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Home My WebLink About0051 RENOIR DRIVE - Health bSrEF-2J111-e ��-�/'�✓ ,r No.. .q=5P-5 r Fims... ...................... THE COMMONWEALTH F MASSACHUSETTS BOARD OF HE 0.........._ OF............ ............. e" ApplirFatiun for Disposal Works Tnnitraxrtinn ramit Application is hereby ,made for a Permit to Construct ( ,,<,or Repair ( ; } an Individual Sewage Disposal System at ........................... ..........................---:37 ----• ............. ®i ........ ...... d .. _. .. Location- ddress j'� or t No. - _�}c ,rll 1!.1F7 4�........CD ..r...... l .. -------•--•-----•-......-•---••---......--- OwnerAddress ............ 0 --------- --------- ---------------------------------•. -�'",�- ----.-----------------------.-----------._-. Insta er Address /q.— U Type of Building i� Size Lot.... _ �„` feet Dwelling—No. of Bedrooms.............../_..........................Expansion Attic 4,4— Garb ge Grinder koa_ aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures --------------•••--------•--...----•-....------------------•-•--•-----------••-••-----•...........---- W Desi n Flow........:...................... ..... gallons per person per day. Total daily flow___------------5.1...0............gallons. ----------- -- --- ------ g Septic Tank—Liquid capacity./.6-4allons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... 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 ( ) / / 2 '� Percolation Test Results Performed by................................. C ........ _..__..-.... ..... Date............64 „7 a . Test Pit No. 1..........:.... inutes per inch Depth of Test Pit........ _. ....__ De h to ground water.._. � c.-, f=, Test Pit No. 2------ .minutes per inch Depth of Test Pit...... .......... Depth to ground water._.___...........---___. --- O Description of Soil----•----•---------� .......-••-•---J�` U ................................................... • f ............. ,r4c......• ....'............................•..........._......._......_..........................._.......•..._...............__._._.................._._---_......._........•-•---..........................._.__ V 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 TITi U 5 of the State Sanitary Code— The undersigned fur r agre t to place/thhe.sstem in operation until a Certificate of Compliance has been issued by t o rd of lieSigned ..... ..Application Approved By =.,/� 2. Date Application Disapproved for the following reasons------------------------•---•-•------------------------••------•-•---------------------•-•-•---•--••------••----- ......•••-•---------------•-••---•--•---.......---------•-•------••••--•------•-•-------••...-----........--•-----------------------------•------------•------•-----•------••-•-•-------------•-------•-- Date PermitNo.......................................................... Issued-....................................................... Date ---- ------ -- -- -- -- ----- ------------------------- *� LOCATION ) SEWAGE PERMIT NO. r__)+ 'so Lrmo VILLAGE I N S T A LLER'S NAME S ADDRESS ,��Nl I T-5�e -T 6&-b�\ ® U I L D E R OR OWNER col DATE PERMIT ISSUED g - DAT E COMPLIANCE ISSUED 7 /� « � c G � . �� -�.- a1 �' � �-- � M _ �� a- �r � �. �, �� vA ••_ Z4'' � � \1 I No..' F>�s..,�1. ...�...... ' THE COMMONWEALTH 7F MASSACHUSETTS Lt BOARD OF HE Ir,,f.