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HomeMy WebLinkAbout0040 STETSON STREET - Health 40 STETSON STREET Hyannis F A = 306 - 077 - 002 e 0 i No. Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes ftPhLation for ;Sisposal *pstrm (CotteaTurtion Pffmlt Application for a Permit to Construct( ) Repair( ) Upgrade( ) Abandons(*❑Complete System ❑Individual Components Location Address or Lot No. L/U 544s o n +T eeA- Owner's Name,Address,and Tel.NO.Sb a-7 90,3 l�-lyalntn jis r�C�a°s .5i'mone" �/o s hso r, Assessor's Map/Parcel 3G(Q, p UlAnni O . Installer's e A dress, d Tel. o. 00 -0`27 Desi er's Name, ddress and Tel.No. 6or oa SlSZ'�dcr s N�� , i oar Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) j Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmen�Code-and n o place the system in operation until a Certificate of Compliance has been issued b this Board of Health. ' d- Date d 4/3_ Application Approved by Date Application Disapproved by Date for the following reasons _ Permit No. Date Issued � ---- •/— — —.�, �— -..-r•w.+w«-.•.r•-rl'yhF'�•ws.-... ..,�„�+� v ..,1w-• .. _..._-......4*k..:y i.fi.,,._„i^-F.Lm'^Ms+q,....*..1h.•:an-,yvw*6r+eF'w..^r'-r..r;'nw.it.v"*r-,..... ...- .�.-r..---.,. .... ,.,.�„n. .,. - .-.n..w > �S'rr^" No. �c / Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION TOWN_ OF BARNSTABLE, MASSACHUSETTS Yes ftpYication for -isposal 6pstem Construction i3ermit Application for a Permit to Construct( ) Repair( ) Upgrade-( ) Abandont()�❑Complete System ❑Individual Components t _ _ Location Address or Lot No. 4/6 .5 k�5 o n 64-re�� Owner's Name,Address,and Tel.No.SZ>S-7l)a - � tS S r•►'r�onN-0.V �/o S��>1 St-. Assessor's Map/Parcel 30(e U 9 �LY14n yi 5 l Installer's Name,Address,and T,el..No. .5`10$ �-7/ � Designer's Name,Address,and Tel.No. 13o r � L1U!?S� ` 1 ler�7 t/5 L,• fyr� '�i ��1a - iYllrss i//� . �Gf O t/ Type of Building: / Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) gpd Design flow provided t gpd Plan Date, Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) / r r.Ui A- Date last inspected:' Agreement: r` The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and place the system in operation until a Certificate of Compliance has been issued b this Board of Health. d Date / d�� Application Approved by Date Application Disapproved by v / Date for the following reasons Permit No. 00W. / Date Issued , --- -- e - --- -------'--- ----- - - THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the Onn--site Sewage Disposal system Constructed( ) Repaired( ) -Upgraded( ) Abandone )by ./mar�(j ( �ir�ST�✓1J�f i%�at 5 fe�,r�n S f A�t/ 2C has been cons cte n accor r with the provisions of Title -5 and the for Disposal System Construction Permit NoC dated Installer t�r,W � u= a.sA, >-L,11 nC Designer c #bedrooms Approved design flow , „/ d M�mlgPThe issuancee of �iis e it s all not be construed as a guarantee that the system willEfun tion as d�igned.Date tJfInspector � � �l - --------------- No. Fee 7—FTHE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION BARNSTABLE,MASSACHUSETTS ]Disposal 6pstem Construction Vermit Permission is hereby granted to Constrict'(' ) Repair( ) Upgrade( ) Abandon System located.at 40 , ACJr-) �✓ioP� ///i��iS and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Co `tionn/mu/stt be completed within three years of the date of this permit. Date Approved by / "'�- CO ON COMPLETE . • DELIVERY E Complete items 1,2,and 3.Aiso complete A. Si nat item 4'if Restricted Delivery is desired. Agent. ■ Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. ecei by Printed Name) C.Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. -- 0 R G rent from item l? ❑Yes PHILIP SIMONEAU & FRANCS;,&.:MARG�R�' 'dr s below: ❑No f o 232 SOUTH ST - L _ FITCHBURG, MA 01420 `: ' 9 3 ^' IAJCertified Mall--D EEVress Mall ❑Registeredetum p or dise �� I �v , Sr ❑Insured Mai f ❑C.O.D C' 4: Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 1 70 1.010' 0 0 0 0' 2 8 4& 112 4 T (rransfer from service labeO PS Form 3811,February 2004 Domestic Return Receipt 102e95-02-10-154o UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box • Sewer Connect Public Health Division 4 I a Town of Barnstable x 200 Main Street Hyannis,MA 02601 �} iiill111fill'I III.111,1,11111iiil,iI'll,JI 111111h I ttirq , •=. .