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Home My WebLink About0056 BOB-WHITE RUN - Health Camel-�- g9 LOCATION use,456 SEWAGE PERMIT `QNO. VILLAGE ' VNST LL 'S NAME , ADDRESS �B U I L D E R O,R OWNER DATE PERMIT ISSYED � � ,� m� DAT E COMPLIANCE ISSUED //� ,1 � � �s � �r �� Noll..........j.,L.... Fps.3 s� ......... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ............ .........................OF.......................................... Appliration for Disposal Works Toustrnrtinn ramit � Application is hereby made for a Permit to Construct (V,) or Repair ( ) an Individual Sewage Disposal J�P System at• Zot �.la �. .................................. ................ ------ ... L anon- ss of of No, ..... O Address a ............. .......... - ---.... :...................... •--...--•-••-•----•--------------.....---.....----------...---....._.........-•-------•-•-----.... Installer Address Type of Building ize Lot,.<_V�.Q ........ feet Dwelling—No. of Bedrooms................4......................Expansion Attic Garbage Grinder ( ) Other—Type T e of Building No. of persons YP g --------•-•---------•--•-•-- P 1----•-.•-•.•-.- Showers-(---->._— Cafeteria ( ) dOther fixtures .----•-•---------------------------•------------------•••-••-•••••......-••-••-••-••----•--•••-•. ......-•-- w Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid 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 ( ) Percolation Test Results Performed by......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit...........--....... Depth to ground water..--.--................. (%4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..................-----. P4 ---••-•••----•-•----•---••---•-••••••••---••--•--••--•------•••-•-•-•-•....................•-.------........................................................ 0 Description of Soil.....................................................................................................--...---------------------------------------------.........---•-•. x 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 TITS 5 of the State Sanitary Code— The undersig ed further agrees not to place the system in operation until a Certificate of Compliance has been ' by th a f ealth. Sign -• -• --- -•--•••----• ......---. ............ ApplicationApproved BY= . •-•-•-•-••-•••..........•-•...................•-•-•••••--.........---•-•----- Date Application Disapprov for the following reasons--------------•----------------------......------....---•-----------------------------------••-•-••-••--•-•--•--- ............... ..• •---••••-••---••--•-•••-•--••-•--------.....-•------_••-. Date PermitNo......................................................... Issued_............-----n e---•--•---------------......... j No .. .....-- ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH • ;'. ..........................................OF.......................................................................................... Appliration for Digpos al Work,5 Tongtrurtion Prrutit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal Systemr�� a ...� ve.z .f� .-•-.•••••-•--•-••-•-•-••----•.... ..-••-•--•---_.... --- . tion- ss o;y of No. .............. 1 .....• ................... /' ••• - %�/. . ..-......••-- • O Address W .�. ..........' I'll.% .. .........c _._. .. .:L...................... ...................................... •Installer Address PQ d. Type of Building 1ze Lot { ........._Sq. feet aDwelling—No. of Bedrooms................ ......................Expansion Attic, (✓') " ;Garbage Grinder ( ) p., Other—Type of.Building ____________________________ No. of persons._......_ ........... Showers (` ) Cafeteria ( ) PaOther fixtures'.".".................... .............................................................. W Design Flow............................................gallons per person per day. Total daily flow......................_,.____-.,............gallons. WSeptic Tank—Liquid 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 ( ) Percolation Test Results Performed by............. ............................................................ Date........................................ Test 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........................ ----------------------------------•---------------------------------------------•------•-------..............-----•--•-----....._....--•.......--••••......-- 0 Description of Soil........................................................................................................................................................................ 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 T I'AE 5 of the State Sanitary Cod — The undersi ed further agrees not to place the system in operation until a Certificate of Compliance has been ' by th Q of ealth. I' Sig . ... ............. .....---.- ------•-••-- ........... ApplicationApproved BY`'----. .f....--•------------------------•--------------•--------•--•-•-----------------.