HomeMy WebLinkAbout0020 DELTA STREET - Health ,?a Deµa Sk , �annts
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L0CATION C SEW ERMIT NO.
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. VILLAGE moo?--ogS-
IN.-S T A L L E R'S '-,NAME 8 ADDRESS c�-�ucliing d�' 23u11 o�ang
142 1 orpor-esi ;i St eet
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Hyannis, Masse 775-0828!
GATE PERMIT. ISSUED
DATE CO-MPLIANCE ISSUED
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T THE COMMONWEALTH OF MASSACHU'SETT5f
BOARD OF HEALTH
jN...q..............O F.....13,*...ee�. . 77-gn.................................
Appliratinn for 11isposal Works Tonstrurtion ramit
Application is hereby made for a Permit to Construct (,V.) or Repair ( ) an Individual Sewage Disposal
System at:
---...... �T ....... ...T. ......� ,�?�.l�l.Y.11f..l. .. ........... dT- -�-' --- ---................................-......--......
Locat ion,Add s or Lot•No.
........... ...................................... ......................................................_..........................................
owner Address
aw ....... .....
---..--•- --- ........................�•.^ �...-----•--
� Installer Address _
Type of Building Size Lot.4.�.._._.>.............Sq. feet
U Dwelling—No. of Bedrooms.........:3...........................Expansion Attic ( ) Garbage Grinder ( )
Other—Type T e of Building ............... No. of ersons.................._.._...... Showers — Cafeteria
a YP g ............. P ( ) C )
Pa Other fixtures .................................
a a2a� 3 -•-.............
w Design Flow..........11......................•--....gallons p �lnrcr�rf & day. Total daily flow-------------- .... .._.. ------•-----gallons.
WSeptic Tank—Liquid capacity./A gallons Length..—R..--!L Width _._/0... Diameter................ Depth.,S_.--.T'..
x Disposal Trench—No.'.................... Width.................... Total Length.....................Total leaching area_...................sq. ft.
Seepage Pit No.._...I........... Diameter.....J.02...... Depth below inlet.....6.-`........ Total leaching area......-:?sq. ft.
Z Other Distribution box (fit) Dosin tank ( )
aPercolation Test Results Performed by..4:0,0......Z9AW— n........................ Date.....�o..�.1,`.t........
Test Pit No. 1...ALZ___minutes per inch Depth of Test Pit......./ 13� . Depth to ground water....................
f=, Test Pit No. 2.. .L...minutes per inch Depth of Test Pit.......11:... Depth to ground water........................
...._ _..... ......-------•......._.....
Description of Soil----... .... . •... -----------•..) •x ..1._. .. ...............................
v -----------------------------------= -- -------------------------------------Z..........
---Z
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 TLNU 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
Application Approved By...... - ,. - G . ate
Application Disapproved for the following reasons---------------•-------•--•--------•-----...-----............--•--•-•----•-•------------•- .................--
................•---•••--.....---........----------••----•----••-•--....---•--•--....-----••--•--•--••--........---------------------------------------.._....----------......------------•----......._.
Date
PermitNo................................................. Issued....................................................... r.
Date
z
THE COMMONWEALTH OF MASSACHU;SETTS;
a
BOARD OF HEALTH---
...............OF.....15.4( ...........
••.-.•-
Appliration for Disposal. urku Tonshmdiott Frrnti#
Application is hereby made for a Permit to Construct 04) or Repair ( ) an Individual Sewage Disposal
System at:
--•---- T � ,�„�,. ,r of 441,t:. .1��. .� Z.
.�. .Location-Addre ........ .. ----or Lot No......................
o.........................................
..........�1t,�S►,tom,. .-----,0,�,.,�+•ru. ..................................... ..................................................................................................
W Owner Address
.........................................•---.......----:..................................•...... --...--•-----...._..-----............--------•--------................'l.....................•...
