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tI 0 CrA T ION CO A SEWAGE PERMIT NO.
L> 73 ft► oH r2i�
VILLAGE
INSTALLER'S NAME ADDRESS
S7-f- v t N C:i4 g A4 Le r 2-1-7-gtt) M5
EAS-1- t-j4L-mo . >vlA ® zs34
B U I L D E R OR OWNER .�4 g. A���R �tu 'a-C. s
Mrs GA/c) c. k N9AtsF . 7 w, Ij �L-4ry IF
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED
I � J
Hors i
5 ,
0al \, \
GAL
hl �E LG �I ST�g ttiJC�E �vvQ Gq�. P1T i
P:,C !"T I op WAGE PERMIT NO..
VILLAGE
INSTA LER'S N M & ADDRESS
B U1'LDE R OR OW E
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED —� -��
'76
1 cf- -- 0 5�
No. 2 S'I G�t e o �r a1 F��...1 ....................
THE C MONWEALTH OF MASSACHUSETTS
Gee { BOARD O I-DEALT
'"I ......._ ,- , .-OF........... .............. .........................
Apphratinn -for 13wposal Works Tomitrnrtion Prrutit
Application is hereby made for a Permit to Construct (><) or Repair ( ) an Individual Sewage Disposal
System at:
G`' ` '-' !figs s. L 3 -GH.. � . �L ......----
Location_Address or Lot No.
..l..its_.GArc�L -------- -------------------- 7------. ! !y -s------.U�q.t.---------------•------------
Owner Address
a •-•-•---•--•-S-T-&.".C.N••----..... Gf9r L
Installer Address
d Type of Building Size Lot............................Sq. feet
U Dwelling 1 No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (N<P
aOther—Type.of Building ____________________________ No. of persons---------------------------- Showers ( ) —�teria ( )
dOther fixtures -----------------------------
W
Design Flow.._.......S__C�----------------------gallons per person per day. Total daily flow......._..... ------------------gallons.
WSeptic Tank—Liquid capacitvl-®gallons Length................ Width................ Diameter_- .---_- Depth.--.---_--
W Disposal Trench—No..................... Width__:_--_--__--_-__-_ Total Length-------------------- Total leaching area................ ft.
�VlSeepage Pit No--------/---------- Diameter/7 -6.4<-Depth below inlet..._ ___. _.. Total leaching area------ --------sq. It.
z Other Distribution box (/ ) Dosin tank ( ) /, D,p _ f - 7' 7
~' Percolation Test Results Performed by._ ---, v h�...C+.4........................................ Date---Vw_.-_14'7.7-___-_-_---..
,.-a Test Pit No. 1................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
f� Test Pit No. 2................minutes per inch Del)th of Test Pit-------------------- Depth to ground
. ' , - � `
w ater.._.-___-_____--.._----
G ;� 5�- ------------------------
o Description of�oil___... __.- ----------- - . `---------- -- --
------------------ a 2-' . ...... ----- �'"----- -.0 --------------------------------------------------------------------------------------------------------------------------- - --------------
--------�4
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 Article NI of the State Sanitary Code—The undersigns further agr not to place the system in
operation until a Certificate of Compliance h en iss by the b a d o h t
Sig -A:
s "-z -i7
Date
Application Approved By---.--/--------- ----- ------
Date
Application Disapproved for the following reasons: --•-----------------------------------------------------------------------------------------
.._......-•---•-•---•-•..........-•-•--•--•--•---••--•--••---------------••••---•-•••-•--•--•••-••-•••••.•••--••-•-•-••--•-...._..•--•--•--------------------------••---•---..._.....-----------------•.
Date
Permit No. Issued. ct.`" :'
Date
THE 5911rM
ONWEALTH OF MASSACHUSETTS
BOARD OR HEAL
4 .oF......... Y .................
ApV ira ion -for Bi iVmal Norks Tomitrurtban profit
" k
Application is hereby made for a Permit to Construct ( "Repair Repair ( ) an Individual Sewage Disposal
system at
.. . t 1`rl.... •..------••••--•-•--------- .................... Q C3M
..
