HomeMy WebLinkAbout0098 BUNKER HILL ROAD - Health 98 Bunker Hill Road
Osterville
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TOWN
nc�OF`BARNSTABLE
LOC1ATION 7�l A,n i'_,— li-Zl ,Nc SEWAGE # 3
VILLAGE 05-ter V 1le ASSESSOR'S MAP& LOT
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY L
LEACHING FACILITY: (type) 519.6 (size) yr?�Slfa.g�1'®Z
'k- NO.OF BEDROOMS
BUILDER OR OWNER ������'►
PERMITDATE: �����'� COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
I
F4--j
W13
L14
IV7a. �v
-r
No. D Fee h2o
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLEs MASSACHUSETTS
Zippficatiou for �Digogal *pgtem Construction i3ermit
Application for a Pen-nit to Construct( )Repair( )Upgrade( ✓)Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. W 91.Ael H l/ All, Owner's Name,Address and Tel.No.
Assessor's Map/Parcel O���— Oct o? 98/��K��� //•// R�
S r,,,`/ 4
Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No.
j /-74 /X0 L�37 ok')yag-9Sy5 st/lorgH Eqy, ��d�-'Hy �So�)y3a-ak-7
ars 11 .!/ ®o?lo
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No. of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow i S'0 gallons per day. Calculated daily flow 3 6 gallons.
Plan Date 3-42- 0/ Number of sheets Revision Date g-G o3
Title
Size of Septic Tank fx,'sf'Ny /S"0O� Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) Se e
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issue t ' Board of Health.
Signed Date 5
Application Approved by 00 Date
Application Disapproved for the following reaso
Permit No. Date Issued Of
'? I
S �..r
No. .......Fee T_T
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes
' PUBLIC HEALTH DIVISION.-TOWN OF-BARNSTABLE., MASSACHUSETTS
ZIppYication for Migozal *pgtem Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade(Abandon..( ) ❑Complete System ❑Individual Components
Location Address or Lot No. /S 91-Aer H'/� Ad Owner's Name,Address and Tel.No.
Go/a/�r
Assessor's Map/Parcel 0 95-- 0c2 o?
057-,-e-v,'/# /04
Installer's Name,Addres ,and Tel.No. Design is Name,4ddress and Tel.No.
SC. Ay NAV C s� (y yS oro�, f.>y,:��pr•�' CSok)y3a�a�-79
eo, Aox, ys
/vlars7`oN5 0,//l /tiJfj OaG`/� SovyL+ f�arw•'� /1Z9 0 9"/
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow SS _, gallons per day. Calculated daily flow gallons.
Plan Date 3-aa- 0/ A�l i Number of sheets Revision Date 6"G' 3 {
Title
Size of Septic Tank, �� ;EEst"� /5`4O_y Type of S.A.S.
Description of Soil w
Nature of Repairs or Alterations(Answer when applicable) Se E' 1_�21.-�
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issu `y t is Board of Health.
Signed `// ''7� b P�llr_ Date y �/
Application Approved by ! fi �t� . %7 Date f
Application Disapproved for the following ieaso s r/ r
t '
Permit No. � Date Issued V 1-1
r
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS"
f
Ij Certificate of Compliance /
THIS IS TO CERTIFY, that the On-site Sewage Disposal S stem Constructed( )Repaired ( ) Upgraded( �)
Abandoned( )by J, /7v Cc
j at y� ��'���"�'" H/ ��� h r 1 h�a� be constructed n accordance
with the provisions of Title 5 and the for Disposal System Construction Permit Nc.✓ ��dated �_ o� d tv
Installer J C• Aa /X7 �•, s�� •G�, Designer �Orgh !., ,., rv, _X;
The issuance of/ s pe it shall not be construed as a guarantee that the s �te wi Liction a]de igned.