Installer Address
Type of Building Size Lot./ .. ..... .......Sq. feet
Dwelling—No. of Bedrooms.........3..............................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building
a YP g ---------------------------- No. of persons.....-------...-.--..------- Showers ( ) — Cafeteria ( )
Other fixtures ........................--------
Desi Flow`.----...._�/ ......---••----••--- •gallons F ro�� U
W � - - gal p � n per day. Total daily flow---------•-.._�.�----------------•_--gallons.
WSeptic Tank—Liquid capacity/A.49.gaRons Length.-R. - Width4..�/P.... Diameter..._............ Depth:<k..
x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft.
Seepage Pit No.......11............ Diameter.....f r Depth below inlet....r..'-........ Total leaching area....Z6-2sq. ft.
Z Other Distribution box (y) Dosing tank ( ) `
Percolation Test Results
a Performed by._x7-,go......T_H.�G Date.....�f!--y-� r' ........:............... �Z
Test Pit No. 1... _ ...minutes per inch Depth of Test Pit....../..3 Depth to ground water.........--..........
f� Test Pit No. 2..,/.X....minutes per inch Depth of Test Pit.....��..�__. Depth to ground water........`:.............
-----
.................................•---•-..----•-......---...------• - .,
.----•--•-----------------------------•-------
--------
O Description of Soil........-. -•_-- A? - Z 5/ f S0iW
x -••--.......•••.............••••••--••••--•....•---•••-•.....•••••••••••-••--•.....•--...-•---....•-•••-•••-••--•--•-••--•••••-•••••-•--••••----••----•---------•-.....---•......••-•-.......------.....
VNature of Repairs or Alterations—Answer when applicable..........................................................:.,•....................--._..I.......
..............•-------------•--..--.......-------•--.•...---------•-•---•••-•-•••---...•-----•_.....--•-•••--...•----••-•...••••-•--.......-•-.....•--•-...--•--•.......--•--------......._._..--•--•-••
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 health.
Signed::_:..... .
�--.....�-- ---• - ^- --•-•-•------ -•---------'Date........_----
Application Approved BY t / ---------•-•.............._ �1 d t.,...
ate
Application Disapproved for the following reasons:.............. ......:............•--......----•..••------.........----•-•-----•-••-...._.........---•...-
.Date.................._
PermitNo..................................................._.... Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF......................................................................................
CInrtifiratr of fluntpliatta
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( 1-<Or Repaired ( )
by----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Installer
at............. .......Irp- .. ...............
------- • ..
r----------- 0—------------------------------------------ ----..
has been installed in accordance with the provisions of TITLE 5 of The State Sanitary&/�e./,adescribed in the
application for Disposal Works Construction Permit No.:___� .-/._?. _.._....... dated.-- _�L...................
THE ISSUANCA OF THIS CERTIFICATE SHALL NOT BE CONSTRUE A GU RANTEE THAT THE
SYSTEM WILL. F C ON SATISFACTORY.
DATE.... :, T ------••----.-•-------- Inspector_.....
THE COMMONWEALTH OF MASS.ACHUSETTS
BOARD OF HEALTH
...........................................OF_......................................._................---•......................
FEE... Jr:............
Eliupouttl Works Ton#rnr#ion antic
Permission is reby granted ---- ----- ----
to Construct (L' or Repair ( ) an Individual Sewage Disposal System
at No....... VY -..Z 7> r/= -------- ...................
Stree /
as shown on the application for Disposal Works Construction Permit No..................... Dated..1Z..Z. .. ....................
. �---•� L.�,� -
f� js/ Z J Bo d of Health
DATE.---......:
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
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5SPo7' - ELE✓ATjnNS 9e. e CERTIFIED PLOT PLAN IN
ELF l�i9T/oN5 BASSO aN Assv/nE� P47UM �`� -gi /S, MASS
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�QEMf!/N ESSEN7-14L V THE IRA R.THACHER, JR.
REG. LAND SURVEYOR
SO. YARMOUTH, MASS.
