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Home My WebLink About0058 WATER VIEW CIRCLE - Health (2) 58 Waterview Circle 234-084 Centerville I L( No....7yn.3.23, o c C 9 Yzic.......I.P.Aff.)...... I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....... ...---....OF...... —------------------------------------------- APPUration for Uhipviial Works Tomotrurtiott Prrmit Application is g4f�n ,p4o P it to Construct or Repair an Individual Sewage Disposal System at: /-,0 T 1, VW 7 .............................................................Y..I.&..Jj. .....4�............(f4?44_, ---------------------------------------- 11111CA�tt Locat�'§n-AddressLot ........... ....... .......AT...... .............6:�Mlmt.wlef 7128&S. &hW.0* AW............................ ........... ...... .... .............. wl �� ......................................... Installer Address Type of Building Size Lot----471. 5...76...5_'_'_.Sq. feet U Dwelling—No. of Bedrooms._......................................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons......_.........._.__._______ Showers Cafeteria aOther fixtures ..................................................................................................................................................... ow..... W Total ----...............ga . Design Fl ..._______________gallons per person per day. Tl daily flow....... -6-----------W - --- 13 .....g-41ons. --Septic Tank—Liquid capacityjOM..gallons Length Width#./.�.... Diameter................ Depth.., Disposal Trench—No. .................... Width._.__.....__._____._ Total Length.. .____......_...__. Total leaching area........-_.._.. sq. ft. Seepage Pit No....OAle..... Diameter...jb/.......... Depth below inlet_.,06.1......... Total leaching area.. q. f t. Z Other Distribution box ()( ) Dosing tank ( ) Percolation Test Results Performed by----------- .................. Date...,�ViYKI I jl� ................... Test Pit No. 1---!4---?.--.minutes per inch Depth of �est Pit----JZ I......... Depth to ground water-ffel---1,51.VC-, 40 Test Pit No. 2................minutes per inch Depth of Test Pit...____............. Depth to ground water.._.....___..__......... P4 ..........Id---------- - .................................................................................................. 0 Description of Soil..................... - -i�. ;SQ�C......... .......z:t.............................................................................. ................................................. U ......................................................................... ---------------- .......................----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 TITLE 5 of the State Environmental 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 __ . > -z- ............................................ ------___ - I............ .. - I I ApplicationApproved By ..... ......................................I................................... ........... 91ew Application Disapproved for t;�4foilnowlng reasons: ---------------------------------------------------------------------------------------------------------------------------------------- ................................................----------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------- c D�' PermitNo. ......[5/.........3-7-5...................... Issued .................................................................... Dare No................--•••••• FEs............................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Diipoiial Works Tomitrnr#inn jhrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: C/ tor 1� -............................................. ----- ---..._._......----•--•._........----...------•-•-•-•-----------••------ . Loca�-Address d _ /. or Lot No. /CIS•dc�......�i//L�/�i�.-----6"0.---•--..... �,"'! 'tJsr//G/Til .2... .....J . WOwner Address Installer Address ................ UType of Building Size Lot_ .a`F ,S__._._Sq. feet .—I Dwelling—No. of Bedrooms.-_.....................................Expansion Attic ( ) Garbage Grinder ( ) 4 Other—T e of Building .............. No. of persons............................ Showers 0' � g ---------------------------------------•---P--- ( ) — Cafeteria ( ) dOther fixtures . .. -•-•----•-------------•-•-••••....---••-----------------•-----....-----......------....----•-•. W Design Flow.... w � ----------------gallons per person per day. Total daily flow.......j- .P.....__...................gallons. �.. ._... Width, 6...._ Diameter---------------- De th._5 :fl.`_.. W Septic Tank—Liquid capacity/4!�U_.gallons Length_ !� x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area........