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HomeMy WebLinkAbout0092 PINE STREET - Health 92 Pine St. Hyannis A= 249 041001 4 i 1 4 LOCATION SEWAGE PERMIT NO. 16 l I-q Jai f `3 r � VILLAGE INSTA LLER'S NAME & ADDRESS �•e, e r ' B U I' DER OR OWNER a C e -e-« Lc. DATE PERMIT ISSUED / DATE COMPLIANCE ISSUED �� � > .S t�� �-° q - I ��� ��� Q �� i s w THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH PTOV-/'�..................OF....Fr�T, [ ...--••----------------------------------- Appliratinn for Disposal Works Tons#.rnr#iun ramit Application is hereby made for a Permit to Construct Repair ( ) an Individual Sewage Disposal System at Nam_. ...............�` .: � .. ..... :-A---- ...----•..... . .....................__--------....,.. Location-Address or Lot No. /�- Ownet Address W ...—e� ...4/.. .... . ............................. ....•-........................._........... ....._.. ........._........ a ---.. Installer Address Type of Building Size Lot...�o.,S!R'S1...._Sq. feet V Dwelling—No. of Bedrooms.... :..-�........................Expansion. Attic ( ) Garbage Grinder (,/A) `4 Other—T e of Building ............... No. of persons.......0.................... Showers — Cafeteria pa Other fixtures -------------•--............._...........•--•-.... . W Design Flow.....` �..............................gallons per person per day. Total daily flow............ _3 ..._._ __..._._....gallons. WSeptic Tank—Liquid capacity. ..gallons Length.$' ... Width.A.19'.... Diameter.......-_..... Depth.5"'R x Disposal Trench—No..................... Width....................Total Length.....................Total leaching area....................sq. ft. Seepage Pit No.......... .......... Diameter.....iO......... Depth below inlet....�_.......... Total leaching area_.'Z�....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by....E!1>P-1a.V_ mF.... ....................... Date..... !:. ?.:_g'1-..._.. Test Pit No. 1__ _°L....minutes per inch Depth of Test Pit.....1.°1 �...... Depth to ground water....'�!fA_.......... fj, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ...................................................•--••--••••• ••----••••••---........................------••---•--•--••••.......•••-•.....----•-••-- O Description of Soil.....a'_-! t�M a �P5<nj L_ i : _3 - •.':.. ...............MCD�AD �°-S ---------- ---- D uD---.. ?_-----�--•...-.•-S--•-y-----•-s-- ----5--� Z._�....----�- S �-----------------N--•.----•------. ••--.......... •••••••-•••-......•-•• ---.. ..... .... . ...0 .. -.j..........-. ---- _ *-- . [ 17, U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ...................................................................................................................-.................................................................................... Agreement: The undersigned agrees to install the afor scribed Individual Sewag Disposal Sys m in accordance with the provisions of TITLE 5 of the State Sanitar ode—The under ' ned,4ther agrees n t o place th syst in operation until a Certificate of Co pl' nce h slued b b d of h th igned...... -•-- ... ..... -•---f - Dat Application Approved BY ._\ .r.. •• •••. Date Application Disapproved for he fo owing aso ....................: --•-••.•-- .•••.•••••................•--------.............-•--••-••-•---•••••--•--- _.....__ %--------------------------•--._......-----------------•----------------- -------- - PermitNo....................................... _.... Issued.•--•-----......_.......--••--••---........nac....... Date { _ " IJE COMMONNWEALTH°OF MASSACHUSETTS BOARD- OF HEALTH ............."--.OF....f` t4��srR�� .