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HomeMy WebLinkAbout0044 PASTURE LANE - Health 44 Pasture Lane Hyannis A=248 264 u ION ��S / V�� 'C�3N� SEWAGE PERMIT N0. d � 3- 7 VILLArrGE fin/ t S t' � V��►�n`�5 Dy c� INSTA L.LER'S NAME i ADDRESS R-,.0 I L'D E R . OR OWN ER o DATE, PERMIT ISSUED - 23 1A � DAT E ,> COMPLIANCA ISSUED �' 00 vat �" s. .�D '�` l �. No.....3,12.2p Fxs........ �. . ti THE COMMONWEALTH OF MASSACHUSETTS p _ BOARD OF HEALTH 17y / ..........OF............... .��-..... ....-...... -...........--- ................_.-.. Appliration for Diopo,ial Wor Tontitrnrtion ramit Application is hereby ade for a Permit to Construct ) or 'Re air ( ) an Individual Sewage Disposal S at: ........... / ............. .(�- �.� ....... 00 .. Locat n• s r . � ............. ._... .. s �.— ow e... ddre a . �....1 ---... . ...-•-----•--•--•................. �, ... ... .------......... Installer Address Type of Building Size Lot..� •- _.--•_--------_._Sq. feet Dwelling—No. of Bedrooms._._.__..___._ Expansion Attic ( Garbage Grinder (/2P Other—Type of Building No. of ersons........ Showers a YP g -------------------------• P �-•----......._. (�. — Cafeteria ( ) dOther fixtures . .....•---1](l-- .............................................---•-------....--------....................-------•--•-•---------...-•-•---- W Design Flow................ .__-•-•••_ --gallons per person per Jay. Total daily flow...........��._Q___.:.............gallo s. 04, Septic Tank—Liquid capacity-_/,gallons Length....XV..... Width.. ...-...... Diameter................ Depth.•..•-._:. W Disposal Trench—No..._!7C ?e_C_Width.................... Total Length.................... Total leaching area..,c,)..&.6---sq. ft. x Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by._- .. __.._. ._ Date.......... 1 Test Pit No. 1._. ...minutes per inch Depth of Test Pit...._---.f'�th to ground water....... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --••••.... ---------------------•--•--•----................. .............................. O Description of Soil.... ------------------ 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--- ; C ,F�f? Date ApplicationApproved By............................................:...........•-••-•--•--...--...----•--•-------- --- Date Application Disapproved for the following reasons:-------•--------------------•--•------------•--------...--•---------------------------------•••-----••......•- ...............•-----__.......-•--••-•-•••-•••--•-•--••--••---------------•-•-•---.....------.................------......_.--••-•----•---...----••-•-------------•-------•--•••••.._.----•---••-- Date PermitNo......................................................... Issued-...........................•------ ----------- Date .-.�...�..._.__W..����.�..�.���.. ...��. ................................................... No........................ FRic.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ...........OF _e Appliration for DiiiVaiial Workii.Tomitrurtion 11rrmit Application is he mad e or a Permit to Construct (t�or Repair an Individual Sewage Disposal System at: 0 ........................ ... ..................... _s... 41............... ---------- Location- Lot ............................ .. .ice- ... ....... ............................... ..... ..... ........ om, e 4t -��_d'odr Z_4 �............... or X..... . ........ .. . .... ...............y.. ....... ................................... ----------------- ...�a ....................... -Yns Installer Address Type of Building Size Lot.).