Date ! oZ Inspector �J'
-----� ------------------------------ �--
No. //"7 Fee
s
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE, MASSACHUSETTS
1H.5pont *p.5tem Construction Permit
Permission is hereby gr ante
d to Construct( )R}a ir� )Upgrade(X)Abandon( )
System located at ��� ,✓ h
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided: Con"c ion (tst completed within three years of the date of this "rmit
Date:_ ( Approved by �� �'
1 Town of Barnstable
T"E r �o Regulatory Services
s
Thomas F. Geiler,Director
* BARNSFAMX, +
MASS- Public Health Division
16
rEoA. Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installer & Designer Certification Form
Date: &-lo
Designer: �QbrN E /00
!a4? ; Installer: _'Tey Caw s
k
Address: @p�� 68 Address: /cw oy, F�S'
On s=%�"®� C f� A, was issued a permit to install a
(date) (installer)
septic system at �'/� Y� based on a design drawn by�kPr
l (address)
Q�'' "%"1 N®rgrrn dated bt alo I t-'e�>
(designer)
I certify that the septic system referenced above was installed substantially according to
the design, which may include minor approved changes such as lateral relocation of the
distribution box and/or septic tank.
I certify that the septic system referenced above was installed with major changes (i.e.
greater than 10' lateral relocation of the SAS or any vertical relocation of any component,
of the septic system)but in accordance with State & Local Regulations. Plan revision or
certified as-built by designer to follow.
OF Mq Ss9
MARTIN E. cy
MORAN N
(Installer's Signature) Z. CIVIL MiNo.23417
AL
(Designer's Signature) (Affix Designer's Stamp Here)
PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE
OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION.
THANK YOU.
Q:Health/Septic/Designer Certification Form
TOWN OF BARNSTABLE
LOCATION %� � SEWAGE# ���
VILLAGE S Tyr V ke ASSESSOR'S MAP & LOT
INSTALLEX5 NAME&PHONE NO.
SEPTIC TANK CAPACrr-y-.
,y,j �+ el�a, f. r>
LEACHING FACILITY: (type) ' (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMUDATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist Feet
within 300 feet of leaching facility)
Furnished by
i 3v . �
too
z
ONAM Rfit
0
941 Main Street, P.O. Box 183, South Harwich, M 02
Martin E. Moran j
Professional Civil Engineer (508) 432-2878 J urveyor
President FAX (508) 432-3501 To W SA
July 21, 2003
Barnstable Health Department
Town of Barnstable MAP
200 Main Street
Hyannis, MA 02601 PARCEL
(SOT
Re: Septic Tank Size Verification
98 Bunker Hill Road
Osterville, MA
Owner: Everett Z. Goldin
To Whom It May Concern,
An inspection was made on June 5, 2003 to determine the size of the existing
septic tank at the subject location. It was determined that the tank's outside
dimension is 10' — 6" long by 5' — 8" wide. The interior dimensions are 10' long
by 5.17' wide with an effective liquid depth of 4'. The holding capacity is 1500
gallons.
Very truly yours,
Martin E. Moran, RPE
MEM: nm
cc: Everett Z. Goldin
Civil Engineering Land Surveying
TOWN OF BARNSTABLE
LOC A`i:ON ` a�e�.. sc�� o SEWAGE # � .%�
%'ILLAG ASSESSOR'S MAP 6z LOT
INSTALLER'S NAME PHONE NO. ,�
G
`SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size)
NO. OF BEDROOMS PRIVATE WELL ORBLIC WATER
BUILDER'OR OWNER
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
D• Y VARIANCE GRANTE es No ��
I
I
�_._ _, -.''I �'�.
� ��
'�: ��� _ �
I' �� � � �.
il, �9' r
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No.__f_t...12-3 Fss..... _
THE COMMONWEALTH OF MASSACHUSETTS
M _ BOAR® OF HEALTH .
------------
.........OF.........
pa 2 - -. ... ...............................
!!!
Apptiration for Utipuiitt1 .arks Tontrnrtilan rrntit
Application is hereby made for a Permit to Construct ( ) or'Repair an Individual Sewage Disposal
System at
.. :... � ..._. , -------=------- ......------------.......___--........_-- ....
..-----........._--------____ •---•-
oca or
o
. �A ....... _..._ �. .�m.e QQ ..............................................
caner Address
a .-Tp417........ �...:...................................... .......................... --_. _._.........--•....------........._.......---_.....
