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Home My WebLink About0018 MASHPEE ROAD - Health l 8 rna-.,Ph[pta- Pza-d THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH' WW►J...............OF......fl.9105TR..eL. ----------........._.._..----•- Appliration for 14spatial Workii Tonti rnrtiun VarAft Application is hereby made for a Permit to Construct ( v)—ar Repair ( ) an Individual Sewage Disposal System at .... ...__.. .9..---_..OPW.._.... ............ Location•Address •.-----•_ -------------•--•---or Lot No. �— Owner ----•...........................Address Installer Address UType of Building Size Lot..�44Al6 4 ___._._Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons......�?................. Showers — Cafeteria Q, Other fixtures -----------------------•---••----- --- - Design Flow.__...__._.55..........................gallons per person er day. Total daily flow_._.__.__.3.3_O._________.__.....___�_ to s. WSeptic Tank—Liquid capacity_�OWl.gallons Length_Qtlp".____ Width-4 a 1O'I_. Diameter________________ Depth,.-.._�n_j__. x Disposal Trench—No_ ____________________ Width___.__.. _._.._.___ Total Length.....................Total leaching area.....................sq. ft. Seepage Pit No.........I----------- Diameter.....10-6..... Depth below inlet._W. U_.._..__ Total leaching area__J.8.��......sq. ft. Z Other Distribution box ( � Dosing tank 4 ) '~ Percolation Test Results Performed by._.._J..._S...A v Lx&V_J______________________________ Date.... _=_ �. ._____ 4 it r 4 Test Pit No. 1...z_.........minutes per inch Depth of Test Pit_____�.6__µ____ Depth to ground water......Z8___i-____- 44 Test Pit No. 2....Z_........minutes per inch Depth of Test Pit__�_BO_._____ Depth to ground water...... .................................................... --•---------------•----•----_---- ------------•-••---•-----------••-----•----- --------------•- O Description of Soil #� .. !1�_._:50-ja �..._b.1.L\D_W--Q4..-------.ls�aQR,.----0_' --•----- �.��............................ P -, � - v ---------•------..-•-------------I#Z..__ 1A.2.�.._$C.�V�C ....1_�.10_Z._.l_�"------1.G4l-r-•--•- tw............................ w UNature 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 Sanitary Code—'The undersigned further agrees not to place the system in operation until a ertificat of Compliance has been ' ed b e rd health. Signed__ �. _..:�.../--•-------------•--•••••••-- ^, Data PPlication Approved By.............. --- .............. bate 'ication Disapproved for the following reasons------------- -------- ----------------------------------••................................................. •-------------------------•------•--------•--------------••---------......-•------...------•---------------------------------•------------------------------------------------- Date ` ,rmit No......................................................... Issued_....................................................... Date AL Sewage Permit No. Location AL Village: A Installer's Name & Address: W Builder's Name & Address: �� P, Allclea s h y Date Permit Issued Date Compliance Iss -�.. �i a �• � � 9� \\\\ J \ j� rp l� rj � � . � No..k...4-r4' D Fr�s...-7r�.r/......._ THE COMMONWEALTH OF MASSACHUSETTS •I� ��/ BOAR® ®F HEALTH - ..._...-1 O ...0..........-•"-_OF......�`'�!�•��•�1-�.�1t�................................ Applirntion for Ui4posal Works Toustrur.tiou rantit Application is hereby made for a Permit-to Construct ( 4-)-,or Repair ( ) an Individual Sewage Disposal System at:.. �..-------.�_... : 3 z �r.__._.. ..........._ . Location-Address or Lot No. Owner Address a y-------•---------.�1-_-.�!. Z..\.. --------- •..::....... ......' __-__---------------- -----------------------______-_---__--.--------------- ;- Installer Address Q Type of Building Size Lot_�....,�-___............Sq. feet Dwelling—No. of Bedrooms.........