HomeMy WebLinkAbout0033 SECOND AVENUE (HYANNIS) - Health 33 SG and H Ve ., Al"Ai P
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LOCATION SEWAGE PERwa N0.
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VILLAGE
Pi,STA`L'L:;E.R'S` '.�. NAME •&' ApDDRESS
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B,UICVE,R.), OR, OWNER -
D.A' T E ' PER-MIT ISSUE D /'���,
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DA-TE '`C•OMPLIANCE ISSUED /��� �
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No.....1G� ` .� t FEs....3 .%'"
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
.... Lh/a•l oF........,��.. /'c�,�l:.S�:. T..4_ ..............:..
j Allp ira#ion for Disp aiiaal Workii Tomitxnrtinn Frrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
--•• Location-Acylress r Lot o.
r
...-----•••--•_- l.��L� rrl. �---./.-gl.!?-........................... ....... �1. �7.sa.e X�..._. tt n.....�./p ......
Owner Address
Installer - AddressPQ
.
Type of Building Size Lot/®p-.��...._..Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage .Grinder ( )
a`-4 Other—T e of Building No. of persons............................ Showers
YP g ---------------------------- P ( ) — Cafeteria ( )
d Other fixtures ......................... =P Flow......... _ _ r l�.
W gn 1l.�.......:................gallons pe>;peu per day. Total daily flow-------���.....................gallons. ,
WSeptic Tank—Liquid'capacity-/M-Vgallons Length.R...'C.. Width.4:"�® Diameter................ Depth.s�..._/
x Disposal Trench—No..................... Width..................... Total Length.............. Total leaching area....................sq. ft.
Seepage Pit No---------.f--------- Diameter.--01... ........ Depth below inlet....6.--........ Total leaching area...e 7.sq. ft.
Z Other Distribution box (X) Dosin ank ( )
'-' Percolation Test Results Performed by. _<_..��__� ....................3 .1 .�..-.. Date__.. ..�.Z .L
h-
h-4 Test Pit No. I................minutes per inch Depth of Test Pit__J¢.!f..... Depth to ground water....... -------
Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a -----------------------------------............................--
O Description of Soil -, o >ps,�/ � J_®/.0_.... - - -
-------------------•-
U. •-•••------•-------------•-
W
U Nature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________
. -•••-----•-•••••---•----••-•••••--------------------------•..............._.
Agreement: 1, .
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TL LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bee 7jed by t board f iealth.
Signed... ............ /esr
Application Approved BY #� � f/!!o. .....-----
Date
Application Disapproved for the following reasons-----------------------------•-------------------------------...-----------------•.
.........................................................................................................................................................................................................
Date
PermitNo......................................................... Issued-.......................................................
Date
'No..... r,?.-�- / .< FE$....... .5... '`
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...... .......</.(h:(ti............OF.......
.. .! -"� r-/ ........................
Appliraatiun for Disposal Works Tonstrnrtiun rnmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
Location-A s //
... ..........
Address
. ......•. .............. __ __
In - �_ J.. G Sq. feet
� Installer Address
UType of Building Size Lot_���.'��a.._......
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures .._..._.. ----•-•-•-•-•------•----.--•-•---••--- ...........------------------------------
W Design Flow..........l___1.......................gallons per pe soxi er day. Total daily flow----.... 3. ------------......._......gallons.
WSeptic Tank—Liquid capacity. allons Length___.e._: •12-. Width..:'.:/?Diameter................ Depth...._ _-. ..
x Disposal Trench—No. .................... Width....,......._._.... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........../-------- Diameter.._�a.......... Depth below inlet..... ....... Total leaching area....26-_7_sq. ft.
Z Other Distribution box ( Y) Dosingtank ( ) /
~' Percolation Test Results Performed b .� --_ :_ l '=n? ,.._.�^!.� 1 �-
W Y Date ----------••......
..
Test Pit No. 1.....4......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........................
P1 •-••_•--•----•----•--••••-----------•----....----•---------------- .---- ....._..---•-•--•------••---•----•---•--•--------••••..........-_•-_...D Description ofSoil_-....._ JG ` C > 'Ci>,P
_ __. . - ----••--•..............•--- --..-... --
W
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".'I:'I:
p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be ued by the g board ealth.
ter'' • `3 a2
t ,, Dat
Application Approved BY .. .......? 011........
Date
Application Disapproved for the following reasons---------------------------------------------------------------•-----------------------..._........-----••-------
..--•---------------•-------••---•--•----.....---------------------------.....--•-------.....------...--•------------------------•-----------------••---•-------•----•----------•-----•---------.......
Date
PermitNo.............•-••---------------------------•----------. Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...............OF...... ..... .........................................................
(Irrtif irai u um lia ttrr
by .....
