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HomeMy WebLinkAbout0027 RENOIR DRIVE - Health 0 41 27 RENOIR DRIVE OSTERVILLE A= 146 - 112 j I I I No.----.... J/A F�$..... .�................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH jot OF.................... ................... �61 AvOration for Dispasal Works C ongtrurfivit Vanat Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: L6 - SZ 7 ..... ��- � D0 S................_............................... .. �� ..... ---....•----.----�. . - .._-- .-- L tion-Ad ess Co or Lot No. �Y---- - ------- -------- ner � �� -i'fddress W --->-----...-_--• -- - •................ - nstaller Address �/ Type of Building Size Lot...1__df__7.�.0..Sq. feet U Dwelling—No. of Bedrooms_____________ _ __________.________Expansion Attic (AY-0 Garbage Grinder (C_o P., Other—Type of Building ____________________________ No. of persons.................._.......... Showers ( ) — Cafeteria ( ) P4 Other fixtures .------••--•-----•--•---•------• - W Design Flow______________________�57_�-------gallons per person per day. Total daily flow_____________.__�,,r•__3...d.............gallons. WSeptic Tank—Liquid capacity, 6.0.0gallons Length--------_------ Width................ Diameter................ Depth................ Width___.._____._._______ Total Length_.______...._____.__ Total leaching area____.__._._.__.__._.sq. ft.Disposal Trench—No_ ______________ Seepage Pit No--------------------- Diameter____________________ Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ,y� Percolation Test Results Performed by.. L-• -_ Date...........�/A Y------- a Test Pit No. 1...& {;.minutes per inch Depth of Test Pit___________ _ ___ Depth to ground water----- !'/_ �..7 Test Pit No. 2____` minutes per inch Depth of Test Pit......... __Depth to ground water_______________________ � ---------------------------------------------------------------•--...---•-------•------...........-•......................................................... 0 Description of Soil.......................................................................••-----------------------------•-------------•-----------------------------------.....•---••-•-•- x U 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 TL I 1�LE 5 of the State Sanitary Code—The undersigned further agre s of to place the system in operation until a Certificate of Compliance has been issued by the board of health. Si ed---•.............. = -------•---• --• OF Si Application Approved By........ -•----,�/-- - .................................... 1� ------- - - --- ----- aD t' e Application Disapproved for the following reasons----- ----------•----------------------------------------------------------------•-----------------------•----- ...............••••••--••.....•••---------•----------•-••-•.....-••••----------•••••-•--------......---•- Date PermitNo......................................................... Issued_....................................................... Date M No.......... _5. Fizz.....�"�A v.........._ THE COMMONWEALTH OF MASSACHUSETTS -•�` BOARD OF HEALTH .. .--.-----...OF................... y`�.- �'.�_....... ... �I J Annlira#ion for Diinosal Works Tonstrnrtion runfit Application is hereby made for a Permit to Construct kr)'or Repair ( ) an Individual Sewage Disposal System at: f - .,.. `_ -� •--- ........................ ............................................ ........................6.. .........DA........o_14 --••.•--•••. L ation-Address -.. Lot No. 7� �+ - - "C .�f^ :.../ /sue ^JQ ......... l.f �wner 1 �m ► , ddress� W .......$�� r�r.�'f............:�yt ......-...._.............-•---••--17 �" :as:--------------------------------- nstaller �. J Add'ress- �.- Type of Building Size Lot._ _ t:70.-�j,....Sq. feet Dwelling—No. of Bedrooms........... - ---------------------------Expansion Attic ( }"(, Ga age Grinderz A4 Other—Type of Building No. of persons............................ Showers QI YP g --••-----•-----•---._._..... p ( ) — Cafeteria ( ) a' Other fixtures ...................................................... gallons per person per day. Total daily flow................ 3 ...........gallons. Design Flow....................... . ... . . g P P P Y• Y �-- - WSeptic Tank—Liquid capacity/l6.:�r,A.gallons Length_�.f ......... Width................ Diameter................ Depth................ x Disposal Trench—No..............1_...... Width.................... Total Length.................... Total leaching area..............:.....sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet..................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed b ......... ..... / J _..?' __._ ' Date.......... ll : -Y_-- a Test Pit No. 1__ _( _minutes per inch Depth of'Test Pit-----_._ Depth to ground water•__:;-�'�:� :L Gz, Test Pit No. 2__-_-__r��..-'_..minutes per inch Depth of Test Pit........L:.__.... Depth to ground water..................... ODescription of Soil....................................