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HomeMy WebLinkAbout0099 MOORING DRIVE - Health WK9mw1 e�1 0 a eve J' No........g,. .. w ss F .. . THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ?WII.... ........................OF......B mstabl8......------.--------..--.....------..................... lira#ila �� n for Disposal Works Tnns#rnr#uan Prrutit z Application is hereby made for a Permit to Construct ( g) or Repair ( ) an Individual Sewage Disposal System at: ---.........Lot 106.. Qx: _. e_,_..C4��1.i1#�_.Aa...... Location-Address or Lot No. -• ........'L'be0 C011mtry't4t#1►.. 5....YQ113..................... ._ .............. -----......-----........._................. Owner Address SperoTheohar di..--•-•.........--•--••••..................... ....... . Y >at ......... ---...---•-•---....----•--•----............----••-- Installer Address UType of Building Size Lot..,20.9. 0 00 ...........Sq. feet Dwelling—No. of Bedrooms...............3..........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building .D*0111,........ No. of persons .................. Showers p ( ) — Cafeteria ( ) dOther fixtures --------------------------•------•--•-••-------------.....----------------•---•-------------------•--------•------.......--•--••-•••-•-----........... W Design Flow................5.......................gallons per person per day. Total daily flow.............--'330.....................gallons. W Septic Tank—Liquid capacityl.OQO...gallons Length.8.'• !..... Width.4.6...... Diameter................ Depth. -------..._ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......1------------- Diameter.._a'.........._. Depth below inlet_V3 ......... Total leaching area...505_.......sq. ft. z Other Distribution box ( � ) Dosing tank ( ) Percolation Test Results Performed by......Ngr. -M.. r-oa 1 .............................••. Date.12/15/7-q.................... Test Pit No. I.. -..minutes per inch Depth of Test Pit.................... Depth to ground water......IIQ............. fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......AQ_............ Q+' -•--•---•------••--••••--••...........•••-----•---•-----.....•--------•.............••-••----................................................................. O Description of Soil_.... -6 Leaf, ......... .................... v .....................•--.........••-•••........_........l ------- .................................................................................................................... W = -16......r�aa , __sand ---------------•---------------......------......------------------....._.. --•--- 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�I?' -.: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee . sued by th oard health. Date Application Approved BY ........................................f.. Date Application Disapproved for the following reasons:---...--••----••-------------------------•-------•--------•----•-•-•-----•--•------••-•---...................._ --------------•--------------••------•--•----••------•-•---••-------------•--------------..._..--------•-------------••--------------------------••-•--•-------•---------•-..---•-.----•----•-------•-•- Date PermitNo......................................................... Issued....................................................... Date LOCA 10 SEWAGE PERMIT N0. v G' Vill GE INSTA LLER'S N ME, i _ADDRESS 3 U I L D E R ON OWNER K . DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED I� cps �►� .� CIJ - R r r No........�.. Fxs ............ THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH s ...T.Qt^n?..--"........................ OF......B!.:!'?rJtStabhe.......-------------•-•--................................ Appliration for Uiipo, al Works Tonotrtirtion rrrntit Application is hereby made for a Permit to Construct ( X) or Repair ( ) an Individual Sewage Disposal System at: ............Lot.• 106 bloarnv 1?r es Cr�tui.:..'!5:...... ..........•-•---•-•----....---•-•--•-----•----........------•-----.........•-•----••-••••-= Location-Address or Lot No. ...._----•-Theo Construction ......� .......-•................•------•----•-----._.............._..--- Owner Address W Spero Theoharidis S.__Yarmou h Installer Address Type of Building Size Lot..ZQ_—QQ........_..Sq. feet U Dwelling—No. of Bedrooms...............3..............__ .Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _M UDF? ........ No. of persons.......6.................. Showers ( ) — Cafeteria ( ) Otherfixtures -•-•--------------------------------•------.......-•--•-•--•-----•-•-•---••-•-----------••-••••........••-----•-•-••-•---.......-----•----•----.._... W Design Flow................5?.......................gallons per person per day. Total daily flow...............33Q......................gallons. WSeptic Tank—Liquid capacity10g0...gallons Length�._?....... WidthA_6........ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length...................... Total leaching area....................sq. ft. � ..Seepage Pit No..._..1............. Diameter... ._...._..... Depth below inlet•?°3'_......... Total leaching area...595........sq. ft. li Z Other Distribution box (1 ) Dosing tank ( ) Percolation Test Results Performed by..... ormn Test Pit No. 1.. Grossmri•••___ •_ .................. DatelI! 17. .................... ._..minutes per inch Depth of Test Pit _.___.... Depth to ground water------ o_____________ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------ o_____.__.____ 1:4 --•---......• ••-•••••-••-•....................•••---------•--••---••----------....-------...-•--•-•---._._.......---......_....._•--------••-.....---•- D Description of Soil..................0-6_._Leaf mulch x -30 subsoil ....•••••----....-•--•--••-•-------••-----•••-...-•••----•-•.......--••--.._....--•-------•-••-•---•------•-- V W .. 30-168 14edium Sand •----•-----------------------------•--------------•--------------------............................. --------------------------------------------------------------------..........---•-.............. 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 TTTLL 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 boardd of health.. Si e3� .;�........... --,,�.r.1�✓'.'� /fir:±'�i!.... � Date Application Approved By....... ,...................... .'' ...['`"d�C •--- ,� Date Application"Disapproved for the following reasons------------------ ;-------------------••-•-•.....-----•-----••••••-•-•-••-----•--•-••••----•--•----......_ -•-•........................••---•---•--..........-----------...........---------•------.....------....-----------•-------••••----•••-_..........-••---•---•• ......................................... Date PermitNo......................................................... Issued........................................................ Date t ' tHE,COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......Tohn....................OF...............n: rnstable.......................------_............ %rrtifiratr of Tontplianrr THIS I.S TO CERTIFY That the Individual Sewage Disposal System con tructed ( X) or Repaired ( ) Spero ` hoeharldis by.............................................• -- ------------------------------------------•--------------•------•--------_.----•- �, Installer Lot 10b_ Mooring__Drive. Cotuit�_, l?a. at••--•-----•-----•-•----••• -------- ----- has been installed in accordance with the provisions of T j of The State Sanitary Code as described in the application for Disposal Works Construction Permit Now- --_-'/'J-.....f-.&.'""............. da.ted.....�..-..� .____..... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL EUNC116N AT FACTORY. DATE... .........-••-....---•------..._------ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 4 .......Town..................OF............i3zrnstable................. N .... FEE 63 ....-. - " Disposal Vorkii Tonotrttrtiott rrntit Permission is hereby granted s Theo--------- -------Con-------•-----••--truction... to Construct (, ) or Repair ( ) an Individual Sewage Disposal System at No.----LotIyIoorinl; DrivA r Cotuit� -Ma.. ---.-----•••--•-------••-•---•-•---•••.............•••-•--......-•-...........••-•• Street as shown on the application for Disposal Works Construction Pe• No _r_. ated a-�,...`"'e.'' ..._. . ,� ^'f� �� ' Board of-Health• DATE ":... r+ +`. .......-- r ---....... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS , -i yF j 'C F.FL. ELEV.-,-It FINISH GRADE - ` ,0 FINISH GRADE FINISH GRAM TOP OF FOUND. OVER TANK= 'if,$ OVER PIT _ ELEV. ` 4° C.I. ' " CMIAN" BLACK BACKFtLL r� 3" PEASTONE -- 4" V.C. „ \ WHERE NEEDED DWELLI 6 _ - 4 VC G P 9 p a 0 O 0 0 7r? �L, ►7 fA �" �', o ••o `a• o o• o 0 O _- Q O 0 � 3/4" TO 1-I/2u CELLAR F 0 ���- GALLON v" � j�,,, _—_ , o O (� O o > ' CRUSHED STONE ELEV. = REINFORCED GONG. p O O oQoQ � o, ee,q `o• .o, ` aay • � D[ST. BO �. , � � - , o O o 0 0 -o � �.. v . Ai �___t _ -r (TO BE LEVEL v a o 0 O Q O o o� a \�' BOTTOM OF PIT SEPTIC TANK AND STABLE) f� c , 0 O O o 0 4 ELEV. = I SYSTEM PROFILE Q N - 8•mod ( NOT'TO SCALE) LEACHING , PIT ' ESfGN CRITERIA N AttUI WR OF REDR000S : 3 '� L,ofi ,•' GALLON$`"PER DAY - 33� ttv�+.m� + GAR@AGE GRINDER TOTAL DA11.Y FLOW LEACHIrNG AREA PROVIDED= "'p� xt:7 .i�./1�► t. �. Z�€`rr'�c.�4 " .F, Q tJ-.1r.- 33G?4PD G `• � `� SOILS LOG ON ELEV, G,v1 119� ' . .. N PROPOSED � SEWAGE DISPOSAL SYSTEM INSPECTED �Y� � �-- PROPOSED DWELLING OAT E 111 a�; "1*� T�►Pj I- GOT tJ f T" MA SS. PERCOLATION RATE �' NINJINCH SCALE: AS NOTED !� OAT€ : l t� '��' u? A.rfo"s ©f►,1 MSt.. S�AT�►q � , d3+ i, s Oli�htED BY >✓ ^"-• ��� G4 t.15T12cX.'t'�©►„� C.c�. Z) Lc�-r SNo� d�J PL��-a_-cu�� s,' 24 (AUA.T Vv . :. NORA/AN GROSSHAN P.£_, R.L,S.. Qt � � 226 HOLLY POINT ROAD yam;`_ CENTERVILLE MACS: