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HomeMy WebLinkAbout0001 PEACOCK DRIVE - Health __ _. ��� - Wig---- - ® -- __-�� � , 3 .� � � � , a z W act N M � 0 W i. l ,da W a C ~�• W W W W g H 6i � C � N N o g d at g O � W r V Q Q Q O W W O Z a Q Q +O 8' � � r�1�cd No. THE COMMONWEALTH OF MASSACHUSETTS ✓ BOARD OF HEALTH )AI: ....�­�.....................OF.......��A&N...... ........... .............................................. Appfiration for Uhipusal Warks Tonstrurtijan "amit V Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: > .. ..............01. ...... .. ............ ................................................. Loc 'on,_Adj 0 Lot No. ..........I.U.k. ......... C.A.4. ---------------------------------------------------- V Owner Address ................................... ............................. ----------------------------------------------------------- Installer Address Type of Building Size Lot../Y, I/ Sq. feet t- --------------- Dwelling—No. of Bedrooms....... Expansion Attic (AV) Garbage Grinder VO) ------------------------------ Other—Type of Building 300/9............. No. of persons.......-1................. Showers (2 Cafeteria VCi) Otherfixtures ..... ............................................................................................................................... Design Flow.........55.....................:....gallons per person per day. Total daily flow------5?_.9!_Z9........................gallons. Septic Tank—Liquid capacity./04A.qallons Length....l�...... Width...__._.___. Diameter------le....... Depth....,9......... Disposal Trench—No. ..PeW. ... Width.................... Total Length___................. Total.leaching area.__,,,24_X. ......sq. f t. Seepage Pit No... Diameter.................... Depth below inlet.....__............. Total leaching area..................sq. f t. Other Distribution box (X) Dosing to ( ) - /............ Vepth to ground ter. Percolation Test Results Performed by- e", e..... . ......... Date...ldl� Test Pit No. I..... .minutes per inch Depth 9 Test Pit.....1.A,I-------- wa fi Test Pit No. 2................minutes per inch Depth of Test Pit..____._....__...... Depth to ground water-_-_-_-__-_.____--...___ a' --------------------•--•----------t-------------------------------------------------------------------------------------------------------------------------- 0 Description of Soil...... --- .-- -�. d d,- .4... ............... .......................................................................... - ..................................... ........ .......... .....#::e U ............................................................................... ................... ..... d..... ............................................................................................................... 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 provisionsof TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operatio ni-il a Certificate of Co nee has been issued by the board of health. Signed---., ............ A ... ......... A__I. 2a pplication Approved B ......... _. y................................................................................................ I .... Da_t_e-------------- Application Disapproved for the following reasons:............................................................................................................... ........................................................................................................................................................................................................ Date PermitNo-------------- ..... Issued....................................................... Date ---------------------- No. . ?" ..... Fmc............................ „. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF /HEALTH t�.x1. ....................OF...... �4 •'e; Appliratiou for Uiop.asal Warks Toustrnrtinn Prrutit Application is hereby made for a Permit to Construct (VI) or Repair ( ) an Individual Sewage Disposal System at: ,t 1 - •C4 �:... (a.i.z .............. ? 1.4 ..-..--•------ .... ..... - ........... Location-Adres r t No. ? : � e: dress ..._....... �J o Lo Owner -- ------------------------------------------------••--- Installer Address Type of Building Size ----------Sq. feet Dwelling—No. of Bedrooms........I--------------------------------Expansion Attic JW) Garbage Grinder Vej) aOther—Type of Building i4Ja ?s_V:; ...... No. of persons......_._4_`-:............. Showers ) — Cafeteria V47) Other fixtures ----4t1 �7...............................I••--- W %Design Flow.._..__5,5":.. ....gallons per person per day. Total daily flow------ :.........................gallons. 9 Septic Tank—Liquid capacity,+�1',-'. gallons Length...14....... Width---46......... Diameter � Depth... .......... Disposal Trench—No. Width Width.................... Total Length.............:....... Total leaching area..,,,V4_,,C�..____sq. ft. Seepage Pit No. MMCL:_.. Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ) Dosing tank ( ) Percolation Test Results Performed by; ✓6, , - - ee,�,t '. f _._...._--- Date.. -----_----- Percolation Test Pit No. 1...G 2__.minutes per inch Depth Test PIV ��'.-.._...�bepth to ground water.. <..lke ...... 4i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ..................................---------------••-------------...----•-.......---•--•------------........................................................ O Description of Soil.....J_-- , r .S Sr rC ..•••---------•••-••••--...--•••••----•••-•---•••••-••••-••-•-----•.....................•- x . W ---------- -a s ° .ter r -- ......-- 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 TITIj 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 ' , I �x�t ----- ..--.------ ... _.. y t j Application Approved By... ....... .... _`! � ' --•------�� ..... Date Application Disapproved for the following reasons: ---•----------•------------ -------------•-------------------------------------•-•--.............. ---.........•••••••••--•-•---••••-•-•--•-.....--••--•••--•-••-----•-•--•--••--••-•.......-----••-•••---•-••-•-••-•---•--•--••----•-•----•••-•--••-------•-••........................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f ff OF....... f / /Z 4.......................................... ...... . Trrtif irtt#r of Tnntpliattre THIS IS TO CERTIFY, t the Individual Sewage Disposal System constructed (() or Repaired ( ) by----------I/---- rf r _ ------------------------------------------------------------------------------------------------------------------------•------------------- Installer s has been installed in accordance with the provisions of TITLE 5 of�Yl�he State Sanitary Code as describe -in he application for Disposal Works Construction Permit No..................... ..... .._. dated-....__..._.___ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE T A THE SYSTEM WILL UNCTION SATISFACTORY. DATE..... -3..4.....-•------------------------- Inspector....•• . ---••-•• ---e> Gtp- .......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF.... J No...... 'Ar- FEE........................ Disposrat arks Tomitru_ ..ion unfit Permission is hereby granted...i.,L- j...... � ./ t. �?":: . __........................ to Construct ) or,Repair ( ) an Individual ewage Disposal System •------ --•----- -str --------- ---------•----••--•-------------- j" Street �� as shown on the application for Dispos Works Construction Permit No...... ..