••__•--•........ ---------------------------- ............................................................... U -......--•-----•--•---•-••--•---•---•.....-•-•--•--- ---•------•----•-•---•...••-•- --••--------•---------------- --• ; 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 TITLE 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.................. .......... ................. ( r' Date F Application Approved By . 7� --------- : „ ', , Application Disapproved for the following reasons:.,�'.�--------------------•--•---••------------------•-----------------------•------------------.....-•------- ••-•......................................•-•---......--••----------------...---------.......--------------------------------------•-----•-•••-••-•---------------•-------------••-----•-------••------- Date PermitNo......................................................... Issued.-------•--•----•--•••----•....._..___ ^-----•-- --•-•--- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , nr::�t .........OF.. ',' ��e Trrfifirab of.Tomplitanrr THIS IS TO CERTIFY, That the Individual Sewage, osal System constructed) -or Repaired ( ) by � ---------•..................••.....- I*11er L C� c.�.." G...... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as describled in the application for Disposal Works Construction.Permit No...... jp a�.�_____________ dated----------...................................... - THE ISSUANCE OF THIS CERTIFICATE SHALL-NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI F CTION SATISFACTORY. ///l// DATE._ .� . .:d l.. =•-••-•-•------•---•--------- Inspector........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �. 1.. �✓f/t�. '...O F.................. ...y l..' .. No... ... `", FEE........................ Disposal Works Tontrnrtion frrnt' Permission is herebyranted.. __. �'' _: !tom}: g -- =` --- ---•-.......---•...........................•- to Construct ( ') or Repair ( ) an Individual Sewage Disposal System atNo................................... 'i=- ..... --�_ _..........." , d E f - . .............. :� '� ...--: . Street as shown on the application for Disposal Works Construction Permit No____________ _______ Dated....................................... '7,� Board of Health DATE................................................................................ FORM 1255 A. M. SULKIN, INC., BOSTON ;� ��- v A /A � < eo 2 1A _ Op C yr� 3 � V d ub An c� Ul 3a d 3 z t \!l r RBANDONaD /N v MA U V. it / � /\ + r• \ A. /. 7S-- J, Y � aY; �}•irti F/"�A'.i�f/o/✓ J Lai L qu- P.SN OFh1q; 3 ov 5 ' r4 fir S106 ems. ,�!`� o�el, ORSE No.10851�vQ ,$„lr}Papm Y 2 v c,o Fr EP �4J b/' J U=• N 1>/ F706%S ooFss/ONAt � ' oa � X GEND EXISTING SPOT ELEVATION Ox0 ZN'vr:nas� CERTIFIED PLOT PLAN EXISTING, CONTOUR ----- 0. T 52 ENvcn- it el- FINISHED SPOT ELEVATION <�,� ROSERT D� TCr, I/�L.L.E FINISHED ..00NTOUR - 0 `h BRUCE . ELDREn ti I N-- -- APPROVED , BOARD OF HEALTH ST q o �, DATE AGENT _ SCALES s 1 �'� 4o`' DATE 6' 6 �;�., C R�ryAt6i?ta;e s 'ELOREDGE ENGINEERING GQ l'.'�r' EGISTERE REGISTEREp zzcr(, I CERTIFY THAT THE PROPOSED CIVIL LAND ` JOB;AO ,� BUILDING SHOWN ON THIS PLAN ENGINEER SURVEYO W BY; ._ CONFORM$ TO THE ZONING LAWS u. , OF BARNSTABLE , MASS. 712 BY,M Al N STREET 5 CHk --�� H Y A N N I S M ati 'Sig e , SHEE�T..,L'OF '� E REG. LAND SURVEYOR :. v - NO /f At W&M 7We SEPT/C TAN�c OR /a PT ASP/N LLsAG1,r�ivG i•/T ARL'' /YORE Ti5►�1�`J /d BELO it/ 1RAORr�4 1Q•,V/AM ETER �ONCRRTE CpvE,r 4`PYC' P/PB S.VALL ®E a•?OuGNT TO GRAOR `.-►.v EXTR.�t CO/VCRL'T'R M/N. P/TGI+I Af 4 vY CA S T/RO/!N C O YC*R Sh+.�4 L L 3E U �,: EL, 43._e3 COY S //V OR/✓EH/.4 Y- co rE14r CL E.4,V SANG LI�L!/D LEYEL •. . . �- - . . c3AGX)=/L L . _ z/ `LAYER Kitt. . .._.t.�s— _ P 1rT. S�Pr/ �iR/Y�C D/S7 e • • I • •. • • • . • • e WA SPIED SM)VC • s • e EFTFGT/YC ti • • 3�4 - �2 i �::.� • � • r s• DEPTi •.� � 1 v' 3VASJ,IED STONE i - YJ �t7 _ - 0 • • s •. • 7 - _ � t _ .. tt`. .. • ie • e • • P • : PRECAST SEE134GE INYC�'�.e�L�Y�T/cW� p�� c.+Ps�-�tTy s4g �s��w�y . • ►. • • • . . . . . • .•'e air oR Equw � I,VVAM7 AT aiv/tD%Me� a<fT. Dv�y. K !I1/tE7* .SEJ�+Fit T.4N/t ", _ : 1L J O IrZ yr y C�sEE r�teat�rlo v� oar SEP LE' ' rri .t III '''" r; �� ��1 j• � ,.� � ^ i /JVi(EPO/37R/8�f/Tt�II Qt ' z' 'rx `kGROVIVOWAYZA TAMAT /►+mac sew Z6 qet- OtJTLET�ISTRl�aU�ryOIV Si�CTlO _ K y C&c eew Cs/tqt.eilfrer. WA Ol.4P 'YST' T 1 O x 2` - 1�i�E"`Pdii/ �� l.�T! IK AL& a� ENSiorr wt/tIaER ofa"aWs`_ s p//►IEJVS�ON' C 5,S GARBiCGFO/SPOSAL 1/IK/T. Ara ME ; y sots .o� TOTAL EST/MriTEO FLGrV 33 C•,4t./sty S.O/L TEST A!/ " SOIL 7&'s71,02 i1lUNIBE.P QF L,E•tGNlNG P/r3 C'LEY. 3 z..o /(, f "j S/OE[rACNIAOU PER P41 $- .l PT. ��Y DATF OA-SOIL TEST S-/ / a0r7.0M LFa,cA.r A(p PER P/T 7 gp, /e;- 0-7 RBSt/LTS i'vlT/SIESSEO TOTAL LEACNIirG AREA ESQ. Jr L'= A �� ` PE�ICOLA770" R.4TE,at/ LC-ss )RENCOLAr/oN ?A�"�s t 2 Tr-/�t-/✓ R,ESERYE�.EAGV/N6ARE.N. SQ. 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