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Home My WebLink About0040 TRACEY ROAD - Health 4.0 Tracey Road `t. A= 005-054 - - - Cotuit "MAR l i ll 6 m 9:82 N7878 50-W 25 00, N83 32,00"w 165.78- 1 0 ! EX DWELLING ! N O TANK PROPOSED ! �` o° 24'x26' Lp GARAGE / Q 35' ! S MBLU 005-054 ! 40 TRACEY ROAD OSTERVILLE, MA oR� 20' E�GR, 30' 13 % , v `flo cJ 5Z TRACEY ROAD N68p91 S5 SEPTIC FROM ASBUILT ON FILE A T THE TOWN HEALTH DEPARTMENT BUILDER TO CONFIRM C M TIFIED PL 0 T .PLA , DIKEMAN RESIDENCE 40 TRACEY ROAD HAVEnBEEN LOCATEDPBYO AM�FIELD SHOWNSURVEY. ,�` Of yASs,�cy OSTERVILLE, MA s� DATE 12-16-15 DRAWN. RBS ROBB o SCALE. 1"-50' b4�VC CP bt P191 No. 35418 °f EASTBOUND P,AoaLAND SURVEYING, INC. 12-16-15OisT�� P.O. BOX 442 ROBB SWES, P.LS. DATE FORESTDALE, MA 02644 F 506-477-4511 I • THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................... ....................OF.............................................. Applira#iou for Bisposal Workii Cnnnitrnrtiun ramit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: .:..:� 7 .�.. �`.......i .;...co-j& !T,.�:�ose% ......-�':°� �.-----•-•------•----------------------•------...........------. Location-Address or Lot No. ............t....••••C......0 •••................................................•.... .........3�! Owner Add r ss ....--------••................•---••-----...................................................... .....-------------...----...........------ _. . S feet Installer Address UType of Building Size Lot. .� -.... q. Dwelling—No. of Bedrooms..........._3...........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.....................--.--.. Showers ( ) — Cafeteria ( ) Q' Other fixtures ------------------------•--••--• . WDesign Flow.........._,�..............................gallons per person per day. Total daily flow.........,.L50....................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter----............ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter............---..--. Depth below inlet..................... Total leaching area..................sq. ft. Z Other Distribution box (�-j Dosing tank ( ) '-' Percolation Test Results Performed by ------ ----- ---- -- �� _;�71�<----��-------------------- Date-------�-.-8 -----•--••--- ,� Test Pit No. 1................minutes per inch Depth of Test Pit..------............ Depth to ground water...-----................ Test Pit No. 2................minutes per inch Depth of Test Pit...--.......--...... Depth'to ground water...---..............--.. ---•-------------------------------------------------------------------------- ••-- ODescription of Soil ............................�'-g -------------------- =•................................................... x 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 THTALE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Ce to o Co�n�fiance has be is 'd by �/ �ned. -V -21r T....... ----- - -- Application Appro - . ---. . . ..... .11 Date Application Disapprove or t following reasons:....-----•--•-------------------------------------••---•---------•--••-••---...-------•-•-•--------------••••••- ---•---•-•.................•----.....-------•-.......----------------•-•.••-•- Date PermitNo......................................................... Issued....................................................... Date FEzNo. ....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ----------- ------ -------- ...........OF.................... J .................................................................... Appliration for Biiivosal Workii Tomitrurtion "prrutit Application is hereby made for a Permit to Construct OVI) .or Repair an Individual Sewage Disposal System at: U:rr7 .......................................... .. . ......................... ................................................. Location-Address . or Lot No. CAA�' _y ............................................. ..........M c-g-M AJ.....+..M A *S- .......... ...... ...................... ..?. ;............................................ 14 4& WNL*3V1T S�*r. Owner ......... ......... Installer Address U .. .4 Type of Building Size Lod.--- 3 90 ..Sq. feet ............ 1-1 Dwelling—No. of Bedrooms............ ..........................Expansion Attic Garbage Grinder 04 Other—Type of Building .................7.......... No. of persons____.._._.___..._._.____._.. Showers Cafeteria 9L4Other fixtures .......................................................................................... Design Flow.........��g.............................gallons per person per day. Total daily flow........3Zr ....................gallons. 1:4 Septic Tank—Liquid*capacity............gallons Length................ Width._......_._._... Diameter{i--------------- Depth......._....._.. Disposal Trench—No. .................... Width..................... Total Length.................... Total,leaching-area....................sq. ft. Seepage Pit No----------_-------- Diameter.........