�^�..............................Expansion Attic (. ) Garbage Grinder ( ) Qther—Type of Building No. of persons___.__(0______........... Showers — Cafeteria Other fixtures -------- ..% W Design\Flow.___.___.5'j 15...........................gallons per person per day. Total daily flow..........% 9._____._._._____._.___gallons. W Septic Tank,,—Liquid capacity Q:gallons Length.E�_h _.__._ Width.4--- _Q..... Diameter________________ Depths: ...... xDisposal Trench—No___ _________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No........j------------ Diameter.....`()_'(P........ Deptli'below inlet__��__ .......... Total leaching area. 5__..__sq. ft. Z Other Distribution box ( `')' Dosing tank ( ) Test Pit No. es t minutes per i P. . r__ _ .�}-------- ----•----•----- Date_..! - )- ............. Percolation Test Results Performed b ._.._�.�i�1-V�_ ��___.. - ,aaa p ch Depth of Test Pit..... �� _._____ Depth to ground water.....�_`.......... rX Test Pit No. 2___ __________minutes per inch Depth of Test Pit..Lao__-_____ Depth to ground water...... 1_ ............. i ____ _______________________________________________________________________________________________________________________________________________________ O Descriptionlof Soil___"`-�....�%(",e• ��--t=`-'�-'-n= �-`9\_}v 4' !A.:.7 ]' �G•_+- 18 U ....................................��._._.__i..5_Q e�___ Ja!��?r. ....:a�_S_..1 ° !R,J..___t_r"__�_________.`!`!_&T.2`_r__.___.C,,t_._____�� .,............................ W UNature of Repairs or Alterations—Answer when applicable............................................................................................... -------------------------------•----------------------------------------------------.......--------------------------------------------------------•-----------------------------------............---- Agreement: f ` The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provision Is of TIT11 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ed b e b �rd health. Signed_ Application Approved BY ,:------ -- ---------------------- �'� 2`� . .---------- Date. Application Disapproved for the following reasons--------------------- -----------------------------------•--------'--------------...._..._-------------•--------------------••-'------------------------------------------------------------•-------------- --------------Date PermitNo......................................................... Issued--•--------------------------------• Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i ..........................................OF......' ............................................................................ (9rrtif irate of Tontplinttu } THIS IS TO RTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY•-----...�-••----•---. . - ,.� ,-- - ......................................------------------------------------------------------------------------------------------•------.._..--- Inst ler � ha's been installed in accordance with the rovisions�T,_.R 5 of The State SanitaryCode as described in the application for Disposal Works Construction Permit No._—.- ........ dated .............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE61AS A GUARANTEE THAT THE SYSTEM WILL, FUNCTION SATISFACTORY. e, / DATE. ---------------- ---7'�1--•�f--�..---•------------._.. Inspector .............-----------------•-------------------------...._.._........-•---- THE COMMONWEALTH OF MASSACHUSETTS ' R BOA`R-D--OF HEALTH aOF......................................... ....._.........._............ Nc...��'/l1��.. ........................................... FEE...yJ0........ 19io.Vocal Nor Tottn t�rtion amit Permission is hereby granted =' %,� Tvt�julivu ramit to Construct ( ) or Repai� ) an Individual Se e Dispos System �- °� atNo. �-....._...