HomeMy WebLinkAbout0034 MARK LANE - Health 34 Mark Lane '
Hyannis
A=289'-J 50
L ,CATION /yIt SEWAGE PERMIT NO.
VILLAGE
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INSTgA/ LLER'S NAME & ADDRESS
1-C ale 2s L�J
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B U11DE R OR OWNER
!� )� Pot- o S )- i
DATE PERMIT. ISSUED .2-� 77
DATE COMPLIANCE ISSUED ,Cl_ /q- 9,,`l
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD O HE A TH
Appliration -for e- -4poiial Works Tomitrurtion Vrrmft
3 4 Application is hereby`made for a Permit to Construct ( ) or Repair ( } an Individual Sewage Disposal
System : L ct,� e,
- - --------------------------------•-• s�� � -
Loc ion- ddress � or t o.
t� ..... - car. __.!`�.:__ �
- - �-- --- ...................
Owner Add Z.
ao/.as ----------------------------------------------------------------- ------------------------ ----- --•----•----------------------------------------
Installer Address
U Type of Building�{ Size Lot_./. �v A'".....Sq. feet
Dwelling _;-,No.o. of Bedrooms.�-------------------------------------Expansion Attic ( ) Garbage Grinder (N
Other—Type of Building ............................ No. of persons Showers —
p., yp g p -- ( ) Cafeteria ( )
a' Other fixtures ------------------------------ --
W Design Flow--- .--_4-43................gallons per person per day. Total daily flow____.Z_00.............................gallons.
WSeptic Tank—Liquid capacity_W.-P__gallons Length---------------- Width__----------------- Diameter-------.-------- Depth.;--------------
x Disposal Trench—No..................... Width-- ---- _ __ otal Length-------------------- Total leaching area...............-----sq. ft.
Seepage Pit No.....1.............. Diameter..... ._. h'below inlet--_----�_____ Total leaching area..---_-.--.--__--sq. It.
Z Other Distribution box ( ) Dosing tank ( ) O - _ ;
Percolation Test Results Performed bY-------------- -- - ---•------------------------------------------------- Date--------------------•------------------
W
Test Pit No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water.......--._....--------.
�14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water...-.---.-----.--_--.---
:::/
UDipt of Soil ' --'A
q " fz ec . 0 ---'--------------------------------- -
------------------
W
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 Article YI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b n i ued by the d
.. . .. of health
tgne - ---- - :
",1 i_ -•---_..
Date
Application Approved BY . _._... ....... .1� .
Date
Application Disapproved for the following reasons:........................................... --------------------------------------------------------- ......
-------•-----------•-•-----------------------------------------•-•--•-------•--------•-------------------..
Date
PermitNo......................................................... Issued........................... ............................
Date
No. ....... ............. FEiz...............................
THE COMMONWEALTH.-OF MASSACHUSETTS
'BOARD O - H TH
_.---O F....... ... ....................................
Appliration -for Uii lalittl Worko Tonuitrnrtion Vautit
Application.is hereby'made for a Permit to Construct ( or,Repair ( ) an Individual Sewage Disposal
system
iag-t-
------------------------------------------ --� -----L -----------•---- •-------------•-------•-• •-----.
n Lo ion-/Address o0�_01
. .a._ +Grt-----•------•-•---•------------------ 7 l --1.
Owner S Address
a .....holk ...........................................................
--------- ----
Installer Address
d Type of Building Size Lot_/dy 9_t.....Sq. fegt
U Dwelling�O. of Bedrooms_�.....................................Expansion Attic ( ) Garbage Grinder (,`�
`4 Other—T e:of Building ___________________________ No. of persons Showers Cafeteria
a YP g P -- ( ) — ( ) ,
dOtlier fixtures --------------- ----------------------------------- ------------------------------------------------------------------------------------------------
W Design Flow___ `'�_.O..............gallons per person per day. Total daily flow____a0.p.............................gallons.
WSeptic Tank—Liquid capacity_10OP-gallons Length................ Width................ Diameter__----___--_._. Depth----------------
Disposal Trench—No..................... Width________..___��- _ otal Length-------------------- Total leaching area-__-_-_-__.---_--_-sq. ft.
Seepage Pit No-----r:............. Diameter_.... -_`llepth below inlet__. _.___-_ _--_- Total leaching area__-_--___________sq. ft.
Z{ Other Distribution box ( ) .Dosing tank ( ) Q A-;O' + ;-if-?'7
Percolation Test Results Performed by----- -- ------------------------------------------------------------••••- Date-.----------I-----------------=-------
a Test Pit.No. 1----------------minutes per inch Depth of "Pest Pit.................... Depth to ground water--_-_______-__--__-_-_-
w Test Pit No. 2................minutes per inch Depth of Test Pit--_________._____..- Depth to.ground water_--____-___- :___----
..-_.....
x fi
��e O Descriptio of Soil 1o 'w
UNature of Repairs`or Alterations—Answer•when:applicable._,__________________________---_--___.__._------,____-_-________--_-_----._--_--___--- .
Agreement
The under§igned agrees.,to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of Article XI of the State Sanitary,. Code,-.. 'T-he'undersigned further agrees not to place.the system in
operation until a Certificate.of Compliance has b • is ued by the bQ4 r of alth.
igne
_ �
Application Approved,-By --•- .. '- .............. -- ---------
Da
te
Application`Disapproved for 1 he following reasons----------=--------•------•-- .........