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwelling No. of Bedrooms..._. 7..,; ...........Expansion Attic ( ) Garbage Grinder (
Other—Type T e of Building W YP g ....-....................... No. of persons.............................Showers ( ) — Cafeteria (_ )
aOther fixtures .............-................................•.........................................................................................................
d
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.....:.............. Depth below inlet.................... Total leaching area......:............sq. ft.
z Other Distribution box ( ) Dosing tank
Percolation Test Results Performed by.................................a ...-•-------------------------------------- Date........................................
Test Pit No. 1................minutes per inch.- Depth of Test Pit.................... Depth to ground water.........----.--........
(i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........--..........
------------- ..._ .::...-•--- ..............._•..---•- -•-•-.
O Description of Soil.............:...... r.............................
U •--•--•--•-------------•------ ----•----------.......I......................................................................
------------------------......----•--•--•-----........-----•-•--•-••---•----
W
-• ----------------------------
U ' Nature of Repairs or Alterations Answer when applicable '
....--•--- ................................V............................................
Agreement
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of iIT�� 5 of the State Sanitary Code-The undersigned further agrees not to place the system in
operation until a Certificate,of Compliance has been issuo by the board
o-f-X' '
h.
Signed.......... ---•• .: --- •----•--••----•......-• y�
.�.....
Date
Application Approved BY " '
----- • -
Date.
Application Disapproved for the following reasons------------------ --------------------------------------------•-----------------------..........•-•---.._.......
...................•.......................... _--P•-•-------------...•-•--------•--...--••--.....-.........................................................................................
11 Date
1-_--
Permit No..........7. .s_./..-
gg b_......-•--------• Issued........................................................
Date
�
Fns......Z5
�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............ cc.''`ta.........OF.......... s . .^�R:�.: 1�.......... .......
Appliraiion for Disposal Works Tonstrurtion V.0rutit
Application is hereby made for a Permit to Construct ( ) or Repair (/ an Individual Sewage Disposal
System at:
................. ..........................•-•--.......------------ ------........----------------------•---------
ocati Addr ss or Lot No.
caner Address
a n.......- _d..................•....._........•--•--.... ..........................................................................................
Installer Address
QType of Building Size Lot............................Sq. feet
U Dwelling V
No. of Bedrooms........ .................. _Expansion Attic ( ) Garbage Grinder
�+
144 4 Other—T e 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............gallons Length---------------- Width................ Diameter---------------- Depth................
x Disposal Trench—No..................... Wi4th.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No------------------ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( .) Dosing tank ( )
Percolation Test Results Performed by.............•............................. .............................. Date........................................
aTest Pit No. „................minutes per inch Depth of Test Pit.................... Depth to ground water___________________•._..
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
..................................................,..........................................................................................................
ODescription of Soil........................................................................................................................................................................
x
U .....••••••-••••-•---•-••-•••-•-•••--•••-----••--••••••-•••-••-•••••••••-•••-•••-••••••--•.....----•--•----•------•-•••......•-•-•---•- -•----•-•--••--•-•-•-•••••-•-•-•-.........-•••-•------•-••---•---
W -••-••-••-------------------••-•-•-••--••--•--•-•-•••-•••----......-•••--•-••--•-•---•-••••................... ---- ---------------------------------
UNature of Repairs or Alterations when applicable_./7_��_....__/_''__ll��..�� 4 _•_____�'t....................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 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.
Signed...................................................................................... ................................
Date
Application Approved By............... ' --
Date
Application Disapproved for the following reasons:-•---------•---••-••-•-•••-••--•-----•-•••----•••----•---•---••-•-••....•--••----•-•••..............•.......••..
••--••••••-•......_....••-•••••--•-•-•••••••••-••--••••-••-•....•••--••••..............•••-•--•••--•••••-----•••--••••-•-••--•-- -----------------------------------------------------------------------
Date
PermitNo.......... -- - -----•------------ Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS '
BOARD OF HEALTH
........... OF............ .................................
