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Home My WebLink About0064 EISENHOWER DRIVE - Health 64 Eisenhower T)Y 'VL Cotuit A = 039 — 100 LOCATION SEWAGE PERMIT . IIQ. 10f VILLAGE co I N S T A LLER'S NAME i ADDRESS 0 U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED IRS 9 I ��i r i 03/ —/OT SNT FRz THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH f .....................OF...... scht / ........................ Agi ira#ion for Uhipwia1 Works Tnnitrurtiun Prrutit ao�s� Application is hereby made for a Permit to Construct (A) or Repair ( } an Individual Sewage Disposal '(\ System at: ....- . .. ........ .. .......................... .1..._........ ...---......---------......---............ Location:Address n _ o}I Lot No. e..------. -................................ ........•------•--------••--_..._................-.................................................... W Owner }� Address 2 i.s U ----------------- � Installer Address UType of Building Size Lot_.,d-&,.t'U......Sq. feet Dwelling—No. of Bedrooms...........3............................Expansion Attic (4J6) Garbage Grinder (NO) aOther —Type of Building _ VA-b-_-_-___-__- No. of persons........I............... Showers 1(0— Cafeteria ( d Other fixtures -----)�3.L)'At ......................................................................... 3 W Design Flow................5............................gallons per person per day. Total daily flow.....----------- _v...._ .__.._.._...gallons. WSeptic Tank—Liquid capa ity./gallons Length---/v-------- Width.A........... Diameter----4.......... Depth.....V....... x Disposal Trench—No. Width.................... Total Length.................... Total leaching area.._...94_�/--...sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.................. q....s ft. Z Other Distribution box (A) Dosing t k ( ) `-' Percolation Test Results_._ Performed by.__. ' !� Date.._.. Fly Test Pit No. 1.... ..�..minutes per inch D �t epth of"Test Pit.................... Depth to ground water_._,A. ............ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0O ..........---- --•----•-•-------- Description of Soil.._Q_=.. ........J,.d l x - ---------------------- -•---------------------- •----------------- ---------- U ....................................3-• 1�-.•----- L- ------. ------------------------------------------------....----•------------------- w UNature of Repairs or Alterations—Answer when applicable ..................................e. ........................................................... -----------------------------------•--------------------------------•---------------.....----•--------------•------------------------------------------•-------------------------------.....•---•.---••. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLIJ 5 of theState itary Code— The undersigned further agrees not to place the system in op ation until er fi to of Cas bee issued by t,),�e board of health. d -------------------•---•-----------•-- ----- ate plication Approved BY ..•---• ate �,. Application Disapproved for th following reasons--------------------------------•----•------------------------------------------•-----------------------...----- .................................-•---.....---------....---------------...---••--•-•-•-•--------•--•••-----•-•••--•------------•-••......------ ........... -------•-----•------•-------•--- --Date Permit No •.............•-----------•--------•----- Issued_......... �-----... •�.; Date r ------------------ ----- - - �i............1..�_r i No......................... Fms........................... ' $ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f _-_144� -_ '--....................OF..... a ..... �4........