• co OFFICIAL I USE 9 ti. co Postage $ru Certified Fee a O) Return Receipt Fee Postmark ¢) O (Endorsement Required) 2Vre O E:3 Restricted Delivery Fee _. 0 (Endorsement Required) E3 Total Postage&Fees J a PHILIP SIMONEAU & FRANCES &t7 MARGA ram- 232 SOUTH ST FITCHBURG, MA 01420 Certified Mail Provides: o A mailing receipt o A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: e Certified Mail may ONLY be combined with First-Class Maile or Priofity Mail®. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Retum Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3e11)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. e For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mail piece with the endorsement"Restricted-Delivery". e If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. PS Form 3600,August 2006(Reverse)PSN 7530-02-000-9047 5 . ..._ ..._... Town of Barnstable Barnstable Regulatory Se rvices Department A54WwncaCdY 1 1639. Public Health Division 9qj , m F°tea on— 200 Main Street, Hyannis MA 62601 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO CERTIFIED MAIL#7012-1010-0000-2848 -1124 March 28, 2013 PHILIP SIMONEAU &FRANCES &MARGARET A 232 SOUTH ST IMPORTANT NOTICE FITCHBURG, MA 01420 Map & Parcel: 306- 077.—ecl-k The Department of Public Works informed us that public sewer lines are now available in your neighborhood. According to our records, your property has a septic system. This letter directs you to connect your dwelling, at 40 Stetson St., Hyannis, MA, to public sewer on or before 3/30/2015. The old septic system must be either removed or filled in due to future safety concerns. This may be done by the same contractor who connects you to the sewer. Septic Abandonment Permits ($ 25) are issued at the Public Health Division, 200 Main Street, Hyannis. Failure to comply with this Board of Health Order may result in a complaint against you, in a court of law. For additional information pertaining to the sewer connection, please see the reverse side of this page. PER ORDER OF TH OARD OF HEALTH Thomas A. McKean, R.S., C.H.O. Agent of the Board of Health Cc: Barbara Childs,WPC/Roger Parsons, Town Engineering, DPW Enc. QASEWER connectUtters Stewart Creek Sewer Connects\MA1LING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc 1 Public Health Division March 28, 2013 ADDITIONAL INFORMATION AND REMINDERS FROM OTHER DIVISIONS: SAVINGS AVAILABLE/GRINDER PUMP: ' A reminder to those of you who need a grinder pump for your connection: Department of Public Works (DPW) sent you a letter in December 2012 stating the town, for a limited time of two years, only from the receipt of the DPW letter, would provide you with the pump at no charge. (This can save you thousands of dollars.) Please note: You must pay the installation cost through your own contractor. Please make your contractor aware of this, if interested. Also be aware: this is a shorter deadline than the Public Health Division's deadline on the reverse side of this page. SAVINGS AVAILABLE/PERMIT FEE: The Town offers a waiver of the residential sewer connection fee of $420.00 for those properties that connect within two years of the receipt of the DPW December 2012 letter. LOANS: For loan(s) available, please see the enclosed brochure, or see the town website: http://www.towli.barnstable.ma.us/edb!