(9rdifirate of Tompliaurr
THIS I TO ERTIFY Th� Individual Sewage Disposal System constructed ( ) or Repaired ( )
by....................... ----------------•--•-•----•------•-------------------------�---------------------•--••--•--•--••-------------.--------•-------------------------------••--
C y � l ! Installer
at•••••-•-•._... . . ... --- --- .................
has been installed in accordance with the provisions of ` -ZM" " 0 The State Sanitary Code as described in the
application for Disposal Works Construction Permit No..,_lZ__!--'".s_"�__�'_ ....._... dated_._._.___._..A______.__----------------------
J
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT TIME
SYSTEM WILL FUNCTION SATISFACTORY.
DATE......................... .'. .................................. Inspector............ s J----•-----..........................................
THE COMMONWEALTH OF MASSACHUSETTS
o BOARD OF HEALTH
J,�
......... ..... -,'
...Gr....., �-...........OF............. +. -- = ..........................._....
No......................... FEE... ..........
�t��u fur tt��ratr�tun rrutti
Permission is hereby granted. ! .... ------•------------•---------------------------------•------•••-•-•--•--••••......•...to Construct ( ) or Repair ( ) an Individual Sewage Disposal System
atNo.............................................................•------........-•-•-•-----................._.................--•-•---....-----------------------------------------•......•••......
Street a.k.)7
101
as shown on the application for Disposal Works Construction Permit No . �_ ./. ___ Dated..........................................
-•------------------------------------------------------------------------------------------•--•-•--•-•--
Board of Health
DATE................................................................................
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
V.
,F)
No.._--•... _ � Fs ...................
THE COMMONWEALTH OF MASSACHUSETTS
M S' BOAR® 9F HEA TH
�a rV-tf/ ...--....""OF........ .. . e .
1 Nr�
Appliratiuu for Biupuual 10orkfi Tuatutraurfiuu Prrutit
Application is hereby made for a Permit to Construct (6-)"'or Repair ( ) an Individual Sewage Disposal
System at: J}.e-
r!� .......v� l? C
lo. Lot No
Locatioddr s ....
�, Owner Address
. -•-------...-•------------•......................•---........_................•--•.........•.....
a Installer Address
dType of Building Size Lot-- •-
V Dwelling—No. of Bedrooms.......... ..............................Expansion Attic ( ) Garbage Grinder
'4 Other—Type of Building _ , -••-- No. of persons............................ Showers — Cafeteria
Otherxpres •-••••......--•-•- ----------------------------•-•----------•----------------�......• .........................
W Design Flow.:.._.. ,5..........................gallons per person per day. Total daily flow____......7,7_ -...........•....._ gall
ons.
WSeptic Tank/-Liquid capacity./, ddgallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No......f_....._---- Diameter.....,/.0--------- Depth beloylet----4_1�-_---------- otal leaching area---4K.,Q_;_sq. ft.
Z Other Distribution box ( ) Dosing to
14Y ��� � c/ Date C�
Percolation Test Results Performed b ..__ .__ ._... � ._�."_.t....__"
aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water------ ........__.
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
ly
O Description of Soil--------- __.------/-----_-- -_--
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 provisions of TL Ili LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has beed by the boar 1 lth.
Sign•d---•Ave.•t . . ..•--------------•--•--•-•-•--••••--- ................................
�J Date
rl� ' A� _ v
Application Approved BY � ' ...............• ••----6
Date
Application Disapproved for the following reasons----------------•------------•----------------------------------------------------------------•-••-•-........._._
' ..........................................................................................................................................................................................................
} g Date
PermitNo...................................•••••• Issued ....... -----
No.__........ l-
THE COMMONWEALTH OF MASSACHUSETTS
BOA!R® F 1-1 E T H:..........7
.,:,: ... •
------......OF........ . .: {
rl!r#Jol for Disposal Warks Tonstrurtion prrutit
Application is hereby made for a Permit to Construct (4_�or Repair ( ) an Individual Sewage Disposal
System at
.... . . ..1.: ..xr l ► .....:.... ........ .
......................................................... .
Locatio dd �ssl.V or Lot No.
