Loading...
HomeMy WebLinkAbout0014 PLANT ROAD - Health AT i FY Z7 LOCATION SEWAGE P IT NO. Q�c /ll VILLAGE A Cs A & B CESSPOOL SERVICE u 128 BISHOPS TERRACE, HYANNIS, MA 02601 w BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ��� ��� � �. h + � � ' I s 1 � e.�o.. ._.� 'J yy + .. Q Y f �- 1 ,� v- � �, r� � r �� i �i �_ . , .� J� J Soo-0 N®.................. .7 Fps.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .............:.......OF........0 A��� .............................. Appliration for Disposal Works Tonotrurtion Frrutit Application is hereby made for a Permit to Construct (NI'lor Repair ( ) an Individual Sewage Disposal System at: ........� [ �../ .. _----•• -••� ..---------•• •- ----- --------------------• .---------7-----•-•----•-•----------------........---•---•--- " tion-Addr No 'd � � ............ ....... . ...7 Ow er r Address w G� © .S� ✓ :. . ,�d ---------•- 1..:... ... _.._. °�' �.: ,.a � Iz�taller Address Type of Building Size Lot____________________ _____Sq. feet ., Dwelling—No. of Bedroo ____________________________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building�c/-V.:34.,01�__ No. of persons____________________________ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------------------.----------------------.-.-----------------------------•------------------------------------•--- W Design Flow.............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Li juid capacity._..•.__--.gallons Length................ Width................ Diameter..........-..... Depth................ x 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 ( ) Dosing tank ( ) aPercolation Test F:esults Performed by---------------------•--•----•------•---------------•-•-••-----------•-•• Date........................................ a Test Pit No. I________________minutes per inch Depth of Test Pit.................... Depth to ground water........................ �r4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 9 •-••-•-••................................................................................................................................................... 0 Description of Soil_________________ W c.� ------------------------------- •-------------------------------------------- __----------------------------------------------------------- -------------- -----------------------------------_------- W V Nature of Repairs or Alterations—Answer when applicable............................................................................................... ------------------------------------------••----------•-....•--•--•------••-----•-••.....------••---•••-•-••---•••--•----•------•--•---------••----•---------••--•--•-•--•------•••---•----._......-••- Agreement: I The undersigr_ed agrees to install the aforedescribed Individual Sew e Disposal System in accordance with the provisions of TL I TL LE 5 of the State Sanitary Code A The under - ed rther g es not to place the system in operation until a Certificate of Compliance has beenjissj9d by t oa of lth. Signe ........ -- -••- -•-----•-- ------------- -• ........................... i Date Application Approved By--..--- •-••-- ................................ ------•+ �....... Date Application Disapproved for t e following reasons___________________________________ _____ _____'.-_ •--------------------•----•---•----------.....--•-------••-••----------------••-------.......--•--.....----.....-._. ..............I------- ------- Date PermitNo........ ------..... - ... .... Issued_........�....... --- --------•------- Date — a No......... -- FEB •TT 2 `� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................:..............:......OF.......................................................................................... Appliratiia f ur< topooal Works Tonotrurtion 11amit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: .................. ... ......... .._..._....... -- ------•---- ---- ..... Location-Address or Lot No. .....................