� (under the "CDBG Programs", see "Sewer Connection Loan Program). For loan specific questions, you may contact Kathleen Girouard, Growth Management, at 508-862-4702. CONTRACTORS: Information on Licensed Sewer Installers is available on our web site at www.town.barnstab]e.ma_u /Pu licW s b o1 ksTech/se��eunstallel-s. Contractors, approved to i PP perform sewer connection work in the Town of Barnstable must obtain and file a Sewer Connection Permit with DPW-Water Pollution Control Division, 617 Bearse's Way, Hyannis—contractors, please call Dave Anderson at(508) 790-6244. FOR ANY QUESTIONS /ASSISTANCE: Len Gobeil at the Town Manager's Office is available to provide you with direction you may need in reference to the Stewart Creek Sewer Connections. You may contact him at 508-862-4701. QASEWER connectU.etters Stewart Creek Sewer Connects\MAILING LetA Sewer 2Pgs Merged 3-28-13 Yr2015.doc LOCATION SEWAGE PERMIT NO. Lt 14 � o l5T t-f:�vsodxl 1s+ VILLAGE WOO/MS ALL E 'S NAME & ADDRESS ® UIL0ER On jNER - �i I "L( N P_ �1La a DA T E PERMIT . ISSU E D -�- � Y _ DATE '` C0MPLIANC"E I S S Q E D ��.— f>1 it II Jr` � rs (� 1 k WC7 O J r NO0=,/..0. e a, Fps''::: .. .... THE COMMONWEALTH OF BOARD / i7­1 / _...................OF.......................:.................................................................. Appliration for Bhip ial Workg Tomitrnrtion Vamit Application is hereby made for a Permit to Construct (Ge5"'or Repair ( ) an Individual Sewage Disposal £yYat r. SY Sh � s � - ......... ....�; ... - - . - ----' f Locatio d�s ��u2 3,� sec. .......f ---- > x ....�-=....-•--------- •- ............. ---------------------------------------------------------------------- - own /f Address a � .y.......- Installer Address U Type of Building Size Lot----___ _•---`-----__._Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (NO) Other—Type of Building .......................... No. of persons............................ Showers ( k) — Cafeteria ( ) �,e AA�-� ,, Other fixtures -----------------------------�? f ----•-----------------------------....----------------------•------------------------------------ d W Design Flow............................��._....____gallons per-peFsen per day. Total dail flow____-___"_---___..�_.. ........•._ Ions. WSeptic Tank—Liquid capacitylee®gallons Length------ Width..... Diameter----- Del th__-_--__-. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area................ ..sq. ft. Seepage Pit No---------/-------- Diameter.................... Depth below inlet.................... Total leaching area.2:.-:K...sq. ft. Z Other Distribution box ( Dosin ank ) GC 4 Percolation Test Results Per1­4formed by._X-1 _4�_:!�_;kt. i.................................... Date_...._��_.._ ._____.___... aTest Pit No. I................minutes per inch Depth of Test Pit-------------------- Depth to ground water.____.__..."____--.__._. Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................ .....•. /f ._ / Description of Soil...••... ....."---•-- ...........................-- V ..............................................-•••-....................._.......••..........---._..........-•--•---••-•••--.._........---••-.. ••••-•--•-.......... ...�4pll.......... 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 TT p 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----""""-""""-"--"-"--""--" ....................................................... ................................ Date Application Approved By.__J � z--- -_ - - ----"---------_-_--•-------"- BZl Date Application Disapproved for the following reasons:----"-"--------"---------"---"-"-"--""-"------""----""-"------•-----------------"------•-----••-•......---_..... ---------- m�.�"� �s Date PermitNo......................................................... Issued-.... t._-' "---------------.-.--.-------------- Date THE COMMONW'LALTH OF MASSACHUSETTS BOAR® F H EA7�2 T c,, h �" -- OF .���lrtt�ii�n fur �i�#n���• �rk� C�n���rnr�inn .eruti# • Application is Hereby made•fo`r-•a Permit'to''Construct (P<<rf Repair an Individual Sewage Disposal systol t� S�� S �, � el . .. 66 Locatio ddress t No ----- .. ..... .... / Owner Address Installer �, Address Type of.Building ; ; _, Size Lot._..A�i.�%_..k_..Sq. feet U Dwelling=No. of.Bedfooms.........:....... . ....... . .:..`3:.. Expansions Attic ( ) ' Garbage Grinder (gyp) p-1 Ot1 er, Type of Building ___.._ No. of persons ...............'Showers (F ) — Cafeteria ( ) Other fixtures: xA;. ---------° ------------------------ ----------- W Design' Flow......................I.....M :...gallons r." pt 4;4 day. Total dail flow------- --_--___3_4..