.......... �"' ��f rat ........................ .....................................................Add I----•.............................. ....
..
.A� .. Owner -Address
w - :Y,0:�r�.�'`---------------------•-----.-----------.------------ ..
Installer Address ��/
g e of Building Size Lot____2..4''�'��``_�_� et
Dwelling ' No. of Bedrooms........... ..............................Expansion Attic ( ) Garbage Grinder (
Other—Type,e of Building __.... No. of persons............................ Showers Cafeteria
p, YP g P ( ) — ( )
a Other fix res --------------- ---------------
allons per person per day. Total daily"flow..__._....__ gal
W Design. Flow-------- ---- ......•...................g P P P : Y• Y -�-------------------- Ions.
WSeptic Tank Liquid capacity�,�00� allons Length................ Width---------------- Diameter................ Depth................
x Disposal Trench—No. ....................•.��W, idth.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No._.../............. Diametef %O-_.-_--.-_ Depth below 'nlet� _.... __ g .-! _G...sq. ft.
Total area._
z
Other Distribution box ( ) DosingV�a )Percolation Test Results Performed`b +•Date........................................
Y > .
aTest Pit No. 1................minutes per inch Depth of Test Pit..................... Depth to ground water........................
(i Test Pit No. 2................minutes per in ch!;,Depth of Test Pit.................... Depth to ground water.----t----------
.------
.
y
0 •---_____-. yt .......... .......................
Description of Soil----------'--=---Q_"._._.l�_.... �;r----._...�.-----�- - --- �--- --------- -------•-•---------
x
W -•••----••------ ----------•----------•---•••-••-----••--••--•-•-•-•-•. .................
UNature of Repairs or Alterations—Answer when applicable_____________________
. .._. .......................
............................................... •.---------••----•-=--•---..
Agreement "as... Y.
The undersigned agrees to install the aforedescribed IndividualSewage Disposal System in accordance with
�'1T T j 1',' . t,.
the provisions of �y.�: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has bepoNssued by`the boa Sf lth.
.. "- .
Approved,By. Sig d - t
Date
Date
Application .... �.� tom.- ;; ........
Application Disapproved for the following reasons:.....................................
--•---.....--•--------------------------------------------------------------------------•-•-•-----.......•--•-••-----......-----------••--•---•----------•--•-----•-------:...................:.........
Date
PermitNo--------------------------------------------------------- Issued.......................................................
Date
a.,
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Gt i .... OF.............. n+�.te {rJ'! ... ......
Tri fff ratr of TompliFaurr
YT
IS TO CERT Y, h e'Individual Sewage Disposal System constructed or Repaired.1�? '.? v --...... ..........
--•-•- --. ---- --------------
-----•---
y ,
�(
at__L /a�s
has been ins -lied in accordance with the provisions of T rr} of T e State Sanitary Code as describ d in the
application for Disposal Works Construction Permit No: _._ _._______.. dated"_.. `:_ "-. ..____.__..
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION
SATISFACT
ORY.
... Inspector ---0 . ---- -------- --
F
THE COMMONWEALTH OF MASSACHUSETTS
BQA R D F H SALT ,..,.,,,
t, 9
�y ......O F........ .. . . . ... ....:
No........_�*`. '"' .. FEE.. 2:S"....+:
Permission hereby.granted--•• • : +.._-I
................
••-•-•-----•••...............................
to Constr ct or Repair , '), an ndivid 1 Se a e System '
at No. +l- , t,�+t, ...-----•-��---- .1 ° Psi ' `=
treet "
as shown orrh e:application for Disposal �t'orks Construction Pe No _ r___ ated._ `- �
4 ;;;,;--------.
Board of Health
DATE................................................................................
