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Home My WebLink About0098 CLAMSHELL COVE ROAD - Health 9 c,lane s he it C5� 'Roe-P C i � r• No.-------- .......... Fax _............... THE COMMONWEALTH OF"MASSACHUSETTS BOAR® 'OE HEALTH OF.......................................................................................... Appliration for Dispati al Works Tnmitrurtiun pumit Application is hereby made for a Permit to Construct ( Vlor Repair ( ) an Individual Sewage Disposal System at: .......� ............ 4N .:Cov ._..-12s�:.......... ................OTuar, �w.................................................... -Address or Lot No. 1z ._LAI�r�Q .........................---- ....... . ..... -......---- Owner t Addre ---------------•..................... �t. t�l �.......-'------------- �_.. ±-►�!o!� ................ Installer Address Q Type of Building Size Lot__O�t_l/..1��.........Sq. feet U Dwelling—No. of Bedrooms................3-_-_ -----Expansion Attic (w Garbage Grinder (W� Other—T e of Building .. No. of persons............................ Showers — Cafeteria Other fixtures ------------------------------ -- W Design Flow........................ S�.......---..gallons per person per day. Total daily flow.............213.6..................gallons. WSeptic Tank—Liquid capacity_/P!;Lgallons - Length...... .... Width............ Diameter................ Depth..... � x Disposal Trench—No..................... Width.................... Total Length.............,..... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.........6....... Depth below inlet_.......G......... Total leaching area......&!?......sq. ft. Z Other Distribution box Dosing tank ( ) 0-4 Percolation Test Results Performed by..........ck,&E ....ta!!-- .. `.�................. Date___......_....71 1Y-d..-..... � a4 K Test Pit No. 1___0�0.....minutes per inch Depth of Test Pit.......10�.._._..... Depth to ground water................ Test Pit No. 2...Aea.....minutes per inch Depth of Test Pit------M........ Depth to ground water._.......��........._.. f� O Description of Soil-------------D.-r ` .............. .----- 5 � ;, -------- '--------- ................CC !7-...S, o------- W -•--••-•---------------------•••------•••---•--•-------•--••---------------•••-••-•-•-•---••-•--....-----•----------•....--............................................................................ UNature of epairs or,Alterations—Answer when applicable----------------------- ----------•--- ----------•-----.....---•-------•-----------•••--••--•-••-••••••---•-•-•----•••••...-----------•------------•-••----------•-----••••-•---••••----•----•---•......------....----...------ Agree ent: - he undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with t- provisions of-^ITH.;:. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beA issued by the board' l;Z0 h r h/ �y Sig ... .... .... :....... ate Application Approved By._..._;%„� = - - : Date Application Disapproved for the following reasons:................................................................................................................ ` •--------------------------------•-----------------...------.....----------------------------------•----............................................................................................... Date Permit No. .. Issued' ....`-.... Date No.._...... Gs FEs.........::..`:............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................O F.......................................------....-----•----............................... Appliratinn for Dispas al Workii Taniitrnrtinrt ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: --•--.......C..........QI.a.L ----- Q`!