..--______________________________________________________________________________________________________.__________________________-_____________________________-_--_--_-_--._______-______._-..-.-----
Date
„ Permit No......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALT
�:.
....;.....OF.....- .. :...: .....:..: ..--......
1011rrtif irate of f.1,11w ianrr .. -
THIS1�S O4 IFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by-- G --�" ---•••......•-- ----••......•--•-••--•••----------- --------------•-------------
• iD�l_i!�1[r/ir4-_ ' -n�- ja
ii "'��// s�s+�,/j 'a
has been installed in accordance with the provisions ofR
X f he State Sanitary Code as des abed in the
application for Disposal Works Construction Permit No __:_ ��_... dated_. .` _ _" 7 .......
THE' ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE-THAT TIME
SYSTEM. WILL FUNCTION SATISFACTORY.
DATE. Inspector ----=----=---------------------------------------•-•--•------•------•.
THE:COMMONWEALTH OF MASSACHUSETTS
BOARD HEALT
OF...... .. ..... ...... ...--. ... t. � lli.
No........
i� oottl rITnitrnrtion Wrmft
Permission isi bY granted. - ._ ..---•---- ----- --------------------• -----
to Construc ( 7 or e it �) an ge D pos yste
at No......r F f ' . • :: 'l i! C"rl • ---------------------------------------------------
Street;�t� �► "���.
as shown on the application for Disposal Works Coii�t;uction P �No. ated _ _.--_.•__...-•...._.___..
_______ ______ •R•�r.•_
Board Uf-Health
DATE:: /
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - -
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_20 FT. MIN. _
Its 0 FT. MIN.
4 ' PVC PIPE CLEAN SAND ---
f--CCOVERS CONCRETE -� MINA PITCH -
° /8 PER FT ; r-CONCRETEAi 10 +�
COVER
LIQUID LEVEL i 110
4" CAST
IRON ' 2" LAYER
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PIPE 'T e e OF 1/8"- 3/8"
s MIN PITCH- e ' ' ' ' o WASHED STONE
I/4" PER SEPTIC TANK DIST. ` . . .I . o
. F T
BOX 8
EFFECTIVE' < 3/4"- 1 1/2"
° ' ' ' DEPTH • ' ' ' WASHED STONE
1 1 . , . . . _ PRECAST SEEPAGE
° 1 1 • . • PIT OR EQUIV.
INVERT ELEVATIONS. i�` 6 FT DIAL{
10 FT. DIA. C (SEE TABULATION)
fNVE13T AT BUILDING 97. D FT. - ����1
INLET SEPTIC TANK 16.3 FT.
OUTLET SEPTIC TANK �6•b FT. SECTION OF
GROUND WATER TABLE '
INL-ET DISTRIBUTION eox AFT SEWAGE DISPOSAL. SYSTEM
IL ET DISTRIBUTION BOX g92FT
SCALE 114 = / - O
NLET SEEPAGE PIT _ aQFT. TABULATIONLL y
DESIGN CRITERIA DIMENSION A _,3 FT
DIMENSION B FT
NUMBER OF BEDROOMS 3 DIMENSION C._q_FT
GARBAGE DISPOSAL UNIT wCNE
TOTAL ESTIMATED FLOW _ZQQGAL./DAY SOIL LOG SOIL TEST
NUMBER OF SEEPAGE PITS �_ ELEVATION DATE OF SOIL TEST 315177
i
SIDE LEACHING PER PIT Z& SSQ, FT. �-- - - —
RESULTS WITNESSED BY P :, ��____
BOTTOM LEACHING PER PIT �S .SQ. FT. z' cg4rY1 SUBSoIt- PERCOLATION RATE MIN/ ,4!N
TOTAL LEACHING AREA 2&_7_SO. FT - " r
RESERVE LEACHING AREA (QZSQ. FT,
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'PRUCE PHILIP D. PLAN EK -Z, 1-0-
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EtDREDGE `' WEINBER3 ' SAND GRAVEL-
No 366
. � ELDREDGE ENGINEERING CO. INC.
GIST
33 NO. MAIN�ss�OJ11AJ � �E, S 0.YARMOUTH MASS. HYANNIS�MASS.
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tNOFMA .; CERTIFIED PLOT PLAN: .. :
f� s�.
er oBER r LOT ( RG4� 8,�. 2617
NEW CONSTRUCTION ONLY ' BRYCE �!
N 3
TOP OF FOUNDATION IS /D•(O FEE eo!#Eo IN
I = ",ABOVE LOW POINT OF ADJACENT ?�'Q� ��o� J*
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ROAD. rho suy _
,< SCALE f�'_3U DATE 3 7?
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LDREDGE ENGINEERING CO.INC) I CERTIFY THAT THE
N3, CLIENT dzlosh�t SHOWN ON THIS PLAN IS LOCATEfl.`'
OR
EGISTERED REGISTERED JOB NO. 45-10oC- ON THE GROUND AS INDICATED AND `
CIVIL ( LAND S CONFORMS TO THE ZONING LAWS 5,'
ENGINEER SURVEYOR DR BY OF BARNSTABL , MASS. �E'
33 N0. MAIN ST 712 MAIN ST. CH.
SO. YARMOUTH, MASS. HYANNIS, MASS- SHEET OF' - �.
- - DATE RED. LAND SURVE'�OR