"FORM 1255 HOBBS & WARREN:. INC..":PUBLISHERS - }
cT40-A
�o
t2.o•�rSC.:
_�w .-_ - A
i I�} 4'PUc -_-1 ----- DtsT Bax 'A r
2 �0- So ,fl A sa d
_ (oFr, DI AM, �
o n a e Cork. (..FA4+►Nc-, PI�- _ "
3/4'- 1 %r / ®: I OOO CaAI COaJL p
WASHED I SaPTIGIJIL 9e,4Z A n
0 Ad
STONE
5 a &A 7�Y'
t d 4 a -- a l I
u,. ai BOT. PtTEl PV f
o�
Q���a�p A ►��b�t o4�' s I��o�t L� of �� Sr�os�t_ S`f S►�r`'1 � ''`�
Pao s .,"�e Ls
d 40 O d Ftab ��• v 4 r,firs(v b 1
Paw VIEW
3
zi
t
6o�To GAST IRON MANHOLE FRAME T
BQicK to C.ewot 4COVER To GRAOE .2'-3" OF 1'jq--;/0" WASHED 5-rome
w ISOOCa+ty \
l \ i. � EARTH w.�!....� gACKF ILL
0 0 0 0 07..-
rn t IIGv v 01 'v rd k /` } j
4' PIPE FROM --•
U O O o o r DisTRISurION Boy
0 0 0 0 0 , . ( BIrwqaco Fis&n PIPE) ti
WASHED �I o 0 0 o WASHED V4kf,
�
STONE I 0 0 0��qq o STONE
0 0 o b a �Q 4.
perzgsr PIr LINEa REINOUCIOK ! �u 0A6
l 3 I 0 0 0 0 Cows PIT Top 1*4 BAss
l/ 0 0 0 0 t,
P9 O 0 0 0 0 LIN[R SIOBS 'JO WIRC y
0 0 0 o e
0 0 0 0 o L J- \r *, �� �'i 4
\ - o 0 0 0 ---.:
/ r
,o' 4' CIovRVC. ! � — 5, a., CZ O. PvC Prtc
PlPk zN -� _ P? N NN( — 4vr a
LEACHING - - -L► - - t
NO SCALE
KNOCX OUrf I .,
K Hoew ours _8 ] -
Bu PIPE 4, S�
1 Nora: Ovr.er r-ipms
�'_ ---
N Lave FIesT LatN4TN J��! �``�-� •
d q
A
a SECTION A'A �
� \�V�il/C -7717 -777Ti'C�-71T
Q) STRI BUTION, 13QX NO CovERs •N It NOTE: ALL SYSTErl COMPONENTS SHALL BE CONSTRUCTED AND
F
NO SCALE Id" Coate, Pvt
INSTALLED IN ACCORDANCE WITH TITL-E S- OF THE SrArE
A t R SPACE
�•--�- ♦ &1\IIRoMENTiktr CODE ( 19177) AN0 ANY APPLICABLE LOCAL QULES.
• 4
I t � ES I G N bfiTA C74QJBAC,c ''^/Z1 tic -
=.,I a V _.
1 O r L�♦u.o vt� H ,� ` �g+; Rc_l��Fi `-�c7f� i C-ST- JC- `7 9 Q. �' �_ ���, T
f - 5 3�
k. L L ASARON FOVNO r 3 R ® '
b cI«F ems i 20 V i >L�
* R-824 Top NOTroo-i
OQ EQUAL .2'-4�4 - "G a 10 �io�"'T'C!!�-fi i O lt, 1 r� K 1.. iJ = l 0,:3 G.iP+`J
4"CI PV Sr[rr. MESH StID MANHOLE T<i 4'C z e. Pvc ALL WALL$, E S 4 x i o x S •- Z ' _
>3�w. Tc�Yp.� t-Ii=•ac%VN�Lq nv� :,C t. (.on
FRAME #CQV R i I Tka
NO SCALE '
_. SEWAGE DISPOSAL SYSTEM
T.. rr A+S�,. Q 1 �C� V f l r✓"_ f J cJ
NOTE ALL CONCRETE STRUCTURES TO BE �eL74N\ ` LE )�-�'`F~
jR o`ro N Po CONCeE rE RzooUCT's — T
EQUAL. —� gfiattlH.�1R. r C r t_ c r1'_4_'Tc '✓rl�d_
oe :b0 GALLON �. a , o:.