��_'.......... lons. W Septi Tank=Liquid capacityJQ#%allons Length _.:Y ._.. ��Tidth_____ _____ Diameter....__.._.______ Depth................ „_. Disposal Trench 'No. .....................•Width Total Length____________________ Total leaching.'area___. __. __sq. ft. p' g Diameter ___Dep below inlet ____________ ____ Total leaching area_.__._ ..sq. ft. See a Pit No ; Z Other Distribution box (j,,�!' Dosin ank i ) �ni Percolation Test Results ' Perform-ed4y. .�. �y9s�. .., ______________________ Date_.........._.Y�.�...._....._.__.. ,.� Test,Pit No. 1................mmutesMper inch 'Depth. of Test Pit.................... Depth to ground water.......___...._...... . Gz, iTest,Pit �,'o. 2.....- ;,_.:minutes per inch Depth,:of'Test`Pit____________________ Depth to groundwater........................ Descriptioi of Soil �/ ._.. 0 t,r. Ge / �'/ /� "': w� �" /'' ' ' xt W --. --------` ------- c' i 5 i Y -' r ---• f UNature of Repairs o Alterations Answer when• applicable _ __'__ ._.....__ J Agreement The undersigned agrees to install the aforedescribed In`dividual,'§ewage Disposal System in accordance with the prko�isions of!'I 5;of the State Sanitary Code;=The undersigned fitrtl.er.agrees not•.to place the system in operation until"'a Certificafe of Compliance has:.been issued by th'e_board of health'`' '.. •Signed .Z.... ¢ .. ........... Date • -V "-Application Approved By �� �,�r, �.,��,,;• ._ • _ ___, r �n,F r,la •+' Y T �+dr j Date � __ . 4 Ntr A hcation D-Is rovedw orahe ol6o hig reasons:'- r ' ; PP PP f f. P., f t ' ^ •, ... .... .. .. ............ _____________ ............. (� Rate Permit No................ ......................................... Issued f` Date THE COMMONWEALTH OF MASSACHUSETTS .BOARD. OF HEALTH ^ ` ' _ : �r��ftrtt��e:mf �,untt��i•�anr� 1,:;. ,.,THIS IS TO CERTIFY, That the I dividual Se}�age Disposal',S'stem constructed) or Repaired ('��r), by /� `(.r� YInstaller -- ............................................................... at.--- ` � "r"+ has been installed in accordance ,with,the.provisions of TI�I F;• �_ TRe�S�ta te,Sanitary Code as described in the application.for•Disposal Works Construction Permit daaed. ... :. .... ................................ THE ISSU%1NCE OF:T 1'IS CERTIFiCfILTE. SI•�AL{ NOTIB{E.CONSTRUED AS•A GUARANTEE-THAT THE SYSTEM 'WILL OONCTION' SATISFACTORYr Ir \ " ', DATE...... ...._...... Inspector-7 ...h!.........r--- ----- LAM. THE COMMONWEALTH OF MASSACHUSETTS \BOARD.-' OF HEALTH Nc/OQ ........................................... .J6..---_.... FE Permission is ereby.granted... ' `" `00� �T /�:�..`..............: to Construct Permission is ( ) an Individual Sewage Disposal System • at No..----G b x - ------ :� Street` 1 as shown on the a plication for Disposal Work Construction Permit No ated....._.__.__:r_..::_......._ , r, oard of Health 4 ! DATE.......-................................ ' J. }' FORM 1255' HO.BBS'& WARREN.-INC., PUBLISHERS ' • ' ." w . v 'S wt K .1-, ­r M iT tY �M 21, ew Lw ­'J''44 A Ali x n a z. jr %A; A vNk" wy s 4 A o �?r K 4 t, Ix Ali t-zzl 4 36, w J',A41� 13, f,& 4­a� ilk, A 10004 d -I c P7 X45 Alt'. Q 6 /0 4*1R C , -4 W 7' --X N tO 6 A,, I JAV I Ago Ali. , WR Xw IT71"b�0 1A4A Z4 1. 08 '16 ERT 4k BUNIKIS r ?� r t d", £` o;+ t , y k, A ';; y .� N 0 22162 G/ST J� w, iij ION AL a % LEGEND 'T ELEVATION 'OxO 5� � �=. f;, tad; eb CERTIFIED PLOT T 'R 0 OU L-P 7-A 'i� I�",4�_ H:E-D�t,:A PVT ELEYATI ON 10 0 -A OF roUR' 0 54'.rc 0 N r 9, A,f?D -OF HEALTH tA, T 4 hs- ,a'Y '�,# {r ?`.�^ F^ a A 8 A - AGENT -30 DATES SCALE 5 �n�c A L) N61NEERIN6 I NC, CLIENt THE ,F I CERTIFY THAT ., BUILDING -SHOWN ON T H Eli REGISf.EREb, JOB NO. Z 0 N fNG'r 7jX I'L L A`N D CONFORMS 'TO THE �­ ,,, ," . "..? 1%­-5-oKT,-,w A, SURVEYOR A �LOF BARN. ZTB E M S 's A CH. BY: V_ T N.-S PlY., .H*ANN'(S,. MASS. SHEET DATE REG. LAND S M p M /YOTE - : /F E/TMER THE.SEPT/C'TA oV ®�Q 20 FT. •-M/M. b !EffG.gl"O P/T ARE ` 1JORE 7''"A,1V.:i�°°���-®�/ •r';RA P.