Loading...
HomeMy WebLinkAbout0223 BRIDLE PATH - Health J LO•'CAT4ON :::7. SEWA E PERMIT NO. L c:i Trid l*- �,��� Fr - i5,-3 VILLAGE INSTA.LIER'S NAME & ADDRESS i0—oh,e+c,i GvY*Z, Co UILDE R OR OWNER PC DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED L® Z .- .j L ? No:r.•:--.......IS 3 Fps 2 f~:........... THE COMMONWEALTH OF MASSACHUSETTS BOAR® F HEALTH y ........�O.. ✓. .....OF........./...... ,4atv..i' , .`7 ................ Allp ira#ion for Uhipvaal Works Tomilrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Systemat4— ..: —..._� `. .�.: .�.. __ .... + _ ,. .lG -----------------------------------------_--_.!; -•.--•---...-------------...------.------. Location-Address or Lot No �p Owner �* �dres� tin; ....� i;%�Ps,j lc.(7t n/ ,� :.. ........-. .................................................. t ... .......�_. ..... .... ...._... _ Installer Address � Q Type of Building Size Lotc _�.. Sq-ALeet Dwelling—No. of Bedrooms....... ..................................Expansion Attic ( ) GarbageGrind, ¢� aOther—Type of Building ............................ No. of persons...._._...__.._......... Showers ( ).— Cafeteria ( ) a Other fixtur s -------------------------------• J d Design Flow.................... ..............gallons per person p day. Total d ily flow........... C ............ -gallons. W WSeptic Tank—Liquid capacity.JO.O_C) allons Length---__. _.... Width____ _________ Diameter...__._......... Dyp_t a...... ...... -- x Disposal Trench—No- -------------------- Width.................... Total Length.................... Total leaching areac2 , ........ r. ft. Seepage Pit No-----_------------- Diameter.................... Depth below inlet.................... Total leaching area..........._.......s ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by------------------------------------------------------------------------- Date.._'-�_3.-_2 ---.... minutes per inch Depth..of Test Pit.... _ r.�...___ Depth to round water. ................D 1' 4i Test Pit No. 1.�.._......... p p: p g Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------- ---------------Description of Soil.�I I-L.%' ..-•/--•--�?`f.. ... ..........-<---- l u.r U -----------------------••-•---... ..� .... -------------------------------------•--•----------------•----------- W •------------------------------------- -----------------------------------------------------------•-----------------------------...-----------------------------------------------•------....•---------- VNature of Repairs or Alterations—Answer when applicable.______________________________________________________________________________________________ •--------------------------•----------------------------------•------------------.......------•-----•----------------------------------------...------------....-----------------------......---------- Agreement: The undersigned agrees to install the aforede r' ed Individual Sewage Disposal System in accordance with the provisions of iIII LE p 5 of the State Sanitary o —The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een ssued by the o alth. jig ....... -.... . ..�:. ................. ---` s--•----------- t 7 Date Application Approved By......... ---- ---- -- - Pe Date Application Disapproved for the following reasons---------------•-------------•--•---------------------------------------------------------------------......._... ----------------------------------------------------.....................................................................-•----------------------------------------------------------------------_.._. Date PermitNo......................................................... Issued--i.................................................... 1 ,3 Ncr........................ ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH .. ..(N. ......OF........ �.:....�� �:. .. ...r..: '3 j... ... App iratio-n for DiiposFal Works Tomtrnrtion Fermi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System. - � s �,�tr .............. _ __.4-- ... ............. .:._.__�....:. .. . ....... .......................................... ... ......................................... Location-Address or Lot No. • ... U � ... ... ` ............................... ._...._....... Owner ! Andres a .0 b c>i1t i v arci� !/c 1�f�:: �� 1.�! °"�iu ..-•-•--•-•---------------•----..............---••.....----•--•••-----•----------..... ._..•=-••---••••-••------•----•--•. .... Installer Address U Type of Building ~~�� Size Lot? 1-•3-7.�—.Sq. feet Dwelling—No. of Bedrooms......f?. ..........•....................Expansion Attic ( ) Garbage Grinder Tj(P `4 Other—Type-of Building No. of persons ................... Showers QI g ---------------------------- P ( ) Cafeteria ( ) Q' Other fixtus-r W Design Flow............................................gallons per person per day. Total daily flow.......... -0................gallons. WSeptic Tank—Liquid'capacity./Qfl0gallons Length------ -..