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HomeMy WebLinkAbout0107 FRANKLIN AVENUE - Health (2) 4. 107: F'-ankhri Ave:. A„ ,254 027 ' ° 1 , ° ° I o , LOCATION SEWAGE PERMIT NO. VILLAGE I N S T A LLER'S NAME & ADDRESS c.14 B U It D E R OR OWNER DATE PERMIT ISSUED 1 7/ ? 7 .DAT E COMPLIANCE ISSUED �- �V_ 77, � '� � . ' � � �! �} r ` ^� � � � � a \, � 1 � . � k a fl � � � ,- � _ N � � � � � t ' � � � � �; . � �. � �� �.. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 2.7) .........................o KJ310-4. ....................................................................... ApplirFation for Disposalurku Tonstrarction rrrmit Application is hereby made for a Permit to Construct (--*I*"or Repair ( ) an Individual Sewage Disposal 4,S m at: ... �` =` Y .................... /6 '-.....--------------------_------•--....iAj ......oatiog�ddress or-----•-------------------•-------_. - --ddress l��i ---------------------------------- ----------------------------•----=--...........------------------------------._...----•------_.... Installer Address Type of Building Size LotJ_'j4_!ada_........Sq. feet V Dwelling—No. of Bedrooms.......Z ._ _Expansion Attic ( ) Garbage Grinder (M) Other—T e of Building No. of persons____________________________ Showers Cafeteria Q' Othe fixtures ------------------------------•. - W Design Flow__5____________________________________gallons per person per day. Total daily flow_-.Zyo_._.__..._._-_.__-___.______..gallons. WSeptic Tank-Liquid capacity.l? gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..................... Diameter.JDAA;?'A:(- Depth below inlet_._ .... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Q 2 al �` 7.7 aa/J ~' Percolation Test Results Performed by--_-__ &__--_.__..__. Date._-_; _--Z..`.!"7_�............. aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------- a---------- � s....:it T . _ _...... Zt ` ....., - --ODescri ----- .... x 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 iITI IE 5 of the State Sanitary Code- The undersi d further agrees not to place the system in operation until a Certificate of Compliance has en i u d by the bo d o h th. Signed C... ._. _-� Application Approved By.......✓- --�---------•..... ...............!'-�?�! --- Dat� �� . ---------- Date Application Disapproved for the following reasons----------------•------•--------------------------------------••-----------------------••--•-•••••-•------------ ...............•••-••-•-•----..__....--•---••-••-----•-••-•----•--•-•-•-•--•--••........:----••-----------•••----•----------•---_.._---••••----•--•-••••--•-----••••••-•-..-----•----••---•••••••------_. Date PermitNo........:............................................... Issued-.----................................................. 1d Date 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .------�.'�..........................o F....1.Q Appliration for Disposal arks Tonstrnrtion t1rrmit Application is hereby made for a Permit to Construct (,--<or Repair ( ) an Individual Sewage Disposal S st t � .... .. ....,............................. ........................................_..... ........................_. ocatio dress or t No. ...... ....................------------------- W -e DoL e �• ddress Installer Ad--• ........_}._....Q. Sq. feet � dress UType of Building Size Lot._9 oq ..... ., Dwelling—No. of Bedrooms-------Zo.r.............................Expansion Attic ( ) Garbage Grinder (M `4 Other—T e of Building ..........................�•No. of persons............................ Showers a YP g -------------•------...---------------•---- --�- ........................................... ( ) — Cafeteria ( ) Olfixtures --- ----------•--••-••---...••................. w Design Flow_._. __gallons per person per day. Total daily flow............................................1' gallons. WSeptic Tank—iquid capacity./po.wgallons Length................ Width................ Diameter................ x Disposal Trench—No. .................... Width.....__._. ........ Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit No--------------------- Diameter./40.0 A. Depth below inlet_._ - ,- Total„leaching area..................sq. ft. Z Other Distribution box ( ) Dosing k ( , Q ` 11 e�i � 4. 77 ~' Percolation Test Results Performed b -_....1Q4A_ "`.._.:C.� ../........ Date_...!................................ a Y Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water......................... fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ............R------------- ... C Descrit4ion of Soil---------- ------f------y �-------- qyam------------- -------------•--•- 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 iIT LE, 5 of the State Sanitary de—The undersI d further agrees not to place the system in operation until a Certificate of Compliance has en i d by th�bo d h th. Signed _ __ (!. "� ✓� -•-- ....•--_.. _.�.... ............... ......................... ................................ Application Approved BY............. .` .: / a.�7 77 Date Application Disapproved for the following reasons:---•-----------------------------------------..........................=-...................................... F, Date rr` Permit No.....................................t jL J- ---? 7 --•-----•------------ Issued..........-•--•---- -••-----•--•------------ jy}� Date r THE-COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH I, F. .... O . ............................. . ..... ........................................... . ?. Trrtif iratr of Toutpliattrr IS�O TIF a t Individual Sewage Disposal System constructed (�or Repaired ( ) by 1` �..,..,:,,.. - ---------------•-------------------- .. .- ra � 4r _/00/0 - p In er has been installed in accordance with the provisions of T r of The State Sanitary Code as described.in the application for Disposal Works Construction Permit No... .._..._.*�!........... dated...... `-'.!2_7".._. _. c......... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION -SATISFACTORY. DATE Q�-.Z ? 7 Inspector.... _4C.4 THE COMMONWEALTH OF MASSACHUSETTS s BOARD OF EALTH OF.................. No.............`........... FEE........................ u r trurtwit prrtnit Permission�is ereby gr ted.... •v--•--••----••. ......................... --••-••-•-•- .......... .............................. toy Con�c�/l� Re ( ) a „+idual*,age Disposal Street .7:7 7 7 .0 as shown on the application for Disposal Works Construction PNo._ .._�..... ated._..._.._.. / .. Board of Health DATE-------• ...................... FORM 1255 H068S & WARREN. INC.. PUBLISHERS �, •;-f.;...f ;1 . ,. .sh :h'.P•^r. Man . is « -'^ ':' .,w.. M . , ,,.-. _ i VcI'`�".:.'lF.- a103 \ 1 1_220/lo se'D _ " �, IL �"t- p2o ooSF a V{ GC=Igcow mic. p I gr pl r 50100' L � fo T 1fe- e � N y6> \ � N � ��,� e Q'rwr'k �► �. 07 ra, 4 LEGEND EXISTING SPOT ELEVATION Ox0 ��N CERTIFIED PLOT PLAN is' EXISTING CONTOUR FINISHED SPOT ELEVATION 0.0 /��� ROBERT r�� �p �OZ J�f2gNKL//J /+�jVE1'+/CIEy FINISHED CONTOUR 0 BRUCE j a� ELOREDGE y IN APPROVED : BOARD OF HEALTH a A;I A S I A 2 9,#* bl A S �: OATS —': AGENTT---- sum SCALE: ) 30 DATE t 6 2B 77 FLD RED GE ENGINEERING CO. IN _ _ CLIENTPOGoS/,—/ I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB NO. 9-10sS BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYORS DR.BY 12.73L-� OF BARNSTABLE , MASS. { 3 NO. MAIN ST 712 MAIN ST. CH. BY: eA_ 7 00, SO. YARMOUTH, MASS. HYANNIS, MASS. SHEETL OF E G. LAND SO R EYOR 20 FT. MIN. _ 10 FT. MIN. _ - '� - - , . CLEAN SANG � •�'* ' - .. . 4 PVC PIPE CONCRETE MIN PITCH- COVERS —� 1/8" PER FT 7 CONCRETE COVER A 10" . :: id' LIQUID LEVEL . � � '° � � 2" LAYER �� 4-BAST ii WASHED STONE PIPE • . . . . MIN ° ° • .i • . . . . . ° e ERC FT SEPTIC TANK BOX ° . . •i B • . . , ° 1/4" ° , • •t EFFECTfVE' , 3/4"— 1 1/2" `ppy7o,JRc ° •i DEPTH • • ' ' ° WASHED STONE •►' •I• • • " ' PRECAST SEEPAGE a o ' ' • • ' • • • ° ' PIT OR EQUIV. DIA. INVERT .ELEVATIONS 10 FT. DIA. C (SEE TABULATION) 4- INVEI�T� y. AT BUILDING 7� FT— INLET- SEPTIC TANK 6.8 FT GROUND WATER TABLE . �6,� FT. SECTION OF . OUTLET SEPTIC TANK INLET DISTRIBUTION BOX ��-FT SEWAGE DISPOSAL SYSTEM V,"�'�,ET' DISTRIBUTION. BOX�6-L FT SCALE.* !/4"= /=Dee TABULATION" - -*a1NLET ' SEEPAGE' PIT 96,o FT DIMENSION A FT . DESIGN CRITERIA DIMENSION B FT. DIMENSION C --FT NUMBER OF BEDROOMS 2 GARBAGE DISPOSAL UNIT oWE SOIL LOG SOIL TEST/ TOTAL ESTIMATED FLOW �—GAL/DAY ELEVATION DATE OF SOIL TEST NUWSER OF SEEPAGE PITS I —� SIDE LEACHING PER PIT �-�SQ. FT 1/"LOAi� RESULTS WITNESSED BY --- BOTTOM LEACHING PER PIT 8•S SQ. FT 18"5ve3sa�L PERCOLATION RATE c=5r, Z MIN/INCH TOTAL LEACHING AREA �SO FT. FT RESERVE LEACHING AREA H Oi tr v�� A�/E� RQ�E-RT `" �4 PFIILIP zG SAND • cr SRt10E o WEINBEAG .vR �;' " NO 3� a ELDREDGE ENGINEERING CO. INC. t �9 ��..�� 33 NO. MAIN ST. ?I2 MAtN 5T• �QIST o� 9A /sr ��' S0. YARMOUTH MASS. HYANNIS MASS. s3'/pNAI EpG 0- JOBNO.,, SHEET Z OFF loSS a �� ,. :urn. •. : ..- �:_ - _ ti.,z ix