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HomeMy WebLinkAbout0090 DOLPHIN LANE - Health Q p colfhiA IA i s f o v LOCATION /d� �y SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME i ADDRESS JOHN A. AALTO d?�r.; a Flu treet West Bamstable, Mass. 02668 ® U I L 0 E R OR OWNER wIS GATE PERMIT S S U E D D.AT E C 0 M P L I A N C E ISSUED F b � , F7 Li s t No THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ....✓. c ' -----------OF.................`....":�'.^..-g. ................................................... Apphratinu -fur Bhipasal Workii Tomitrurtinu Vainit Application is hereby made for a Permit to Construct (b-T or Repair ( ) an Individual Sewage Disposal System at: 00 1 o q� r J .....................••------------ Location-Address Lot-•-••-_•----------•--•--I�_:.... .. _ _.....................................JV_..........�_.. ----,- `) Own,r�r Q 1Address 1_Ps�-----•_ ll-`/-- ' ------••-----------------•--••--•---•---.......__................................................. Installer Address ® Q Type of Building Size Lot.... feet U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No./of persons............................ Showers ( ) = Cafeteria ( ) dOther fixturesj•��/�Erg ,:------------------•-----------------..--..-----.--•-..--.--. ----•---------------••--•------- W Design Flow_____________________ `/.,__,� gallons per-per5an per day. Total daily flow.__.._______________. .---- ....._.gallons. WSeptic Tcink—Liquid capacity�!�4� allons Length------ ...... Width..___.fe..... Diameter................ Depth_-4e-------- x Disposal Trench—No_ ___________Z. Width.................... Total Length_________ :.. Total leaching area--------------------sq. ft. Seepage Pit No....._../-_________ Diameter...... .® Depth below inlet__-_ __ _ �..._..�__. De._ p ___._.._.._ Total leaching area.2-4" ---sq. ft. Z Other Distribution box Dosing tanlf, Percolation Test Re ul�s Performed by_________ __ __,. t_ P.<_h./.................................. Date...... �� Test Pit No. 1_ minutes per inch Depth of "Pest Pit____________________ Depth to ground water..-.-------_-_-----_- (14 Test Pit No. 2--- _a....minutes per inch Depth of Test Pit.................... Depth to ground water--------------.-`----.---®. ------------------ _GDescription of Soil � ,� -- -- 2_.....•-----G---N---------------- ---------- U .............................................. -----------------•--••--••••-------•---•-•••-••-•-------••••••••--••-------------•--•------------•-------•--••--•---------------•-•---------------- W x ------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------------------------- 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 Article ?XI 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 of health. Slmle Date Application Approved BY .................... --'Z„ Application Disapproved for the following reasons___________________________ ------Date -•-•--------- ...................................................... .................................................:................................................................................................ Date Permit No......................................................... Issued....7,".3d-- Date �e THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH ea. 2� ...... , .......OF.......:.................1t . . ................. kipIiration -for Di,ivouttl Vorkg Touutrurtiou Prrutit Application is hereby"made for a Permit to Construct ,0.1— or Repair ( ) an Individual Sewage Disposal System at: Location.Address r Lot �r Owner Address Z--------- -------------------------------—----------------- ----------------------•-••--- -- ---••- Installer Address Q Type of Building Size Lot_._o..... -----Sq. feet U Dwelling--No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( ) t � Other—Other fistBilreslng.............................. N ��persons --•---•--------------------.Showers-•(----)--- -Cafeteria ( ) d � . ------------------------ w Design Flow----.................llj�-___........gallons per ft per day. Total daily flow................... 11-P.........gallon,. WSeptic Tank "Liquid capacity/Pfll�gallons Length..... ....... Width.. 41...... Diameter...... ......... Deptli-: -------- x Disposal Trench No. .................... Width____.._-_---_--_--_- Total Length. ...:_. .......... Total leaching area_.-----.__--.-_-_--sq. ft. Seepage Pit No :`�_ "...___. Diameter_:__..___._ p .. _.... g : 1.� . Depth below inlet. '� _. Total leachiu trey '�:__sc ft. Z Other Distribution box ( Dosing tank ( ) / aPercolation Test"Re�sugss Performed by._____. m !. .t?.y.¢ .............................` /G l�------------------ Test - Date-- ------.. . -- Pit N0. I' minutes per inch Depth of lest Pit____________________ Depth to ground water......__-.__.__-_-_-_.- (Sk Test Pit-No. 2..,t o.._..mmutes per inch Depth of Test Pit____________________ Depth to ground water----_-.-_---__----.__. O " Description of Soil-------- .> �--- r' 5 ` x ------- ► x --- -- ------ c, 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 Article XI 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 of health. Sine •--•-•••--•-••-•---•-•-••-•-•--•-••••--------------------------------- Date Application Approved By- ... ;-:N 'j:,4 -------- ----------•--- � . 1 `a: .._ r Date Application Disapproved for the following reasons:................... ......................................................................................... ..............................._._-----------.--.........------...__.........._r_._............._....--.-..-----•------......---.........-•------...._._.................---...---------..__............ d=+r r Date b, Permit No. .._-•--••----------`-....... Issued Date e THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... . ...... OF:............... .. :.g. Vrrtifiratr of Tom'phaurr T IS I:a TO ERTIFY, That tie Indivi ual ewage Dis osa yste' . structed. ,(+ 'f or Repaired ( ) by Inst111 e _ + __.. ......................... 40 has been installed in accordance with the provisions of i 1 XI of The State Sanitary C dei"as described in the application for Disposal Works Construction" Permit N --- _..---- j • _ ''`...__.:__. dated. :_ . """ -._ _.__._...... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED'AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION.;SATISFACTORY. 1 r DATE----7^ d---------------------................................... Inspector- Pi � THE COMMONWEALTH OF MASSACHUSETTS !. BOARD OF HEALTH ........ ..OF......44�.2t .........................•------• c FEJ Permission its reby granted........ =-- _7a.---- -•-•-••--- to Cons ct..(� )•or Repair. ) n ndividu ewa Di osal System at NO.