Location Nddr �s or Lot No
1�__ RR! t.. �'"--------� _ ----•------•-•----•-- ••-----_ 7------ 1+�'-I-l�t�`� U� ��E
Owner Address
Installer Address
Q Type of Buildin Size Lot............................Sq. feet
Dwelliri No. of Bedrooms--.-_-__.-:__.__._________________________Expansion Attic ( ) Garbage Grinder,.(v4o
aOther 'Type of Building ......_..._................ No. of persons.-______----._______-_-_---_ Showers ( ) — Cafeteria ( )
QP4 Other fixtures ----- -------- ------------•-•
- --------------------------
W Design Flow------------ -_____ _--g llons per person per day. Total duly flow �r«a .-...........gallons.
R; Septic 'Tank Liquid capacity+>� allons Length---------------- Width.. ...... ..... lll.meter_._..-... _.._. Depth...._____ ___ .
Disposal Trench—No __.. { Wldtli _ Total Length.................... Total leaching area_.__._..____..___-_sq. ft.
t. Seepage Pit No........ ._ Diameter/'PP Depth below inlet._.__ Total leaching area-. --.--_--sq. ft.
z Other Distribution box �•' *,Dosina tank ( ) r Date__ - f F }.'-' Percolation Test Results No.
by--T--- tt.7yF_f. k_A_:.__. -round water........ ............
a K
Test Pit o. 1 minutes perinc Depth of Test Pit._................. Depth to a ound wat
�14 Test Pit No. 2----------------minutes per inch De t j, of•.Test Pit.--_-_--_._____-__-_ Depth to ground water------------------------
••- - - {
f
O
Description of�Sil �' + r0?4J . ..........
�
C
•---•------ --- - ----------- - ----- ---•-• ...................... -•--•-----•------------•- ------------- ..
U Nature of Repairs or Alterations—Answer when applicable._____""""` -_--- ��-
. " - �..
---•-----------------------------•-----------
---ti-----------------------
Agreement
The undersigned. agrees to install: the aforedescribed "Individual Sewage`Disposai System in.accordance with
the provisions,of Article \I of the State Sanitary Code= The undersigne further agr riot to.place the'system in
operation until a Certificate of Compliance h en 1 su by:the b d o h t .
Sig ~. '.7
- Date
Application Approved BY --: •-- -------- -- ------
� Date
Application Disapproved for the following reasons: -----•---------------•--••--•---------•-------------------------•-•---•-•••---------
....................................................... ---------------.__--•-=-'•------•------••-•-------------•-•-•------------------•------------=-----------------------------------••---------__----
Date
PermitNo---------------------- ................................ ?�.. . Issued.---: ---------- ..................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD HEALT
.... lii+ ....OF..... . .-. .. ..."..............
OTutifiratr of 1091inphaurr
THIS TO CE II Tl t the Aividual Sewage Disposal System constructed ( or epaired ( )
by `" � A'--------- --- -- -----------------------
Instal
at-. • = ' { ---••--•------------
has been installed in accordance with the provisions of Ar I of,The State Sanitary Code as described in the
application for Disposal Works Construction Permit No-_-_ .........;Z ........... dated......, __'' _ ''_ ____-__--__
THE LSSMANCE OF THIS CERTIRCATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL'FUNCTION SATISFACTORY.
DATE................................................................. - Inspector.....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
-BOARDA3 HEALTH
"' ' OF........ . . L ' !rr, ... ............................
No. ------•---•• FEE----/. ...............
ork�,/��o�Tj�tx ti�$t �rrotit
Permission is hereby granted ` .....---•----•-----------------------------------•--....------•---- .................
to Constr g epair an divldu Sewa I saal S to r'
at No.
Street
as shown on the application for Disposal Works Construction Per Y„?7- -7�
d ...................................
