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0159 LONGVIEW DRIVE - Health
159 Con$vitw �r•� 44�e►nnis asi / o$v vt _7:c- 10{� SEWAGE P RC11T q0. / a � ho 01- ql ��Y 1✓� �� VILLAGE kv INSTA LLER'S HA-ME A ADDRESS GUILDER 07 OWNER , rS � a DATE PERMIT ISSUED DAT E C 0 M P L I A N C E ISSUED � I n 4-1 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH OF. --------------------..................... ..................................... lirttfiun fur Dig ulittl Workii Tom5trurfiurt ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: r -- %.. .._( t .� G........... i- .. ---------------- ----- .---- .......- Lo Address ors No. 'At a. ner Address a •... .......... .....• ................................... •---•-•...-----•----•- Installer Address Type of Building Size Lot............................Sq. feet �., Dwelling—No. of Bedrooms------- --------------------------------Expansion Attic ( ) Garbage Grinder (d)v) P4 Other—Type of Buildin G.E._.. ram......... No. of persons............................ Showers ( � ) — Cafeteria ( ) a' Other fixtures z t_ ��. �� .:� 5 c............................................................ w Design Flow............................................gallons per person per day. Total dail flow....... .. ..............gallons. WSeptic Tank Liquid capacityW. .gallons Length....l®...... Width.. ... Diameter__-__ ._. Depth... ........ x Disposal Trench—No..................... Width.................... Total Length__Z<.k....... Total leaching area....................sq. ft. Seepage Pit No..`.....z........ Diameter/.p_........... Depth below inlet... JTotal leaching area.a._;>0...sq. ft. Z Other Distribution box ( ) Dosing_tank ( ) aPercolation Test Results Performed by--- ..... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 -•••-•-•---•-•••-•-•-••--•--••-•-•........••---••---•-••-------•---••-•---------•........................................................................... 0 Description of Soil......................................................................................................................................................................... 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 A.TTLiZ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee I ued by the` o d of helt Snei -- 411 f✓� ..... . z ,Da/ �-Application Approved By.... ..............•-- --- . ... ......... Date � - Application Disapproved for the following reasons:------•---•-------••--•--....•-•---•--------•-------•-•••••---••-------------------•-•-••-•-•-•----------•-•-•-- ---•--•-------•--•--------------••-•-••------•-------•••----.........------•--••------•--•-•-•-----........------------............=:-----•-•----•--•••---------•••------••---•--•--------•......---•-•- Date PermitNo.......................................................... Issued....................................................... Date "s Nor4� .. - = Fxs............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................... ............._OF...................................... Appfiratiun for Disposal Works Tonstrurtion rrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................-................................................................. 41. V.... =_•-----------------•----------. ............................................................. Location-Address or Lot No. ......................_..............m.................: -•----•-•-•--------•-------.-.---..-.--...--•-----.----------.-------------•-•-------------------- ner Address a •• ....--- ••••••---•��:t<� _...-- .'...................... PQ Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (AVM Other—T e of Building a —Type g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ....................................................................................................................................................... W Design Flow............................................gallons per person per day. Total daily flow............................................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/V_......... Depth below inlet_..-:"`...+6 . Total leaching area........��' ....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) a Percolation Test Results Performed by•--••----••--•---•.............•-••-••---•-----••-•----------------...... Date....................................... . Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ fT Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a 0 Description of Soil..............................................................................••------------•••--•••---•--=----•-...---.......•-•••-••--•......._.........-----------•-- U ..................................... •......--------••--•----•..........-•------.........•-----•...._----..........-•--••---•-----••-•--•--......•----_.......---------•--.......-•-•--................ 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 T i;LI: p 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 board of health. Jigjied........................•------------------ ....................................... ...j�oZ/p..... D �e Application Approved By.... -- { -=="'.- ---- " ` _ Date Application Disapproved for the following reasons:------••-----••-••-••-------•--•----•--••.............••---•-•---.............................................. --•-•••---•••---••............. ••-----.._..-- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF............................ ........................................................ TntifirFa e laf Bunt liaanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by--------------------- '........ �''_ -----•••...•......---------- ......------------. ----•-----........•-•-............----------....--•------------------- �tw Installer ic /1ea has been installed in accordance with the provisions of TIT r. j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__- �� C?2........... dated:::............................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..........................................' !� °`, Inspector........----Z-�--'f e: .................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF—WEALTH 1.11 - _f__0 --,._ Disposal Works OT1 utr ion prrani� Permission is reby granted••-------•• -----•- ----•--•-•--•••-----•••--•-•-•----••--••••••--•---•................................ to Construct (, or. Repair ( ) n Individual Sewage Disposal System at No. ............................................................. ------ Street as shown on the application for Disposal Works Construction A�PerNo............. Dated' _........................._.... W--------- = �r fa�/ Board� eaith -- ....................� DATE...... ...................A................................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS rt. /i 7. S",ox N`N. N 7&17- �. Ila � - ± . PIC - {. ' AREA 3 �-- $ / 2° •4 3 ' :,5U r. �1 �..... s1AKE aET /s��su,�n� �op.00 U '�/�`�'r// �.��� '�/ 1/� f►err N `Inr a�AL©E RT C.1� a �FFG1sI FSSIC�{A_� '� LEGEN6 CERTIFIED PLOT PLAN - � EXISTING SPOT ELEVATION 0%0 �..� o , �L. EXISTING CONTOUR --- 0 - - � r;/ r�i�d �i�r Lv7- 3r Lv FINISHED SPOT ELEVATION Q. F . ' ' �, ,,� Gn :/g� t,�°I L.0 FINISHED CONTOUR 0 'APPROVED BOARD OF. HEALTH H D R S DATE AGENT SCALES / , _ � DATEI .h"�/5t/� :/ LOREDGE ENGINEERING CO. !N ' ,.SC�a�.c:. `. CLIENT I CERTIFY THAT ,THE PROPOsm. E(i13TERE RE019TE-RED, JOS N0. a// 27 BUILDING SHOWN ON THIS PLAN . CIVIL LAND CONFORMS TO THE ZONING LAWS f1 �� ENGINEER SURVEYOR DR. __._ OF ARNSTA®L , MASS >' 712 MAIN ST. CH. BY: .� HYANNIS, MASS, 2- SNEET�OF A E REG. LAND SURVEYOR �.� "aGS, W �A;05: Y RRR. n�,-zw- N -Z,-K VO Lw A A 'r .7Me SFP t MoR4ff .rNA.4V Ar -4 SMALL &AF SAW04AMM7 710411MA De.�AN .EXTRA IPZ A 5 7"I-IrOW CO V40AV SIPF19 I-L- BE USED do do"e.,p "A oPf46,4 VY C co -paw40orr-' CO k,4=5 CLEAN -5'AN�p dA IL ?'*LAYER Af- ON -A-JWPIPE. - U,; � WA V=&IAI.PrW1 • Pon P7" SEp 41. • WASW,=.P 570,V- 15 mY airpwcAsr szovma- t 7 OR AWIJ/1/- -Ar.®a/ © FiC = �_ ®i. 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