HomeMy WebLinkAbout0107 FRANKLIN AVENUE - Health (2) 4.
107: F'-ankhri Ave:.
A„ ,254 027 '
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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,
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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.
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............................. . ..... ........................................... . ?.
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 �,
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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
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RQ�E-RT `" �4 PFIILIP zG SAND
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.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
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