THISThat the Individual Sewage Disposal System constructed ( ) or Repaired ( )
Installer
at - %- -------- -----
--- --------
has been installed in accordance with the provisions of TI j unitary Code as described in the
application for Disposal Works Construction Permit No--a _.-.- dated-....___.._....................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOTBE'dONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. Q
DATE..........................................: ..,....6yl-AL............. Inspector........... --jam. ------•---•-----------................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
--......�•. ...��;,;�,a,,;,:...................OF..--- �� .................••-.••...•--........-...................
------- F -
Disposal Works Tunutrnrtiun Prrutit
Permission is hereby granted..---�' " ".... ------ - ---------------•---------------•------......------.................----
to Constr;c—
) or Repair ( )an I dividua e r�e IUis A s em
gat No. ------••--•-•_--- x„ =r -----------------------------------------------------
as shown on the application for Disposal Works Construction Permit 70.1
0..................... Dated..........................................
DATE..................-------.......................................................
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
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RICHARD \ a w RICHARD
JAMES (` JAMES
v O'HEARN v O'HEARN
r NW 27871 �F He.694 �`
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LEGEND ^- SAN11A^1F
EXISTING SPOT ELEVATIONS O,A
EXISTING CONTOUR- - - 0 - - - -
FINISHED SPOT ELEVATIONS F5.70
FINISHED CONTOUR - 0 - PROPOSED PLOT PLAN
APPROVED= BOARD OF HEALTH e ,..._,�;�,�<�,�.-'- � MASS.
DATE AGENT
R. ✓. OWEARN, INC., RL S, RS
1348 ROUTE 134
EAST DE-NNIS , MASS.
DATE : �.Z/�'/f%-7- SCALE
JOB NO. CLIENT--
DR. BY SHEET , OF �.'
SOIL TEST INVERT ELEVATIONS NOTcS= .
DATE OF SOIL TEST ��� %=' INVERT AT BUILDING =J70 FT ALL WORKMANSHIP AND MATERIALS �
WITNESSED BY -� INL ET SEPTIC TANK 9 --.s' FT. SHALL CONFORM TO D.E.Q.E. TITLE 5
PEP,C0LAT10N RATE ==' MIN./IN.CH OUTLET SEPTIC TANK :'% FT AND THE TOWN OF 2-f ''� RULES
AND REGULATIONS FOR SUBSURFACE
OEjS RVAT ION HOLE I OBSERVATION HOLE 2 INLET DISTRIBUTION BOX ���� FT.
' - ELEVATION ELEVATION
OUTLET DISTRIBUTION BOX � � FT. " DISPOSAL OF SANITARY SEWAGE
— INLET LEACHING PIT 9 ,3_ FT.
BOTTOM. LEACHING PIT FT.
DESIGN CALCULATIONS !
NUI',rBER OF BEDR00 iS .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . �' I
GARBAGE DISPOSAL UNIT... �/�
i mil '- f TOTAL ESTIMATED FLOW ( GAL./BR./DAY z s BR.): GAL.fD, .Y
RE rUlRED SEPTIC TANK CAPACITY. . . . . GAL.
ACTUAL SIZE OF SEPTIC TANK TO BE INSTALLED.. GAL. .
LEACHING AREA REQUIREMENTS
U S!DE 1VALL AREA�'�� GAL./S.F. '
BOTTOi AEC.,_/. O _JS.F
: . � .
,;.:,,
! LEA CriI�VG CAPACITY ( BOTTOM SIDEWALL ).. .... . . . . . . �'�9:� GAL. A
r.3 / t�..
RESEPVE LEACHING CAPACITY. . . . . . . . .. GHL.
tP OF —
__ �- CONCRETE—� 4 SCH. 4C —� CLEAN SAND
I \ COVERS \ PVC PIPE CONCRETE
Py:t�l, PITCH , \ �, COVER
I/, PER. FT
2 / MW. PITCH o s. I
✓•.i i i i \ t2 MAX. ss
1177,'._1/, 3 RtCHARJ) �:� ' REAM--S qi I
,i JAN,� G�
-2- LAYER OF I f F - 1 f ' O'HEAR I i O'HFARN
=---i. 1FLG'N LI E— ! , }` T `'BASHED STOKE �1 '0 "' 694 r� 2�»
-
i „ 3/4 - i 1/2 �qy
�; Q/STf
4 CAST IRON ! — i I WASHED STOLE � to j
I PIPE - MIN. PITCH
�r .l 1/4 PER FT. DIST. D ,� �� PRECAST LEACHING
BOX
EASIINI OR EQUIV. i...
i LL_w 0 0 /.
n w I /� S
Ci S.
GAL —�� ✓:�r��G. ..�
SEPTIC � �
TANK I - R. J. 0 HE�iRi+l, its(,., RLS, RS
1348 ROUTE 134
_ ! EAST DEN N'lS , nrIASS.
PROFILE OF GROUND WATER TABL= CLIEr:r �, �• 4
? fit, �� �'' ` 1' JOB NOS! :1,
1 SI:� AGE D!'%3"- ,� Z)AL SYSTEM - r t
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