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HomeMy WebLinkAbout0092 OLD EAST OSTERVILLE ROAD - Health 92 Old East Osterville Road Mom osterville a A= 145-047 . ° o r, d • a ° ° 4 I�� a n p 6 :r , 0 , a a � v „ e Nr , a o ° n ° ° w L �jCP, 1' ION SEWAGE PERIVIT .4. Y° L ` A G E ASSESSORS MAP NO: h �VU t PARCEL NO.-.w IP. STA LLER'S N A M t Its 10DRESS 8 U1:LDf R OR OW DATE PERMIT 155UE0 BATE C .0M L I A ii CE ISSUED r Fla. OIL- �V7 ,�Vr �' r [.t Fus...3 ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HE T n �U�/(/ �.............OF..... -!'r..�1. -_.......__... .. ............ r4o ........ Appliratiou for UhipmFal Hlorkri Tonotrurtiou ramit Application is �Pqe e made for a Permit to Construct (7Q or Repair ( ) an.Individual Sewage Disposal System at: i ' Locatio Address or' -Lot r - ...... ..... .ns �`v _� o.r.}--.-.-.. s ......:� �r �.H js..... Owner Address - ---------------------------------•---••-- ------......-•----•-------•---•-••----------........... Ins Aer Address U Type of Building Size Lot.. .-Sq. feet Dwelling—No. of Bedrooms ______________ _________ ---___-__.Expansion Attic ( ) Garbage Grinder ( ) Other—T e:of Building ._ _..... No. of persons............................ Showers (Z a YP ,g --------•----- P ) — Cafeteria ( ) dOther\fixtures ----------------------------•--------•---------------------•-------•----. ------------------------------- W Design Flow....._ _J..1........................gallons per person e/rr day. Total i}v' flow____-__-3� ......................ZJ)ons WSeptic Tank'Liquid capacityl gallons Length_ /V..-.. Width._L .-!X Diameter________________ Dept0.... x Disposal Trench—No. .................... Width.................... Total Length_._.....o..r....... Total leaching area--------------------sq. ft. 3 Seepage Pit No.......j.._._...__.. Diameter.......6..-`._..... Depth below inlet.....Z........... Total leaching area...--(�...sq. ft. z Other Distribution box ( ) Dosintt n ( ) f / Percolation Test Results U Performed by-_.--. .Y,� .Q.t___ !'? _i^_(.t�lr'1.3 Date....... ,1- ------ „�,N,� ^ p p -__-- Depth to ground water_ .VX.O� v"�'� Test Pit No. L._�.�.�...mmutes per inch Depth of Test Pit_._ ___._ „tvU� fz, Test Pit No. 2_.�� �i_._minutes per inch Depth of Test Pit...cN ___.. Depth to ground water._Ak. ...... Description of Soil -`-L----....? ra. -+-�6 ......--- ----------------------........................................... c4 V " 1 ----- .ry x .------ .... 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 iITI 112 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been iss ed by the boar of health. Signed_. _ --- ..� ----- .... D to Application Approved By.......,. — r_A..._.. �' ----_-_-- Date Application Disapproved for the following reasons:-------•--------------•--------------------------------•-------------------------------------------------.....-- ...................................•-----•...---......---------.......---•-------•----•----•-------......---•---•-----•--------------------------------•---•---------------•-------------------......._. Date PermitNo......................................................... Issued....................................................... Date No...� _6 S• Fps.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 1. ..-. ✓._. ..!'1. '-....OF...... <'~ f........ ..... '....r .... .................... Applirtation for i a a va irk Cann rnr iun anti Application is hereby made for a Permit to Construct ('�Q or Repair ( ) an Individual Sewage Disposal System at: 5 -r t L Location-Address , r" or Lot )`o pew l/ ! ?• %0 j ', t / 3'li "" LO. ! _`v".14 f .._ * _ :....__........_.. .d... - ----••-••--�•-• t - 1'..:.......... ......_._.. - . ...mac.......... Owner Address d` •--•--•-•------------•----••--------•.......................................