The URL can be used to link to this page

Home My WebLink About0025 GOAT FIELD LANE - Health aye 1q9 . E PERMIT NO.AT ION SEWAGE G l.of AZ7 GooAs F ,-,e t `'BJ , 3— 7.63 VULAIGE INSTA LLER'S NAME 'A ADDRESS • UILDEl!R OR OWNER 4 DA T E P E R M I T ISSUED DATE COMPLIANCE ISSUED U\ ,. V-C b Z --------------- N v . . � . FE.IC--' .'............-. .� � r*sCOwM(3mxvsALr* OF MAsaACHussrrs BOARUF LTH Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System � ------=-=�� ^^~~~ ~ ^-. -------------------'----'_-----'----'-'-'_---_---- -_-' �^+ —'��----'------_�� ................................... ----.--''-- __ Address r ...............�W._ .......................................... .......................................... '..................................................... Installer Addre ~ Type of Building Size feet ' D�cD' __''---- Attic 6�� r�xlec 014 Other--Type of Building -�...Wx� ........... No. of persons.....4.................. Showers �uj) -- Cafeteria WO) p~ Other fixtures —.----.------_--_.________._____._____________________.. � ^ D�� Total � :� Sc�puQ� Pit l�o----,--. D�o��c----.-- ^ odc�'------_' lc�chioQorou-�...----'eg. Z Other umom"ti= box (w-/ Dosing ~~ Perco)utioo Tc*t Ilealtu I,erfornocd by—...'.F1 -. ��e-..- � ^ | Test Pit No. 1—.��.�—miuutcs per inch ]�. c6 �� f`d.. to 07000d ' ' —' �� FEs.............................. THE,COMOINWEALTH OF MASSACHUSETTS �— /' BOAR OF ALTH OF........ .. Y''.............................................. AVVfiratiun for Diipu,ittf Workii Tun,itrurtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ........... _o r....F�. � . __.� ...•....... .......... :1-.0T. . ................................... Locat n•A dr s, r. or t No. �A.I? ........r J.!.�...' �a rJ �1 t ...................................�e u l _................................................. O Address --------------------•................... ................----••--•---•--••-....s.'......... ••...... -------••_.. t h Installer Address ,w'lU Type of Building Size Lot..... Sq. feet Dwelling—No. of Bedrooms .............................Expansion Attic (NO 'Garbage Grinder Other—Type of Building �o��.......... No. of persons....._ ............. Showers — Cafeteria (1616) dOther fixtures ................••--- -----------••...-------------------•-•-•--••-••-----------.........._.-,_.__-•••••-......... Design Flow............��..........................gallons per person per day. Total daily flow......3. _.q::.........................gallons. k_ Septic Tank—Liquid capacity._l allons Length.._. ...... Width__._..__&:.... Diameter-----6_...... Depth..... ........ W Disposal Trench—No. _-.Ppx _. Width..............:..... Total Length.................... Total leaching area...a S/.___.sq. ft. x Seepage Pit No..................... Diameter..S................. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (Vy Dosing tank ( ) `-' Percolation Test.Results Performed by........ P_..____: �?�tl�!. `�° ..... Date......... r��.,�f�_... , ,aa Test Pit No. I.....4_;':minutes per inch Depth of T{st Pit... (�'�epth to ground water.... 7 v rz Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth-to ground water........................ a a _:: -- --.. 0 � _K Description of Soil.....- -- < P� Sle ..... 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 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.... ! ....�._._. °;ri _ �v�L G._ l .......Oe -: .-Daj Application Approved B �1- .__ .. . ---•------- �. gz� . - ate Application Disapproved for the following reasons:.... .................... ..------•-••--------------•----•--•••---......_......--_.....•-•••-•-•-••------......