fl
C N CRETE TO E 4000 pS.r . fir„
v B T �
", ` t °` 1403 E Nc Assoc. I Nc. RAYN HAM
NO SCALE SCALE-. AS NOTED DATE:
6
Ce�ai�er, (P- ) i
CONSTRUCri oN DETAIL 3TSTEM DESIGN TEST '
0 o a o ® D -�— _ Dasrgrn Flow ; 5 bedroom$ �o /i0,yallm = 5S0 a/, q S4� �Cor.�r� ° t'� '�,,�'',, '� � '` •" ' Y;
49 o D 4 saa o/%,� cha�ra6 9 �'�' o _ Y ae, � �,
C BOO Op Od O 34
F-
t:, — - -- -- - - -- ----- - — ' ~4 � � ' ` �• e\
O4q ovq �Q O °O Sepf�c Tank SS'Oga!• x 2od/ //00941 / „ Loainy.Saad � � X N` \ `/� s, -wl -�' •�-„
� oo D�DDD I �eini� maxis/i�9 /D�O�a/. Ta��F 4_ 8 °
02 S!. i ' bs'vr,D//0�7 .Sys beryl.' S-.SDOyn/. C,67 76er.� a1137;T WeMn
C 1:
I- dotfo�n /2.8 x4Z x4. 7¢�/./ 3 98 / is
L,l. �' e •� ; : ''y
LEACHING CHAMBER i I . /�Z.efgtZ'/12rZ'XD /f S �a . ; �1'` t .
/ / � C /i/Ctic St Marys H m
- , VQ�4 Ilsland� . Pond`
I .
-- - --- -- - — - - - -- -- - -
4' �4� v he ti ;+ F•a
< y
.42
L OCAT10AI MAP
� 10aP 9 5 Parcel Z Z L&74 �s
/ Xrea : 2.0 3 Rr (88,4 26 sF.>
tp9
r-i
it
rrt
48
—i lU- '__-- _% -�--1--r-� ---I
— 1
� --
0 � L
V
p<.r� 1 `e - -
P�QCe LL
' -- _ —
CO ; � -LL 1L_
'
Se�fic' Toni a l>7
/ lihy Ape Aa�.�
Legch prf z ea
16- 9�c; (i✓o%nfe.-IUIc�' ,l F
� -----T._
G /
G a
New "p"Bah E/ev. Q�.T
�Lvs
XIT/N6P)?OpO 3_¢TE�y ��ROFJL '4- OD ga/Cb= E/t y, iz
vl
Proposecl �5, 4 S. s�
RAW#MR,lk
C oo NOTES
I ) EXISTING S.A.S IS TO Rh MA/..41
2. ) ALL AREAS DISTYRBEG BY CONSTRUCTION
�� \� ' I O ARE TO BE GRADED . L.JAM COVERED .
AND SEEDED ,
3, ) UNSUITABLE SO 1 !S AF E TO BE REMOVED FOR
S ' AROUND LEACHING AREA AND REPLACED
WITH APPROVED FILL MATERIAL ,
4 • ) DESIGN ENGINEER TO CERTIFY SOILS REMOVAL
\ �. f BEFORE SYSTEM INSTALLATION .
Ir
\ f i S• ) DESIGN ENGINEER TO CERTIFY SYSTEM' INSTALLATION
PRIOR TO BACKF I L L ' NG .
FLOW LEVELERS ARE 70 BE INSTALLED-/A(B07-#'D
IN
941 MAIN STREET, SOUTH HARWICH, MA 02661 P -
\ 508 432-2878
IN,
S,rWAGE DISPOSAL SISTER REPAIR 9 UPGR,4DE
• f_ - - FOR
E1ERET7 0. GOLD//V
L*R WILL ROAD 98 BU/Vf el? ///LL RO. 0S7-ERVIL L E, /ILIA
,'OROJECT: 0/-050 SCAL E: !" = 40 DA TE: 3122101
Re(/15 ; 614103 Se p-Nt Tank i�pec d
�'ouIXI 710 6e 1500 Ga/ions.
RevlSed. ¢/2t103 *CP)tom, I've-