S.4.P,vsrogt� /�E,ocT,U f7�FNr DATE G5 ems-BZ SCALE / 30'
DRAWN BY /2T SHEET OF z
OF � I CERTIFY THAT THE PAQI-OSEo
,avic p1.1¢ SHOWN ON THIS PLAN
�!:: AICHAR G //o 4R
-T JA.tAES �1� CONFORMS TO THE ZONING BY- LAWS
o'HEAP.N N
No. 644 ti �R 23214 o OF THE TOWN OF Bf�•eNsrggL�
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D SUR 6y
REG. LAND SURVEYOR
1
' SOIL TEST INVERT ELEVATIONS NOTES=
r..�;
DATE OF SOIL TEST8Z INVERT AT BUILDING 9,93 FT ALL WORKMANSHIP AND MATERIALS
WITNESSED BY Z 7' �C' INLET SEPTIC TANK 98 o FT. SHALL CONFORM TO D.E.Q.E. TITLE 5
PERCOLATION RATE �z MIN./INCH OUTLET SEPTIC TANK
97. S FT AND THE TOWN OF �A�r^/sr,9l�cF RULES
INLET DISTRIBUTION BOX 97•s FT. AND REGULATIONS FOR SUBSURFACE
OBSERVATION HOLE I OBSERVATION HOLE Z DISPOSAL OF SANITARY SEWAGE
t OUTLET DISTRIBUTION BOX �Z 3 FT.
ELEVATION = 9�. ELEVATION= 99.
_ G - o INLET LEACHING PIT 97.0 FT.
ToPso/L 011 9 BOTTOM LEACHING PIT 9/•0 FT.
SU6SO/L SUB s C
Z¢ ,• DESIGN CALCULATIONS, -
NUMBER OF BEDROOMS .. . . . . .
c�Fq../ GARBAGE DISPOSAL UNIT... . . . . . . . . . . . . . /NONE
/11450/ r? TOTAL ESTIMATED FLOW (LGAL./BR./DAY x 3 BR.)... 330 GAL./DAY
eo,42sE' ^'/F" REQUIRED SEPTIC TANK CAPACITY. . . . . . . . . . . . . . . . ¢9 S GAL.
cov2sE ACTUAL SIZE OF SEPTIC TANK TO BE INSTALLED.. . . /OD 0 GAL.
SAND LEACHING AREA REQUIREMENTS
- /3z " Ec= �7G - /3z" E'G= �� SIDE WALL AREA 2 GAL./S.F.
BOTTOM AREAS GAL./S.F.
%:/O W/977�2 LEACHING CAPACITY ( BOTTOM t-SIDEWALL ).. . . . . . . . . . .
5¢9 7 GAL.
9,/4.r6XsA /- 0f 3- /4x6n/OX z. ;
RESERVE LEACHING CAPACITY. . .
. . . . . . . . . . . . . . . . . . : . . �¢9'7 GAL.
TOP OF
FOUND.
ELEV.=/o/•3 �O FT• Mi/./ CONCRETE 4�� SCH. 40 CLEAN SAND
COVERS PVC PIPE CONCRETE
MIN PITCH
1/8 PER. FT. COVER a��`jN 0F
2% MIN. PITCH RICHARD
3 ± 12" MAX. JAMES
O O'HEARN y
N 2" LAYER . OF I/8 � I/2 " ,� No. 694 r0
7-77 FLOW LINE WASHED 'STONE F�+ST��
4" CAST IRON 1� z r9 � � o � � 3/4" 1 1/2"
PIPE - MIN. PITCH o o W o WASHED STONE
I/4" PER FT. . DIST. o PRECAST LEACHING
BOX a o .o BASIN OR EQUIV.
P W� n
cl
LL
000 GAL Fr /�,�21./Sl/9�LFc MASS .
SEPTIC ._ `� -----� �¢FT R. J. 0' H A N INC. R L S RS
TANK /o f-/- nr� r/�/ E R ,
1348 ROUTE 134
EAST DENNIS , MASS.
PROFILE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM JOB NO. CLIENT. %/-�/or,.,y,/T=,
NOT TO SCALE _ DATE Z,�o� SHEET 2- OF