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LOCATION ()A(S k G SEWAGE #
VILLAGE oc�'�� e3�q - i g'� —®Oa
ASSESSORS MAP & LOT �59'7 -CP
INSTALLER'S NAME & PHONE NO. Q Ptc c_ 19 h(-
3
SEPTIC TANK CAPACITY C)o O
LEACHING FACILITY:(type)
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER .(( flpScA,n
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED: `y
VARIANCE GRANTED: Yes No j<
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ASSESSORS MAP NO �
PARCEL NO: Fps........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O HEALTH
...... W.............. ..OF...-..-........-... 4�^14'9 01?...-----.................-....----
ApplirFation for Uhipaa al Works Cnnnitrurtiun rrntit
Application is hereby made'for a Permit to Construct (t/f or Repair ( ) an Individual Sewage Disposal
Systemat
C 6 W � Q/+ICE ec.It- R D .
....... _ ----------------------•--------------•-------------••----•------------ ...._....---••-•-•--------•-......--•••------•-----.....-------•...----•-•••----••-•-•---------•--
L Location-Address orJ Lot No. l f�
Gl .rn/ !? T. `i✓tt. / ��/!L6 v,n/ s�q.
W Ow er 1 Address
Installer Address
Type of Building Size Lot.........1!.__j _......Sq. feet
Dwelling—No. of Bedrooms.......... ............_________________Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Q, Other fixtures ------------------------------ -
W Design Flow.................. ...............gallons per person per day. Total daily flow__________-3_2kt�..............._...gallons.
G: Septic Tank—Liquid capacitv..[d1!��---gallons Length......... Width_.____.6—__. Diameter________________ Depth---_--_-_----
Disposal Trench—No_.........._...._.... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..........lvmo--- Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box (>r), Dosing tank ( ) $
Percolation Test Results Performed by.......................................................................... Date..------------------------------------
Test 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 -•-•----------------•----•-----•-----•--•-------•--•----......__....---
O Description of Soil-----------------------------------------••---•---_............._....__DESIGNI ... ENGINEER MUST '=, -_---'__:_- __________
x INSTALLATION AND CERTIFY IN '-- -
v •--------------------------------------•-----------------------•----------•---•--••-------------------•`SHE SYSTEM WAS INSTAl1.ED IN S";,"::,�-
V 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 iT';'1 ;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.
r
Signed.--- '_ �� ----6 .....c............................... I................................
Date
Application Approved By•--•------ C'`"� ^" ." --------•------------------•------------------ ------------ _� =7
Date
Application Disapproved for the following reasons-------------•-------------------•---•------------------•------------------------•---------------••--•--------••-
.............••--•••...---------------•---•---•-------•--•--•----------------•---•...._..---------....•---------------------•-••------------•--•-----•-•----••--•------- ...............................
Date
PermitNo......6. ..r._.. ----------------------------- Issued.......................................................
Date
r i
THE COMMONWEALTH OF,MASSACHUSETTS
,,,�... BOARD OF HEALTH
------ ..... ......... .... a'T
Appliration for Uhipaiial Works Tonitrurtion Wrmff
Application is hereby made for a Permit to Construct (c/) or Repair ( ) an Individual Sewage Disposal
Syst at
............. ........................................ --••-•-•-••--•-•••-•--••-•--••--••............_........_....--•-•••-•-•--•---•--......------•--•--
Locatlon-Address o Lot No.
Ow ez I / Address
Installer Address A
d Type of Building Size Lot......... '; :---------Sq. feet
U Dwelling—No. of Bedrooms......... ...............................Expansion Attic ( ) Garbage Grinder ( )
`4 Other—Type of Building No. of persons............................ Showers — Cafeteria
Ga Other fixtures ..............•----------------- .
W Design Flow.................., ................gallons per person per day. Total daily flow..........�.3.f:�.........._..........gallons.
Ix Septic Tank—Liquid capacitylf�.___gallons Length-------�?..... Width....... :...... Diameter________________ Depth................
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------- __.. Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box (x) Dosing tank ( )
aPercolation Test Results Performed bY.......................................................................... Date........................................
,4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water--___-_______-_____-__--
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P4 •-•--•-•--•-----------------•••--•-•---••--------•••-•-•......•••---•-----•..........._..--••-----••.........................................................0 Description of Soil---.....................................................................................................................................................................
