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HomeMy WebLinkAbout0060 NEWPORT LANE - Health 60 NEWPORT LANE Osterville A= 166 -091 i " mqOTC T ION SEWAGE PERMIT NO. ,c VILLAGE INSTALLER' NAME i ADDRESS rC nS' T S UILDER/(OR OWNS h G �-� 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 ` 2 SITIE PLANd � s�VD, 1 3 S At 77 TIP IF FUNIATIIN EL.: 5 7 j • 1 ••, - �1,;►1 1 ode IN.EL 1 t .-� I N.E l. �/• � ---- --5--t a-n _ .. -,moo � -. � •r , — t T't f •.• IN.EI IN.EL. S f'o 0 0, Ile 13 W/ 6 sump I fu - ON 4' L10111 LEVEL � - D// S ► 1 ; 3 / � 14 S „ , 1 ' 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 .