-�...»A� ...... --•-•--•-•---•{ o 7.0 k,/I ......................................... Location-Address or Lot No. ?........................................................ ......... .................................................... G Owner. —Y Addres W �£ C ........... .........�1............. .....�..r".4�t�a fit.-�................ :. :.::..�... ....................... ...••---•-- r Installer Address / '/ d Type of Building Size Lot_-____ _/-•-----------------Sq. feet U Dwelling—No. of Bedrooms.................n........................Expansion Attic (�.,� Garbage Grinder ( u,a Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ••-•-•..............•--••------- . WDesign Flow........................ :5._...._......gallons per person per day. Total daily flow............... 1.0..................gallons. 04 Septic Tank—Liquid*capacity.MS? ._gallons Length.__..!h..____ Width.... ........ Diameter_______________ Depth....L........ Disposal Trench—No. .................... Width.................... Total Length............._..._. Total leaching area....................sq. ft. Seepage Pit No::..................: Diameter......,_ ._..... Depth below mlet_.___...6._.....:. Total leachingtai-ea......<^v......sq. ft. z Other Distribution box ( /) Dosing tank Percolation Test Results Performed by._._.___<rt(2l�_..._�� .:__....._ a Dates Test Pit No` 1__- ..__.minutes per inch Depth of Test Pit.......1.0...... Depth to ground water......... ....�!K (i, Test Pit No. 2.....7-1......minutes per inch Depth of Test Pit......Zf......... Depth to ground water........................ p .. -------------- - ........7............................................................................ ® Description of Sort- (:i:.a--.... ��/�� ......_s-...: SttiC, cr ---••--------------------------------------- ---------------------- .41 V :L, -•---•------------------•-------------------- .................................................------=---•-----------•--......------•----------•-------•-•-----........._....-----•-•-•--..........•. 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 TITI.% 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 f-health. r Si ed ;41s . . r r a Application Approved By.. �6_ ----7!7_-- '------ !e!'�"' Application Disapproved for the following reasons:.........................................................................................nate.....--...--.. -•------------------•--....-•------•---......------•----.._...--•-----........._.........--•-----------_..-------------------------------------------------------------------•••--•---------•--•...--•--- Date Permit No..................... •....._. 'Issued---------------•--..... Date e j THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALT ............. .... . ..-........... .... . .. . ... Trrtifiratr of f amplianrp . THIS IS TO CERTIFY, That the Individual"'Sewage Disposal System constructed (�') r Repaired ( ) by.... 1W �/ ..................��_._, f . ...... . at 2 , d,d`1 ---- -- - ---------- r has been installed m accordance with the provisions of TI " 99f The State Sani y Code as described,in the application for Disposal Works Construction Permit No----- _..___.T_f�.S ............... dated-......7'- ` '_ ... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM Wl FUNCTION SATISFACTORY. z DATE...... _'_ .......................................... Inspector.- 11 . --`...----------------------••---------•----------....--•----•----. THE COMMONWEALTH OF MASSACHUSETTS "Iti BOARD .F HEALTH No.......-f.A.. FEE...!z- .......... UWposat Works T-Innitrudifin amit Permissionj&bareby granted-- ••--•••-•--•-••-••......•-•••--•••-••....--••---••-•-•-•-------•--•---------•••-•............. ......-•-•--•. ..................... to Cons r ( Repair ( . an/Il.vi >�al Se s sal yat No. ik !!."..... T.__ .1. . ---- --- ......--- ......................... Street as shown on the application for Disposal Works Construction No..... .!...__.._.., ed..........................................f 1 - ..� � --••--- Boar of` ealth / DATE.......................-....................................................... 7f- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS B / "_ /J^ ' a ty 4 TDJ�. b r/ P lo00 C7AL �Z4 -_ \ t /SIT �t ', 9 D°X v t r /6 g' 1,0 0 o GAL. o �Z/ /a , 43 •lam � \' ° � , •r_s ii 5 u� o A 5 '/ __�/z9 CL�1 a OF •r aid , .. f n �O r O�� ROBER 4 � •4 - 1 h T P 3 A #r BUNIKIS Hh,. No.22162�4D a r i' �GIs TEM v, . 5 LEGEND s CERTIFIED PLOT ' PLAN EXI;STING�S POT, ,ELEVATION-w 0x0' EXISTING°CONTOUR - - - 0 -.-I - LvT zl C4AR7sHc--r..1 Coves T ELEVATION 0 D _FINISHED ' SPOT _ �v - FINISHED- CONTOUR_--. C - T(1 /._-"7"' LN APPROVED BOARD . OF HEALTH: ®ATE ' AGENT A SCACE," / 'L -4-0 '. DATE 7 _ CoNSALV v IELDREDGE ENGINEER/N6 CO. ING I CLIENT I CERTIFY THAT THE PROPOSED k _ EGISTEREC� REGISTERED 7Frv` �,-3 BUILDING SHOWN ON THIS PLAN JOB NO- -. CIVIL LAND CONFORMS TO THE ZONING .LAWS ' ENGINEERS SURVEYOR DR. BY OF BARNST BLEB MASS. t 33 NO MAIN ST 712 MAIN .ST ` S CH. BY S0: YARMOti_TH, MASS. HYANNIS, MASS. SHEET OF Z ' DATE REG. LAND SURVEYOR.' T'A1e.5EPT/C TANK OR lYO7"E ,- is eE/wG a0 FT M/ -A CA P RE M A W/N. LL :,S�yALL ®E'BQOC/CsNT'7.0 4RAOAF C,4,V EXTRA 4~PI�C P/PZ CONCRETE' hrEAKY CAST /IPO/Y. COV4 Si�ALL L3E. US�n C AlW. P/TCH s COb�ERS WA s, JF N ,[7R/1%E Y �B .i��R FT /. CU VEFi CL EAN .SANG i— BAC* LL _ L/QU/D LEVEL a� 4"CAST 2"LAVE IRON P/PE ^4o eo v o 'moo Q Of �B d M/N. P/TCN 1000 GAL. a 1 • • • • e • e I v o� MASHED 570 E SLffPT/C TAAo X D/ST, o ti 1 e ® • . • o I o w n d BOX p F o • 1 • • • • • 1 pep en • a D E/=FECT/VET • • v n r I o o • I o W,4SHED STONE °n PeECA5 T SEEPAG E 4 1 • • • e o o • • a D • P a < r ea • • • • • e I ' a eo PI7OR 5QV/V. r I NVZA r &4 E d/AT/DNS /AkYERT AT BUILDING 9�. FT. 6 � INLET SEPTIC TANK %s s FT �U_ FT. O/.41►'l C SEE TABULATIO/V> OUTLET SEPT/C TANK /N ULE . A- FT. TTD N92 5 4=7 GROVAID A7-ER TABLE SECT/O/V O OvTLESTR/S= NBOX 94• FT / L6T LEACHING /ELT '74 ,2FT: SE:�/AGE ®/S'/�OS�i t SYSTEM 7A54/1-ATID/V 1_EACH//V6 O/T 4- AT r SCALE �4 • _ / — O OIMEN,S/DJV A DES/G/V CRITERIA o/��Ns/a N 8—�—FT. NUMBER OF BEDROOMS D/MENS/ON G y FT. GAR45AGE DISPOSAL U.v/T SOIL LOG 'TO:T.4L EST/MATED FLOW 3 3 GAL.IDAY SOIL TEST #/ SOIL 7ES7-40t2. SOIL TEST NUMBER OF LEACHING: P/TS__ _ /^ELEY, '77 . 7"E4E4/. ,DATE OF SOIL TEST 7/ 2 1 /7� S/DE LEACH/NG PER P/T SQ. FT. -2 ' ` Z ' RESULTS JV/TNESSED BY �� BOTTOM LErgCN/IVG PER P/T � SQ. Fr. �� q_.,,t � ��/vl c� Pt/gCaLAT/ON RATE ,*l Z. Pvj//v/JNCH ' TOTAL LEACHI/YCr AREA ESQ. FT. _Sv!3 �u !L. Ste'/WSJ/ 4-. pERC04.A77/ow RATE,L2 Z = M/nJ.�INCH R ES—UM 1iELEACN//VGAREA $!,7 FT. 2!- /2• Zr - /� , Cv^✓JAL iJ c -�NOFAtass. wTvi7 : - -Tui7 �'T Zl CLI /7.5;, F�� R08ERT. �� r✓/�': Ski n/ � U �. C/ / i 5.,�... P. rn� p o.N 2 1 N S � CT//d/��.. )?VVCr C49,IIVC.. No. 262 O EL: , ' 5—Y EL. Fr'6 71Z MAI/Y sr 33 NO, MA//V ST. Jr ,po G 157� ��► �'rS10NA1-Ea6 ND CvR0WV® YY,47eR JrVCOlJ/V7"gi2L'O HYANN/9 MASS.. SO. YARMOuTN,MAss• (Tmo U/VU:kv.4TER AI r FsLEY/ .lOs� Ii/O. O SHF�T�aF Z LOCATION SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDRESS B U I l R OR OWNER , DA T E PERMIT ISSUED Z 9, � , �G DATE COMPLIANCE ISSUED Q - 3,7CF- s I