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HomeMy WebLinkAbout0098 GUNSTOCK ROAD - Health �l8 C� sP�P M� os� 13i �/oa 9� Vol, 0 °CAT1014 SEWAGE PERMIT NO. VILLAGE `I<1dSTA LLER'S NAME . & ADDRESS ® U I L D E R OR OWNER DA T E P ERMIT I S S U E`D DATE COMPLIANCE ISSUED 2 53 � --� .. . rs� c �� •----as �` �� �I �I �o ' t No.......... .a. Fss...... THE COMMONWEALTH OF MASSACHUSETTS BOAR® HE .......! jr .............0F...... .............................. Appliratinn for Biipuoal Worku Tonstrnrtion ramit " Application is hereby made for a Permit to Construct (39 or Repair ( ) an Individual Sewage Disposal Syst AL .9 .............. .:....... .... Loc ion-Address or ..Q' ....... . .....- ----------.: j . ........ Owner Address �} ......•.................................. ...........•-••---------••...-----...-•---.......------..........----..._..._....----------..._... I aller Address y� Type of Building Size Lot.. 0_0....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ...._.. No. of persons............................ Showers a YP g --------------------- P �-)--- Cafeteria ( ) Other fi ures ...................... flow.............................................gallons. WSeptic Tank—Liquid'capacity/!V gallons Length................ Width................ Diameter------------.... Depth................ x Disposal Trench—No. .................... Widt�o.............. Total Length.....................Total leaching area....................sq. ft. Seepage Pit No........./......... Diameter.................... Depth below inlet........ ......... Total leaching area.Z_6..6..sq. ft. z Other Distribution box ( ) Dosing tank � �r p a Percolation Test Results Z Performed by........... ........ .. ............. . .. Date...7.._.. a Test Pit No. 1........ .....minutes per inch Depth of Test Pit........ ... epth to ground water......................... 44 Test Pit No. 2.......... �_ f minutes per inch D��e��p/�t�fh������o��f������Tefs�t Pit.____�_._._____ Depth to ground water........................ p ...-_ �_.....1 -------------�• .....!! ! -------- Description of Soil.. --.r.� 1 `3--_-_---j 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 iITLM 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has W' d e bg�rd o iea .Sig d--- .......:. • •. •----•-• DateApplication Approved BY ----- . - Date Application Disapproved for the following reasons---------------------•--- ------- ---•---••----------••-•-•••---•---•-•---•-•-----•-•----------•-.............. . ............................................:........................................................................................................................................................... Date 44 Permit No.......................................................- Issued....---- ­/­---Cl-" ---•---•----------------... Date No.........ANW.k FF$....!-Z.rt THE COMMONWEALTH OF MASSACHUSETTS BOARD 'F HE C"Z�Y Allp irFation for Dispoo al Works Tomarttr#inn Prrntit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System-at,; •---j"Y : � /� 'JA:��1 �. ... .......%?.tom/ -- ............•- Location-Address'"—'-I—M r Lot No .. .nit Dl�-•;: ' �2"-"'' --• i .s;r7 /� �l r /� wner /%O ' ress 7 Add .......................................... ._ ---•L L----- I- alter Address �� _.._lr___0....S� � Type of Building � Size Lot__l�._ q. feet Dwelling—No. of Bedrooms__________________..........................Expansion Attic ( ) Garbage Grinder ( ) a Other—T e of Building No. of persons____________________________ Showers Z — Cafeteria Other fist res -----------------------------------------------------------------•-------------------------------------------•----------------- _-___---•------------ Design Flow U ____________gallons per person per day. Total daily flow._ .__.._.__._________.____.__.___________..gallons. W - . WSeptic Tank—Liquid capacity/Q4 gallons Length________________ Width................ Diameter................ Depth................ x Disposal Trench—No_____________________ Width__ _.. ....... Total Length......... ........ Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.._._.................... Depth below,inlet.......0..._..._. Total leaching area_Z_&d. ft. Z Other Distribution box ( ) Dosing tank Percolation Test.Results � Performed by..._.__._ � ---�-- ....-----•---------- = -- --`-- -- Date---�.. Test Pit No.:,l.__.__:_.____.minutes per inch Depth of Test Pit____:'`:.r__ = Depth to ground water________________________ fs. Test Pit No. 2._ -..e_:_minutes per inch Depth of Test Pit___ ......... Depta to ground water________________________ x Description of Soil . ....�-� -� /,.r..........