�� Dated........... ... '!.................... Board of Health DATE...................................5...... FORM 1255 A. M. SULKIN, INC.. BOSTON 41 J, 00 s 3 4. , - z , to -TVO - A �`? N A l �, ORSE ti N� 3 ftw.J�� n o No.10 I9 ��04o- r , b, v' i f x'l D W I✓�D 7/-4 2 I ,., I !J F•\� 1 j/�r . V D i ry � + r` LEGEND ROER t 7 \1 r z F. BRUCE r3 El ilITINO.''=SPOT ELEVATION „0,�0 ;fo ELDRED EXIBTINA CONTOUR - p - ; � j CERTIFIED PLOT PLAN FINISNED SPOT ELEVATION , � r',(: : . R ' SA l�wjuzD CONTOUR 0 / ,NOTE The location of .azy existing und.erg ' sewerage, Swells, .or. other:.utilities shown on this plan is approx IN - 7�,oIT q>, te only as determined from records and/or verbal �1+ � ,\� •� .\ 1 �.1 i ion. Th 'n e contractor is responsible for the •i i�1 L ,,�A7 � ,. v,erifcaton of the existing locations. in the field. SCALE, �=4� DATE /Z ' KEDGE ENGINEERING .COI IN �.'isrvE CLIENT. I CERTIFY THAT THE PROPOSED EGISTEIiE REGISTEREp JOB NO. g4� ��3 BUILDING SHOWN ON THIS PLAN y;y'SN S' CIVI-1 LAND CONFORMS TO THE ZONING LAWS E�OINFER RV OF BARNSTABLE , MAS 712 MAIN STREET CN. BYE HYANNI S, MASS. gNEET,' OF A E REG. LAND SURVEYOR �O FT.: M/N• /YOTF : /F E/TNeR THE SEPTIC TAN/C OR L��1C/•//ivG P/T ARE /YORE THAN /2"&&J.OJV /O Fr. M/N; '. ' brrRAOE� A 24'O/AMETEK CONCRET.S COi�ER q'PYC O/PE. SHALL BE BROL/QiNT TO GRADE.64/V',iV' ,QA CONCRETE /IEAVY CAST/RO/Y Co{/�R SHALL 13E USED /F//V L;pR/V EyV.4 Y C'OYERS �6 PFiQ FT - _ 2 MIN. CO/VCRETE CO✓ER CLEAN .SANG 9M LEVEL DrA. , $C71EDf1Li40 a 4AYER c o (i4[. o. •v oofliv. TA v K . A SHFO S7i�NE 4. s• p I • •EFFECT/✓t' • * 314'- • • ••� 1 A5W T� D � o • ► • • • ••1J boo i O S ONE 1t,S'•a o 1 1 • • - • • • I • o 0 7� io . 7v i a. • r• s • • • •• • p �p PRECASTSEEfD4GE INY,�R7" t'LEI/AT/ONS P�7 c i'•q c -y S¢J' G�4y:fj °f t •o • • r •. • • • • • a o O/7 OR EQU/V. /NY,ERT AT 4U/LD/NCr 9 9 a p�' D/AM: /AILET .SimprIC` Ti4/VK'. 4 g-g FT, -Ly FT. AP/AM. C(SEE TABULATION Otf?LET SEPTlC TA/VI�: 4-�3.6 FT. r . '� _ INLET DISTR/D!/TION'SOX `48`/ FI GROUND AVA7, lE TAQLE 4 a,z sEC IO/v o/C Ot/TLETD/S7)TAPI 7rYON 00W FT INLET LFACN/NIT.P/T.: ; 47,8 FT S�hVAGE O/.Sf�IOrSA l .SY.STEr/K Ti1BllLAT/AN LEACH/MG- PIT OJMEMSlON /l 3 ArT. -dtALE : /•i DES/GN CR/TER/A. 6 _ ol�.�lrslow � Orr. NV/NBER OF BEVRoolvs 3 DtM�JYS/ON C 4 FT./"�,'r Gr4RQ,4GE D/SPOSAL UNIT'/Vy nlE SD/L LOG . o ffs T. 3 3 0 , /L T TOTAL ETT/IwCTED FL,Oi�t/ GAL.�LL4i� DSO/L TEST AE/ SOIL TEST#2 f, A/IIMBER Qf 4EACN1N1. p/T3 / fgI, . -�9>a BL�Y. DATE OF 80/L TEST l� '` -3��4 S/OEA.&ACH!/VG PER R/T / Sa PT.' /..,. JDD G/ Q 2 RESULTS IVITNESSED dY BOTTOM LFs4CN/Nrr PER P/T 7 $Q FT. o-- LO-A 1"I AE/4COLAT/ON RATE• / LDS !y//1�/INCN TOTAL LZ4E'H11V4G AROA 2--b 6 SQ'•PT. ' � S�� �� �� PAMC0[AT/ONRA7',W J&2 �M!A/�/NCN RESERYELLACN1N&AREA-SQ. FT Z i_ Gf ,. Z. o : 3 G S-z.. C OnF LO.T_ �A ROSERT e'er BRCS t rn 7 1, .� • ;_ -/� �' /�r/✓/s / (�ram..T ELCREG C` Z _ 9 _ F v ORSE CO /�PS No 'i0951 Q $'R!°/CX ' •' � IyTE. < ".:•�:..� �. �OF GISTS `? q o^Ys ,;. c � ,t, ` ��f '�'' .,$ C�•(� � 3.� F �.. <:. �� y'�Z.cs:~•,- �v , $�":/�i4'!/u � s' /�I�/�!$�/�'lfR.'f-�: ��`:J V�. •r^ •sf•�� ` `•�� +Y }� iT 4.t.:s, �� +f tr.y,J., �g Y _ -�. y : ,:,.;:.r .., a ,._ .,y:y,• �,. -::a� � R< 3 .'_..:� 'p 3..t.;,y, 3`L s. 3 it. ;:Ka ,u _ 1 t... +«.. c. .. ...r.-..'w,. ,.:i.,.:: a. .:.. .,'....Y �x;ns.:, -:. .�.:-.,h F '3� .. lei.. Y h P Y•.. >.+"*. 7. x ..'>- � ^.�-� ,- s .a. -, t ... ... ..�.... .,. srs+.a <.'__. F: .. a... .,._.at .°. ..,•.. 'S..w :'i3.:,.,..: ?:}t� a%.EF +,-> '3v t'.. .3 La P. -'�{ ,-a. -. ..ti .n,. s .... a_,..,, ,... ... .� .,-:a.-. ...>. '>._. x,*.+ .-.„. ._.�>. �< t F. >Y :.. ;,.: ..:,s.d an,ra 'ni••.:`�.. y.:: �"�^'-h ,et, �.. s