HomeMy WebLinkAbout0060 NEWPORT LANE - Health 60 NEWPORT LANE
Osterville
A= 166 -091
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mqOTC T ION SEWAGE PERMIT NO.
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VILLAGE
INSTALLER' NAME i ADDRESS
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S UILDER/(OR OWNS
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DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
F
FS.............
THE COM?v ONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
T01,T14 ............0 F...... ..RARNMABLE
/ ............................. ----- .......................................
A pt
itirFatiou for Disposal Workii Tantitruriirrn Prrutit
Application is hereby made for a Permit to Construct ( x) or Repair ( ) an Individual Sewage Disposal
System at:
.............•--. ................................. :.O...................... .................................................7................................................
L ation-Address or Lot No.
Thomas --® --e?a� 'e
Owner Address
W ........................... -•-•------------------•-•------- -----------•-- -----•---.----------------•---•---•-•--------.-------------------.----.---•-•-•-----•-------••---
Installer Address 15432 90
Q Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms...........................................Expansion Attic ( _ ) Garbage Grinder (x )
p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
QO l b fixtures ---------------------------------•-----•---•----•-------•-------------•------•---------------------------------...............-•--•----..............
W Design Flow....................................00--gallons per person day. Total 2y�flow-----:�!�-0: .................
Septic Tank—Liquid capacity.........._..gallons . Length____.00_.:____... Width................ Diameter.--------------- Depth..b..'..........
W Disposal Trench—No...................... Width..................... Total Length_._................-.Total leaching area..__.... 0 .....
ft.
x
Seepage Pit No................................... Diameter..... t........ Depth below inlet.._..4�.......... Total leaching area...... ..._........sq. ft.
Other Distribution box (x ) Dosin tank ( ) YY
Yaxter & N e 6-8-81
Percolation Test Results Performed by•--------•••--.......••. = ' ----•--•-••-•------------------- Date.........................................
l.
Test Pit No. 1.....2--------minutes per inch Depth of Test Pit.... 2!......... Depth to ground water._NeEe
Test Pit No. 2......2........minutes per inch Depth of Test Pit____.:2.......... Depth to ground water-----------0E® __
a' ---------------------------•-------..._.------------------------..- ..........••--•----------........................:...---------•--......---••-•--...----
O Description.of Soil........0-2 t — Lear & sand
x - ------• -di-•-..wn---------a------------•........----------•----------=-- -----------•-------------------------------------------... ----------------
2-1... — l..e snd
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'T'LZ 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/1 -•------ ._' ..... a'
Application Approved By....... �.. . .....--.---------- -------------- _...........................
D�t
Date
Application Disapproved for the following reasons:.. ....... .... . ............. .............. .. ..1-.0 �1.�-/_....._...................•_
..............•------------•••----•----------------------------------------------------••----•---•--------•-----------------•---------------•---•--------... -------------- .......................
D-.te
PermitNo.—..................................................... Issued................................
No.814,J"- Ficl& .,5�_...._-_.....
THE COMMONWEALTH OF MASSACHUSETTS
i
- BOAR® OF HEALTH
i, T.: ...............
.................TOrni oF`.:-`'°:..:AA9NSTABLE... _..._...........
Appliration for Dio aj Work,i Tomdrurtion rumit
r Application is hereby i ade for a Permit to\Connstruct (. ) or Repair ( ) an Individual Sewage Disposal
System at:
I
................_.ST%1:Ut^„•.A3rP_TW............................................. ... ......_-•----•-••-•...----_••_.. _ ........B7..................................................
Location-Address i or Lot No.
.................T9!'!a s..A...D ewire
Owner Address
_______________________________
nstaller Address 15432•90
Type of Building /:,Size Lot____________________ _____Sq. feet
Dwelling—No. of Bedrooms____________ _________________________----E ansion Attic ( ) Garbage Grinder (x )
' Other—Type e of Building No. of erso ___________________________ Showers — Cafeteria
(� YP g P ( ) ( )
a Other fixtures ____________________________ _
W Design Flow____�_1P________________________________gallons per person per day. Total daily flow_._:;:�9.............................__gallons.
04 Septic Tank—Liquid capacity150Q__gallons Length.�Q.__._____ Width_6-t2°..... Diameter________________ Depth_6j__..........
W Disposal Trench—No_ ____________________ Width.................... Total Length...................... Total leaching area............ ��ft.
x
Seepage Pit No..................... Diameter._._._�__..__._._. Depth below inlet__._.4_____________ Total leaching area...... ....sq. it.
z Other Distribution box (x ) Dosing tank ( )
Percolation Test Results Performed by....Baxter-& dye---:•._:_•__----•__-•--••_--•------••--- Date_____________6-8_-81._______._...
aTest Pit No. I.__.2_._______minutes per inch Depth of Test Pit ...... Depth to ground water__N.E.•............
