HomeMy WebLinkAbout0372 YARMOUTH ROAD - Health -572 Yarmouth Road '
Hyannis
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I;QC �N. SEWAGE PERMIT NO.
VILLAGE rD06
INSTAL R' � NAME i DDRESS
R U I DER OR OWNER
-DATE PERMIT SS'UED �-
DAT E COMPLIANCE ISSUED ,,,,� ��
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Finc....................e.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD 01=AHEALTH
o
. ... .... . ............OF... . ..................................................................
Appliration for Dispo a�Iorks Tomitrurtion Vrrmlt
' Application is hereby qlaoe fo a Perm'�jtpConstruct or Repair an Individual Sewage Disposal
System at: Co (7-
I f.. ........ .
.. ....... . ...... ................................................................
Location- ress or Lot No.
................ ............ . ... ..... . ...... ............ ..................................................................................................
0 r v f Address
.................. Installer Address
Type of Building Size
Lot............................Sq. feet
U
Dwelling—No. of Bedrooms... . ............ Expansion Attic Garbage Grinder
Other—Type of Building &"4L 04 li�.,LNo. of---persons............................ Showers Cafeteria
04 Other fixtures ------------------------------------------------------------------------------------------------------
Design Flow...........7-� ------------------gallons per person per. day. Total daily flpw............
WSeptic Tank—Liquid capacity............gall-ons Length........... Width.............. Diameter...---.......... Depth................
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.........---.--..... Depth below inlet.................... Total leaching area....... .........sq f t.
z Other Distribution box Dosing to
Percolation Test Results Performed by..........t(I-1�,•--.A.5uache�,3.. Date... ._.... . ............
Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground wa r........................
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.-----..............---.
04 ...............*........ ................... - ------------------
0 Description of Soil.......... ......L---------- 14.,;j-* --------------wn�
�4 ..F.V.....:�CLI............... .........S...................................L..............I—^... ......................
U ................................................................................................................ ...............................................................................
W ..... .................................................................................................................................................................................................
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 TLITILE 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.
ned..... .................................................... .............. .......... ..........
Dat ;
Approved ..............
he
ApplicationAppi. .. . . ..... . ............................................................. ... .... .. .....
Date
or as "S..
Application Disapprove r followi g reasons:.................**--------------........----------------------*.............................
........................................................................................................................................................................................................
Date
PermitNo......................................................... Issued........................................................
Date
............ ----------- ----------------
Fxs.....................
• THE COMMONWEALTH OF MASSACHUSETTS
BOARD O HEALTH
.............OF........... ....:..... ... ......................................
Allp iratijan for Diopoim orko T000trortion Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
•--- --- ....--•-•--...-•-------------- •-•- --•-:....-•-----------...•--••--------------•-
Y�f
ocation n- d ress or Lot No.
_ L
-�:1.......... ... ...fir__....�-_....... :.._...... ...........-- ---
�__•_�_1j�—��j;— O n r * j Address
W ................. V\r�._•-•--� �-�---g�-_-�"v__�-_5................... ...............................................
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling— No. of Bedrooms... 6_ Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building C.'�4 ._ _.►�_Imo__ o. of Expansion Attic
Showers ( ) Cafeteria ( )
a' Other fixtures --------------------------------
______________gallons per person per day. Total daily flow.......... gallons.
W Design Flow--------7- `.� g P P P Y Y -
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 ( ) Dosing to , (
~' Percolation Test Results Performed by............ .�J_y��.......
r-_.�_c 4_he.� Date... __ ... _�_3. _...
aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground wa r........................
ti, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
aSd . ----------------------------
f �- - cdk V-_'I Description of Soil.......... ....... .. ._- - t •--.•-.---.. -•--•----------------•--•--..-..•.--- --...----------•-------•----•-•--.
x
...-------•-••----- -•--
W
---------------------------------------------------------------------------------•----.----------------•------------------------.-----------------•.------------•--•------------------......_.........
VNature 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 TITU 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.
!gned •--•---•-••-•--•-•.._._..---•...•--•---•-......_•-----••--•---••-...._.....•. •.........;r'r.... .....
Application Approved B �
Date
Application Disapproved ore th'e following reasons:-----•----------------•---------------------------------------------------------------•-•• ••-----...••-•-----
...................................... • ----•-••--•---------•-••------•-•........................._._._......--••--•-•---••---------•--•-...--------•----------- •-----•-•------••-------
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................................................................................