•�' r r '� 1t,�-.:� -.... ------ P U -7-•= •••--------*----------------------------------------------------------------------------------------•---------------•--•---•------------------------ 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 TITIZ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be n is d by the b rd o eat Signed_._.. ! - / ------------ Date Application Approved BY v � ... . . *J.. _-- .... Date Application Disapproved for the following reasons:............ __.___.__..___._.___.________________________.___-._.__----..__...._ -•........................................•--------••-------•-----------.....-------------.._..--------------•-•----•-•-•---•-•-•-•--•-•-•-•••--•------------•--•-••---•••-----•------•-•-•-•---••-•--•- Date PermitNo.......................................................... Issued.................•-----•-•- Date eN•" . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H�EAA-LT_ . r� 1.OF..fps---. `................................. (9rdif iratr of Tnntplianrr TIS IS TO C IF , That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) ---------------- Installer has been installed in accordance with the provisions of T 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.`� 7.:.__ ►Z -----.-----•---. dated..... - ------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................•--•----.........---•--.....-•-•........•-•--•••--•----- I.nspector................................................................. THE COMMONWEALTH OF MASSACHUSETTS _.-----'' BOARD,- OF HE y• �G� OF..... .. %�-o-' .... .................................. od� No{ ..` ..... FEE.._- D........... Disposal 19orkiiZons nr#inrt Virrmit Permission is hereby granted �� {'- ' � ' r--------•-•-----•------------------------------------- to ConsRepair--- ; isposiil System d _9 Street +. as shown on the application for Disposal Works Construction ;Per/miyvo___ _ _________ Dated.______ ...._......._.-----•_... . -•.R......................... Board of Health' DATE................................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS P� 77 rt/ G 3 1 3 6, c� f /S r }to YY ! q I Ye i a iP Al 11 B r *'' , \ a.:f f: _.—_`— x ... ' -•---�' i$ --fib( � Y'. . f "`E• i; OD0 CA'1_ r• ; ' ',N- . I ; » `' N ZO � .dr c, a �f e t, .: � " ,�Ji7 �0l4�..✓ - !��'.. ,. .. - v�%\ \�l �JI .i � � :.( ROBBERY, \ " s SUNIKIS Za Po c�'_T NAL LEGEND" z, T ..:� . ,� EXISTING SPOT ELEVATION _ _Op_ -� - - ;�ERI�FIED PL-� � r�An -':-- s ` -CONTOUR 0 - - t eE913T � .2C4 FINISHED '.SP'OT,•,.ELEVATION 0-0 3 �� c y FINISHED CO.NTOUR,' .0IN >.# tAPPROVEO t BOARD OF, O.�HEALTH �. GATE AGENT- SCALES / �- :j(,? DATES LDREDGE ENGINEERING CO. IN CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB NO., h_f:��` �`` BUILDING* SHOWN ON THIS PLAN ` CIVIL LAND CONFORMS TO THE ZONING LAWS DR.,BYe: I � ' MASS. ENGINEER SURVEYOR OF BAI�NSTABLE , ' 712 MAIN ST. HYANNIS, MASS. LAND SURVEYOR SHEET-2- OF DAtE REG.' • p � - •,'� /1(07ts /F ETNeR/ 7NE SEPT/C TA Al OR y ao•Fr" MI/V. LEAC/ IM6 P/T ARE /"ORE 7NA/V /E"BELDAI. MIN. '- nx. ,- GRA PdF, A ""VIAM,ETER Co VCR.E'rE COP&& SNALL SjF BR0&9F.V7' TO 4FJTA ONa.j0'A V,EXTRA f C4NGRR7& 4'Pi�C 0/Pl j�►EAVy CIA sT /IVow c0V4"- r SH04LL BE USBO M/N H . PITC ICOYE IF//V OOTIVA /AY _•. K i. J�i p OLr Qi FT t% MiN. CM VC&A AT CLEAN -TA NO a _ I 2 LAYER Q` RON P P8 r ;r 0 0 0 1 o o� AF /fie• !�B• tr M/ P/TGN GAL. • . . p • 0 D/ST. • • • • • • 1 1 • a WASHED 5MNE VFN PER)-r SEPTIC TANK ®pX ° •4 / • e • •• °e ,• b • � B f �'' - - - .�. e•v• 1 1 •EFPECT/✓C � e • •• 3�4~- � �2y , o.. o • • DEPTH • e • • o o WASHED STGNB s v, a r;• . • • • • • 1 p ••p PRECAST"Am4c 4GE' !N!/el�'T ELE1/AT/ONS - a •o • • • •, • • • • 1 e o P/T DR EQ[!/V. • INYERT AT OU/LD/NG INLET -WPT/C T.4/VAC i 7;:a FT, �_ F7 O/i4M. •� C CAE T uL.4TlON, DU71-E7'SEPTIC TANK 9 i t 5 FT. # //VLEr D/STR/6!/T/ON BOX '6 1 AFT. GROuNO NO<ITER TABLE 4 SECT/ON O F OtITLETD/STR/Bt/T/ON BOX FT. /"4Er LEACHING PJT �'a'�Fr. SE'!�1/AGE O/SPO�S'A L Sid.STI�M LEACH//VG P/T TABI/LAT/ON D/MENs/O N A IrT. GARQAGE D/SPOSAL UN/T G -( SOIL LOG - TOTAL EST/MKT'ED —Lo,w 3 3 v GAL.�0.4T " SO/1- TEST#/, .SOIL TLc'ST#2 S'D/L TEST _{i �. Ka �, r14 NUMBER QP LE-ACNlNl+r PITS fEtEY, 9 GATE OF SOIL: TEST / S/OE LEACHING PER P/T i Ss. :'50t PT. ., •. f �� RESULTS H/ITNESSED BY � . _ � ��`•!to i 5 BOTTOM 4Er4CN/NG PAR PT. AERCOLAT/O!v AATA#/ Af.'A I/NCN TOTAL LEACHING ATeA 2J V SQ, PT. %� r1r,_r / f AE/tCOL.i4T/oN RATE 1rk2 MlN. /NCH A SERVE 4S4CN.,N0 AWEA S.P. P77 BUIIS' Z. No.22KE2 Q *�. Lr �� * �LOR�� �E T�N WIMP C - �F''S'ors�tirtF.C. G tf 'q ��� r ._ . a ; 7/2 MAIMNA Sr MYAAf# Ko ORONNP W,47XW AWC04/iV74ff&4fo , G/c0UAW W,47 FR AT ELG% JO® IVO S O 099 SHEdT'z