= A 24 ET'.FR CONCRA:7T'E 'COPPER /A Ix-ie-4vy CAST I -oiv c®a��/� I-/ . co �ERs m /F,/N ®�?/VE1•VAy a.. 8 PER Ar. g Av/,V. CO/dC,�►E'7'E a o: G CU✓ER RA®E C LEA Al .SANv B.4CKF%LL r 2 LAYER , IRON P/PE E cj J v 17 C, (x.�L. s o e e o e o 0 0 0 0 0 ' a mA WASHED .S7t�NE �+ /� �w n/ ,D/ST, JEPT/L /A/v I� D b 0 0 ® O e o ® 0 0 0 p * a q •:a - o d EFFECTIVE m o DiEPT!/ ° o o e ° m o WA5HED .S T40NE E..�,::• ti - - C Om C OO.Oe e B ° 000 pC°p PRECAST SEEPAGE v ` o 0 0 ale s v o a o a ' to n P/T OR EQL//V. INV eXT E4EVA77ON.S p o /N✓EAT AT EU/dD/NCr - �,? a �� 6 -T D/AM. 1 CJ F7 O/falyl. C SEE TABULATION, INLET SEPt"/�' 7.-4Nlt r Fy — lJ!'LET SEPT/C TANX ! 3 3 Fp //VLET DIST/�/�uT/D N_o W,�i.TE�T��LE INLET LEACW/NG /—/T •? F7 .SEr���E /e�'���A 1. .��.,ST�/� -rA8 JL,AT/0H L EACH I �P DESIGN CRITERIA oiaiEnis�a N41/e98ER OF BEDROOMS D/MEN►/O/N �i FT. GARdAGC.P15P05AI uN/T - z 5014L L®G To7AL EsTj^jA'TE•D FL.Of`V >>�' G.41-1®sAY SO/L TEST A/ ' SO/L 7--5S7-*2 r , I V41148E/P OF LEAC/d1NGi ,�/TS �; s �`ELEf/. Z L '-� �"EL�d! ,0A7 a ®A' .SO/L. .'T'EST �Z`"! 4 S/DE LEACH/NCP PE6� T o. RESULTS dY P/ $' FT ? lJ:/r 1 tti.l- r+ : -- n �//TNESSE® �• � � - aor-ro i LEi4CH//+/G aw m l-/T / $Q. �� `y` lA I I PEIVCOAAT/ON RATE o /°9/MiI/NC// T®T/�L LEACf✓//�G ARE �4 ,S� 'FT.. L_:c_>> .i�i - J�IERC®LAY/ON ISi�TI� 2 /�91N.�lNCH ieE$ERl�E LEAC/�/NG AREA - S47 FT "5 5 t / Aj w D�,ifai j`e Jsa s s T ✓ 7. J30BERTi v ' � � ��u At � •K Sz" �,� N '�j�1r''/}'/1✓'�'I� � • A � � �••1 -S r,. ti ; t~� Y i .�1: .. .sr r /:tf .. _ - Vo 4�• •^'d 1' . to?a ;. ®R�MED �/iVnRBAo9G 41 FG157vr �P ?�' H E^Y .K?a f. .. }�•� / �•� 4,h C t �i '� 1 Y 6� F,t. �.//� I'��:/I-y �i';T _ ��� /v�s°�I�//�.7/. .. �ssr(�NNAL'�ais", ./"BASS 9- e�`� RO L AIO f .4 AA7�' EL,EV° l'., ' ' .�+ /� d.�t� q• �' ..r .� a.,' e ' � .t i 6 .��t l'.td� raa,;.t •;� y �. •9 �s-r a E s . 4l. 1•. -x .. �_£� 2 4� Mti' ;�.d�`! 't" •t ar +♦ :Y R. rt mow,_ No.. .......�.... - FlZB...... .:...:.. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH („loll _.1rf...........-,OF...... . ...c��!: ./1...: /�....�.��c--------------•----- `� Applira#iun for Disposal Works Tonotrurtiun thrutit Application is hereby made for a Permit to Construct ( ) or Repair (k<an Individual Sewage Disposal .. -- . ocatio - dress t No. / fir, -••-- -• O ner. Address a� W �.......................... Installer Address Type of Building R Size Lot... �Ze- --ft•.Sq. feet Dwelling—No. of Bedroo .....___._ ---. _-__-Expansion Attic ( ) Garbage Grinder ( ) r a Other—Type of Buildin w4 / /j.f... No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ----------------------------A�n -----•-------------------•----------- ----------------------------..----•--•-•-•-••---•-•-----,--- g P Y Y ,7-5-------•-----dons. W Desi n Flow........................... �.._ __ allons per day. Total daily flow..._._....__....____ � WSeptic Tank—Liquid:capacity./0.( allons Length._=..____'Width..... ------ Diameter................ Depth.......... x Disposal Trench—No ................... Width.........1......... Total Length........... .�... Total leaching area................ __sq. ft. Seepage Pit No......... ........ Diameter._.... ta...... Depth below inlet......�........ Total leaching area.�2._r�..�.sq. ft. Z Other Distribution box Dosing to � L Percolation Test Results Performed by..... _ ._ I'J_ .. _/..-l1=.....J......_... Date_����.���............ a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Descri tion of Soil . .? 1 ...(A...... ----��-_---- O C Q c �. - x --•----•-----------------------•---•-----------•----•-•-------------•--------------------•----•-....---••-------••------------•--•-•-•-••-•------------••----•-••-•---•-•-...........---••-••--•-•-•---. V 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 T IT I.?. 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. e4kv •••-•••..................................•--•--•-••-••--•••......-••-•--•-- •... •-----•---........_--•••- DateApplication Approved BY-• •. •• •• ib --------------------•------:_ Date Application Disapproved for the following reasons---------------•---•-•••---••-••--•-•-•-----------•--------•••...