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HomeMy WebLinkAbout0184 OLD TOWN ROAD - Health 184 Old Town Road Hyannis A= 268 —078 — 002 o a yyR 4 a i 1 a I o i a t�l O Z� act 45 W l t N \� W v W 0 N ti. C �( W I� N d r 9 ti � ►v W W O -j 96 V J W tW W W V -j N _ t t �' ' . Y� ' , �. `� ��. � � � Y � �� ti - -- ___ G-7 ) No................% Fps....... s . THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF H ALTH r �✓�................OF.�X� .- �/.�i �0 Appliration for Dispaiial Work, Cfungtrurtion Frrmit �SZ Application is hereby made for a Permit to Construct ) or Repair ( ) an Individual Sewage Disposal �0 System at• . ......... . :.�-�... ....... = --- .r`> =: .................................................... Lo ation- ress t No. . ...._..._. ► _. _... ._:...a.:............................ - -----..----- - ---------------- ....... Owner Address �'---�^^-e�=^fey=---------------------------------------- Installer Address Type of Building Size Lot../0d_O.O.'a-r''.Sq. f t Dwelling—No. of Bedrooms..............___._________________._Expansion Attic ( ) Garbage Grinder ) Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtu_res ------------------------------------------------•---...-----...-----------------------------------......-�-----•------------••----............... Design Flow.............._ ______�>__________ gallons per person per day. Total daily ..2_._�flow.___.- V ........_...........gallons. W Septic Tank Liquid'capacity_ gallons Length................ Width................ Diameter________________ Depth..... __________- x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........I......... Diameter._ ®....___.._ Depth below inlet....A�a�..r;�.. hing area._d341(_..__sq. ft. z Other Distribution box ( ) Dosing tank ( _ //��• ���i�/�L � w Percolation Test Results Performed b .. .. Date_._ . ,� y ---------•-•.. Test Pit No. 1________________minutes,per inch Depth of Test Pit.................... Depth to ground water_._1?+l�/' ._..__. fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-. A!_Jd_.._._._. a .................................... ................................................. ,.................................. Description of Soil �_`_. ° .--....P��...._ S�� L 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'TTi_ y g g p y of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has been issued by the bo rd of health. ---- Dale Application Approved By- -----•-•- t. --------- - .-, 4 g- Date Application Disapproved for the following reasons________________________________________________________________________________________________________________ ....................•-•----------.------....-•-----•------------•---------•------._...------•---------------•-•-••...__...•----•-•------------------a- ----•- -.•--•-•-•-----••---------------- Date Per ' o --. Issu 7= � -------------------- ............. Date �? No................ .. FEs...... .. .... ' .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �1 t•�✓ '.......... ...OF.../..1. !'..� r Applutttion for Disp sal Works Tonstrnrtinn Frrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at -�-� .......... _....... .............r.................... ~ /Z.......__........... �.....�.._:........... -........................................................ _ Location- dress, / / n/ .,Lot No. ....�........ =--•l... «� ................ 2621._�✓U..........^;.��`J�(•.../.........................---.....--•- .. Owner ''" Address ........ Address M Installer ^, r Type of Building Size Lot._!'<'?__ a!�?. Sq. fe t Dwelling—No.;of Bedrooms.............. ___._ >_._.__. Expansion Attic ( ) Garbage Grinder ., a Other—Type of Building ............................ No of-,.persons........____.____..___...._. Showers ( ) — Cafeteria ( ) Other fi to'es -= - W Design Flow_____________ ..�':"�..........__ .gallons per person-per,day. Total daily flow.__..�':7 �'._..___..........._..gallons. WSeptic Tank r Liquid capacity.. gallons Length:............... Width................ Diameter..._............ Depth................ x Disposal Trench—No..................... Width____._.._..._......_ Total Length.................... Total leaching area...---------__-----:sq: ft. Seepage Pit No........1_....._._. Diameter..l ---- Depth below inlet.__. �. :_. Total hing area��: ......sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test;Results Performed by..............................................r........., °� f ._... Date.. --.___E� ,� >... '. a Test Pit No: I................minutes per inch Depth of Test Pit.................... Depth to ground water....!Inx!4........ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water../4 ± ......... .•Per n .......... - ----•----- ODescription of Soil fJ ----- ..S ..- l�____f f_:_.... n. r_f'_".._.__��._' !?S_--`f�-----•......................' + V ...-•------------------•--••----•----....--•----•--•-•-------...........................-------- UNature of Repairs or Alterations—Answer when applicable........................................................................................... ...................................•--•---------..........................LW--•--•----...------------------------ . .............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of L I'T;-;.,. 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. igned_-- / t' j Date Application Approved BY---�------ -- r0...--r �4---a------------- �..''� �"1���► Date Application Disapproved for the following reasons---------------•-•-----..._..----•-----•----•----------•------------------------------------------•--•........_ .......................................................-................................................................................................................................................. Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,.yam .................................. (Irr#iliratr la$ Tomplianrr THIS IS TO CERT FY, That the Individual Sewage Disposal System constructed.') or Repaired ( ) Installer1/� -- at.... ` = cJL✓ry ,..�."._ r c.y>,S !. !"?`.............................................. has been installed in accordance with the provisions of TI � ` of'The State Sanitary Coe as described in the application for Disposal Works Construction Permit No.-- _ ► . -••---. dated-. ..- -."---,; 'Z"-- f......... THE ISSUANCE,OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................. Inspector...................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7)f 1-1), '�............... .................................. No........ .._ FEE........................ Disposal Workii Tunstr 'Tit rrnti# Permission is hereby granted...._� . _.jrt'f' �r� ..____.r................ _._............_......'......_...................................... to Construct ('� ) or Repair (, ) an Individual Sewage Disposal System �- at No.--- .....-----------fi.f.----- -..�: l2._---- • •--- /�'✓i1.1:,r�-. I % ��/� � • --••----------.., 7-------•------ e'' ^Street • f _ Dated, __... .'as shown on the application for Disposal Works Construction P + t N ____ _______ _ __ ......... AAf trll1. ................................ 2 .. Boa d of Health DATE - -------------... ��.......................................... ��. FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS 8 i Yk Y r..