HomeMy WebLinkAbout0061 BONNIE BRIAR DRIVE - Health �� ���n�e �,r;ar Pr;�, Os�v�`t�,
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LOCATION SEWAGE PERMIT NO.
ZoTe 4/
VILLAGE
INSTA LLER'S NAME 6 AD.DR.ESS
e U I L D E R OR OWNER
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DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED / /��
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THE COMMONWEALTH OF MASSACHUSETTS
_ BOARD OF HEALTH
I . ................OF..... ►�E-IZN. .T�Ll .L ...................................
Applira#ilan for M-4po.4 al Works Tiami rurtion rantit
Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal
System at:
................__`! .-.. .1....... p1�.N..IS:.... .��J.!4! .__ R�t... s. vo 4...............................................................
Locat}'on-A dress or Lot No.
.....................................................
a
Owner ____________________________Addres`1...---C®N_S.-V......-----•........................................... --------•--•--- ---••-•-••-----......--••-----•--•••--
Installer Address
d Type of Building Size Lot............................Sq. feet
U Dwelling—No. of Bedrooms_________ ------------------------------Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building ---_-.-_----__ Showers — Cafeteria
P� yP g -------- -oK�------. No. of persons----------------= ( ) ( )
a Other fixtures ------------------------- ------ --
W Design Flow............................................gallons per person per day. Total daily flow.........3_3.,--__.___._............gallons.
WSeptic Tank—Liquid capacity.°Qe__gallons Length_______________ Width---------------- Diameter---------------- Depth................
x Disposal Trench—No..................... Width.................... Total Length......... ........ Total leaching area___.............._ q. ft.
Seepage Pit No-------1------------ Diameter...._.(........... Depth below inlet................... Total leaching areavIlk.:.O.d.sq� . ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
Test Pit No. I_L.(.SS.4_minutes per inch Depth of Test Pit...../2......... Depth to ground water..®K�=_-.-- 'J"'D
(i Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water........................
A6 -------------------------------•---------------•-----.........................--•--..._.._...---•........................................................
O Description of Soil----Q• z...... ®01' ......s m! ...:5"0.!----------2--- _2-----Mep/am--- S�^t�----------•----•--•-----
x
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:i L p 5 of the State Sanitary Co e— The undersigned further agrees not to lace the system in
operation until a Certificate of Compliance has be d the board of lth.
Signed.... .. = $ g
Date
Application Approved By......... /<-----•-----•-..•..........................................................
Date
Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------------------------
......---••---•-•-•=----•------•--------•-•----------••-•-••-------•---••---•-•-•-•--------•-•-------------------•--•-•••------------------------------------------------------------------------
Date
IPermit No--- ° ------------•-------•------------ Issued........................................................
Date
No........... !:7�� 7 Fmc...............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
ot�a "- BRR� -
- -- -.....�............_....oF...-..................'\( ......S..i.. .3. ..-_----------•-...............--------
A p iration for Dhipviia1 Vurkg Tomitrnrtion amit
Applica``tion.`is hei`eby*made for a Permit to Construct ('/ or Repair ( ) an Individual Sewage,''Disposal
System at:
a
Lo-r
Bqtfioc
.............. ......•-----...... •-•----• --•-•- ......•-•--
- LJ' Ace5-to
...................... or Lot No.d5T VILL_Q
---• ............ ........................... ............................ ---------------------- - -•-•-...................................................
O'
er Address
Installer Address
Ty
pe of Building Size Lot............................Sq. feet
V Dwelling—No. of Bedrooms............................................................ ....•Expansion Attic ( ) Garbage Grinder ( )
p`4 Other—Type of Building ...... ...... No. of persons---------'----------------- Showers ( ) — Cafeteria ( )
Q' Other fixtures -------------•••-•------•---•--• .
W Design Flow............................................gallons per person per day. Total daily flow........ _ ....................gallons.
