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HomeMy WebLinkAbout0033 SIMMONS POND CIRCLE - Health 33 SIMMONS POND CIRCLE HYANNIS A = 288 - 223 0 q --•Q 10 N%. •-• ......... ....... FEE...So....r'. - .......... THE COMMONWEALTH OF MASSACHUSETTS -� Zg �r► BOAR® Off' HEALTH SlIh ..... .!�S -----.OF.........................i 3 -------------------------- Appliratioular Disposal Works Toustrurtinrt 1hrmit Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal System at ...-•••-••••�/ ._. ...... ... G am- -.....` ��.� ....•... - / Location-Ad ess �4e' --•••_•--....--or-Lot No. rv •........ 1 .. _� � 1............. �...............------ ............................................... Qxvner Address /� �.� Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............ -----________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ---------------------------•--•. . W Design Flow............................................gallons per person per day. Total daily flow................. ............gallons. WSeptic Tank—Liquid capacityZWf*gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area_`.7,C.0---sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by----_----------- C �_ ._ Ajr._ ------•-•-----------••........ Date1 4 Test Pit No. L _ -__minutes per inch Depth of Test Pit.................... Depth to ground water---__ Test Pit No. ___... 54utes per inch Depth of Test Pit.................... Depth to ground water__ ._ . •----- ,- .... ....----•---- Description of Soil ---------------------------- V ................. . VW ........................................•-•-•-----••--•••--------------------------••--•-----••--------------•------•---•-••-------•---•-•-----•---•-••---•----------••------------------••-•-•_---••- 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 TITLi: 5 of the State Sanitary Code— The undersi edf-57ther agrees not to place the system in operation until a Certificate of Compliance has been iss the bo d of alt Signed .......... _.��6' ..... � Dat Application Approved B ----•- i --- ---- -----•......---•--.......--•-•------- -•--•-. `ram ---------- PP PP Y-------------------=- - Date Application Disapproved for the following reasons--------------------------------------------------------•---•--------------------------------------•-••---•-••••- -•-•-------------------------------•---------•--------------.............--------•--------...-------•-•--•-•-•-•-•--•---••-•--•-•••-•--••••----•------------•-•-•••-•---•------••-••-----•--•••-------•- Date PermitNo..... ............................ Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARU OF HEALTH Application is hereby made for A 'Permit to Construct or Repair System at: an Individual Sewage Disposal ....................................ar.. .. .......... . ...........rx-...... 10*5 _'. / Address Installer �7' Address Dwelling—No. of Be -----------_-_----_---Expansion Attic Garbage Grinder P4 Other 'fixtures Z Other Distribution box Dosing tank V -Ole Test Pit No. I ---Minutes per inch Depth of Test Pit.................... Depth to ground water....�4/..... VK The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acc6rdance with the provisions of T IT 1Zj 5 of the State Sanitary Code— The undersign ther a ees not to place the system in Date Date Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 0 �# Ind�y4dual Sew.