-----------•--•---•-•---....------............. ..............................••-••••-•----•••--••-•-•-•••-••--•-----••-------••----•-----••-•-••.....•---•-••••--•••••-••------•-•----••••-•--••--------------•--•--•---...=........................ Date PermitNo......................................................... Issued........................................................ Date , THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' ......VA( .........OF....,....... ..................... (Irrtifiratr of Toutplianrr TH IS 0 CRRTIFy hat e Individual Sewage Disposal System constructed ( or Repaired ( ) i -� ��� Installer at•. --_.. . ..... <... �f" _� - has been installed in accordance with the provisions of T 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No i..... ........ -...._...._..: dated__..3__'__7-.7�.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.....................................................:.......•--•--•-----.._..... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH q • �I 2 Z ........... �.... ,,c✓12.......OF............ ' ................................. N ............•----- FEE.... 5........... - l� urku� n� �ttrfuan pratti� Permission reby granted...._ �!' ....:............ ---•................................................... to Construcjf�( air . ) an Individu Sewage Disposal System atNo..` . ...... •• ................................ ....................................................... Street as shown on the application for Disposal Works Construction t No_.. Dated.... ---- ---�� 7 1``-•-••••---- Boar of Health �^ DATE..... .. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 1 No. ........ FEB....... I I I THE COMMONWEALTH OF MASSACHUSE17S BOARD OF 'HEALTH ..............OF...... .....5................................................. Appliration for Disposal Works Tonstrurtion ramit Application is hereby`'made for a Permit to Construct or Repair an Individual Sewage Disposal System at4,. 7' ... ......................................................................................... ,--Locatio ss I No. ............ ..... 0 nety- &., Address.......................... .................................................................................................. Installer Address Size Lo...............Type of.Buildin t /41�) ......P ..Sq. feet U 9 0­4 Dwelling—No. of Bedroo -- -------*..............�Expansion Attic, Garbage Grinder �4 -,,,Other,-'—T' e,; f yp Vo �No,-­oft-pe" -Show rsons ex s' Other fixtures,�...�..; .................. ....... ...................................................... �c........................................... Design Flow........................... Ilons��per day. Total daily flow......................3..J.P.........gallons. 9 Septic Tank—Liquid capacity./4.6kallons Length......S? Width..... ...... Diameter................ Depth.....IV..... Disposal Trench,—No..................... Width.................... Total Length.................... Total leaching area............ Width_...__._.__._____ --------sq. f t. Seepage -Pit no...... /61 .... . .............. Diametei...... Depth below inlet___._.45......... Total leaching area.�?.-.95; ..sq. ft. Z Other Distribution box,,( Dosing tan ( Percolation Test Results Performed by...__.... ......... Date Test Pit No. I.................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........................ ........................P,-**.............­­----------*......... Description of Soil 0 Z ... . .. . ..... .......'?---r----------- -------------------------------- .............1 .... ----------------------------------------"------------ ------ ................................................................................................................ ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with M�m the provisions of ii i LE 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. S ....................................................... .............. .......................... Application Approved By... ...................................... ... YZ 7*. Date �� ""Application Disapproved te following r "41owing. reasons 1- , o ....... ..... ............................................................................................ ..................................................................................................... ................. ------------------------------------------ ......................... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF,,. HEALT 4� W.........0 ... ........... F......... Te ................. Tatifiratr of Toutpliattv TH4 1 0 CERT 7F tatAie Individual Sewage Disposal System constructed or Repaired .......... by.........eE I.. .. ....... ................ ................................................................................................... Installer at... ........................... ......... ................. &.0-7 •......Wf:...... 1 1,"'U -- --------- --------------------------------------------------------- 5:01,The State Sanitary, Code as Aescrijed in the has been instilled in accordance with the provisiGs of 'T� . .. . ............ ................ application"for Disposal Works ConstructionPermit N6.k--". _� �--- .................. dated_'� ,7 THE ISSUANCE OF THIS CERTIFICATE SHALL N"0,TJ-.'9k,`CONSTRUED AS A GUARANTEE THAT THE .SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector .........7;�_............................................................... Is COMMONWEALTWO# MASSACH,U-SETTS BOARD OFk)EALTH'. 122 ........OF...... .... ............. FEE.._.`' ........... Dillon I orklOudiolAparAit PermissionPermission j��eby granted:.__ ....*.1 .I ��7............ Jpil Ift .. .........e ................ <7. to ConstrucrY ) f air an Individual Sewage Disposal System ..................................... ................................................... ..................a t I J......... V�V & -------------------------Street as shown on the application for.Disposal Wdrks,"Constructidn e it N ..0 ......... Dated.... .....?!?........... ..... ................................. . .. .. ... ..... ......................... 41ar ofi]Health DATE---------------- -----•.........._..--.::: ................................ FORM 1255 HOBBS & WARREN, INC., PUBLISHERS J yt r n. { F* L� FI mh — ' 3.. Ar is v a , t9 y rzK qn ;i�P�+ ,i.:ad. -t•a 21, /V8r• s^,,,�y y5r'tf.""s ; T{ ' T /�7 5p� / VK 4 � r •`f }-itr ,� r d OBE P. �Vrds^r .r y } t.`- p 'w rr 1 vyw "4 t$f k �r j y 'BUNIrCIS t!d( 1 Y 1'd 5, U , d No 22162 O rt y � Yk" r �€ _;,'p `� -,� � _ a '{ .. r .:t'.e i �� r i ♦L:J' '`�f� .r L,E G E iN�D ` CERTIFIED ,, PLOT E3(i;ST1NG SPOT r'ELEVATION `' O,#0 n. EXtST;lNG CONTOUR - - p LOT".� STETS'o IFtNISHED -SPOT EL.EVAT.I ON 0� ; .. 4c �ti 1 IN[ TO ", 0 -� k =::. h/Yj� ,��,/,S KyI `a � � �'te APPROVE BOARD OF,, HEALTH ' n IN St y , 's A ft-A S YA 2:•� :P1 ,x DAT AGENT SCALE '/ ' 30 ' BATE 'Sdi.OFtEDGE ENGINEERING CO,:'ING� xr` CLIENT .,.. I CERTIFY THAT THE PROPOSED EGISTEREC� - REGISTERED JQB Np 7F 1 z <) BUILDIN.G . SHOWN ON THIS = PL:AN ' CIVIL LAND s CONFORMS TO THE ZONING LAWS „ ENGINEERS. �SURVEYORSl ' Ian. BY OF- BARNS AB E MA S. 33 .NC�� .AIN S 71? M��IN r CH. 6Y ., T�.._ l a €; SO. YARM0UTH,-MASS... K ANNIS, MA 'J Z. SHEET _ L._. OF __ .... ATE, REG. '"LAND `SURVEYOR - . - — - /THER TNT P7 TAIVI< OR a t FT. 'M/N. _ /E T ,'q V /2"B�O � �rCN//VG P/ BARE NIORLC T/•/ ELON/ ID FT M/N. - �iR.a►OEJ 24"O/AM ET.ER CO/yC �T� COVER + S5 _ "AGL BA- ,9,,RuGT O /1 T •¢"PI�C PIPE O G!{AOE. ��;�✓ �X7"R.ri - CONCRETE � M. Cq . . (,t-I E.4 V y CA SjT //20/Y C D l/E/P SfVA 1-L L3E U S Eli M, PFR FT. 1 /F//V l7R/V�WA Y, eL a G'� COVERS Y6" 2. i CONCRETE 2 f iH/N. CU ✓E.4 CLEA/V S'A/VIC, 4-1901D LEVEL z'LAYER OF /8^ /RON P/PE i f i t; CsA,L. p n v o f • • • a o • 0 0 0 p�oA� w,q 5HPD ST2�NE:o M/N. F/TGN ; D/ST, ' o • • • s e n ; ` % Peet P-T.' SEPTIC TA/VK c 1 e e e c f BOX p • 1 B.• o .• • • fie uo 3 L-17 14T' f o ° q ► 1 • O�P77N • • f fy o o WASHED STONE • � �� � e • • • a • • ► 1 !