✓4' •,,.....0F........... .....✓. . Appliration for Disposal Workii Tonotrurtion ramit Application is hereby made for a Permit to Construct (�,.k) or Repair ( ) an Individual Sewage Disposal System at: ................_......... :..Ci............... .................... ---. ..I. ..��c� t......: E!�._ .. _. �..f .....,. Location-,Address or //Lot No. �r Owner ( Address W1 L /��.8'i2` .... ........................................ Installer Address Type of Building Size Lot____ _. 'lSq. feet g— ..........Expansion Attic Garbage Grinder ) a Dwelling No. of Bedrooms.___.____.__ _________________ p, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ----- •-•••-••••--•••••. --••- • - - • -- W Design Flow...................._........�_y.___..:_gallons per person per day: Total daily flow.....____.__ _ :.. _............gallons. WSeptic Tank—Liquid capacity.46_0.kallons Length................ Width................ Diameter__._____________ Depth................ x Disposal Trench—No. .................... 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 by................................ .= ✓_. .___ Date_.__ . , Test Pit No. L...LZ_Tninutes per inch Depth of Test Pit__..__. Depth to ground water.. �, e_ f=, Test Pit No. 2.__ __ minutes per inch Depth of Test Pit___.`.�._.._�_ Depth to ground water........................ a, .... O Description of Soil----------------- 1 .In ! .. '- I W - ---------•--- ;+tn----- -- f" ,: � �� " 77, ••-••••-••--•----•------•-----••-----••--------------•--•••-••-••••-••-•••••-••--••-•-.....--•--•-•--•-----•-•-- ------•---------•----•----••--•-•••-••-•-•---•-....................................... V 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 TITLE 5 of the State Sanitary Code— The undersigne/fr eragre t to place the system in operation until a Certificate of Compliance has been issued by th rd of .Signed........... ....•--- . a Y -• •- to Application Approved By--------------... --------------------------------------•-- ........... �2, 8 • Date Application Disapproved for the following real s:-------•-•-•-----•--•••--•-••-------•---------•-------•--••---•--------------------------------•-••-.......... --•..........................•---•-•----......._......---•---------------•-•----•----------••---•---...--••-----•-•---------•-•---•-••-••••--•----•---------••-•--•-•-••••--•--•--•---•••-•••-----•----- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF /HEALTH f .8 ................. !t"`� ` . o......................._... le wntifiratr of Bunt liFanrr THIS IS TO CERTI .Y, That the IndividKl Sewage D• sal System constructed; ) or Repaired ( ) by----------------------------------- • ✓}' '- ---........ .y!'1 . . ..-••------....--•------ ••--- -•• -------------- Installer � r }`� p .. - has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.___. If" � ____________ dated............................................... THE ISSIJ NCE F THIS CERTIFICATE SHALL NOT BE CONSTRtBE S A GUARANTEE THAT THE SYSTEM V►/I F CyyTION SATISFACTORY. DATE---r•.-- -o/.....__••..............••••----..._.._..._.....---_.. Inspector.. .._ ......_..-•-------••--------------._...-•-•---•-----•-•---........__-•--•- THE COMMONWEALTH OF MASSACHUSETTS BOARD: OF HEALTH I (:r�..........L:r...........OF...................... ...�.%?