��A s , _ J a f t ! r•+ a +" 1 ., r r ?' �i w 1;j. }. .t-�.� r � r�• -ft {' �kfi�'"° it „!,F # � .s..,yA A ti� I-i i x �.n e 4 ���t� �rz }a ,� 1� '� �.d t✓7 r�+rx+.��P 2� t- .�"'„ t _ e„ (•r ; 4 1tis rw tr'th-.,�h kr+ �.; r t ¢ :?^++.� ':y z � ^F.., { # !c � i i s 1 r ,g a ) -1} ;.•t s r� xy tG.� g iyf L�tr z` Ir7 Gr r ? C .0 x'••'S is 3•� O'U ��t t .." 4�ksja i.� a •,� *. � � - ter o 0-0 0 011 � :.'* jm t, } s 4 c 4 g:_ �( � �V ( ..,� f .,�r♦ �. fi ) �L{�, td t'rxs""1 c{*`'P"Ik t sY o - r �jC" Q Q C� f•— 7jY ° t} t' y �PAr�r >. T -T at FfS 'I l Q� ''' " /UUO errA "}i° / xLJ 0 a' A• /O � .:$'•�'F''T,f�,. fJ � � �}t r1 � t`e,x� r>_,r ��i- � 7-i�I Nk ` 7} i f^� - i ♦ i - � -.•.: 9 1_ r fit, jf �P .+.e (T z _ f s �Zr .; x �4(i! 3�� 'S is yl a ,tr. ; a}�F 1.,�`'`sx t �'x �.1_'" y, .. I,( ,. I +�,�/ J�t 3 �n.Y{ }" �t I ��.• �� �nY�,..� F ' ab.t �It IT 19 n a s U d 38 k,,ij' \ ' 'c a �x - V (/�/V' /1 ` .� r :a ��t.QN,\N iU 13UNIKIS':, N a ,Q No 22162,O I 5TE _. A e-, fir- .•E `4`.` ✓.., R�..a: � � ; Y h LEGEND ;. w > EXISTING ; SPOT ELEVATION 0<Q CERTIFIED PLOT PLAN EXIST CONTOUR. - 0 = - .MFINISH;ED S POT"2ELEVA .O TION " �O �y V. �- ;* �r�-oT `z. 04—o Tov✓N T?.nAz� ;� FINISHED C O N T O-U R -- p ---- - Yfd:IV A ' PPROVE D BOARD `OF HEALTH ti rDATE AG-ENT~` SCA`E /'„ 3© ; r ING CO. INCH y✓E2A�c� LOREOGE ENGINEER *' - CLIEN7 �. I CERTIFY THAT .THE PPO-POSED EGISTERE� ' , REGISTEREDI JOB N0. 79oZL BUILDING SHOWN`. ON.- THIS - PLAN CIVIL LAND x ,r ENGINE.ERS,� ' . "SURVEYOR DR. BY : A (A'NJ CONFORMS 'TO .;THE ZONING LAWS µ ` -.� (O�nF4E� BAR T BL ,; MA S � r �' I c J /"d . �z33NC' MAIN ST 712 MAINCH. 8Y 50 YARMO�TH � MASS. . .HYANNI, MASS /SHEET / OF �Z DA ; `'. R REG. ' LAND' SU�tVEYO i "3 aO F.T..-MIN NO Ctl/i1lG P/ ,ARE MGR� =TH/AiV % B DR b . k Et 0 J'V .tR/1 I7E 24" TIER. CO/yG'R ER s' L X T 17/AM E f-r-C- ',COP ,• .� ;; rrtr r .., ., r; � � � � �iy/lLL.eF`,iBROuGiIT'. TO,GI�AOE.'��IIV .EX7'RA ,. ~PV PI Pr °} COVER SHA L uSEO .. '- 7. ;;_^ x,x, .ice -'2 C,QI�CRI•.�•i s r $.,"�- '}- - - E < ° - ryt,. ,.., C t/�'�4VY.CAST IRO/'✓' L 8 •: TM/lV:. P/TGM =�" :'!F//V " } COYERS , R: % 4 P hAOE •`. G -CLEAN .TA NO BACX)=ILL L/QV/D LEYEL .. ., Z LAYER a 4�CAST % o OF /�8 -'�/B _ ARON P/PE c• a • . • :• • • 1 �D o o Z l 0'o U GAL ' • a WASHED,,57?aNE � T M/N:P/TCN _ o • • • 1 1 •ob d q SEPTIC TANfC • 14 B X • • / • 1 0 Ve 6 • • OF_PTi! •.• v,o' WASH D S n '• ► E TaNE O. o I t • • • •1 1 p n a PRFCA5 T u.. -.a s. o SEEi�AG E _ 1 • • • • • • • 1 D-,b p 0/T OR EQU/ 9 !O l..O _ /NtGERT AT owL o/NG FT. O O C SEE T�iBL/LAT/ON> x •- INLET SE T /v n S T.• - /.�1lrl - �4007/-,T SEP,T/C TANK l FT. G E.. R. 4- • p[JNo Nl,4TER TA9L 'NLET ID/STR/BUT/DN BOIL SECT/ON OF "OUTLETDI5TR/B[/T/ON BOX INLET LEACHING /�/T ., 5' o FT SewAGE O/SPGh�Al SYSTEM -rA -ATID%V //VG P/T - LEACH /�- o~ p�MENSIoN -A FT SCALE %4 O �LFNS/ON D DESIGN CR/TER/A ~ p/MENS/4N C�-FT. W/JMBER OF BEDROOMS 3 a - - GARBAGE DISPOSAL U/V!T ,_ _ S /L TEST TOTAL E3T/NJA-E:D FLOW 3 5 0 GA4.1DA?/ SOIL TEST 14�/; SOIL TESTodt2 A/UMBER OF LEAGNING P/TS_...L_ f"FLE✓.'IO /_,a rELEY• ,DATE OF SOIL TEST / 7 y SIDE EACH/ VG PER P/T ' �� SQ• FT. U - I RESULTS, l tllT%✓ES�ED 73 V/✓/I<15 6oTToMLH9CHINCrPERP/T ., � FT. LOaF� PERCaLAT/ONyRATE,,pE./ L�sSTanN�IN�INCH TOTAL LEACH/NG AREA ZtD SQ. FT : /O��— Z AWA1 QLAT/ON kATE 2 RESERIVE4EACNI/VCSAREIA b SQ. RT.,, 17 R0 Fj E PTJ - ^ COARSGr. wt t ids 7 fi + - IRUNIKIS,, v, `• dV h/� x.; "t No.22162 iJ / s �' a �' y` �L ORE/JGE E/V�i/NE�A//VG CODING 7/2 M��IIV ST 1 3.9 roO,MAInr 90 GiSTE rr'` s � � TI/ MARS• rt• , T z ��ipss�ON , �gTER NCOI/NT�` LAP HYANNiJ AS6 .Y,vRMD� < <• B R AI So �< NO G1�06lND W t ,. _ AT . .108'ND.�' SHEET�OF J