-_..._._._-........._... .._..._....._. Appliration for Dispii al Works Tono rurtion Vrrmit Application is hereby made for a Permit to Construct (A) or Repair ( ) an Individual Sewage Disposal System at: Location-Address Lot No. ............. ,`5.-e---------------------------•----••--.-•---.............. ..........__...................................................................................... a Owner Address ..............•----... =_-_-.......................................................... Installer Address UType of Building Size Lot_ a------Sq. feet �., Dwelling—No. of Bedrooms...........3_............................Expansion Attic (Q) Garbage Grinder 4JO) '4 Other—T e of Building a Other—Type g _.____f�_.__�? ___._.____ No. of persons-------,�_........._------ Showers ) — Cafeteria 0!�) dOther fixtures -•- S1 ---=-----•-•-•------------------.-..----------------------------------------•------ ------------•-•--------.........---• w Design Flow............... J_._._.__......._._:__gallons per person per day. Total daily flow___:__.___ _ __.___.___....._.___gallons. WSeptic Tank—Liquid capa ity�09V.gallons Length__��____.____ Width.4------------ Diameter___-.......... Depth....l '____.__- x Disposal Trench—No. al..%�. Width.................... Total Length.................... Total.leaching area____o ....sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (, ) Dosing ja�( _)� Percolation Test Results Performed by-__�j�'� �`ti ._•_ !1 _t ...... Date...... S.~.._-. Test Pit No. 1... :-:___minutes per inch Depth of Test Pit____________________ Depth to ground water_.JV4_jV ' _. Gi, Test Pit No. 2................minutes per inch Depth of. Test Pit.................... Depth to ground water........................ R'+ .................................... .................•--.....__------.......................................................... O Description of Soil... ___ _________X4�I ....:. -___.- !%+--� 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 TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beeii issued by tie board of health. Signed Gam..: YD te rl Application Approved BY -•••• - - -----=------•------------••--••-- -••-•--•-_�-_ . ' te Application Disapproved for &following reasons:.........................................._...................................................................... --•........................•---------------------.....----------•---------•---------------••---------•--=-==--------------------------------------•----- •----•-••-- ................................. �-7 � Date Permit No...... •-~..................................... Issued----_.. _ __.__. . Date- --•---•------•• f THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HF7ALTH ........... cJ...1...............OF._: ?� :. '. ......................................... (Crr.tifirFa#r of Toutplianrr THIS I� TO CEZTIF,Y, That t e Individual Sewage Disposal System constructed K) or Repaired ( ) by.............S ••--c; •%J,t? ,--~ Installer ` at �^ ---------�r ----- `"/ Ley c ?' "a t - - has been installed in accordance with the provisions of TI T LY, 5 of The State Sanitary Cod . as d cribed in the application for Disposal Works Construction Permit No....%�_"__�_7;*......... dated-.----- �".... _.g,5............... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GU AN E THAT THE SYSTEM WILL FUNCTIONSATISFACTORY. DATE...............5. U...".35........................... Inspector------------------- C. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE LTH t / No.: `� ��"l1: (o ✓ 'G ..............OF..... ..................................... FEE... 5n!.......... �i��ro�aal for � �on� �tr�ion rruti� Permission is hereby granted-----0---Q----------' .t.