__..........sq. ft. 3 Seepage Pit No._._0W e-____-- Diameter...lb........... Depth below inlet.... .............. Total leaching area..�41 w�....sq. ft. Z Other Distribution box ()( ) Dosing tank ( ) aPercolation Test Results Performed by...........L69&1.-- _______________ Date..,S...Gxl. .................... Test Pit No. 1..G... ___minutes per inch Depth of Test Pit----il............ Depth to ground water.;^(I l..�` (%4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --------------••----------------------------------------•----------•--------••-----... O Description of Soil.....................�-----------------------,-..--------........----------- ,: -- v ............................ /_ ......1_z._. _t__......�� : L e N 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 Environmental 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 -- '1r.��k" ----------' . . .!_, ......./� ~ Date 1 Application Approved By ........ .-1 A.W ...-. `+ - ' •.:.....7.............................. .........�.<.—Date---------------- Application Disapproved for the following reasons: ....... ... ...................................................................... .......... ............................. ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Date Permit No. cr l%..:-...-- ...3.-7... ................... .. Issued -----...................----- ----------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH // 1L-144 OF C�er#tftea#e of Complianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (k or Repaired ( ) I by .......................C� ' -.c ,.: =---------- --- ............--------...........---------------------.............---.........---------------------... ----------------------- Imtak, C -------------- .-. ._..... --.--.....-._. ...� ............................- F,.. .t ,. Lfo has been installed in accordance with the provisions of TITLE 5 Qf The State Environmental Code as described in the application for Disposal Works Construction Permit No. .....(%..Y...:...------'>..�..'?,... dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. 7 DATE....... -.` .. Inspecto ---------------- - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH e 7 j .... !•.�`�rl/(..:.t'f OF..--Li-,a.Czt:.,.c:1.:% `p:! '. '...................................... ._. FEE....................... Mapolial Works TrAnntr ivn "permit Permission is hereby granted.......... .......................... to Construct (';��) or Repair ( ) an Individual (wage Disposal System at No........ =. i `/ ,�J r(r_s "' l/rt�.�_°�..........' - r,i` ' .... v - Street / as shown on the application for Disposal Works Construction Permit No.!Y...... ...... Dated-------- __ .................................................................................... ............................... Board'of Health (`f _ DATE............................ !-/ FORM 1255 A.M.SULKIN CO. 4 II S 0 1 L L 0 ri N 0. t NO 2 0 E PLAV 4 TOP OF FOUNDATION EL.: W1 711 7 8 FINISHED Y GRADE W17WIly 12 10 I N E L 41AV�A/56W aVee_ _"e"5 4 VAI I N I i a4eAD 1417'.b1lIAl�/Z" zl/& k0 t1_!E Ito 6ep,�-1w) 114 Me L i N I I //Vl el- 1051 W/ 6 sump 4- L Q U I D LEVEL 0 I i 1 0 p --6-e;r - ----------- B&P77Y P f R C TEST RESULTS ' ' ` A�'Ilv' 'r /vc// P f R C R A T F PRECAST SEPTIC TANK WITH 7-. eL, tr,7,4 0 /V.O. awr_- -51zel 1g; �r CAST IN PLACE INLET AND b WITNESSED BY OUTLET T 'S P E R T I T L E V 6' BOARD OF HEALTH 5 110 STo ` DATE: 389 , PIA, SIZE : GAL L 0 N S -p-V 0 C X LONG x 4'WW 10 E 0 E E P I 4' MC /6 • PROFILE Off' PROPOSE [ SEW -AGE SYSTEM ' ¢�, ��s .�� x SYSTEM DESIGNED BY T H E TOWN OF REGULATIONS AND SCALE 1/4% 0 "' STATE TITLrr 'i FCR SUBSURFACE 0 1 S P 0 S A L OF SEWAGE A010 7 N PIPE Z7' I . ALL PIPES SHALL BE SCHEDULE 40 P.V.C . SEWERfor 2. ALL PIPES SHALL BE SLOPED 1/4 P E R FOOT EXCEPT F 0 R THE FIRST 2 FEET OUT OF THE 0 /8 WHICH SHALL BE LEVEL 3. DESIGN FLOW I -BEDROOMS AT 110 GALDAY P E R BR . GAL/ DAY 41-4 SEPTIC TANK ' SIZE 330 X /56 Z = 495- 6 A L -4,A1,5,e 1 11v(5 USE l,000 GAL. W/ our GARBAGE DISPOSAL 7Z-4 -A LEACHING SYSTEM : USE ' 90 , k I 9-3 1.9 EFFECTIVE AREA : SIDE 077A!,6 4 2,1(77 x 6-x �')r 0,_15 -4 71 RP 9, z B 0 T T.0 m e 7r- x z5 .�r 1,6/7, 7� TOTAL FLOW 471--t 79 := -5-4 9 7. 7 TOTAL REQ8O FLOW 530 X 1407, = 3306,"11 WI—ov7- OARBAGE ' DISPOSAL RESERVE FLOW -541- 520 2-19 GAL/ DAY IN RESERVE • 119,91 01 I 1 N 71 ew lq 44" R I F E R INC E PLANS 1'r-zl l^l W,-q 77,5,T APPROVED BY : BOARD OF HEALTH 7 DATE PROPERTY OWNER : Nliapz-,4-5 zgolz-zvlva c::!o SITE . AND SEWAEG PLAN f 0 R .a,q OF OF OF JOHN AM BEDROOM SINGLE FAM 10 OWE LI. I NO P. RMA DOYLE,III L 0 T z 9 A/4772�-e vlc—il 11110. 7 - No.33589 0 A T E GIM k DOYLE ENGINEERING ASSOCIATES, INCORPORATE D Box 595- 530 Thomas ,B. Landers Road W. Falmouth, MA 02574