Tertifiratr of Tompliattrr
T1 IS T / g P �' ( ) Repaired e Diosal stem constructed or' ERTIFY, That the Individual Sewage s S ( )
by------------- --f- •----___� � --•--------- 1 - -•--------------•--•---------------.._........._....-•---------..._..--------._...---------..
Instaler
at ^/ ------
has been installed n accordance with the provisions of TITLE S o h State SanitaryCode as described in the
application f r,Djl �osal Works Construction Permit No.. _",���T.. ........ dated _______________...............................
THE ISSUANC7 OF THIS CERTIFICATE SHALL NOT BE CONSTR ED AS A GUARANTEE THAT THE
SYSTEM 1A IJV F CTION SATISFACTORY.
DATE`L.Z1�� ------------------------------•--------- Inspector ...
II�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.....-......OF........ �a
No ...�.__._.... FEE.....:.................
Dis;1 ' -, (11.131ootror#Uan "permit
Permission is 1bpkby granted-- -----
to Cons"c Repa�`r"( n' ivld 1 Sewage Disposal System
_ I -
at,No.. ..__ .,G `.s u -___-____--•-------------------------------------••-------•---•-----------_-_----------------------•-------__---_-_
j
---I_ { Street
as shown on-the p i�tion for Disposal �t�orks Construction Permit No..................... Dated................................................ .. .. ...... ....
Board of Health
DATE_-�l�---- ..............................................................
FORM 1255 A. M. SULKIN, INC., BOSTON '
7
SOIL L06
l NO. 1 ¢9s , NO. 2
TE
sl PLAN
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TOP OF FOUNDATION EL.: .�'•�' , 6
18''C,i SIN c, 9 Covse z 7
fat s E To v v fiA c� E L 4
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..; IN.Et __ ,
- IN.EL. 4�. N Et. �v.0 ._. V.
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I N.E l. 1 L i N•E L. 4 f c o a L : ^+'�':� :' .ry f .w "v�r �� v
D/B W/ 6 SUMPT 13
i 4 LIQUID LEVEL � ��j i 14
15
/ i� :. PERC T EST RESULTS
PRECAST SEPTIC TANK WITH i PERC RATE .
CAST IN PLACE INLET AND
WHITNESSED BY• . . _
v m
1, � �_�'���_� � ___---_#__ _____, �p n_ a� •
r
OUTLET T "S PER TITLE Y BNAR® Of HEALTH e
tZE : ra �a �1�o Lora:�� �•- --i�,,�,� R�� ( DATE:
cs �" �"F Z� ---. 7
f
' � 1
PROFILE OF PROPOSED SEWAGE SYSTEM z�-�• ��
SYSTEM DESIGNED BY THE TOWN OF -= REGULATIONS AND
STATE TITLE Y FOR SYDSHRFACE DISPOSAL OF SEWAGE . SCALE 1/4'4= 1 ' 0"
,999 t
N . B . - - -
1. ALL PIPES SHALL BE SCHEME 40 P.Y.C. SEWER PIPE
2. ALL PIPES SMALL BE, SLOPED 1/4~ PER FOOT EXCEPT FOR
THE FIRST 2 FEET BUT IF THE 0/B WHICH SMALL BE LEVEL
• — -7 5 GrAt_ �! �I ca = 34s . c. y 4/o*-'.
3. DESIGN Flew ____ � ����► - =�-:�=-�:�:�_ _ _
Ioav
SEPTIC TANK SIZES X 5-/7 GAL. —
USE � -2 o o GAL. W/� GARBAGE DISPOSAL l N`m y m
LEACHING SYSTEM: USE - �o ' d c ' t F—r—
"N I T
EFFECTIVE AREA: SIDE 2'
BOTTOM
TOTAL FLOW
TOTAL REQ'O FLOW X i ' `" Whz GARBAGE DISPOSAL
RESERVE FLOW GAL/DAY
j ;q
REFERENCE PLANS •
APPROVED BT
.,.. ,._,, BOARD OF HEALTH
DATE : SITE AND SEWAGE PLAN
PROPS R OWNER - _�� .� ��� :� ��.
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ry• ; DATE `2
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DOYLE ASSOCIATES FALMOUTH , MASS.