___._...... Depth below inlet......_........._... Total leaching area..................sq. ft. Z Other Distribution box (Vj Dosi g tankPercolation Test Results Performed bAe' !5�=r ....sa! ..................... Date_._�................ 1-� Test Pit No. I................minutes per inch Depth of Test Pit._.................. ground Depth to water..__.._.............___. 0-4 . (r4 Test Pit No. 2................minutes per inch Depth of Test Pit.___..........__._.. Depth to ground water...._..__._........._.._ P4 ........................................................................... ... .. . -ey...... ........................................................ 0 Description of Soil..................................................... .........I'VEF-4Z W ........................ ..............................................4------- U ........................................................................................................................................................................................... ............ ................ -------------:......................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable..........:...------------I.................I..................................................... ...................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Ce to o Co iance haybeipri isso'ed by� bpgOof ....Elec i ned D Application Appr ..................................................... --- -------- ............................. ........ ...................... Date Application Disapprove, or-t following reasons:............................... --------------*.......... -------- ------- ........................................................................................................................................................................................................ Date PermitNo......................................................... Issued..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Tatifiratr of Tomphaurr TWIS 0 CERTIFY, That the Individual Sewage Disposal System constructed or Repaired S -C .. . ... ... by6l ... ............................... I �__�? � Installer ---------- at... .......... .......... has been instilled in a C ance with the provisions of T -1 5 of The State Sanitary Co�14as e in the spci e application for Disposal orks I Construction Permit No. __ ___________________ dated_- .......7.................................. THE, ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATES 2 ec DATE............................................ . ... Insp tor.........A:------''----..------------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No....i.yol ...........................................OF..................................................................................... . .................... FEE.��--•---•-•...... 11 wilitstnulion "Vanfit Permissionis V granted...(................ �............................................................................................................... to Construct pair I n d i vi d iSewage Disposal System ................................................................................ at No............ . .......?....... l Street as shown on the application for o Works Construction..,._Permit No'."._--- Dated.......................................... ............................ ........ i............................................... Board of Health DATE...........................d/0) . , .. .................... FORM 1255 A. M. SULKIN, INC_ BOSTON oM i 1.1G "6AitZEkAG6 �jtZINDEIZ. � S 7 'fit FL0WAka Ito X 3 o30G.p0 L - �. �G r✓fu fl,�.{. ' �d 5EPT1G TP�•JK = a30x150 /• - A976.P ' v5G- I,000 GAL. L oo 91►� D15Po5At_ PIT -vSE t000 GAS• ,B �-50 5.F X �.•5 t 375 G.P� sr. �'�' � • BOTTOM AQE-At �0 5F• �9. ' 1 5cp 5.F X 1. 0 r 5 0 6.P p 9 .) 'ToTAL- GE51GN * .�25 G.P. D. "'►'ATAL pA I L-Y FL-OW -= 330(•,,PO, QF..�r�.y csAo,v 4Q7 t7 5'9 33,z�p?o if 99.L PE2�o�AT1oN RATE I'�IN 2MIN o>`.LE55 \ Ty, �- .. . . `N Of MAST ` I.,FjD DAVID C. a Y r A o THULIN ��t /oa, �� } ;<r[_R u, J No. 29976 > i8 \ p iB TIr TO P FNU O��O/. I 4•IO LF toov lNV• •fi'8lo/c_ D► -A INS. GAT . e�x yS•s sEPTIc, 9B7 . z 10�o INS. TANK Gnu.. LP �V 7 LEAGl1 INV. INV. PIT CL6A.1/ w 17 u I�f 3/9 WA SAA G D 6TvNB PR0;= L_r= iz �7 � LocAz ►oN Tv �T Vo *477 ti!O 5 CA.l.E _ p 2�oN GoMPt-Y5 YJtT 4YN NTN S I o�It-r � I N � aT 7 'I Au T�, 0F 'f1-�E- -Tv W N p F �jp2l�ls rA :C A N� I S NOT' LOGp.TEC� WITNI►J T .E F�.oaD Pt,QIN DATE Z I t4 )(347. ..�. gAXTEIZa W` G; INC• oeS �Z.E61 S�f�Q6� I.A►•1 D 5 u iG.Y E`( Tta15 P�o,t�l 1 N[YT 4nSr_o ord AW os-rE9-VIL LE • MSS5. �--T N E C)':r 5 ET 5 -5w0 uLj> NoT DE VSEDTo C)e7F_ Z1�11N� �.oT -INE- APPLICAN C4 L-B-t O N L.�� 7 jr��y �4' SEWAGE PERMIT N O. V I t L A C E Co-rv ; I N S T A LLER'S NAME A ADDRESS JOHN A. AALTO B.ACKHOE West Barnstable, Mass. 02668 11 UILDER OR OWNER W,1l Fye r ; r r AiaIA; DA T E PERMIT ISSUED ��-7 V DATE COMPLIANCE ISSUED a o o p G1 a