��tt��rtttiun. fnrt �,. axk .._C� ritr##in �rai# Application is hereby made for a Permit to Construct (v,-f or Repair ( ) an Individual Sewage Disposal System at: ....»:s :1: _.. .s.:t�:•z.T.{:........................................�•-!-l-S•.Z..�.•-.-.•.......?.........•-....... .......... ................... ... ......_...._. orotLocati •Address o. -------L2c2 .:............. .......L n. Address a -•-^•................................... ............••..._..•••-•..........•••..--•-...•-••••-•..............._...................._..... Installer Address Type offBuilding Size Lot... .....Sq. feet �-. Dwelling—No. of Bedrooms...7.14.P a- ......................Expansion Attic ( ) Garbage Grinder (/.a) Other—Type of Building ............................ No. of persons............................ Showers ( ) Cafeteria Other fixtures ell . (.....) W Design Flow.....�..............................gallons per person per day. Total daily flow._......__33�-------------------_gallons. R:{ Septic Tank—Liquid capacity1xx --gallons Length 5?'?1_ Width.4'-!®':_... Diameter...-.---...... Depth.s:a::..... W Disposal Trench—No............... x ...... Width.................... Total Length.....................Total leaching area....................sq. ft. > Seepage Pit No.........I.......... Diameter.....!ct......... Depth below inlet.....(v........... Total leaching area..2: ....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by._. .Q 1�r��.... G- ................•. .... Date..... — �.- Test Pit No. 1_-4_1.....minutes per inch Depth of Test Pit.....1.1 ....... Depth to ground water--_!-ZA....... f3, Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ................ ........:.............................._........................................ Description of Soil......"''-� �.x...AAs 4 .? f s ................-.............. V ................r.......a.....'....ry L?. c!1�.,... '`-_ :. SI N .-•-----------------•------- ..-•-•--.....---------------------- ........................ ............ ' -.ram....:. !S!SF.L�_ A�o ..ktt..�'TQeA�t+! - j � •J�l _..�—�.4a,�•._-I.t t�»,.j t C� !Z U Nature of Repairs or Alterations—Answer when applicable................................:.............................................................. .................................................................................................... --••--.......-•----....................-----...---......----.......---------.0........•••.......... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the State Sanitary lode—The undersigned.ft'!l"rther agrees not�to place the:system in operation until a Certificate of Compliance has,been issued by the bjad of h the Sued I ._ ,�� .................+ ,_(�i . •.... ` / �"� ___!ate Application Approved By... __._.___. _ - ..ri,�.+. •��"'►�+7i-;A.�af:..�.e::y � _.. _.---._ ........................ Application Disapproved for the f oll ng reasons ................................ -------------------------------- .... .-`.................. .....................................................•.......................0...........- Date Permit No.... . ......:..........`:::-._.... :.. Issued... - - ----• --- Date i. i. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '� Trrtifiratr of Toutpihttnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by........... ...... ...... -••...-•----••--••••.......-•-------------------•-•••---...........•••-•-------••-•--._.....--••-••.._.........---•-•... . .._...•--•- Installer at , - -------------•---------.------------------•-•------------- has been installed in accordance with the provisions of,TITIF o e� tate Sanitary Code as described in the application for Disposal Works Construction Permit No..-, _ _—__ ......'