W
V ...........................................---•-••-••---•.............••-••-•---•-••-••.....---•--•--•-••.._..--•-•••••------•--••--•---•••----•---•-•----••----••---•-•--•-----•......---•••......--
W
-------------------------------------------------------------------------------------------------•-----•-----------------------------------------------------------------------•-----------•--••-•••---
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
----------------------------------------------------------------------------------------------••-•-•-•----•---•••-••----••••----•-•-----•-------------••••••--•---•••-••-•------•-••-••-........•..-----
Agreement:
The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with
the provisions of T T T.'_ 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..........
"'"^"` ! r --------------•---------------------------------
Date
Application Disapproved for the following reasons:----•.................•......-------••-•---------------•---•-------------------•-----------------------......._
-•••-•--••••-•--•-.......................................................................................................................................................................................
Date
PermitNo.....&.�.. %.........................•... Issued•.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Ai. C. :.1..OF........
,a �...- - ....................................
Q�rrtifiratr of TautpliFatta
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed 0<) or Repaired ( }
�.c - e r+ -----•- ---•----------------•----•------------•------------.......-•--•------------•-----.....--•-•--•------•---------........-----........----
r, Installer
at. /1 ........
—! t �� '' -•------------•------------------------------••---•---•---•---------------------------
has been instailed in accordance with the provisions of T i TIE 5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No....... ........... dated_JGRA
-------------------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A EE THAT YHE
SYSTEM WILL NC ATI�SFACTORY.
DATE--•-•-.... .,...Lh..... ..........--••-----------•-------.. Inspector--- ............ .. .
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
r .1................OF...... . . .._.
MspwiFa.l Workii Tarmitrndion arAft
Permission is hereby granted a ......�` t� ' r c �� �... ........ �r
to Construct or Repair ( ) an Individual Sewage Disposal System
atNo------- �z -- .....0-zl....,�-•--.--1 s9....................... ..._........._................_..............------........._.__._.............•....
Street
as shown on the application for Disposal Works Construction Permit Nog,£f--"_.�cf._----- Dated..........................................
.................................... ..................................................
T I �. Board of Health
.SATE-------------�~ 7 � �--•--•-----------•----•--•----------..
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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LEVY, ELDREDGE & WAGNER ASSOCIATES, INC.
ENGINEERS-LANDSCAPE ARCHITECTS-PLANNERS
LAND SURVEYORS
889 WEST MAIN STREET
CENTERVILLE,MASSACHUSETTS 02632
(617)775-2244
May 24, 1988
Mr. Mark Horan
299 Main Street
W. Yarmouth, MA 02673
Dear Mr. Horan;
Transmitted herewith are three (3) copies of the
as-built septic system for Lot 2 Oak Neck Road
Hyannis, MA.
The septic system has been installed as indicated
on the enclosed plan.
Very truly yours,
LEVY, ELDREDGE & WAGNER ASSOCIATES
WPaLevy,
PAL/mlw
#1340
88 WAVERLY STREET FRAMINGHAM,MASSACHUSETTS 01701
20 FT. MIN. 0' 37 1 A+
TOP of FOUND. SOIL TEST -��
EL. : '7 IO FT MIN. DATE OF SOIL TEST
CONCRETE WITNESSED BY
4" SCH. 40 P,YC PIPE GLEAN SAND PERCOLATION RATE < 2- MIN, INCH COVERS MIN. PITCH 1/8 PER FT. OBSERVATION HOLE I OBSERVATION HOLE 2
f-- C0N CR E �• ELEV. I '
4" CAST IR N PIPE 12 1 7 � C. v'ERS
2 LAYER OF u _ /ELEV.2
(OR EQUAL,j MIN. 1/8 - 1/2 WASHED
PITCH I/4 PER FT y _ r , x3 STONE` x1 �., �.,, , � �OA "A
FLOW LINE SArJp Gy2AvFL FINE 7O MCDt'j^^.
9 10' 7- ; LT _SAvjL)
EL = 15 MIN.
EL = 15 LEVEL =
E L: 5 O
EL. _ >
DIST. 0
r-.