/ .....GZ S¢�"J... .......... ✓. No..... , 4!A$� kFEE...... .......... Kioppnl Work. Tonstrudion Vqrru0t, Permission 's hereby granted--- :.,.__.k,.�� ,r� ..__:_....._ ., -ZZI eed .__.._to Construct ( or Repair ( ) an I dividual Sewa aosal Syst � r 0..7. __ -- t Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... • rd Health DATE....................................•............................................ FORM 1255 A. M. SULKIN, INC., BOSTON " y. F-ASEmewr M 3 N _ usr _ BE A sswDoNEa . BEFORE 4+ C3EGiwwaNG CoivSTRt/GT�0�.1... CC - 4 Llj \ av MIA. RRER /5,0005F FRoNr S.B.2W Mnv. � M/a/. /o-Q` / a 33® rest �� TbWA O4 7 o r 23' 0 EHSEME NT C!�Tqa G. `o + pir 35 I.N' S 79SS v Lor 2 is OF /4o„ v� ROBE�tT O g BRUCE + ELUREU u ORSE A p No.10951 1 :. y NO SURF FSSIONAL�� LEDEND y CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION Ox0 EXISTING CONTOUR ——— 0 — N FIMLSHED SPOT ELEVATION . Lo,- 30 PEA/OIR, DR. Qs ERV1tiE ' FINISHED CONTOUR 0 Q' IN APPROVED BOARD OF HEALTH `. „` ��,�. •` ��, � �+ DATE AGENT SCALE1 1 - 40' DATE 1M,9,1l6K 94 - cL.CREDGE ENGINEERING CO. IN CLIENT�3aEE^-�a'�� I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED JOB N0. �� -. BUILDING SHOWN ON THIS PLAN CIVIL. LAND ` ' �D� . ' CONFORMS TO THE '.ZONING LAWS ENO NEER RVEY DR.BYt._.,�... OF, BARNSTABLE, MASS. 12 MAIN STREET. ? CH. 8Y W_,. 9 �/ $`� HYA NN I S, MASS. gHEET�:L OF A E ._--I(E- 3. LAND SURVEYOR 20 FT. M/N. NOTE /F E/7 -T THE.SFPr1C TAN/C DR LEACH//VG P/T ARE MORE TNAW /?MBELOpv /D Arr. /M/N ""J71AME7'.ER CO/VCRETAm. C*0vAVw tt--- SjIALL BW BR0lJ6N7- .TO 4/TA08=.�AN Eit'7~RA CONcRcr•� q'PVC P/Pd �AIZ-c}VY CA ST/RO/Y COV4 S'h��L L OE CISED v 4ZCi COVERSr. l MIN. P/TCM !F//V DRl VEJL/A Y. e /fit Aup. a '- 2� MiN. C'DNERETE CO 1iER CL EA/V .SAND L/QUID LEVEL . - 4'e 4"CAST 2 LAYER /RON P/PE 1000 0 o P "o MlN.P/TGN GAL. ' .a • • • • •• > •4 WASHPO 57ONE V4,PP SI R fT, EPT/C TANK D/ST. • s • • . . . e • • . b • , BOX v • � ® e r • ►• � .ee • e t• • 1 • •F --jsCT%✓C • • • 314 �_" • ••a • • DEPT/+� : • e WASHED STGNE o • � o 4f7f GPn 40• • • • • • •• • d p • PRECAST S..&,94GE 7$ t •� • • 0. • • • •.• • i • O/7 DR LVVI V. llvtYiER'"7r ELENATIDuvs._ . _ • . a � 3.•S Stl9 r-po prr 6 Arr. OIA14. /NYERT AT aN/LD/NG 3 S FT CRrW4 Fv ld /NLE7 .SEP'T/C._ T.4NK 3.2.3 FT, LLQ_ FT. 401AM. � C(SEE TABULATIONS OU74E7 SEPT/C TANK 29, fT /NLET DISTR/8!/T/ON BOX�`ZFI,'' SEG'T/ON OF' GROUND NJTER TALE OtITLXTO/STR/BNT/ON" 39-.7 F7. /MLET t. ' CNIAW P/T 39-s FT S�yV�4GE O/.SPO�S'A L SYSTEM TA4WLAT/ON LEAC"IIVG MIT _ DES/6lY CR/TERl.4 ' sCAI-Z : q 2-S �rT ' NUMBER OF BEDRop/yS 3 D/MENSlOH C 4 F7; M114 C.4R4dL46Eo/5.4P05aJL uwlT NPJE SOIL LOG so/a. TEST ToTAt FL.OAV 330 G.44.1DAY SOIL. TEST O/ SO/L 7-=S77#2 NUMBER aF 4ErACNIN6 P/TS 1 FLEK 33"Fs ELA PATE OF SOl L TEST S/OE Ll•ACH/NG PER P/T �.51� PT. - 0-2 � RESULTS iYIT`NESSED dY-�•-1� � -�' tag ®OTTOM Lrw4CN/NG PPR P!T `7S'S$Q.. & ;� f PERCOLAT/ON /LATE / �- LoAtir Tov� # Ml/1/�/NCN T0Ti4t L.-AI AREA 2- 7 S FT. JcWRCOtAT/ON RATE ka l/V. lNCH RE3E/�VE LE4CN1/V6 A EA SAP. !=T. - I t R �� v 2 -12 t OF � . a1 u q N s Or _ - c s ROBERT L.or 30 /25VOrR PAIVE Osrgavue.E p ELDREDG p M 095 No.1093 �, ELO�EDGEENGI/YEER/1�IIG �n ING. r 1 ✓2hrd 7f$ MA1N s HYANNIS MASS �Q� ,off P�c•GIST�P�!��k. _�El.e. ' *0 SVR`� 0FFSS/O.NAI��6\ lm� .NO,G140lJND 1-YATrR ENCOU/VTFRG�O CL/ENT Ua.EE�.rya�Ec P-47E:'M.4w IGL $k R GRO:UV o WATER AT E:`LL�✓. ✓OB NO.' or 2