�,�_._..i-- l� fi i l 3• c, L�`* ;;•" sc e'ec` �,3 ;' ' • d �- • as shown on the application for Disposal Works Construction er it No!.............; Dated_ " k ........................... 772 ` f1 iS +yn oard of Health DATE... •-- �------------------------------ -- -•----- i. 'kK FORM 1255 HOBBS'&.WARREN. INC.. PUBLISHERS "a, x .. , r /+IV ', ;. ,'' e, ';F 1@.�.F �.:.i" Y t R tx ,� i .. 4' a i• I` ���A�y r ij �... ?. / «° a^Fxxrs,At-�i tk bS Q b � .'rZ y� A { . X J. f�� \ t�y�'.`..yr a55�-ii .t• '�S�nh s'Sr-v s � ', . � �D — .sp � � 0 0 PST A, d` t� .{ ��p� + k S-h " � � t' 4., _ i:r .eF ZY Cy -i" �^�'S':.a 'h 4.1�,• E � Iwr�a�r"' ,«,� A „,. O• t X. t s. 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ESTING ;C0 N TOu Rl. 0 - — d� 0 DI" Z-V- ,,Z {�U P1 l Pa aF1NiSHfD tPpT :ELEVATION iN1 SHED�zC,ON TOUR 0 a �_ >t � � �t i'� .y I N 1 h'PPA1.0"VE�7 ` BOARD OF HEALTH =� s. 1 r to ' `" .�tiq � ' 9ct tad k^ •y, R; a } 1 .. ./A+t A S '+r AS �.�,"�•M1, k + rfg'dyi-i+*3.,1'�. 11Ri AGEMNTtiF ,v' S'CALE I :N:30 DATE DREbGE ENGINEERING CLIENT V19l.5. ' I CERTIFY THAT, 'THE 000POSE07 ' 4 tEGtSTREt� 'REG'ISTEREDI O � JOB NO. .! 7.5. BUILDING SHOWN ON ' TFiiS , PL A f,xiVILw r r , LAND ' k ,v 1 tNINEERSI I SURVEYOR .� DR. BY ,./} ��I� CONFORMS TO THE ZONING IAWSt — _-: OR.S OF BARNST BLE , MASS. 712.' MAtN T , CH.-BY S /�t� �iAt N'OIY F, M• -HYANNI`;, ,�.a�S. SHEET -- 0f :, DATE .. 5 w R G : LAND SURVEY R a ate: - - a r� «, x �.4 •r >, -..rr.. +«. 2 :A`ttx"i ..�.F ,a-i'^ Z :x:.Yz2i :,t• .,,;:�'P, •'ra:- 5;t 4 s :;w�••:r,^. ut s`•r'' .s s: '4 P A 'r }u ?d,;W�,y.2 f .,?,r4.t x y 20 FT. M//V r, ix C -E.4 HIMG PIT AomE'•MORE:,TN!9N /2"5E40N/ O/A'IvJE'T•ER G'0/yGR'.�;T� COIiE� S�/4 L•L �B'.E /9�PDt/GHT a To 6RA 4E �fi'I✓ .EX7"RA GONCRCTE 4"PVC P/REE,c}.Yy`CAS'T/RO/Y Cc�{�ER.SHf�LL± DE. USED M/N. P/7GH R/V.=WA Y «. :* °; CODERS 'w`�9 n PP,Q FT n _,• E # r • :,• _ �2 7 Mini C'0/VC'�'ET' �` .' - GI�AOE CO I'll ER L/ D LEVEL z t ..� QU/ 2"LAYYER .� IRON P/PE r D D v_ a "'vj MIN.P/TGN GAL. ' 1 • • • .• • • • • a e WASHFD STYJNE �• .. DIST. •" • •=• • • h 'd Sep T/C TANK BDX ° �' :i B . . • • ..• e°a °• a.::_°! s o 1 • •EfFECT/VE • ° ° ° • DEPTH • • • e a , WASHED .STONE ° '' V. o � o • • ■ • . • • • • • • ' a o- P/7 DR C /NVeKT EL EVATION S p p o INVERT AT BUILDING 97,0 FT. J /U_ FT. O/AJ+9. C(.SEE T�16ULATJON INLET SEPT/G' TANK •S FT eu7-1 =T SEPT/C TANK 9 6.3 FT. INLET DISTR/49UT/ON BOX 6•n FT SECT/ON 4F GROuNo 1W�I.TER TABLE qUTLETD/ST/?/BIIT/UN BOX 9,5_,9 FT SEWAGE O/SPOSA L .SYSTEM : INLET LEACHliVa P/7 SS FT. TABIJLAT/D/V LEACHING A PIT 3 FT,, . DES/G/� CfZ/TER/A SCALE : %4" /,- o" vJMENSION D/HENS/O N $�—FT. C�FT. ''��sv_ NUMBER OF BEDROOMS G�4ReAGEDISPOSAL4IN/T-_ SOIL LOG # f '`40/4 TEST. TOTAL EST/M.a7-eD FLOvv 3 3'�G.a[.�DAy SO/L.TEST Al SOIL TEST 2' JYUMBER OF EAGNINGi P/TS_._ . FLE✓. 97 ELEY. �. ,DATE op-SO/L TEST = A I7 9 SIDE LEACHING PEft P/T 1 S-E�' S47 F;r. r i 'j' � s.�y RESULTS h//TNESSED BY R 7 PERCOLAT/ON RATE#/ Z Grx S M//Vy/INCH BOTTO/►'I li94CH//VG PER P/T S4• FT TOTAL LEACH/NG AREA, �xCOL�T/ON RATE2 �z MJN.1/NCH Y ` RESERVE GEACHI NG AREA SQ. f T (57 o�"�°'�ec� Lo T 4- v G/�ft/ L f+•vim ��. 4,p SQ� a r axe H y1 A/"A//a Po RT r -ROBER7` �� "' ' rn' �.,8, any _ ,,,,f h+il.', .:23•'N�' °' n BUNIKIS /1/G. 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