HomeMy WebLinkAbout0092 OLD EAST OSTERVILLE ROAD - Health 92 Old East Osterville Road Mom
osterville
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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
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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
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!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