—.......................................................................... ..........--...................................................................................... Owner Address W Installer Address d Type of Building Size Lot............................Sq. feet aDwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------••-•-•----•-•------•----•--•-•-••-•-•••••------•--•----------••--•••-••--•-•--•---•--•-----------••••---............... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank Liquid capacity........,___gallons Length................ Width................ Diameter---------------- Depth................ Disposal Trench—No. ...................RWidth..............._.... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter,,_................. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) "Dosing tank ( ) aPercolation Test Results Performed byr_::_-----------•;----•----•------------------•-------------•---.------ Date........................................ Test Pit No. 1................minutes per inch Depth, of Test Pit.................... Depth to ground water........................ r14 Test Pit No..2.................minutes per inch Depth OrTest Pit.................... Depth to ground water........................ 94 ••-•--•---••---•.................................•••-••--•........._ ..........------------------......................................................... D Description of Soil......................... .... , x ..,. : W VNature 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 ther a ees not to place the system in operation until a Certificate of Compliance has been 'ss by t o f h lth. s Signed Date Application Approved By........ •--- .. ..--- -- ... - - -............................. Application Disapproved for e following reasons:..........................'_____.-_.____._------`_... ...._..... ........ .._w...... ------- .............................'......_.....-•-•-•----•-........ . •-•-••.... . ..........-- ...... Da .... Permit No.......35...?.."',p� ...................... Issued----- - "' ate"" C` 1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF. HEALTH ...........................................epF..................................................................................... `-To 71}1 (Irrtifiratr of Tort lianre Pto' J tt ?' -arcce e,d1 4so ,GPJ THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) -c -_.... � 11..----- Q.t�,.4v_,�o... _.. ....... by _ + Instt at1` � '-'.a..-----1-K- .............. �= � 1��..................................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Dis oral Works Construction Permit No �-"" PP P Z.-=�----•----------- dated-. --°�'--}1-==-�----------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A G ARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 7 DATE................" _An.C'1.m--- J�--------------- .......... Inspector.............4% ........................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ` ........... Diopoo l Works Tonotrnrtion Frrinit Permissionis hereby granted....... -'-------- --------------------------•------------•---••---•----------•-----.--------.----•---•---------.----- to Construct ( ) or Repair ( ) a In ivi ual S . rage Disposal System 1 � reet as shown on the application for Disposal Works Construction Permit , .__ ........ Dated.._ -,. ---------------•----............ ..---•-- DATE---•>�"g".. 5.................................................... FORM 1255 A. M. SULKIN, INC., BOSTON ;+: ,;: � SN�t,.T � or 2 •SHEb-T� t� /VoTZ; Z-ZE-YArVAl5 BAs�D � \ \ Cr✓ ASSu+'s�D �A7yry 1 E,•tiq � � IZ q rN i � J i98e n•+ P/zoPo s ED � V ® T Iry Oq-Alp T Q` h 3/,o o N LaGr.S LL 1, . 0 5a"e. ZO e,ti 'S Rdsa t O 12wx zew.N 1 -1 Arz., OF p923 Bex ie 7L- ?� E*AR �� 78 I 77 /7 E. G n J KELLEY ! 7 No.26100 Z FG/STS PLq&17- tiq tiR ,�oA�.D CERTIFIED PLOT PLAN LOCATION e,*X 57;l e4C � !ATr•vi s SCALE . .���_¢O' DATE Pg5r, Z6.19449¢ PLAN REFERENCE T� y 1�Po� .