------ Date Application Disapprov d f o the following reasons:......................................................................................................... -----------------------------------••----------••----•----------•-------------••-•------------------•--------•-----•-•-------••-•---------............-•--•-----------------••------•--------•---•------ Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF'MASSACHUSETTS BOARS OF MHH ..it ....................:.....OF......... '._............................................................ Trrtifirate of Tontph aurr T'� S IS 6 ERTIFY, hat the Individual Sewage Disposal System constructed (,e—�-o.Repaired ( ) ...... M�� ~� ;_ ntalea ---------- ••-- - ---•--------------- has been installed in accordance with the provisions of Tj�'L� 5"of�/r. tate Sanitary Co a�'d cri� in the application for Disposal Works Construction Permit No.............. ___7:_............. dat- ......._............................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................................................1,,/A'2,224 •-•-• Inspector............4,/��`� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH jZ &r s'/ 3 .�f *.......:.......OF.......................................... N......................�.. FEE........................ �io�ru�aaf� urk '�n��ratr#ion rrnti� Permission i reby granted..__.. sGf�r... -- ---------•-............... ............ ....... to Construct or Repair ( ) , I idual.rS,e�rAyisp-O-S� tem.� ' 6, at No... ..------. ------.-- -- ••. --- ----- ---------••-•-- - ......................... Street / as shown on the application for Disposal Works Construction Permit No........... .. .........� ........ 7.-----.- •............................... ........... ----•'oard of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ///"' f S r Q 1 y A' f i [ 4 A C A.'ti.i T- . 6°a ?is (? `a.R,. — 1z IL uti�UcLA�!T.zZl:,cr•+niter FAi+1i'• ciPo YSE o N . . Op u�r�fIGTA1.11C\ � .., FAIT Ln-F L i to Q MIN N r•i�E O'\ 2 132.+ExP.. I\ i "t 1 Nei \� .: ToP Ft4b= -,VAM—( �fp} `T Ow F.� , L) oo:o A a ��►OF Mq6 J r f rt-1 r -Fo a l l 4 I l�• r�� I !ir N""ti ��.fir'-}• � 35 - LL /STE �� — —— ——._. _ q�. ._ _ �erc-,tr;,,,AA-r 5 . q0' N� L' rc, n LOT IL (vA -c- ) LEGEND I CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OKO �N DFn1as EXISTING CONTOUR -- 0 -- - ti�``'A s' LpT 2/L - ��OC w'r1t'it_ 2u(--1 FINISHED SPOT ELEVATION 90 a -["- FINiISHED CONTOUR 0 X 0 RSE No.10951 O . APPROVED , BOARD OF HEALTH •op�FC,tsl-, � �f � . o� �t � L FSS/ONhI DATE AGENT SCALES I'= 40 DATE L®RE'DGE ENGONEERlNG Ct7t IN CLIENTS I CERTIFY THAT THE. PROPOSED EGISTERE REGISTERED JOB NO. P(lt(.g- A BUILDING SHOWN ON THIS PLAN CIVIL LAND �.Q.F• CONFORMS TO THE ZONIN lA1�IS EN t311�E E R SURVEY R DR.BY� OF ®A ti N S TA 8 E , M )S 9�"CXcC.PT A-M S 11o4t'�1.5 712 MAIN STREET CH. BYE .._ HYANNIS, MASS. . SHEET! OF OATE REA. LAND SURVEYOR 2O FT. M/N. n /YOTE /F E/TNER �/E S=r�T/C ?,4�V-/< OR -:� �_.EACH/n/G P/T .4RE MORE TH.9,`J /2"BELOW /O /:T•.M/N r,4A0E� .4 24 O/AMETEK CONCRETE COVER i SJ�AGL BF BQOUGNT TO0E. ti,r' EXT.E'A CO/VCR�TE i 4 PI�C P/Pr �yEAi/y CA57- /RO/Y C�YE,?' Sh�.4LL 3c USc-J � — EL'. COVERS 1 /F/N' / /B PzR AI a GR•4oE ./ Cc) ✓Eft LJQU10 LEVEL 3 j 14 : w RON P GI�L.. v o o �cc �E f � r <�F �%8•-j' 9 b MIN.?/TCIII • •I . . . . . , , h %4'PctfT SEPTIC TAN/C olsT, • ;>� � . . . . . , ; WA3HF0 ST-,vE BOX o • • • e • • . . • .•� �: • • •EFFECT/VC • • y 3�4 • • • pEPT// • • • • • 0 WA5)lEO STONE �' • . ••'.. • • • • • • . • c o 188.5 x 2.s = 4?► G�/� • • . . . o , o PR'EC�4S7 SEF�AGE INYL'rtT ALE✓AT/oA/S • • • . di • a e • a P/7 0R EQU/V• -78.5 x I.o -18 G/D ` a EL 1 . o INVERT AT Q!//LD/NG �.o FTTI/ 6 FT. D/AM. =9 ` INLET SEPTIC TANK- 9$.� FT �� 1O FT. OIAM. � �C(SFE TaBUL.dT10N� CUTLET sapT/E 7ANK 98 FT- /NLET D/STRIaar1ON BOX 9g 4 FT.. SECT/ON OF GROUND ^',47ER TABLE DUTLETD/STR/B!/T/4N BOX SEWAGE OISP�SA L SYSTEM in/LEr'LE.aC/,�iNG o/T 9'7. o Fr TA54/1 ON LEACHING P/T DES/GIY CR/TER1A SCALE : %" _ /= O� O/MEN.S'ION A 3 FT. '0/AfR/vS/ON $ _FT. NUMBER OF 9EDROOMS 2-+ � tJSi�l-I . D/HENS/CN C 4_F T{M I Q ` G,4R6a6EDI5POSAL U/v/r +40WE SOIL.. LOG TOTAL E,ST/1-ir4-l"ED FLOH/ 440 GAL.IDAY S01 L TEST At/ SO/t 7EST*2 SD/L TEST NUMBER 0,,- 40ACN/NG P/TS_I f FLEK too.` —L �ELE✓. I00.0 pATF OF SOIL TEST q 2 B�L SIDE LGACH/.VG.PER.P/T 169 Sig FT. o'-,• LoAM 'A -mP C s-rap <9oT TOM IE,gCH/NG PER P/T 78 RESULTS iV/TNESSED 8Y �6lFGR D SQ• FT ��` �'-3 Gi.ati( �% I'-3 ccA� f'tRCOLAT/ON RATE / Lf�S / M/N�I/IVCN TOT.►G LEACN//1'G AREA 2� SQ FT. AE�ICOL�T'/ONRA7 =A 2 �A," M,/N.�INGN leESERVE LEA C'N NG AREA �-� so fT- � ,o •o r x RA ME:P3 E-D ilel OF M �•h ; �t RQB FoSArlf� .y', :sue o ..•.g ti o RSE (. v (lA29874 o No.1G951 C+ N� • _ EL DREDGE ENGINEER//VG CO,/NG. ,n, gg'' A 0' ST �� 01. I U.1.0 7/2 AlA//y ST. , HYRNNiS, /vtAss- F 0 SURD S/p��LF NO GROV/VO YVi4TLaR ZWCOUNTE.250 CL/ENT,: Q, .Q �j DRTE to/22/3'c_ GRO U/VO yvA 7- AT EL Et✓ _ ' ..108 ND-• 31 l�9•Pc SHEET 2 OF 2 i