----------------•---------------------------•••---•••--------.....-------.........._--•----•••- to Construct or Repair ( ) an Individual Sewage Pisppspl System atNo........ -)----------mil_(_ _ '� _:'lr_ x Z-----------• ---------------------------------------•-------•-------------------•----........... Street as shown on the application for Disposal Works Construction Permit No.!�_';M Dated.......................................... ........................ ......913--(..........................................................- DATE. �. ' .................................... Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON �,---- . o"Lo _ G5� �.-� �.:-.., '1'2 S•caw �o� = i h5 J 4 g 2 ..a i rnQj RE.�ER VE 1 �i K/2'(7iq LEA+ — !v2 s SEPr►c F' +I .(-) �t ►1 { TANKIP N " t s U. 'W G o o. 366 v-OPG �rrolvaL�N (a(► ' . 10�'U 3 vI OF c - ..� F10E3ERT 0 ! W EDGE 19367 b I F,Lek ra,cwl- t 4,7 \off�. .. -- — Epl, �ota (�R.vLME>•iT'.. 10�. N or 1 0 W )Q-. D Jam!Q/E- G'Ua✓f/�t r�uT�u^' L11 v h/gY) LEGEND EXISTING SPOT ELEVATION OxO CERTIFIED PLOT. PLAN " ' EXISTING CONTOUR ----- 0 -- FINISHED SPOT ELEVATION F1N13HED CONTOUR ® 7 or IVE �pTull _` .NOTE .•The location of any existing undue ound sewerage, wells, . or other utilities shown on this plan is approx- IN'< h: imate only as .determined from records and/or verbal -information. The contractor is responsible for the: ,verification of the existing locations in the field, SCALE, "� " =34. DATE F� 2 K$S REDGE ENGINEERING CO. IN S/D� I CERTIFY THAT THE PROPOSED �Y D - CLIENT:�� LEGISTERS REGISTERED JOB NO. 8•�o/� BUILDING SHOWN ON TNIS PLAN T IVIL LAND CONFORMS TO THE ZONING LAWS DR.BY y„2 0 NEER. RV R OF 9ARNSTABL E . MASS 712 MAIN STREET ; CH. By HYANN I S MASS. Z D `SURR SHEET-L— OF DATE REG. LAN VEYO I1fOTE:: /F E/TNGir THE:SEPTIC TANk LL�A Coy livG, PIT ARE I''IDR,E TNi1N`%Z �-BgLOK/ h IQ:P7 /ytM(• _ . . :!rRAOE� A ..24'p/AM ET.ER`.CON�RFT.E•`Co�ER::: S}�ALL. 9¢ ®R0C/6HT 'TO 4MAOE,.64N .-X.TRA 4'PYC P/PE CONCRETE !'iEAYY CA ST✓RON Co.f/.ER S/yALL. DE C/SEO E�V/O.5•D. COYE/YS iN: P/TCN 1F/N' OR1VAFJ1%AY z all• COVER C`L EAN SANG 6AC Ae,' ` •+• - L/(p UID LEVEL DIA. _ r 2 LAYER J,� 4 sc}lEOuLs40 .v o 1 _ - PXC. P/PE IOOD CAA— o �• o f, • . • • � •.� ► b • • r D.IST. . e iHASHFD STONE I %'.P&M 10, SEPTIC TANK • e • ,• • • • ••s a' - BDX p • 1,. , 8 • • O e4 • . • 314 •., s • r DEPTt/ • • f • • o WASHED STlp �h'E. • I • . • • • op o /S/ x 2-5 = 3 77•S • a. • s. • • o • v ee l/1rYC�t7• L`L EYAT/4N:S 1/3 X 1.•D = 7 1 3 , AP s Lei/95.p /NY,�ERT AT'BL/LD/NG 100.0 FT. . 490 S G.al/AY S D/.AJ"!. 12 . 7 O/i4 M. C(,SEE rA81U[.d LION INLET .WPT/C TANK OU71.E•T SEPTIC 7-ANK• AFT. /NLFT O!$TRLBI/T/ON 80?e 99-q_FT. �" �, c CsROUNO HI�ITE/4 TiIdLE OslTLETD/sTR/BtlTloN BAX_QJ 2 F7 SEWA1 GE A,715ROSA eL' .SY.ST�M - . 1NZET LEACH/NCr I YT �4�-y F.r. 7-�I6414AT1D/V >XS16A' CR1T.=R/fit O.!!blENS/aN •�,-1- —FT. Nu/►18FR OF BEO,Roo�lS Z : DtMEN31ON G 4 FT MAN GAR�4GE0/SPOS.9Lt/NtT N'z SOIL LOG TEST TOTAL•E8'rI/►�•1"Fp FLOW 2 " CAL-IDAY SOIL TEST r*! SoIL TLc"sT�2 SOIL: E �{NUMSEC O►c LE°ACNINS P/TS I �^t�[L�Y.1QL� �"r`LArk ,DATE Oi'.SO/L TEST. Feb 9 198 = S/AE•4eACHING PElt P/r 1_S47, CT. ,- _3 RESULTS GTTOM CN/NG.P1•R P/T l/ pT. . fr: oAM tSuIISoit, �RCOLAT%D/� RATE / 2 1ylN�INC'K 4 LFA S4 L i : pr pEhC0LT/AON.RATEIGE2 MIN. lNGf! TOTAL LEACH1WCr AREA SQ• FT. RESE/CYE LEACNI MS A qEA -6_S47. F T. FiyE- MED- OF AD. �O F I LI R E --- ?--OU%EtZ o WE o ROBERT J Q-. d O ELDREDGE i 4 RED6E.ENtr/N6�R/I ,. IT E� �� 9 N o.. 19367 ,o �o MAI.N S 7 y N>'ANN/9, ,MASS 'EGiSTER �,J$ $9 G NO GROdND YYATER ENCOIJNTEREO �L./ENT= 4YS�D OI.tT�FEg: ' AL .$S r GROUND .YV.1►T�R /97-,ELEY JOB XO soy S SMP_ET�� z rr