��o��tl ork� �ott�#rion rrmi� Permission is ereby granted.----- +. 'I i-.....---------•-------------------------------------------------------- ----•---- ......•- to Construct or Repair ( ) an Individual Sewage Disposal System W at No. --...---� k�....._ .....C3C3c�a�'�r.... �---5 .zl :•------1'�'-' i _ ' ` '` Street as shown on the application for Disposal Works Construction Permit No....................V_Dated.........................._............... .......................................... �// DATE........................-1-/--Za� l------------- •..... &roard of Health- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS { '•q d N eve `Y. a ...,�.._._. ...�---.._.-. _—..._...._.-_ { i .A 'r}, m. m I p d CRA 16VILL rACH poig ,t i J / i J ! i 1!J s Tsf oT 41 -3_^_,�. ...._..._..__......_.-.,... .....,.... ....._..-.. _ r a P deb 7'r '� 3 S 87. z9, 37LL n,Y LL 4.f LEGEND 1k , EXOS,TBNG SPOT ELEVATION ®x0 aE �r,, CERTIFIED PLOT.q A- PL I �� I�� 1%. I=�E'Vw—i`�v --sV.'0� , DBE T _ ,_/ ' i _ a. . _ w�_ r / —F D FINISHED CONTOUR 0 � ., P.I - z �" t o131JNI IS APPROVED , BOARD OF HEALTH No.2z sz� F " AGENT �� _•t GALE I 30 ®ATE e � `t `* j �•, CLIENT, 19CE: YI CERTIFY THAT THE P �r; r. y•. �313TERE REGISTERED JOB NO. /' BUILDING SHORN ON Tao! CIVIL LAND CONFORMS, TO THE " I� INEER SURVEYOR DR.®Y= JDD OF BARNST BLE, f ,SURVEYORS,, 712 MAIN ST. CH. ®Y• p , HYANNIS, MASS. SHEETS OF ATE R G. LAND Gt�...:. All ?g& T' _ -_ x 1• ^,7r a ",5"f„ �?O FT. /�►/N. ®7E /F E/7'NER -nw✓E gEPT C :T.AM� OR G.EACH//VG P/7' AM0 i"MORR rH,A v /Z &FLOP/ ' Igo io`Y /►�/A/ COR✓C'J��T� C®.PER' CO/4lGRE'TE 4aF6�C PIP@ h'E.4V CA �' //e®/V ®(/E,T .5,A1, $LLL ®E USEd' A9/A/. P/7C/'/ co - y® IF/n/ ZPRiVRWAV, j o. C� •DOE co, C LEA M .SANS B4O4 C.NF/L L A. LIQUID LEVEL 2"LAY ER T ono G1F /I8 'p�� //YOA/ PIPE �D�/ ✓ (Yf�L. o.l M/N. P/TCN D/ST. '0 WA5HFO SANE ® o o e o a o e o o ° a /4"PER FT SjffPT/c TANK BMX a o ° o yV.45HED STONE 0 0 o p o PRECAST SAS EPAG aE 6 Ov P/T DR EQU/✓. /NV,eRT E.0 E 11A7'1OR/5 s o /NVER7 AT BUJLD/n/G ✓ �' C AY, 6 FT D/.�1M1. i _ INLET SEPTIC TANl� - 1 S+ FT, _ FT D/AR9• ` C�SEE'TA�L-L/ AT10M> OUTLET SEPTIC TA NH 6�FT INLET D157W1/3l/T/ON BOX Y PT. C,/QOuNo ��JTfR TALE Oc/TLETD/STR/B[!T/ON BOX 45'' `� FT. .SECT/O/V O.�' /WL6T LEACH/IvG />/T 'r• FT. SEJ�/�1[9E O/.S'R®.SA L .�Y.ST�//m'1 T�QlJLe4T/DN LEACH///VG P/T / ,. p/MEN,$'/ON A ,DES/GN CR/T,ER/.�l se,aLE /� _ / - o D/Je`fE/NS/oN 49 FT NL//NSER OF 6EADROOMS 3 D/MEbS/ON C�FT. GAR®AGE D/SPOSAL UNIT SOIL LOC9 .5011- TEST Tp-AL EST// A-7-Ep FLOW 3 3 O G.44.1DAY SOIL TEST ,#1 SOIL 7EST#2 I I /1lUMBER � :,�4CN/aG PITS_ ✓* ELEK�� EL�1! Q 'O ,DATE OF SOIL TEST SIDE LEACH/MG PER P/T B _.SQ, FT. O�-///1 /�y° I�E�ULTS �//TNESSED BY / • r•. /'7 / d'/ S 6�1JTTOM LEr4G'N/NG PER P/T So. FT. G d.,r v Sub 9 (Ga.4 Y�• ti r, PEI�d COGAT/O!V�/�'�TLs I s s M//VyII NGM TOTAL LEACH//VG AREA �� .SQ, FT. ,F� a, � I��COt�T'/Ow+P.4T�6�2 T'ba` M/N.�/NCN RESERVELEACNIN6AREA�SQ. FT. l /b / ROBE:RT. �� /v}•�'. ,/, �'<� C W. HyZE7 P. �hgAS�e` t f a BUNKS �Ogr50\)d.tc� ! p No.22162�0�Q G e/Z. ` ! z HO C'IST�l�G\� ¢�.4at &V�6 ,- 912 AAyty- -7r y ' =. S/,ONAI ho ramPAIC ON OPP L wz�� ie �7. x :x ��