-•- •- - ---- -• - .. ----------•---
Board of eall
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
-
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{ � r •I I'. � 'l.. (/^ l..r �y1 � '�fJryj ..� a a r 1 � }I �.*)� � �5..�� '�
CERTIFIED f LOT P1. 1 ,�
XNEW CONSTRUCTION ONLY !` r
1
OF, FOUNDATION IS FEET —'IN �Y * 'p •b ; .
ABOVE LOW POINT OF ADJACENT �A9AISIA -L'M'
ROAD. ,
SCALES DATE= =:r� �
r. ' � E E GINEFR/NG C0.1N �-
' CLIENT-D,�'- ' ! I CERTIFY THAT THE p ,
EBISTERED REGISTERED SHORN ON THIS PLAID`' IR L.
CIVIL LAND JOB N0.7 � 5r gip.
I �_ ON THE GROUND AS IND[CA '
ENGINEER SURVEYOR DR.BY:
CONFORMS TO THE ZOF4ING lAVO,,
OF BARNST BLE , MASS, h }`
33 NO. MAIN ST 712 MAIN ST. CH.BY= PA
�.//� ��, ¢z-� •� I .'
SO ,hYAOUTH MASS. HYANNIS, MASS. SHEET_OF J2 , T�'
DATE REG. LAI4O fftit
4 20 FT. MIN. r -
t 5 FT MIN - _
y 411 PVC PIPE r. - g: _ CLEAN SAND
f ;. E>wr s•G•o' CONCRETE MIN PITCH - H -
TCOVERS I/8`I PER FT CONCRETE
- 101
A1 COVET.
LIQUID LEVEL
,.
AST i ii / i -aL 2 LAYER
-, . . . 0 I/811- 3/811
RAIN PI(P(��E,� �oav ?a.f. , q1EFFEjTIVE'
. . . , -: ° WASHED STONE
i/q SEPTIC TANK DIST.
R FT
BOX :: , g . . . • ,
• . . , • 3/4 I I/2
DEPTH - WASHED STONE
' �:' .=: _ ° 1 • e • • • • 1 PRECAST SEEPAGE
° 1 • e • • • • • �:. . PIT OR EQUIV.
INVERT ELEVATIONS 6 FT DIA.
INVERT AT BUILDING i FT. 8 FT. DIA. C (SEE TABULATION)
INLET SEPTIC TANK S: FT. GROUND WATEFt TABLE `
OUTLET SEPTIC TANK 5- 3 FT. SECTION OF S
I T DISTRIBUTION BOX so•o FT SEWAGE DISPOSAL SYSTEM
T DISTRIBUTION BOX �9r 9 FT. SCALE 1/4 / O ;
T SEEPAGE PIT FT. TABULATION
a DESIGN CRITERIA DIMENSION A -3 FT
-DDIMENSION B � FT.
NUMBER OF BEDROOMS 3 DIMENSION C �,_ FT h--7,
GARBAGE DISPOSAL UNIT p SOiI LOG . SOIL TEST
TOTAL ESTIMATED FLOW - '�`�' GAL/DAY
:
n -��NU�°IBER OF SEEPAGE PITS ELEVATION - / a ,
{ T.`SIDE LEACHING PER PIT / / SO. F �U` DATE OF SOIL TEST -
�.-
• • RESULTS, WITNESSED BY
BOTTOM LEACHING PER PIT ��� SQ. FT. � �u.3scr�. �8" PERCOL��TION RATE /e5� "ern � MIN/INCH
TOTAL LEACHING AREA Zc'/ S0. FT - - - -
RESERVE' LEACHING AREA = SQ. F-r b:
tg.,.'' H O414.
SsA
ROBERT
• 3 Imo/ BkUGEjq
` G $ L LZ, ELDREDGE ENGsGA4E�R_tA#G C4: IAIC.
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s u ���• A A .6 •. . - - - 0.' YA RIliIOi iTH N.�AS9. HIlA NIA t>� LASS.
JqB WO.7 70 0 S�tfET A OF
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