�---Lc�•i5 , Sf/bw.v ow /�LRT/ BOOK Z7/. . . *Z1,�� CERTIFY THAT THE ....... .. ...... SHOWN ON THIS PLAN IS LOCATED ON THE GROUND Z9 AS SHOWN HEREON AND THAT IT CONFORMS TO THE (lam SETBACK REQUIREMENTS OF THE TOWN OF . . . . .. . . . . . . . . . . . . . . . . . . WHEN CONSTRUCTED. DATE . . . . . .. . . . . .. . PETITIONER: C6oeae upTbN 1oAbN REGISTERED LAND SURVEYOR ^; ilktZ7 2- o,c Z Sf�E�Ts TOP OF FOUNDATION T e CONCRETE COVER CONCRETE COVERS 2.5 e o 4"CAST IRON 2"MAX. AX. „nrs, OR SCHEDULE 48 12"MAX. • P.V.C. PIPE 4"SCHEDULE 40 PVC.(ONLY) -' � • PITCH 1/4"PER. PIPE - MIN. LEACH PITCH 1/4"PER.FT. PIT PRECAST e.e o' INVERT o -� LEACHING EL,�e•.SP••• INVERT INVERT e . e PIT OR o'. SEPTIC TANK 2 �/Z DIST. Z 8 w ; _ EQUIV. EL...$. . . . . . BOX EL..7.•...7. ' : >_ :•: o INVERT • ., GAL. INVERT G' ►_ 0' �' /000. .. EL?�P.¢ INVERT- w w 0' :�• 3/4°TO I V2 EL...:..... : . �0 0: WASHED e Lo STONE�3 WDIA. PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM I NO SCALE P- 33z.s SOIL E LOG WITNESSED BY : DATE .9�?7�8'�... TIME.��%3o Ate/ �aN 6iGo2� !�S. BOARD OF HEALTH TEST HOLE 1 TEST HOLE 2 Low ./.Wc2G�'� �!C_ ENGINEER ELEV. z'.t�4. . . . ELEV. .. .. . . . . . . Iva 7"PS"� DESIGN DATA : f W,q•,zEF,4,,,s� s�.►cE Q !,000 .sp,�T H� NUMBER OF BEDROOMS 7Scac/i000 3¢;rs: : c.P.D. TOTAL ESTIMATED FLOW . 4.So . GALLONS/DAY CogBL�'S BOTTOM LEACHING AREA 78S, . SQ.FT. /PIT/G.Opp. SIDE LEACHING AREA . . ./88,Sc • . SQ.FT./ PIT147/C,p.P. GARBAGE DISPOSAL . (50% AREA INCREASE) I TOTAL LEACHING AREA . ZG7. . . SQ.FT /44 [Z. 3o PERCOLATION RATE 44$. . .'A�✓ 7-WO MIN/INCH No WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE -Q. .. SQ.FT//C.p.D. ' NUMBER OF LEACHING PITS . . P.^!`ter. R17- )VirPV APPROVED . .. . . . . . . . . BOARD OF HEALTH 7.l✓0, •FAT of s'T�NG6 oN i4GL Si1g DATE. . . . . . . . AGENT OR INSPECTOR 9 OF YIELLEY 7- A9 y No.28100 y t C/STEP oe A j �i1,�NST,�23�•�,t�yiA•NN/S yo s u n v Er sarorraa�a`' PETITIONER : Gr UiDTD.tr TeNu STtANLG�/ :�. .� RIC 40-r' \ dry A/i 6Z&VAnj1A, &A-TdD oi \ « ar A)ssU-f i i IZ A ry r _ez ev, sa, h N LL Lo C., S. Co r d 5 . �6 � p Sevnc Zo I e ti K I osewr 0 rnNr � Arno, Box 'a, OF �•23 / 1 tp1�� W c� 78 17 7 /7 0 2 rA� 3 01�!' +#AaUIIVE .Sa' IN/r>� �oio' S SAIM-Al s ',��'°' CERTIFIED PLOT PLAN LOCATION SCALE . ��-' 0.� DATE .P6C. �•/9ig-f oy( PLAN REFERENCE . .. ;� t--CoGus , S/SMw.v aw /�G4r/ BovA.' Z7/ P aA''' Ra Ps�cE: .-33 . . . . . . . . . . . . . . . . . . . . . . . . AE��� 2' CERTIFY THAT THE ....... .. ...... SHOWN ON THIS PLAN IS LOCATED ON THE GROUND Z8 AS SHOWN HEREON AND THAT IT CONFORMS M THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE . . . . . .. . . . . .. PETITIONER: C,50,eCE LIR7bN $1 SAbv .S7oq"ZZ-y REGISTERED LAND SURVEYOR TOP OF FOUNDATION ; ; CONCRETE COVER CONCRETE COVERS 4"CAST IRON 2'(yl*AST . OR SCHEDULE 48 12"MAX. • P.V.C. PIPE 4°SCHEDULE 40 PV.C.(ONLY) � PITCH I/4"P_R. PIPE - MIN. LEACH PITCH 1/4"PER.FT PIT PRECAST INVERT o Q LEACHING EL•2e"SP••• INVERT INVERT p . ; PIT OR SEPTIC TANK Z ,/Z DIST. A7.. b • w EQUIV. EL...$. .. . . . EL..7.87.. >s e INVERT BOX /000., .. GAL. INVERT G' C.'I' o• ��' INVERT v a 0: :;i, 3/4"TO I V2•' EI-M- ¢ 27l/ ww EL...:..... ; , wo 0: WASHED STONE -��q A00 JdF L . PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE P- 33Z.s' SOIL LOG WITNESSED BY : DATE ll?7/8¢... TIME.��-.3o Arf �bN 6'/G oIL� le S. BOARD OF HEALTH TEST HOLE I TEST HOLE 2 LvW ELEV. .?9.34. • • ENGINEER ELEV. .. .. . . . . ... Iva P DESIGN DATA Iv�xhbws� sfaxE Q 4,0410 3p,pT H� NUMBER OF BEDROOMS _ !9 C.PD, TOTAL ESTIMATED FLOW . . . . . GALLONS/DAY BOTTOM LEACHING AREA 78S. . SO.FT. /PIT/G.P.D. SIDE LEACHING AREA . . ./88,✓07 SQ.FT./ PIV47/G,P.D. GARBAGE DISPOSAL . NgA14r. .(50% AREA INCREASE) TOTAL LEACHING AREA . ZG7. . . SQ.FT PERCOLATION RATE 4� .7514-' 7WO MIN/INCH LEACHING AREA PER PERCOLATION RATE �-9-0. .. SQ.FT/C.P.D. No WATER ENCOUNTERED NUMBER OF LEACHING PITS . . o^!�. /�iT 1✓i APPROVED . .. . . . . . . . . . BOARD OF HEALTH ?�✓o, 'T' of S'J7NG6 ov �4GG Sim DATE. . . . . . AGENT OR INSPECTOR POSH OF gj ss .E. D `y��d CJ STETS R.H KELLEY r-4 �0 /STEP(vO TE �p0 S U P V E� SANITAF\P PETITIONER G►� up7D.v TeH�v S7�NL/P,I