(i Test Pit No. 2.....2........minutes per inch Depth of Test Pit....12.......... Depth to ground water_14E ............
._..••---•••-•---------•.....................•-•....-•-......._..-------•••.............•-•-•---•-•-.........................................................
D Description of soil_______0-2_1
____-__L0a1h..&..Sa d
v 2-12-!:._ rea > -.sand_...
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 ITTIL 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. _
w � `..
Signed. . ----•-- �� . -----•• ------------• VIA
-
Date.
Application Approved By............. / -••-- -• ---•-••-••--
Date
Application Disapproved for the following reasons _ -,. ''..(1.f_1: �� '� _ .'_ _•--1_•v.t�s•_!__ __
..................•-----•....------.._..._....__.....---•-----------•••-•-•-•---••----•--..._..------------••-•-------•--••-••--------•-----••--•--•--•---------•-••••-•--•-•---•-•--•-••-•----•----..._
Date
PermitNo......................................................... Issued.....................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
T ................OF...........F3ARNSTABIE.....-...................
(Irrtif irate of Toutplittnrr
THS'IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
b --- ------ --- ----- ...............................
y �".
Installer fr
at... r,__..____�... C
lot--$g-------Sxdi:f`t;--l�xsue----
has been installed in accordance with the provisions`;of I _E of.The State Sanitary Code as described in the
application for Disposal Works Construction Permit No....... ___________ dated___ ____________________________________________
THE ISSUANCE OF THIS CERTIFICATE SMALL NOT Blb�'O1iV`SYRUE'D AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................... i t,.a.:;F_ Inspector..........�=__�
F".
tr THE COMMONWEALTH OF MASSACHUSETTS.-
BOARD OF HEALTH
4 No...... �a� � F EE....... ........
WoVooal 10orkv 011T.on#.rnrtioft amit
Permission is hereby granted..................................................-••---............................................ .....................................
to Construct ) or Repair ( ) an Individual Sewage Disposal System
at No. Swtf.AveYiv2..._...r8t...8
T Street
as shown on the application for Disposal Works Construction Permit No..................... Dated______.___.___._.__._`_._...._._._.......
S
..... y.. -------• •-•--•-
y Board of Health
DATE.................. :._.?__,-r_.:
FORM 1255 HOBB9 & WARREN. INC.. PUBLISHERS
S/IL LBO `
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SITIE PLANd � s�VD, 1
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S At
77 TIP IF FUNIATIIN EL.: 5
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IN.EL
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•.• IN.EI IN.EL. S f'o 0 0, Ile
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W/ 6 sump I fu -
ON 4' L10111 LEVEL � - D// S ► 1 ; 3 / � 14 S
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c. EFc ;; ►,rE
• _ 4 . _ ► _ "" PERC TEST BESNLTS
PRECAST SEPTIC TAN WITH + � PERC RATE.
F,� o -�- __ _ WNITNESSEI BY:
CAST IN PLACE INLET ANI - 47
�'.k«q�J:�� ` ,�.,,w .�:-;._.;,�_ r BOARD IF HEALTH
INTLET T S PER TITLE Y ----- -- -� _ -
SIIE : DATE:
�S
"ram r CT lA e _f?
1
PROFILE OF PROPOSED SEWAGE SYSTEM p,� Ar
SYSTEM DESIGNED BY TU TMR IF REGULATIONS ANB
STATE TITLE Y FBI SININFACE BISP/SAL IF SEWAGE . SCALE : 1/4 = 1 ® � ' �, �.T /�4 `,✓` .
N . � . / � ;,wiz z kit
1. ALL PIPES SNALL BE SCNENLE 48 P-V-C. SEWER PIPE
2. ALL PIPES SNALL BE SLIFEI 1/4~ PER FBBT EXCEPT FOR rl ti
THE FIRST 2 FEET SIT IF TIE D/B W11911 SNALL BE LEVEL
3. BESIIN FLIW /E ONS AT 11I GALIAY PER IN. 44Q GAL/BAY ; 1
SEPTIC TANK SIZE 440 X Z GAL.
/ISP S
USE i d GAL. W/ i 7- B 4
LEACNINI SYSTEM: ISE
EFFECTIVE AREA: SISE'77'- .�c K j - �z r c,8
TB1AL FLOW I,/Po?_ -r '-��.
T/TA L BEI'B F LIW X _ - W/ /7 GARBAGE DISPOSAL
RESERVE FLIW GAL/BAY __..
REFERENCE PLANS : _ - �3 Z-'
4)12
APPROVED BY :
BOARD OF HEALTH
,
' l
DATE :PROPERTY OWNER : -----
- � - ----- - SITE AND SEWAGEPLAN!
__._...� . � ����
4- -BEDROOM SINGLE FAMILY DWELLING
DATE .
.,��C'. � ; �'�.� �rE✓:SEv> f1f'�'!c. /g, 14B¢ r
J DOYLE ASSOCIATES FALMOUTH , MASS .