....... dated.......................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NbT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. yl Inspector__.:..._.._ f DATE..---•---...............................G. �. .!� .... ,. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ��^^ .O F..... , '� i No.. lr,K.�,��*. «,,,......... '- ' .................. .. FEtt ....... s„. ntt1. n�rk �uat # 1 #Uan rrmit"1 Permission is hereby granted......_. =' to Construct ( or Repair ( ) an Individual Sewage Disposal System .r at No............. �•---••......•-• 9 .�.. . as shown on the application for Disposal Works Construction Permit No..9.- ... _ Da d..........:,�-�. th ........................••--- DATE---....... .:.. - _:.1�;4 .. ea --....... �•= FORM 1255 HOBBS & WARREN. INC." PUBLISHERS lo,S?4 s.F. 11't t Gar O L6ACM OIT � � w 44 --14 1� 1 • (?q►rcH PI Q GQ a �4 � loo l3t6C 0 7C. - 0 oo.o I V 1 } S82°ZS3o'Wl 3/:lb S 78°So.'3o"d.�/ �`}( 7��� P8 P�� zo°a q3' IO o,Oo s.F q 13�ZA C E. I00 W I UTN e s, e�c� ALBERT ryG v RS in i No'109510 ' �GIST- 0 �SS( NA1-E LEGEND �°M ti " CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION Ox0 r� EXISTING CONTOUR ——— 0 ——— � o IvT '4 �Y��Nls FINISHED SPOT ELEVATION us y FINISHED CONTOUR 0 .29874 O IN APPROVED t BOARD OF HEALTH Nosut��y� yAgklS149 L 94AA SS* DATE AGENT SCALE: / "=4o' DATES L DREDGE ENGINEERING CO. IN P A a��E CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB N0. 9/ Z / b BUILDING SHOWN ON THIS PLAN i CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.By= �� A� � OF I BARNSTAB , ASS. 712 MAI N STREET CH. BY: '� �•�' O121 42 HYANN I S, MASS. SHEET OF DATE LAND SURVEYOR a 20 FT. M//V. /VOTE /F E/Ti'/E.Q Ts/E SEPT/C TAN. OR �E�FCN/NG P/T ARE /YORE TNiq;•/ /2-BE40I•V /O RT M/N. BRA OEM Ai 24 'p/A M E TER CONCR E T6 CO t�ER Si/ALL BE B.POUGNT TO GRAOE.�c+N EXTR.•1 CONCRL'TE W 4 . A/TCN /4,5,4VY .CA ST /RO/Y COVER S17,,'q DE USED M/N COVERS �B"PE.p PT: /F/IV L7R/VEWA Y a :a 2 'J. MiN. . G'D/VCRE•T.E CUYE.4 CLEAN SANO UQ[!/D LEVEL 4 4"CAST ,$i 2 LAYER /RON P/PE ©D O �i14L. o •a o • o• / 3 %4 Pe�.t/T. D/ST, o I • • • • • • r • n •4 WASHED SrON4C SEPTIC TA/Vft BOX . s I • • • r s • . •EFFECT/VC r ` , ��4,- V2 , •• • ° e r 1 • DEPTH • • 1 ' I • WASNEO STOiYE $ P/T C4 P,4.r- r vi r • e • • • •'• r p ► p PRECAST,SEEPAGE /NNGrR'T GLEYAT/GNS ��-X z,�_47t� G/v ° 1 / • • 0 • oil aa' o P/7 OR EpU/V. 718 G IO . EL, z.5 /NYERT AT OU/LD/NG 99. FT 78 O - 6,07 D/AM. !NC ET SEPT/C' TANK 9 9.ZFr F7- D/AM C(SEE rA,041 -rJ0,V, OUTLET SEPTIC TANK 9 9.0 FT. = INLET DISTR/6UT/ON BOX 988_FT. SECT/ON OF GROUND WA TeX TABLE O!/TLL"TD/STR/B.!/T/ON BOX-�,8,7 FT INLET L£ACHMO FD/T AFT• SEN/AGE O/SPOSA L SYSTEM LEACHING ,0/7' TABC/LAT/DH DIES/GN CR/TER/.4 . -SCALE : %s" _ /= 0- D/MEN-TION ,4 3 FT. 10/AfEN5/aN M41HOER OF 46EDR40.0)V5 3 D/HENS/CN C_ FT. /'7 ^/ (2ARQAGEO/5PO5A4 C/N/7- ► C>W E SO/Z- LOG . TOTAL EJrmovAT'ED FLON/ 33 v 0.44.1,DAY SO/L TEST Al SO/L 71c"S7-02 SO/L 7TE37' (UMBER Oc L,EACN/NG P/TS_ �ELEy_100.2 -e�tEY, .0A7-E OC' SO/L TEST 1�llc)+l 4507-roAf L 714CH/IVG PER P/T 7� LOAH araysoi� RESULTS H//TNESSEBYN J/lCyP�( S4• PT' �:° I�_3' ,ueD7An+D PL`RCOLAT/O/Y /IgTE#/ �_ M/Nr//NCK 4o .:.a V-S'-,70WE 7'OTAG LEACH/NG AREA . Z(o 6 SQ FT. PEtCOL Ar/aN RA7,F A2 440 M/N.pNON RESERVEGEACNIMSAREA Zbb SQ. FT. ���1N Of Mq�sy' �•�H OF hjgs�\ .. .�� 3-S wrrrl k9 C-PAVEL O 7 o, o� LB T G� / E 'B'. o i MORSE v No.10951 O MED 2sa74�c A �F �P� � io-12' 'SAWD ELO RED a&ENGINEER/NG CO INC. �'/3TE� � _.. '90 GIST �� ' � hO SUR`lF'y0 �FSS�ONA\-�a6 F- 2vt LJ 7/2 Mil//Y ST. , AeygNN/S, M,gSJ ND GitOVN�7 yvaTt.s ENCOUNTERED CL/ENT: ° LVE DATE l Zo/BZ [> GmoC/ND YvATE.4' AT EL EL! _ ✓OB NO.• 8/7-/6 SHEET ZOF Z