----------------- L------- S reet as shown on the application for Disposal Works Construction Permit No-------_------------ Dated................................._........ Board of Health 6 DATE................................................................................ ep FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS ..a S YS TEM PROFILE NOT TO SCALE T f FDN. FINISH GRADE 5 4—0 C7 FINISH GRADE OVER o. FINISH GRADE OVER DIST. BOX �s-4 , oo FINISH GRADE OVER .:P:d" 'o SEPTIC TANK .00 LEACHING PIT G o:...a. o. 4 ..7 e �� / VARIES / •.:.b....o....o. .A... ...•b:.�:o;:' ' o o ' 'o 'y. °op.. 3„ OF 1/8 " -- 112" 1211 � o.. .. . n 9:0.:° o o: .P:.::•b:,. c: a:..'.o..:.t o:.,.:o..c•.P:.'•.c::a. o.:o:.o..o:o . a. PRECAST CONC. OR o.'. Q'o WASHED PEASTONF �; :o:: o�: ' ..ate, o. •.u•''• ao BRICK 6 MORTAR 2 po 0 0... o OUTLET PIPE LEVEL 4 „ 77 TO 12 " BELOW GRADE "s•o..'e. FOR-2—)F T. MIN. o . D• °" � .._V __— S? ram: o`'a;• .:O•'o : - ° a b a cE•ad pj. .D, n., .o.n.b. •p. . B --4 „ 0 _ q ° EY C. I. OR PVC TEES— p o r a o d •o D 4• QY 4 �• BSMT. FLP. :°'o;� d °o v l 0 0 0 GALLON DIS TRIBU TION BOX INSTALL ON LEVEL BASE 6 ' L PRECAST CONCRETE Q 3/4 TO ?—1/2 i 0:•:v::: ::o=.:o:: o' a" WASHED Q PRECA S T H-- /0 REINFORCED CRUSHED o: ,Q ► CONCRETE ° S TONE ao:•O a;Q'4A:�,'•.y-a �. d.:a'o:a'4' Q O-_e"d:o.-o ?:p:�o.:::e....-o:':p"':o' �: . o •A,'.�'.c:-d•• •.o<?o..p D 5 o-.Q:•.O::.Q:P.:'4'.p:O.:Q:•G::O:':".Q: R::O.:�.:'f.>.a d' os a.' I H— IO REINF. SEPTIC TANK .eoO INSTALL ON LEVEL BA Si--- NO EXCA VA TE TO EL E V.4 !. ;. `OR - a 'd.d.0,.�0"°. d":da ao PQ:0 0- ;o._p•O.: LOWER TO REMOVE ALL IMPERVIOUS MATERIAL BENEATH THE LEACHING AREA r REPL A CE EXCA VA TED MA TERIA L WI TH �4 62 (00 5� a 55 CL EAN. CL A Y FREE SA ND �/ 5 10`!4'0 i"ENS, EFFECTIVE D AI METE'R------—___--__._ .� �9 ` 4�0 00•E � l� 64. �7 5 0 L EA CHING PIT GENERAL NOTES r ^ x' 1 . ALL ELEVATIONS SHOWN ARE BASED ON INSTALL ON LEVF_L BASE 2. ALL PIPES IN THE S YS TEM MUS T BE CA S T IRON OR SCHEDULE 40 PVC. 3. THE BOARD OF HEAL TH MUST BE NOTIFIED ®BSER VA TION PIT _ � WHEN CONSTRUCTION IS COMPLETE PRIOR '- •. \ • ' F1 TO BA CKFIL L ING PERCOL A TION RA TE.' - MIN. IN. �ECAST CONCRETE 2 f . . 4. ANY CHANGES IN THIS PLAN MUST BE APPROVED LEACHING P1'T BY THE BOARD OF HEALTH AND CAPE 6 ISLANDS WI TNESSED BY.' / SURVEYING CO. , INC. �� , 1000 'GALLav 5. MA TERIALS ANO INS TALLA TION SHALL_ BE IN W /� O O ,/PRECAST COW RETE COMPL IA WITH THE STA TE SA TA �A Z'� - BRD. OF HEAL TH DESIGN DA TA / = U � � O CODE' — TI TL E V — AND LOCAL APPLICABLE DATE — ' d RULES A ND REGUL A TIONS F-` _ 4✓. 3 5?• ,O o PPOP05ED ,g a NUMBED OF BEDROOMS — 6. NORTH ARF+'OW IS FROM FECORD PLANS AND TEST �D, l T E�T P�,.... L 3 BDRM?M. H5 E- , 45� IS NO T TO BE USED FOR SOL AR PURPOSES � GA RBA GE DISPOSAL IN' / F`"��" 7. FL OOD HAZARD ZONE C. +- -- - DA I L Y FLOW 3 GPD 7 8. WA TER SUPPL Y_ i '4 =� 4,c��5^ 1 / �, r �1 _ 2a` SEPTIC TANK PEO D. 495 GAL (210 ----- E SEPTIC TANK PRO VIDED iJ00 F N E LEACHING REOUIPED F 3 D GPD 5 41b 41A74'_ EL. FI1\�_ t 7e SIDEWALL AREA S. F. ! �¢ 42 ` ;g S. F. X ;-5 GIS. F. = B-3, GPD. BOTTOM APEA = ,7 S. F. LEGEND A-1 S. F. G/S. F. _�_r,Prn 5 2 LEACHING PROVIDED = 552 PROPOSED ELEVATION EL. 40.1 — —50--- EXISTING CONTOUR ' ''n'3Art=p�� '?s• '" 4 � SINGLE FA MIL Y RESIDENCE N ? C "W OBSER VA TION PIT - 1 "- 0 DISTRIBUTION BOX db , �� ' RI AR PROPOSED SEIt✓A GE DISPOSAL S YS TEM : L EA CHING PI T s r y - --- - - Nts r.894 PREPA RED FOR 0 o SEPTIC TANK Dk - .✓ P055 NICKEPSOV i—� _ _a.... �;► RESERVE PIT AREA L O T E MA SHPEE ROA D BA RNS TA BL E — CO TUI T — MASS . PIPE INVERT ELEVA TION DA TE:' N O�. � ��" PLOT PLAN CAPE 6 ISLANDS SUP VEYING I�°! C . h - ,m - SCALE AS NOTED 5CAL E.• 1 "- 3 D � " r 84 # / — �rf�t' T r :„ � � -i