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Home My WebLink About0048 POPLAR DRIVE - Health If 05��o�- ' a ai k No.......... -.-.. . lJ.... THE COMMONWEALTH OF MASSACHUSETT'S BOARDO H�AT......-.._�F........ . ..................................... Apphration -fur Bis omt Works Tonitrurtiun Vrruift Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: L c do Address or Lot No. Owner Address ....- �/� �r -----1a7 ry>> ......... --------------------------------•----•------ Installer Address UType of Building Size _.._-:_.___Sq. feet Dwelling-1-No. of Bedrooms..... ....................................Expansion Attic ( ) Garbage Grinder (�) aOther—Type of Building ____________________ ______ No. of persons.......................... Showers ( ) — Cafeteria ( � ) a' Other fixtur s _______________________________ __ � �` W Desi n Flow__ ____________ Mons per person per day. Total daily flow_________-------`--1�-_.___-_-______ Mons. g � � --------------------g� P P P Y• Y g< WSeptic Tank Liquid capacitvird" allons Length................ Width................ Diameter---------------- Depth_-_--_____-_-_. x Disposal Trench—No_ ____________________ Width._._. .. _:. ____ al Length.................... Total leaching area--------------------Sq. ft. - Seepage Pit No---------l.......... Diameter_./ � ep below inlet____________________ Total leaching area-____.__._---___..sq. ft. z Other Distribution box ( ) Dosing tank ( ) Q)- XC ;1-z - 9-27-76 aPercolation Test Results Performed by.................................................................. Date____---------------------------_-------. a Test Pit No. I________________minutes per inch Depth of "Pest Pit_-.____.___._.__.___ Depth 'to ground water.----.------------------ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water__-_---____________--._- ' 04 --------------------r---- '`/ / fO am A K Description o So ---- ----- z ---------------------- --------------- ---------------------------------------------------------------------------- -- ---- --- --- --- --) 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 Article NI 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. Sig Application Approved By_____ ate UL �L ---------- ------------------- Date ' Application Disapproved for the following reasons:---•---•---.._..--•___ . .................................................................................. ••-•-••-••-•••----••-•-•--•----•---•--••--••-•---•------------•••••-------•---._..__...•-••--------------.._•--•---•-------------•-----------------------....-•------------•--•----------•----•-•--••-•-- �q Date Permit No......................................................... Issued......T:...._......:..: . --•-•------•---- Date r77;6 No.............. �• FEa..-.. .. . THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALT .... -----OF....... ... . Apphrtttinn -fur Bitipmtt1 Work,6 Tianitrurtinn Vrruift Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location Address or Lot No Awl_t!_ ✓ �_r .�-...ff e/per f��„' ,�S 7r�- .E a_ _/�,_r!. ................................................A e ` ,................ Owner Address Installer Address Type of Building Size Lot... `.'- ------------Sq. feet U Dwelling—No. of Bedrooms-----A...................................Expansion Attic ( ) Garbage Grinder (v) per-, Other—Type of Building ---------------------------- No. of persons.............................Showers ( ) — Cafeteria ( ) 0.' Other fixtures ------------------------------ W Design Flow-------------J:� : .........---.--.--.. Mons per person per day. Total daily flow........a-v--c/_-_-.._.-..........gallons. P4 Septic Tctnk-�Liquid capacity-/,�._�allons Length................ Width --------- Diameter............---- Depth....._..__...__- Disposal Trench—No..................... Width...._.... -. Total•Length---------........... Total leaching area--------------.-----sq. ft. Seepage Pit No.......L........... Diameter./ epth below/inlet.................... Total leaching area..-.._..---------sq. ft. z Other Distribution box ( ) Dosing tank ( ) LV- /'C-'Al - �P--2 7- 16 aPercolation Test Results Performed by------------------------------------------- .............................. Date--------------------------------------- Test Pit No. 1----------------minutes per inch Depth of "Pest Pit-------------------- Depth to ground water..-._-----------....._- f14 Test Pit No. 2----------------minutes per inch Depth of Test Pit-------------------- Depth to ground water------------------------ -------------------- --- - x I--- .........--- ---- - -Description of Soil--.-- - ------------------ -- ------------- _ 1 ..--- --- -------.....-------------------------------------------------------- V ------------� W x ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance witli the provisions of Article XI 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. Sig- d.