WSeptic Tank—Liquid capacity-1 gallons Length................ Width................ Diameter---------------- Depth................
x Disposal Trench—No. .................... Width.................... Total Length........ .......... Total leaching area.... .sq. ft.
Seepage Pit No......1-------------- Diameter.....6............ Depth below inlet...... ........... Total leaching areaga _:O. sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.......................................................................... Date........................................
a Test Pit No. 14 S 5..2_.minutes per inch Depth of Test Pit---- 2.......... Depth to ground water. ok;-_ f�u-1 p
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
-------------
L--------------------------
•------.-•-•- ---l-------------z-------------------------•--•-----------•------•-------._.........----------•----
0 Description of Soil----d•-Z010 .... cD,t SRn(ot
x
V ....•-•••••-•••••-•----•---••••--•••••......•--••-•••-••••-••••-••-•-•--•----•-••••••..........••••••-•--•-••---•-••-••••-••------•-•-----•-••-•-••-----•-------••-••-•............•--•-••--••------
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 rov isions of TT T?E
p 5 of the State Sanitary C e— The undersigned further agrees not to lace the system in
operation until a Certificate of Compliance has beph,,isglyed e board o �Valth.
Signed-• ••••--- ...••-••............•--... ---- .-`w...
Date
Application Approved By•.... •'_ •- - --•--------•......------•--•--•-•---•--
. ��--:---• •-•-----------------------•-----•--------•-------•--•------- Date
Application Disapproved fort a following reasons:--•-----------•-----------------------•---------------------------•-----------•------------••--•--•--•-•-------
......•••......••••-•--•••--•-•••----••....--•-----•---....----•----•-•••--•---••-••--•-•-•••-•••--•-----I---•-•--•••---•-•-•--•--•---•-------•------------------------------------- -----••---•---
Date
PermitNo..1 -:.24..7.......-•----------•-•--------•--. Issued.......................................................
Date
TH4SCOMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
p ..............OF.......
.R.!..5 T!4.(3.!�........................
Tntif iratr of Tamplianr
T IS IS TO C.9,RTIFY, That the Individual Sewage Disposal System constructed or Repaired ( )
by----� �c K F`l. o sT--------------
'� —•+ nstaller
at. O T -.3 Onl l.(l cc-------�R l A 1...--------�..-----Q..T t_= _.....t_...--------------••-----•----•--------------------------
has been installed in accordance with the provisions of TITIZ j of The State Sanitary Code as described in the
application for Disposal Works Construction Permit?14o7....................................... _dated................................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE........ = j ......................... Inspector....-...... ....................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD "OF HEALTH
s
Jhf r��5�c
No........:.............. FEE........................
Disposal_ rko (,o, , ndwn amit
Permission is hereby granted................................
to Construct ( or Repair (. ) an Individual §ew;We Dispose,System) e
Street �•- ,S '
as shown on the application for Disposal Works Construction Permit No..................... /Dated_..___....c...__...........................
----- ------------------ ! G/................................................
/� Board of Health
DATE...............................................................................
FORM 1255 HOBBS & WARREN. INC.,SPUBLISHERS
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' ROBERT G
P.