•-•••••-••-----...... Date PermitNo......................................................... Issued......................................................... { Date THE COMMONWEALTH OF MASSACHUSETTS. BOARD OF HEALTH f/ f , ......... ...............OF......... Z .......................:............... (Irrtif iratr of Tompfittnrr THIS US TO C RTIFY, T t the Individual Sewage Disposal System constructed (/, or Repaired ( ) .._ le.�Sl by �1. G f—� // ! !� Inster 1 has been installed in accordance with the provisions of TITLE _ o�f iT e State Sanitary Code as described in the application for Disposal Works Construction Permit No....... ......... dated......... ::1..5 ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........../_/1A$/12.......... .......... ........ ......... inspector......AL -------A=G....................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Q zlN!!rh...................OF........J.!' 'Y?.................................................I............. NoJ..✓... .. FEE........................ laiupolsttf u k$ Ton Winn Permit Permission is hereby granted.......... !z� ,e--••-----•••--•------•......................•---•--.........••............_..............•------- to Construct (!,-� or Repa}'r ( ) a I dividual Sewa ,Di osal System at No....... -7 ! .--._r!_�....._1-6�*^:e (.!/ t 1 Street dd as shown on'the application for Disposal Works Construction .Permit ':7` Dated.............. l r:•8 ._.... .......................... ............. = ------- rd of Health DATE ...4 ...................................................., FORM .12$5 A. M. SULKIN, INC., BOSTON<` (LoT 26> y o iv CC` QDjob- / �Lo-r 27� oL ' \\c �� np / O J �! > Y�20X. �V N ;•�SoLTesr r 10 G� iCESE+.v& /r�r .0 n ABETH ��P�SHOFMq WHiTlVEy/. � � p' ••ri WEINBERG C //I o No. 366 A . F � t° LEGEND CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION . Ox0 EXISTING CONTOUR --- 0 --- •'�`•• ? %Q�, �c-4 r F/� FINISHED SPOT ELEVATION _ !! RUtiERT D ' FINISHED CONTOUR 0 '' BRUCE `^� �� '�SP�� Il IN APPROVED , BOARD OF HEALTH , .ELaRF r _ ISTS DATE AGENT ND svlm SCALE, / vol DATE ! V DWE—DGE. ENGINEER'" CO. IN C L I E N I CERTIFY THAT THE PROPOSED j EGISTER.E REGISTERED JOB NO. 8'OG2 BUILDING SHOWN ON THIS PLAN CIVIL LAND �n� CONFORMS TO THE .ZONING LAWS i 'ENGINEER ,SURVEYOR DR.BY OF BARNSTABLE , AS 712 MAIN STREET CH. By, =� �''� .-.H YA N N I S, MASS. � / '�. —. ;l r,:.: ------ ' r SHEET.L OF ATE REG. LAND . SURVEYOR �fpu�`''•''.. R1 O 0 � C O � C 'Z � � C '� Z �b—� �i4' . rn qA Fn C: ' D ►A q 9 � M y ,, h �S ie+ o � A 1 4 ZZ y � . yAu► Z coM,yo a A A A 1� c o Z Z y �.2 o M i CO nO IN AIN f N,y vv c tz tj m ya N a ' y 0 n,n 0 �o w Yo w • • � • mow • N� *� b I� NN IW� III aN lb ooc 0 . . . .� h . . . . . . . . i� tj o� 3m � o CA � 4 y W woio °• * ,woo � n � yT y 2 � yy y h Ooo C o• o ; o� ;.�i� . . It►�b o `ly3IA rl jb rp l), N :4 N '• (A 'N Ito I 33 � 3 �� y o, i �► � . D � • R. -- Per mi t Number: Date Completed by HIGH GROUND-.WATER. LEVEL COMPUTATION Si to L2�cat ion: GoA-r ReLD i�-D., W. 4-jA-NS4.t,Po4T Lot No. Owner: -- Address: — r - r Contractor: I��ayS,DE ��-D►►.� Go Address• ce_--� I. Notes: ;.i/A STEP l Measure depth to water table to nearest 1/10 ft. ... . . . . • ��• 4/10/63 date STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: f T 5 v.1 it A) Appropriate index well •:. 89 ' B) Water-level range zone . . D STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to IO,�.a water level for index well . . 4/83 mo y r STEP 4 Using Table of Water-level Adjustments _ for index well STEP 2A , current d&pth. to water level for index well. (STEP 3) , and water-level I zone (STEP 2B) determine I p, p water-level adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STEP 5 Estivate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water level at site (STEP 1 ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75E7 QC—:7w r1T 4.k <=>i% VECC5eDNb WA-TEL Le j&-c_ Fo iL C v Q.G E:1--%T \1J/t TM-9- �50 v eC_f_5 C1=4-J L i c C�,J-rP AL_ + --w E► ,'_LA--JD , A-MiL. 19 53 5t{EE-f 3 o F- 3 8 3o��L I