••••-••--.._......_... Type Instf'tller Address t -41� Sq. feet T e of Building � Size Lot....!.= .:�..____ ..� U Dwelling—No§ of Bedrooms.__..-.......................... .Expansion Attic ( ) Garbage Grinder ( )U aOther—Type of Building _-- __.... No. of persons............................ Showers Cafeteria ( ) QOther fixtures .----•-----------•-•----•-•--•--••-••-•-•---••-•-•-••=---...-••--••----•-•-----••----------•-•-•••-- WDesign Flow....... .....S.........................gallons per person er,day. Total daily flow......... WSeptic Tank—Liquid�capacityt,!��gallons Length. _ '_.�._ Width....s...f _. Diameter________________ Depth _...4 _.. x Disposal Trench—No. .................... Width.................... Total Length..................... Total leaching area....................sq. ft. Seepage Pit No........l_........... Dia_neter.._...�2__......... Depth below inlet......?........... Total leaching area... °��o___sq. ft. Z Other Distribution box ( ) Dosing�tank ( ) 1_� I a Percolation Test Results : Performed by.---ti._.;.4k:+a.^=1�9 ,C .. ;, ........................... l '�° "�� Date..._...... ..� .... � J Test Pit No. 1.__4.1.5.`Mminutes per inch Depth of Test Pit.... _..... Depth to ground water✓..✓�'-C' =<�^ . fs, Test Pit No. 2____ __; : ___minutes per inch Depth of Test Pit... ' ._.._____ Depth to ground water........ _. ......... P4 •..---i:....;............................................. ...... ....--- ............................................................................... O Description of Soil ......•r 1 t? -3....=' `<a' � = ----- { •--•-. .. --------•--•-------------------------------1----:-•--- t W .�3� ..�..tr�er. •'1 { i1 s t t^�i.)..�t �-_ � f7�- i J 4_>'_.w.._€?:C rGG a!r1i_ �✓::' �11f i UNature of Repairs or Alterations—Answer when applicable---------------___`....____............__.__................._........Y..._.._.____...._...... .............................................-......................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TT1: 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. y t . 1A Z/ .4i Application Approved BY.................................................. -............................................. '' Date Application Disapproved for the following reasons----------------•------••-------•----•------------------•---•-------------------••-------•--•-•••-------•------•- ..-••-••-•-•--••---•-•---•--••-•••---•---•••-•-----•••••-----•-•-•-••---•--•-----•--••-•-••••-------...••'----•-•••----••••--•-•--•--•-•-•---•--•------------•----•---•----------•---••-•----•--••------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. �' ' 1r ...........OF..........�.. .. �- I:e.;.,--�-...._....... (Srrtifiratr of Tuntpliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (4-) or Repaired ( ) by r-. �-i is .:. .'� ___.._—_.--•--•- •---•-••------•••---•••------- --------••------------•------•••__............. -•--------------- .V1 • f � �................... ---Installer at_._. 4`i �� -'.�? :� fs rf!1 �..........................................C 1 !...................................................{ t -has been installed in accordance with the provisions of TIT4 2..�-c 5. e State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... date d___..__.--....-__________-_.._.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................................... 1 .. ......................... Inspector--------9_1' °�...-------...--•-----------•--•--........-•----------...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r° t Z 6 .........OF > ''i�. „� .C-jA-) lf_ No......................... FEE........................ ,Bilglo a! Wore. Tonstrurtion frrutit Permission is hereby granted.............