BUNIKIS co
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No:22162�0
FSS'ONAL
LEGENDS
EXISTING SPOT ELEVATION OxO CERTIFIED PLOT PLAN
EXISTING CONTOUR --- O —— — ��7- ay Ba �,�,r ��PisaP 'to
FINISHED SPOT ELEVATION � oSrE�+vrtcG
FINISHED CONTOUR 0
APPROVED , BOARD OF HEALTH IN
DATE AGENT SCALE= , ' 3v DATE= '
LDRED6E ENGINEERING CQ IN osr .w
CLIENT I CERTIFY THAT THE PROPOSED
EGISTEREJ REGISTERED JOB NO-80012 BUILDING SHOWN ON THIS PLAN
CIVIL LAND ow CONFORMS TO THE ZONING LAWS
N ER URVE OR:BY� �_M ..._ OF BARN PX
712 MAIN ST. CH. BY �. /
! 1
HYANNIS, MASS. , /
SKEET OF ! DA E REG. LAND SURVEYOR
FT. M/N.` - /VOTE : /F E/TNER THESEPT/C TAN/C OR
20 GEAC/,l/IVG PIT ARE MORE THAN /2"BEL0JV
GRAOF�A 24�O/AM ETER CO VCR oF7- COVER
SNALL BE BR0416N7- TO 6RADE.�AN �XTi�A
GONC/R�e 4s'PYC P/Pl JyEAVY CAST IMO" COVCT/ir SHALL DE LJSEO
AWN. P/TCN /F/IV OR/VEN/.4 y
1 d co - O
2 MIN. CO/VC.RFTE
co Cl-EA.,V .SANG
!` BACX,= LG
UgtJiOZEYEL •- '• ��
_ 2"LAYER
OCN PE Q..O O cow �8
�4 J'T. SEPTIC TA/V/C D/sT. s, • t • • • • • • • • e • , WASHED S7t?NE
BOX • v • 11 B • ► • t• � .•p:
e• 1 • tEFFECT/VL • • e 314 - �2
tip, • ° ° • • DPPTN • • 1 � ° v o WA5NE0 STONE
. : d 1 • • • • ••• 1 �4 p • ,
e • • . • • • •• • o', PRECAST
O o e • • • • • . • • e `o P/7 0R E VI V,
IA/YBJC7` CLE�/ATIONS �L . r7.� • a
/NYdQi4T AT OL//LD/NG 9 7.�FT_ _ 6
INLET, .SiEIPTAC' Ti4/VK 2 4-0 FT F7 O/AI►'1. C CSEE ngBtiLL.�1T/ON�r
041740T.$EJaT/C TANM 9 5,.8 fT.
INLET AISTR/6//T/ON BOXg FT G/PDUNO Ne4TER•TABLE
SECT/O/V 0I
ou7zETo/sTRi®vrioN BAX 9�.3 AT SEWAGE /SP4�TA L SY.STEI►?
/MLET LEACN/NG PIT PT
LEACH/N6 A/T 7i4 1ll.�IT/DIY
SCALE : /4 a ! -D
DE'ON CR1 TERlA PT.
C.4,9 lAGED SM05AL 1/,VIr v SO//- LOG
TOTAL ESTN►�I4TED ,-LOK/ 3 3 y G.4L.IpAv . SOIL TEST#I SOIL 7E'ST�'2 SD,%L TEST
NUMBER Oe L,d�.4CNINS PITS f E�LEY. 9�� EL1FY, OATS OF SOIL TEST / �7 �
SAPS LEACH/NG PFR P/T t PT.: RESULTS it//T/1oESSEO 8Y /'3 •`
90 TTJ�M LFACN/NG PER P/T 7 V W. /�T. o, RE/V COL AT/ON AATI�#/ ��N /yJ/V�/I NCH
TOTAL LCACN/IYG AM&A Z6 6 s� �,'T. PZVCOLAT/ON RArff A62 M/N 1/NCH
RESBRIVE L464CN/JVO AREA W. PT: c5-v ia,7:D /L 2�a
y�/ OF
�9�, /y►��!U/f{ i-oT�'W /3or./at� �ILI�lR Asti✓t
o= ROBERT
f p 1. 410' 1?Ir/ LL
BUNWIS
�No.22162 O Q }
FGiSTEQ�`'2�c``. ELOREDGE ENrr1JVA EN1AV CO,/NC.
aFss•`ONpL E�6\ L. d 712 MAIN ST.
®. NO Gr.W OiVO,W,4 r 'R 0/VC0OW,W./C NYANN13 M.t SS.
JOB NG. 000"117 $HE.ET�,.oww