- ---•---------------•--•------•--------------•-•----•------......... � G at Application Approved By---- ?---- . ........ e ---f�r° � ----- Application Disapproved for the following reasons:--•-----------------------------------------------------------------------------------_-.Dace-------------• ` ------------------------------------------------•-------------..........-----------------'.-•--•----•-................................................................................................. Date PermitNo........................................................ Issued----�------- �- '............... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH ,1'.:L G'.2...........OF.......... .. .....�L�-�- ........................................ �rrttfirtttr of �uutpiittnr�e T S S T CEYFIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) • L y� � Inst�ller at........X l � f �� 5�,-.•-•--------------------- -----•----•---..._...---------•--------•--------------•--------------- has been installed in accordance with the provisions of A i lc�e XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.�"<%' ------------------ dated------`.. - U 7•- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE m Inspector-!lam -- ---- �........A THE COMMONWEALTH OF MASSACHUSETTS BOARD OfI77 HEALTH No. --- FEE... - in ttI rka nutrttr intt rrutit ,c� . Permission s reby granted--4----- - ..... ----- -- --- -1-�''1-•,,J.1-------= -----------------------------------------------------------•----'----- to Constr `t ( _qr Re it ( }/an In di @cjial Sewage is os 1 {� lJ / r ------------------------------------- Stet / as shown on the application for Disposal Works Construction Pe.myE Na..- .. ..�-::----- ated.._?7: !/ -_- ......... J . ----------/'e'... 4 ' — / DATE--�--�----------- ................................................. Board of Health FORM 1255 HOBBS & WARREN,. INC.. PUBLISHERS W LOCL,TI 5EW&C-4E PERMIT UO. 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T44 �t, t3, Ir,;' , e r w J ;Y3 a' •� r „i '� £ },�• tp r.1, � al �•ype„�' .i s 5 �{ t' $ I�•y �i' i :t a 1 ,� ' V N ,.,� wd r d 4'�'a.. v a tti a ., i a # j' "r i F? q =1 { n lrF f Y r d.l f # * f x i ra i iY 11 8 7 y ! 19 �k •°. Arnj `i r� r , ND ".E�Ei�`faNQ .POT "ELEVAT00N. O '0 :CER1'iFIED ' �; PLOT �•.'�PL'AN � iiXrSTING CONTOUR x k MISH:EO 8PO=T' .ELEVAT ®N ��' PO��::,AR ORll1E OS'�°E.�ZVr� 8AI ; Eta "CONTOUR —T-'0 a: _ a « : x � .a ,'� fi d4; t r � .-. • '4A '' ;+ - , ;r, s Nz , ..'N # :,fir .� t ��,-s`� �z� eA ' r A web�a®OARD ,OF -HEALTH Parsl M ' a�,DATkE;'��_�.� ar. AGENT,,,, . yr ¢' � �, " SCAL•Es j".e'=e3O' .' DATEt :Sep�'$ a 'a, s ;�I l.�l�E®GE ENGINEERING CO ,r rr, C�r.l E-.NT- '1 CERTIFY i THAT THE P.' EGISTEatE REMSTER'EDJOB-NO. ?r05'i'. BUILDING f SHOWN ;ON THIS � � CIeVI.1:.,, LAND. " CONFORMS `.TO THE ZONING" LA1�S a + alNE., R `SURVEYOR DR..BY. '1�s.J. .OF::• BA�.N$, BL�E�, ;AA SS'•' - ` .�w�H• t rs a,$ r; 1,s VIlii• 171z at �2 .MAIN' S� CH. 'BY # ® r� TH,MASS HYANNIS, MASS. SHEET <�.OF 2� DATE;' REP. `LAND 'St JRV� 5 FT ti 'e. .• ,- . -> y:._..: ya � sjvy Y_. �i:...'s. 7fi, 'r'�' rr- ., �.`��,:... »-3 >.•+ - r•�:..a, F ,,,,;-•, �,,. {b � .•�J 9 g IF . .,. , ',r, .i •, s• r y _ j'Y ^. I Y t`f"Z`. -• -.•f' 'r 4_6 rz,s„ X`�7�.. RK P. �. - v VC :CLEAN SAND t _ _ - u E =CONCRETE : Et•ev._loco MINA='PITCHE g' ` r r • j L, :,emu , -` � I/8 -- '� . .COVERS PER FT � � CONCRETE r - s 10�� _ ':COVER 0 ff LIQUID LEVEL } 1 • A ST { ,� � i A • G 2" LAYER MIW _ PIPE f i 500 ,'GAL: � OF I/8 3/8 ITS ' a ° '• • •� •n WASHED STONE 1/4 a SEPTIC TANK ; a DIST °~ . • • • • ° R FT lot} .. - K. BOX . • • E.'. ° • IV EFFECT _ 3/4 Y 1, I/2 o •• DEirrHoff • • ° ° WASHED STONE ,. too 0i � • 41 • • 0 • • 4 # PRECAST SE PAGE PIT OR- E ` _ t � • • • . • • . . .;. . 6 FT DIA.INVERT . ELEVATIONS r- _ �- k _'INVEW AT BUILDING 97.'d FT' .� . y 4 0 .I F7 A: C (SEE Te4Gl�AJaDI�I) -INLET.-. SEPTIC' TANK -96.8 FT. Ty " =" GROUND - WATER TABLE SECT/ON OF -- OUTLET SEPTIC ' TANK 6.6 FT. '• - fi INIT DISTRIBUTION BOX 96.5 ^"FT .SEWAGE DISPOSAL YSTEM - T `DISTRIBUTION BOX G-3 ~ ' ►� —FT. - _ _ � SCALE //4 - / -O� iT SEEPAGE ,` PIT G,00 FT - a _ ' 'TABU I. �T LAT ON- -CRITERIA m - ' _ DESIGN � w � _ r . _ _ _ . " i DIMENSION ®—�.FT4. '.NUMBER OF BEDROOMS ' 3 • DIMENSION-` C 4 ' FT m►a ' • GARBAGE DISPOSAL UNIT- I_ _ - -' - TOTAL ESTIMATED FLOW 300 GAL. DAY SOIL";LOG SOIL TEST F NUMBER- OF-- -SEEPAGE PITS 1 - ELEVATION SIDE LEACHING PER PIT 168 S0" FT _ DATE OF SOIL ' TEST z RESULTS WITNESSED BY - . BOTTOM LEACHING PER PIT SO. . FT. PERCOLATION RATE MIP!/101 TOTAL LEACHING AREA SO. FT - - RESERVE LEACHING AREA 71, SQ.- FT. - �� OF �P�t�+ /3 so RQBERTi 4 AO P E A. ELDREDGE w . i.. O a:BUNIKIS .sy � � 7 - °a. AE LwRbYGl.r 'ENGINEERM ,•e -.Q NO.92162 33 N0,-'�IAAIIII S$ = MAIM ... „ .f ,,.^ "'�3" � "`•?r' ..< . - "+vo-mu 0 YAM. ,.3a'•ft- .'.. - _-- wCl x- + r5. �:.. .'r`',Y a't..�.�� .h..;. �,,,..`..�s .!'1 u.^`p'"'"�;a�i.