HomeMy WebLinkAbout0022 OLD EAST OSTERVILLE ROAD - Health 22 Old East Osterville Road
A= 145 -069
600/
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SEWAGE PERMIT NO.
VILLAGE
®ST
1NSTA LLER'S NAME i ADDRESS
BUILDER OR OWNER
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DATE PERMIT ISSUED
fj� DAT E COMPLIANCE ISSUED
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THE COMMONWEALTH OF MASSACHUSETTS.
BOAR® OF HEALTH
Pi .�.... � �.....10) ��� of . . -- . ...........
Appliration for Disposal Works Cnnnitrnrtion ramit
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Application is hereby made for a Permit to Construct ( ) or
Repair ( ) an Individual Sewage Disposal
Syst
a . -.. rld:n..zni.......................... _��. {....y��1..1 L. A l . ....-
anon A dress t�
ow Address
"f..T ---------------------------- �' ./.. G..e C .?.... ... .........................
� nstaller dress
U Type of Building Size Lot,/�_ _�._Sq. feet
U Dwelling—No. of Bedrooms.......... Garbage Attic � Garbage Grinder
Other—Type of Building ............... No. of persons.............•......•....... Showers — Cafeteria
a' Other fixtures -----•-••------------
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Design Flow...... --- - ---------------------- lions per person peryd�ay. Total dail floDiameI..�-.......... Depth---gallons.
� Septic Tank—Liquid capacity._ Ions
Length-,!.- . .. Widths?
W Disposal Trench—No. .................... Width.................... Total Length Total leaching area.. s ft.
x p g g ��-•---- q•
Seepage Pit No--_--------------_ Diameter....... ..... Depth below inlet.................... Total leachin area ...... q.
Z Other Distribution box ( ) DosingWta � ---•------s ft.
'~ Percolation Test ResuI Performed by Date
a ��ppp
a Test Pit No. 1_. -,,. .minutes per inch Depth of 'Pest Pit....�_�i�....._.. Depth to ground water.---- !1`4
Test Pit No. 2................minutes per.inch Depth of Test Pit.................... Depth to ground water----..--................
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O Description o il-'•=.�'- -••l. ' .......... ._.. �C-'-'-'•--•-•---••--.----•-•-••.-'----------------
Ur= ; .- , .L I�.. ..�' ---------------------•------------------------------------
U Nature of Repairs or Alterations—Answer when applicable.............:.................................................................................
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Agreement:
The undersigned agrees to install the aforedescribed Indivi la! Sewage Disposal System in accordance with
the provisions of T iT L a^. 5 of the State Sanitary Code—The un signed further agrees not to place t syst in in
operation until a Certificate of Compliance s been h o health.
✓ to
Application Approved --- •--'--' -"-'-•---'-•--'-'................'••-'---•-
Date
Application Disapprove or following reasons:................................................................................................................
------•"-•'--'..............................•--•----•-•.....--'---'•-"--•'--........------"-.._..........'----------"•---•••••---------•••----•--•-......••--•"-"•"......•.... "- --'-••----
Date
PermitNo......................................................... Issued-.....................................................
Date
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LEGEND Lam ` 3
EXISTING SPOT ELEVATION Ax0 CERTIFIED PLOT PLAN
NT UR =- - - .: P��N.oF M4 EXISTING CO 0 0 ,. / 7 -r`ALAIou7e-i
FINISHED SPOT ELEVATION o? ; ALL
FINISHED CONTOUR 0
o RASE` IN
APPROVED BOARD OF HEALTH 4 " QNo. os5t�o o
�tSTE
�FFSSJO491.
NA����\ it
DATE AGENT SCALE, / = 4�-0 DATE , 3fl G g�
LOREDGE ENGINEERING CG! IN � 4 ! CERTIFY THAT THE PROPOSED:
--.. C6IENT
E(31STERE RE�iISTERE4 JOR N®, ? �'?' BUILDING SHOWN ON THIS PLAN
CIVIL LAND "` , `. CONFORMS TO THE ZONING LAWS
DR.B,Y!...�
it
EN VEER RV 0, BARNSTA LE,. AM ,
712 MAIN STREET z .-a = CH BY
NYANNIS, .MA$S,'
S H EE?.,...OF. DATE G. LAND SURVEYOR
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NOTE /F EI TNE.4 TfIE Si PT/C 7-AV/C OR
20"FT. M//V �L.EAC/I/NG ;P/T ARE MORE THA:"J./2' BELOiy $ '
{ 7 7 M/A/ - 1R.�OEM f� 24�O/AM ETER CONCRETE COVER ``
SJ,►,gLL gE BROUGHT. To 4MAOE:�.•+N EXTiPA
CONC'0I 4'PVC P/PE jIEAVy C�'1 ST /RON Co�/CR S/� 4LL 3E USES
COVERS MIN. P/TCN
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/9�pFR.FT. F/N DR/vEyVAy.
2 MiN. CONCRETE
G AG LE CO ✓E'R . Cl EArV SArY'O.
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U®c/e0 L EYEL
M/V o GAS, o s o e.t . . .. . r.,..' e
�. WASHED STD/YE
/4 ,Pt/a t'T SEPT/C TA/Vf� •Ap
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• �'• ' DEPTN.• •, 1. • ' K!ASNED STaNE
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1N�L'RT e'Y.EVAT/ONS +piT I►c• 'Lp� G -/ may
/iYYERT'AT O!J/LD/N6 G�' D/AJ�f.
T E
! -LET SE'oT/G" TANK' S:S. FT:.' x `'FT-. oii�!►r.
.. ..,... 4 4 " f § tar. �� •' ♦ S x t -§:M -.
OtlTGFT SEP7lC Ti►NlaC .- _FT`
/NLiET DISTR/8(IT/DJV`$OX::98:.4 /cy GRO�No ! lTE!� TAIL E ,, P. `r*�,
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gt3,o " .SEryV.�4GE l3lSPO�SA L SYST /K : ` F ;,;
/lyL;ET LgACN/NG F�lT c FT
DE CRITERIA se.oL_E,
NtJAal,QER OF l9EDsROOMS
DeMEfid � v
G�RBAGED/SPOSAL-UNIT SOIL.. BOG ar•. +
�O/L. TEST
TOTAL ESTNrl4TEO'FL_ONI 33 0 G:4L.�DAY SOIL, TEST"�/'` .SOIL TL�ST#Z"
,VUMBER QF L�ACJ(MIS PITS_1= gtEY. l D Q.U: ELgY ,DATFSOF SO/L,^TEST /Z// z—
f f �. ,
S/OE'L.�AGHlNG PER P/T ( S`Q �T. �_ f ' : RESC/ZTS it//TNESSED dY''J/z E cJ�4C>r/f3I
ao.TToM LEr1CN/NG PER P/T_Z�SQ. �T. �0��? � PERCOLI►T/Div RATE,�/ ' 44E-FSS ,M!N•/JNCK
TaTAC. LEACH/NG AREA_, ZbG, SQ, FT. AEhCOLATlON RATE ALL McM.�INC/4l
�RESERVELEACNlN6AREA -�'�(� $Q. FT. T)f'.S
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EL DREDGE EV&/NEE/P/XG CO INC.
y �18TBA��. �cf GfSTEa ��`� 7/2 !"Al" ST.. , HYAAIAII—
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- NO• -
SHEET_OF Z:
LOCATION SEWAGE PERMIT NO.
'VILLAGE
INS .TA LLER'S III AME i A0D:RESS
l< . 14 y`
1 UILDER OR OWNER
1-4 RL C
DA V E PERMIT ISSUED
� DAT E COMPt1ANCE ISSUED
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