� Disposal System constructed or Repaired by---------------------- ........ ........ ................All...... .X:.� Installer '0.-1. /---------------------------- . ...... . . has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................................... OF----'- ____.___ ..... .. ...... W 7 ...1 ;0*11 C_ Disposal ��r s .......�..-ire I........... .-C &re, ...... to Construct or�Repair an Individual Sewage Disposal st n.str it rrr it OF Board of Health DA FORM 1?55 A. M. SULKIN, INC., BOSTON | PPPP' .. r E y cm OT y W 00 o�r R1 s a o - 1 LOT 2 0 NNI RS /�Cs7�tc-+ \ 3gr l4 �I 2 S ► 3 6 T �GZL \ a_ - l' r ` r LoT 2- 1 t 0 OF MAC ROB£RT MORSE y Z oN Ev /c a No.10951 p. ABC/v)L-•��u ,$ /0/C>U0 `_;F �0�FSS/OtmA LEGEND �EXyyISTING .SPOT ELEVATION OxO', �,.'° t I CERTiFIEC PLOT PLAN � QiI,STI.NG .C;ONTOuP, — '-"-. Q - - -- n 242,p,1 LOT 20 S/M MoN.S PoNp CIRC.L.E_, 1 FIkISHED {SPOT.: E�.EVATI ON �0 t#INISMED ,CONTOUR - 0 15 Qo�D ��V� ►S APPROVEDs BOARD OF HEALTH IN S Gk AGENT SCALE: "_ p DATE: el 8� ` ;DREDGE"ENGINEERING CO IN CLIENT LYIckvLp s I CERTIFY THAT THE PROPOSED - ' 'c� . EGISTERE REGISTERED. !' J;OB►,'`N0. :8 �� BUILDING SHOWN ON THIS PLAN CIVIL 'f LAPID ': &tip. CONFORMS TO THE ZONING LAWS ENGONEER SURVEYOR OR ®Y�• C� x u OF BARNSTA®LE , MASS. xr712 'MAeI N STREET g ' ,, I'` CH BY= Y,A N IU I S ;M A�`$ ZRt SHEETS OF . LAND SURVEYOR ?O FT M/M. NOTE /F E/THER 7-NC SEPT/C TANfC OR G�ACH/itlG P/T AVE /10RE TNA/V /2 BFL0,1J'V �RAJ7E, A 24"t7/AM.=74 a CONCRA7� COiiER ra SJ�L9LL 8E ,aJ?OUa V7- TO 4/4A (;4N ,EX "lq GONCPtt'TE q'Pvc OJPB tiE.4Vy CAST /RO/Y COV�`R S/7'.4LL SAF- U E SD G—L ! ° COd�ERS M/N. P/Ttl+l fF/N DR/V-1 WA Y A 1 _ O Ap&F CO NER CL EA IV .SAN10 -r. . . BACICF/LL si SGM�ULS 2"LAYER �lff P/PLT ;'OJAI.P/TCN � GAL. • • • • • • • e e > o•� W PE'/t Jam: S�f�T/C T.4N/C DJST, ® o • • • • e e . WASHED 57t�NE ®®Jl o o e, ®o � o • o • • � e•p •� DEP ,i4 ® • • e • v 1Y.4sYFP ST®NE 0 s g ee • o • o• • i boo • � •"e /ors x 2,.5 = 4 7� � s • i8 0 • o • • ® • • • • • p�, m o - s �. e • • o ® o e • e • no p P/?EGAST 5zAsnAar P/T OR EVllJV. ! �T AlPle �L�YA�''/�S ��7 c c�-r i cra ;' s oo e e o o • o • ® e be o CL . a � /NyeA-T AT A UILDINBs /D v.o FT } Fr. ®/~ l v,4.ET .�d�TIC T.4Arx _ y 9.8 F7` �L� F7 O/AJ'�. G f5��Ts3BllL�1TJON> IAI,,=T®/aTR1.8VT1OJV BOX . 29 4. F7! G/�®tJ�y/D MViTEI 7tl�LE 9'9, z_� � �'ECTfO�V LEACHIMa A 17 SEVAGE OleS /4 SY..S7"EJ'I 7ASULA 1401V #400 oiJ �N. oIA , -6- PT LAC sQLE _ flES15Al CttITEM®A 40 FT: Al 4,'AfSER OF OM 3 D®ME14lSIO/V. J=?' raT-At L�TI/►F.AS7 -,0 J=Loma/ 33 d G.aG.�®s$� SOIL TEST A/ SO/L �.STa�2 �®1�. '�'�S?', NUAIMAa O.Or t-ACJvIt4rA, P/73 r fFLE�! /o© � A44-41, o.47E OR' SOIL TESL' S/,0E l.,-s HJNG-P�f�C PJT Sig Fr.� O --/ - /DES ddd,TS PsIJYN&SSS�® dY Al cD 6 f t 40e7-7'OM tE¢8CH/MG P�,R P/T 7 SQ, pT. / .%0 Ps o t F,—,vc"A�Tio w jeAro / Liss ApJl1�JJVCJ� TOTAL .t Atfl/&G AREA Z V SQ. FT. ,� / "— z J�TtCOLA7 1 RATS'A2 T n�MJAl.11NCjV LEACi IMCP AREA 2-6 v SQ. =T. 0 5 v Z.0 noon�y p 4r�\ C/ZitOEID ZQ. S/ .�19f/s �ni� Gi,xz �P�CN OF i1f,,+J,s S sn i✓/? ' O L 7 o� ROBERT, �i � /��l ,, �o AL cL� 14S A. ELDRE A RSE m /ZoE� _ v y p No.I0951 O 2 Seth 0 ;: � .f��i�Co . s FE O� 9 .FGv�t °f yA�J /9t/ f.45.^s i G �t qk0 Sig '¢ , Ye NJ�'�® 6 . i�17�` s Fga T - . NAL, ty