BOX e o i Z WATER AT 3 J EL.= WATER AT 1 , EL.= -4 y �
3/4"- 1 1/2" •o° ri o
0 o GALLON WASHED STONE. o ° ' Apo •
SEPTIC TANK a w Q v EL io. s DESIGN CALCULATIONS
PRECAST LE ,4!NG NUMBER OF BEDROOMS
BASIN OR EQL ', � GARBAGE DISPOSAL UNIT /Ij 0
6 DIAM. 3 TOTAL ESTIMATED FLOW
SEWAGE DISPOSAL SYSTEM PROFILE " ' � ^' �F. ( ! _� GAL./BR./DAY x BR.) "a GAL./DAY
i Z
NOT TO SCALE REQUIRED SEPTIC TANK CAPACITY 9 `> GAL.
ACTUAL SIZE OF SEPTIC TANK I,U D0 GAL.
--r1F-T-E-6-T+K)6E -9R USGS PROBABLE WATER TABLE EL.= LEACHING AREA REQUIREMENTS
OBSERVED WATER TABLE /9`-) EL.= SIDEWALL AREA 2 , 5 �AL./S.F.
5 BOTTOM AREA / G GAL./S.F.
y <" < 2 q. 0 LEACHING CAPACITY (BOTTOM SIDEWALL) - GAL.
0 t !TX - X,-/ X2.5�
LEGEND
RESERVE LEACHING CAPACITY y g GAL
/J^ A K (0.1 t 0 \/c E Y EXISTING SPOT ELEVATION O IxO
EXISTING CONTOUR -- — -00— ---
-- i- FINAL SPOT ELEVATION = NOTES:
FINAL CONTOUR
1 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO O.E.Q.E.
I / SOIL TEST LOCATION
TITLE 5 AND THE TOWN OF 3 ff ikJJ. i' ._, = RULES AND
;T L fTY POLE a' REGULATIONS P09 THE SUBSUPFACE DISPOSAL OF SEWAGE.
7vWN W il`R -" W ==W ---== 2. ALL COVERS TO SANITARY UNITS SHALL_ BE BROUGHT TO
CATCH BASIN ® ) WITHIN 12 OF FINISHED GRADE .
3. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY THE SAME
I / r --� 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE
OF WITHSTANDING H- 10 LOADING UNLESS THEY ARE UNDER OR
WITHIN 10 FT OF DRIVES OR PARKING AREAS. H-20 LOADING
�--dT ! / MIN. FRONT SETBACK 2.. SHALL BE USED UNDER OR WITHIN 10 FT OF DRIVES OR PARKING.
MIN. REAR SETBACK i O S. ANY MASONARY UNITS USED TO BRING COVERS TO GRADE
4�� -' — /� ._ MIN. SIDE SETBACK - SHALL BE MORTARED IN PLACE.
Ar
6. NO DETERMINATION HAS BEEN MADE AS TO COMPEIANCE WITH
vr�G n a'.� � r'.h'GI/ P/T ro [3c- _T s"-r-A<; L
Fo je H r. ; r r •+ rrv,._ f Ve w_r-1cAq<_ DEEDED OR ZONING REGULATIONS. OWNER /APPLICANT IS TO
- OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
r'T I X I D /Ti 0.?" S 4 Wrt r c R- 7—oq r T� 3t 7 f. < �. Z A , �� to N T lt� _ E..�. E� S �._� c 2 2 Co
�� I �o � R,�.� ,, cr..>,,. ,�,� ,Y. TES
BOARD HEALTH O HEL _ _ ,
L` ,,,,. APPROVED :
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7- \ I Z K 1 Y, - A C. L F.S 7 r- E A,R O F
z' t-1. s�.� ��. �'. - L� 'j: L D 1 "! t,n ;5 :-�v E?- S A
M jr✓ c 2 �' '� • , �t-1. ,r �i DATE AGENT
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PROJECT LOCATION,
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Lb n APPLICANTi
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Levy, Eldredge & Wagner Associates Inc.
= Qom__ n ., Engineers Landscape Architects Planners Land Surveyors
� 889 West Main Street
a.M : H`r J> C' ANC �C� r ,' j Centerville Mo. 02632
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LOCATION MAP
Joe no. SH E E T O F