�.,_Y.17(0.....Sq. feet U Dwelling—No. of Bedrooms...........:5.. ......................Expansion Attic Garbage Grinder Wo PL4 Other—Type of Building -------- ... No. of persons...........______....._ Showers Cafeteria PL4 Other fixtures ----------- ...................................................----------- ........................ Design Flow................ -!�7 gallons per person per day. Total dai� flow..._._._._ 3��-.6 ---------_----- .................gallons. 1:4 Septic Tank—Liquid capacity.Afftallons Length....e.,OV... Width..6.......... Diameter................ Deptl . ......... W Disposal Trench—No. _�70e_C_Width.................... Total Length..._................ Total leaching area..cz,�4.4...sq. f t. �4 Seepage Pit No.---___- ____--• Diameter.................... Depth below inlet................._.. Total leaching area..................sq. f t. Other Distribution box Dosing tank Percolation Test Results Performed by....;��;64A' .a .... ...ZA Date..... Test Pit No. ..minutes per inch Depth of Test Pit-_--..ef../?...... Depth to ground water.......e ...... rX4 Test Pit No. 2................minutes per inch Depth of Test Pit___...........__.... Depth to ground water........................ P4 ............. ................................................A..;........................................................................................ :: ..... ............ ........................................:......................... 0 Description of Soil....40-- �l---------- A—A.r �4 0 J;4 U ............................... ....... ----- ........................................................................ --------------------------------------------------------------------------------------------............................................................................................. .......... 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 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. . . ................ ...........? f...... ApplicationApproved By................................................................................................... ....................................... Date Application Disapproved for the following reasons:............................................................................................................... ......................................................................................................................................................................................................... Date PermitNo......................................................... IssuedL....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . _....OF...... ............................. (Intifirair of Toutpliatta b THIS IS TO CERTIFY Tha he Incliyiq� Sewage p isposal System constructed (__r0_rRepaired y..........................I.................. V"I�_ _&=_1 I.—_� ' .......... .........*--------­-------------- ...... - -------------­------------"----------- at stall v v ---- -- ---------- ............................ ions of TITLE 5 of The State Sanitary Code as described in the has been installed in accor a�' wi tl e provisions application for Disposal Works Construction Permit No......................................... dated_..--_____-__.._.._......___..........._........ THE ISSUANCEPF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A- GUARANTEE THAT THE SYSTERI WILV%.0�TION SATISFACTORY. DATE... ....................................... Inspector------ ..... ..................................................................... YLP THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH............... .........0 F......... No-h-M ............................................ FEE...... ......... ..................... Uispasq Works (go pr,n..v- __ 4.strwtion " rmit -eby granted....... ­'0.0�... ........ ...................................... ..................................................... Permission is I ... �or to Constru% (L,-ror epair an I IV Dis al S at ewa PQS S........... ...­........ . ............... ... ------- -- .............. ..... Street as shown on the ap, ti n ispo I Works Construction Permit No.. ated........ ........ ......... .. .. . ....... .............................. ---............................... jgl� DATE.... .. ....... ..... .................................................... Board ealth FORM 1255 A. M. SULKIN, INC., BOSTON d 1 1p .: r 0� . t• /00. v 5. r r",t LE40 q t V. 1 p sr f r^ Of St111. 0 � b 0. L� Q { -"a7 , • F R , It (H OF Af , PHILIP ,j► , \V IN E y "T� r I O olSTEM �X / j Fss/ONAENG i TOP'C� I P• DATA IS (� fSL�D aN P�-/1N t �Y .S65LLIM I,Jt+ITOC ,x LEGEND 'CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION' 0x0 taOfAt EXISTING CONTOUR =--- O kS�' Sim FINISHED SPOT ELEVATION ROBERT y�� )_O`i- I(:. PLAO g� aq5 PG IS' FINISHED CONTOUR 0 SRO E �• I ELDRE ^ IN j APPROVED BOARD OF HEALTH ISAJOIA S t ,A b L o ASSO IST DATE AGENT SCALE3' 1 40 ' DATES 13 k3 _ ►���.�_"" LDFtED6E ENGINEERING CO. INO CLIENT ._ I CERTIFY THAT THE PROPOSED I EGISTERE REGISTERED "' JOB N ? BUILDING SHOWN ON THIS PLAN r CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER .,SURVEYOR DR. .OF . B.ARNSTABL , MASS. 712 MAIN STREET CH. By HYANN I S, MASS. SHEET.L" ,'44. DATE REG. LAND SURVEYOR �___. --- /1/OTF /F E/.TNeA? THE SEPT/C TANK OR 20. FT.. M/I1R LEi4CX/iYG P/T A�@E JJ0RE TiSl.q,."/ /2115E40rt/ /O PT. M/N. c;RAOE�.Aa 2a'O/AMETEK GONCRET� CONE.P �Z SJNALL B'E BROUGHT TO 4,gAOE,6';Al EXTRA ,oyr GONC.4t'TB 4"PYC P/Pe h'EAVY CA-ST /RON CO!/ER Sh�ALG (3E USEO M/N. P/TCN COYERS. �g'OFiQ FT: /F AV 17R/V.EwA Y, 2 1 M/N. C®NCRLrTE G1q•44PE CO.✓ER CLEAN SANG 2*LAYER 4 CA004 z ti MIN.P/Tt�► -1---- GAL / • . • i i > • plS7: WASHED STOYC %4 Pc�t IT SEf�'T/C TANK', e e / • • • • • • i i i e s • '- � '- " y'. e T ,,•+`.,.s 80X s,'t e • / B O 1 0 •• � e•.�e y •E?EL'T/1�� t • //4 — �2 • • i • DPPT'H • •1 ' . WASt/ED STONE 4 � • • • • • • • • •• i O o• r r t c ,_ .. • R rr � a so • • e .e. • •'• • i o ► /, PRECAST Sl=.AM4 GE i S x a N P`f T 6 h /V. lNi�iE'RT 4rLEYA7'!4&S / i / • • e s • • i o 'e . . P/7 OR EQ[/ ' /NYEItT i` INLET .SiEPT/C.Ti4NK %/,S FT f� O/A C(cca W�� 44TJ F r 007"=7 SEPTI d TANK t ilVGET OISTRI®�/TION BOX l°%`1 ` FT •r :``� W :. GRO.uillo.PZA7, TABLE SE 0 .Z. CT/OJV OF 007ZETD/ST.q/BIJT/0/li BQX /• FT /NtE7r,,LFACNING PIT, al• FT SZWAGE O/S.400 AL SPI&IFIEM !/V6 /T LEA _. CH DES/6K CR/TER/R .sCAJ-Z %4' _ /=o D�/►9 ws/ON A ST.' `- Nt/JdlBER.OF BEOR00/�1S :, D. vs/ON C. T. ilJ TOTAL' E.?T/MATED L SO/G LOG Cr�RGAG,EO/SPOSAL GAL. F-tow 3 3 /D.a y SO/L TES T A/ So/L TAW7702 S�/L .TEST /{(UMBER L,CACK/NG P/TS I LEK /03,D of�-ELFY, OAT,- OF SO/L TEST S/OE 4&ACH/N6 PER P/T Z,&"L 5.S* PT. _! S L� RgSUtTS H//TNESSED BY ✓4r ✓• ✓a �� 0,0TTOM LEAGN/NG PER P/T 2L _". &7' PERCOLAT/ON R.�TE At/ M!/V�/INGN TOTAL LEACH/NG �4REA SQ. FT. -ToQse� I AEh COLA 7/ONRATE/k MI�V�lNGH .QPSERVELEACNI/Y6AREA 657le 7 $Q. FT. • SCE/L TEs .�CF# —Z O S,� ZN OF 1yASs ROBERT V BRUCE P L A` ELDRE Rc ' . El-O RED GE ENG//VEER/NG CO,/NG. o. 366 O � Ar F?�, g11S 71Z MAIN ST. , .VYQ"All- MgSS. (�NG GROGWO kK474 —,VCOU-,VTLrR:�O CL/ENT; 1 hD $v��' �SS�ONAL ENS\ Q GRO U/10 1-/ATER AT ELEI/ P DRTE / . JOB ND.. dG SHEET�OF