-'' t... ....... o-'y........................................................................................ to Constru t (�,)) r Repair ( ) an Indivi ual Se; rage Disposal System atNo...�U . i (.�C .... S �vt i - _._-:_ (),5 �' ✓t -� 5..-•--•..................•• ......................................... Street as shown on the application for Disposal Works Constructio /[ �t^...__ ............-•-•• . •-•--•----------• ------ DATE Board of Health .................................................. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS 35 # 36 rr7• �+t+ # rs 7 I LOT i 6 1506 .9. 5"F toy - K +I 0 6x`b n loy � l00% �XPAN5100 LEACH PIT . .. O (y) -1OD0 CAL. sr 3�6 SEPTIC TANK 0@ 0 01 +i ti o SOIL - 0x ►+4 o I—. 9 4 �I-pQOPOSED 3B.R RANCH ZONE RC. . FOLINDATiON� . )5.000 SF + 44- L32,+ IOU '. S.n : 2 0' { t l Lu J i a W !l I rr..asn� stk 55 a 30 42" srk `' ;;f C(3 Se>` 15 OU --36 — -- 8_s�.e_ — PHILIP EDCF---�z --. Or �A V'E M t NT fv BPI WEINBERG , Assummi D q EI-EV. /oo•oo o p No. 366 Q OLD AS`TT OST E1ZVl LL. E O D- FSsioNAL�NG`' VARIABLE WIDTH :. LEGEND OF s.,,• CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OxO �` ' EXISTING CONTOUR --- 0 ——— or N FINISHED SPOT ELEVATION LOT/G OLD EAsr Os-rERVILLE RD UST. FINISHED CONTOUR 0 zse74�0 1 N APPROVED = BOARD OF HEALTH SUR DATE AGENT SCALE: ! " = 3O. DATE , _.JAN. LDREDGE ENGINEERING CO. INO CLIENT FRANCO I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB N0. 2002' BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS %ENGINEE SURVEYOR DR.BY= JDD OF BARNSTAB E , IASS. 712 MAIN STREET CH.' BY: J0-1 02 al"g2 H YAWN 1 S, MASS. 2 — - -�. -SHEET_L_ OF DATE RE,Gj LAND SURVEYOR ?D FT. M/N. n, NOTE /F E/TNER T/•/E SFPT/O TAN-/< OR �!EfFCN/NG P/.T ARE MORE TH.9:`/ /2"BELOIV 10 FT. /+•!/N. �,?AOE� fa 24 �O/AMETEK C'ONCRET� COfiER S,WALL BE B,?OUGHT TO GRADE. ��,✓ EXT,P/q CONGRG'TE i 4"PYC P/PE J/EAVY CA 5Ir /RO/Y C D VER 3E US ED -�---- EL= 101. 5 - M/N. P/TCN CO YERS �B•QFR FT., I F/N D.4/✓E J'V,4 Y �A ?.I 1 G �oE CU ✓ER CLEAN .SAND i ? _ OACxFILL 7 . LQlJ/D LEVEL z 4•.:I T-r'rr-r"s - - 1.!;;�,;��._ -'LAYER 4'•CAST� < �.Y�. IRON P/PE 1 OOO MIN. P/TCN G.4L. • • . • • . • 1 10 o. ° -•.I %V4 arm f T SEPT/C TAiVI< DI ST, ° •�a • • • • • • • • 1 o e Q WA SHED STL7NE a::: ,. BOX v • • 8 • r • •.• � �►• •• ' i ab o • •EFFECT/VC ' • • 3�4 • • ► • • DEPTJ/ • • 11� • v ; . :.;a._• _ _ . >: WAS.'/EO STONE . : �Qg.SX'Z.S= 4- 11QD s . o I • • • • • • 11 /p °.n 7?Ll b v. ,. 1 • • • • ••• ► p p. PREG45 7- 5'EEC'AGE o e r •' • • � • • • 1 ' e o .�/T OR EQU/Y. lNV4'RT CLEN.47/4ONS a Pn-cAPAccT-e : 549 L/D. — EL. = 92.0 /NYERT AT DU/L.D/NG . 99.0 FT. INLET SE/?T/C TANK 92,9 FT. 10 F7. 01AM. � �C SEE TA:5LIL,4TION> OUTLET SEPTIC TANK _Fr. INLET DISTR/BUT/ON BOX ` 14 FT. GRDuNo WATER TABLE atlTLETD/STR/BUT/ON BOX �8�d:� F7 SECT%ON OF � /N46T LEACHING o/T 94:0 FT. SE;VACE 015ROSA L SKS7'.=.M L EACH//VG =/T TABULATlDN DES/G/V CR/TERtA -SCAL-E : _ /= o" DIMENS/O.N A 2CsD FT. i D/.►fENS/ON $ FT. NUMBER OF BEDROOMS -3 DIMENSION C 4 _FT. M I N GARBAGE D/sPOs.4L uNlr �,ouE� SO//- LOG TOTAd. EST1AJA7-ED FLQi•c/ 33c 0.4L./DAY SOIL TEST A/ SOIL 7FST•#*2 SD/L TEST NUMBER OF LEACKI/VG ,o/rs_ Jam_ f-Fc�K 100.0 . - S/DP LEACHING PER P/T DA ��SQ, FT. , TE OF SOIL TES T 02 , :9oTTOM LEACH/NG PER P/T -1g l.OA&\ RFSlJLTS iV/TNESSED BY J��������f ��' FT 2 TaPI�- P�`RCOLAT/ON MATE / LESS M/NV/JNCH TOT.1L LEACH/NG. AREA 2�� SO,, FT, 13��tCOL�1T/ON RATE/bE 2 '}ice MIN. /NCH RRSERVEGEAC.S//A GAREA 2foCo 59v FT. ,`G• �' 2 ,O ; 1 MED ZN OF M, s SH of Mgss�� 2-12 pa,l L DT I C- - OLD EAST OSTaP-/iL! FE PLC. o ti � _ PHILIP T1 1 'CK.ViL-I� MA � y o WEINBERG 6 . 29874 A No. 36 EL DREDGE ENGINEERING CO /NG. VL NALE\A�' CL- O8•Q 7/Z MA//Y ST. , /o/ygNN/S, MASS. suR ® N0 GROVIVO yV,4TER ENC0U1V7, CL/E/VT; RICO Q.E PATE : �2.p1 .g�L C 3 GM O UiV o i-VA TER A T =Z EV { r• �L. - JOB NO.- 2i2c4o2 SHEET 2 OF 2