� o 0 0 0 � I,e� • a !i • oi � 5 SEEPAGE n a.a c � � o.�� • o i • • • e D o P PR�G4 : v f o g o •Iv • s • • a f,� e ° 01 P/7 OR EQU/V. A/MC -r --I- VAT/DNS '3 -hNYERT AT BU/LD//VG `` n FT. S—� C EE TA�IJL•:4TJ ON� FT. L2/A M 7iVLET SEpT/C TANK �+ ITT. 4 e � --_----I v OUTLET SEPT/C TANK //V,L,Fr D/57/M3UT/ON BOX `' FT. GRO�Nv I ItIATER TABLE OUTLETD/STR/BUT/ON BOX � : FT. SECT/O/V OF IP //VL.ET LEACHING ,C-iT R__=FT S'E��1GE ®/e5/OOSAL SYSTEM LEACH//VG A/�" TABfJLAT/D/V U/M SALE %4 = /`_ ®• ENS/ON A __FT. DE'S/GN CRITERIA OIM,-N510 A/ B—= — FT. NUMSER OF &EDRO-O'VS _ D/ME/VS/ON C —FT. ! GARCAGED/SPOSAL UN/T ! SD/z— LOG SO/1. TE.S T TOTAL EST/N1.4TED FLOH/ DSO/L TEST */ SO/E7EYT#2 ,/VUMBER OF.LLcACHIIVG. p/TS �^ELEK 7 -2- /OA TI E IE OF SO/L TEST / f' S/OE LEACH/NG PE/Z P/T "'_SQ. FAT. RESULTS J�//TNESSED BY ~T_' BOTTOM LRAC/•//NG PER P/T / SQ. .F11T fi "L`RCOLAT/ON �'�4TE_ / MJ/�!j%NCM TOTAL 4EACH11yCr AREA 1 ' ` SQ, FT " °°" PEPCALAT/ON RATE,{aL2 RESERVE LEACRING AREA-11�=L SQ. FT. s . 44 p No.221s2 0) ELOREDGE ENGINEER/NG CO.,INC. j 7/2 MA11Y ST. T. "Z FSS;ON � 0 J. M OU IASHYANIVI5 T -5. Q GRD U/V D ,, - •=�'p 3..saa:e.,-ate 4 r t � t q rt ♦- r. ,rx /o, oy 3 /� ao 3.1 d cti /000�iAft, m ,F izZ .+,' .x. SEPTIC. Q tl,•� � • } 9 r.l ,', ,P.sii'S'�r.{'r;F♦ C -Ta� � �+1 \ TAM�K Ivv O t �, .�:�t� sf�x� :-s i , r G u,/0 IN zE.4,Cfh. F j � k; � •. ,J� y 7-4 `Dym�Jf�f� E/XI /Ne�I.S 4 l wi� 0 0 D,o OI..YI t ,{ z�� 1 A. i.: i ok xs vN 9z.o a 6 '�3 U.'r k ♦y?S.'><' ,r rr-r Vf�i � tic` iedh�S `k!' v s $ 3 - `. _ 7 a.' to r T r ''' ST TSU/V Cx l sf R0CSCRTk,� iT91rat y: P' BUNiKIS L No.22162FrIST�� ( X'. S,rrONAI. r .> 1 -.. tit §�.+d�•€' y-E LEGEND EXISTING SPOT ELEVATION Oxo CERTIFIED PLOT ,;. PLAP! EXISTING CONTOUR - Q " FINISHED SP0-T EL-EVA;rInN.. r Q Old; ----_...___ LOT , TETSo FINISWED CONTOUR — -- Q APPROVED. BOARD OF H E A �TH IN S 10 DATE AGENT SCALE _ . �,;, _ 30 DATE /� 6 7F'y {EC DREDGE ENGINEERING CO. lN(:, --_--5//�7 0NL-:A v CLIENT 1 CERTIFY THAT THEE PROPOSED" ' x' EGISTERE� (REGISTERED I JOB N0. .k 1 z c� BUILDING SHOWN ON THIS PL AN CIVIL i i LAND CONFORMS . TO THE ZONING LAWS ENGINEERS' DR. 8Y �.. A /V SURVEYORS OF BARNS AB E MA S. 33 NO MAIN ST 712 M4iN T CH. BY SO. YARMOUTH, MASS. HYANNIS, MA 3, ,. SHEET_I--_ Of DATE______ DATE REG. LAND SURVEYOR % /1( E/T /ER ?NSEPT/C TA�/k OR07 FT. M/N. E /E,4GP/T ARE A74.; N rf A OE � 2 ' MEVER CONCR TE COlER M/RN• , D S,+IALL BE BROUGNT 7'6 GRAO�. �.,:v EiYTRA1 CONCRETE 9"PVC P/Pg Vy CAST /RO/Y CO ELy COYERS� A :;o_ — 4R4oE CU VE R CLEAN SANS LEvEL r �� _ p -"LAYFR l` 4" CAST •Tn�T �•' � m�q�m OF //$. _ 3/B IRON t, o o 1 N o 1 :o .MJN. P/TGN GAL. 4' d l e e e • s@ e o o n mf� W,45HED 57'JNE PER T. SI PT/C TANK D/ST, o h 1 1 @) . • !. o 0 1 0 ' o o° LLJ 4 T� d C X p e 1 ep ®,O f O • • 1 A d. ji�, I I @EFFECTIIle ® •.S�d 1V�95:�/ED STO:YE DEPTH • • 1 0 0 , 0 � 1 / III • �@ • • I (_-1 o00�0 o a w c I e eI • o • • • o o p on,y - P�€LAs r' EP.4GE.. � n1 oof • • s . • e � I ' a �oI -DR .�QU/'✓ 1,VVCAT ELF1/A7/4N5 INY,ERT AT BLJ/LDR'NG �� FT. . O/AM• ( TfiBULATIlJJV> INLET SEPT/C TANK FT I - 4 (, OUTLET SERT/C TANK ( FT. — r GROUND Hlf1TER TABLE INLET D/5T.R/BUT/ON BOX `" FT. SECT/ON O c• O UTLET D/5TR/B tITi'0N BOX ` " ``� JET. NN4ET.LEACHIN6 /n/7- ' L`_>_FT SEJ�s/�1vE ,Ui.S�D3AL .S�. TEM T,r d'UL�4TlON L.EACH11V6 Ra/ T s SCALE %a ' _ I - o .UIMENS/1DN A = T. DES'/6N CK/TER/A D/JyJ�Jvs/RCN FT. NUMBER OF BEIROOMS J D/MENSr'ON CT i A' GARBAGED/SPO.SAL (/IV/T SOIL LOG. E TOTAL EST/M4TE0 FLOW %' GAL./DAy SOIL 7EST #/ SOIL TEST2 a SD/L T S7�` 7 NUMBER OF EacNtNG; PITS I �^E�EY %' �-EL�'1!_ DATE OF SO/L TEST / /+ ,\ 'S/OE LEACH/MG PEK P/T ` p_SQ AFT r RESULTS /N/TNT;SSED BY 1 6UTTOM LE�9C/1/NG pL�R P/T / `' $Q• �T. f'tRCOLATION RATE T�ERCOLAT/ON R.6JTE2 MIN./INCH It TOTAL LEACHING AREA SQ. FT. RESERVE LEACHING AREA-2— t"' SQ. FT. W'> s., I �p ©IJf:IrUS a A ,lo,zzaz EL_DREDCE ENGINEERING CO,/NC. a FGIST LJ 7/2 /+lA11Y ST .3 �$ \� t�° S �! •'� . 014A.� HYANN/3 MAS5. �/). YARi,IOUTN MAS �P _i a NDG/TOUN[7 ✓LiQTER ENCOUN.T �_'LrO . C7 GRO U/VC