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 � --� ..
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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
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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.'
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/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'
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