__ Width---b.......... Diameter---------------- D p h................ 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 ( ) aPercolation Test Results Performed by.... Date. ..._..�_3 -•� ...... a Test Pit No. 1.�.............minutes per inch Depth of Test --------------------------- Depth to ground water u9--W.r4...... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........._.............. a ----•• -------------------�-�-f----------------- ........-- ..........-----.---------•------------•---�----------•-•-•--• p x Description of Soil.y`_ � - ' Ott r�i' �-� '° � '{*•'/t �'�"'�' ................... O P U ..............••. ......-•-•-•......---• •----•-•---•----• -•-••-•••-••-•--......_....-------------•••----•-•-•. W VNature of Repairs or Alterations—Answer when applicable................................................................................................ ---------------------------- -----------------------------•---•--•---•-------------............--------•-------------------------------------------------------------------------------........._.•••-- Agreement: The undersigned agrees to install the afored�c bed Individual Sewage Disposal System in accordance with the provisions of TIT TIE5 of the State Sanitary o e— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een issued by the o alth. - Sig __ _______________ _. ApplicationApproved B ---. '/PP PP Y ,......-•------------------------------- ---------•-•----------------- ---------------------D------------------- ate Application Disapproved for the following reasons-----------------------•-------------•-------------•----------------------------------------------------••-.._... ......................................•-----•------•-------.......------------------••-=:------------•------------------------------...------------------------------------------•--------- w Date PermitNo.....................................................- . Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS B0p�13lF HEALTH .( tl.. ............o F........�. :::r .. .. .. .. ....!...`................. T er#if irate of TointpliFanre THS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired (- ) --------------- ---- -------------------- ------------------------------ at........ - •-�•.• t ... ��--------- .�f�V.. .. i has been installed in accordance with the provisions of 5 Qf The State Sanitary C ;e�s dcyclribed in the application for Disposal Works Construction Permit Nc(.•�__/___-__-____S_-_--�__----____•--•--. dated=__.._�_5---------- -__/__U_- _-•-------------- THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEIe1.WILL FUNCTION SATISFACTORY. DATE............................7 ---/-�-........ �...---.. Inspector------------• ---- --- .............................................. k THE COMMONWEALTH OF MASSACHUSETTS BO OF HEALTH i -- '�. .� .......O � ..... �. /� :......... ............. No. FEE........................ . Dhipos al Workii Tonitrnrtion eranit t�1114 Permission is ereby granted--=—Q:-- - .1�, ............... .....---------------------------------------------------------...._..--•--.....--- to Construct (h�or Repair ) an Individual S.C.1va a Disposal S s em at No....L.o- -••- <-.... g-, a .--l-.n�. . ---.....-:6. :� �'1/1 A'U 7 �,o_ � a I F �' .._._.... - -•-------------- =-------------------- ••. •--•••-•.•--•- ••-• •-- Street as shown on the application for Disposal Works Construction P J-F No. f......_h Dated.......................................... . c --,�� DATE.... y' 7 r�" Board of Health �. -- ----- ----•-----------•-----------------•----------------- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS t �a VV � • � F. —, _ (+.n� n• t �'.it c 9 .ek •' '~ of a•� s � _ ' .•' _ �P E J?F5t 7 '4 `. - Md G �eaci,.�1P j` IOR l � t ' k T.�r,x y w•�, N. SO IX to a.34r s� 44' 4; LEGEND EXISTING SPOT ELEVATION ' Ox0 CERTIFIED PLOT PL AN EXIgTLPIt3. ;CONTOUR - - O _. _ _ Q (( �,t �. 2 OQr,o/ e a-14 '.FINISHED,. SPOT ELEVATION O.O;I;l '� F +JN�KiS � � �►/h �� c �� ,. c /►/Ji%/s •��uiocuED �' f _, f, --'— c.• v.. —'v.r 'vz�•,v -,^ .0§„H, --ii¢«i'` Y"�tb0`221b:: .'r'w s� .+. t; APPROVED BOARD OF HE�A,LTH ����� --`` ♦�l11 ASS* AY DATE « -- - -AGENT--- - — ♦♦♦�� SCALE l '�= yG DATE /I/1d�e,�/y!y /Q7 c t� LOREOGE ENGINEERING CO. IN�G , A!£_ . ..,..... . , CLIENTZ. �_�'. C_._ I CERTIFY THAT THE PROPOSED,, -31f, ,5 E,OISTERE RE013TERED JOB N0. _��_ �z_ BUILDING SHOWN ON THIS« Pl AN At CIVIL LAND A p� ' CONFORMS TO THE ZONING-'L'YAWS ENGINEER SURVEYOR DR. BY __ :______— OF BARNSTABLE `MASS.3 NG MAIN ST. 712 MAIN ST. CH. BY: 3/Vi9s 0. `YARMOUTH MASa. NYANNIS, MASS. SHEET-�- OF ��DATE REG: LAND SaJRVEYO .�_ �,_.k... k .r--+. s+;n+'. ,.;+7 Zvi .ww" �.�:] ,a» '+,'t:. .: :�• w..3-,,,p1:.�76 rwaz.N�;•a-1..•.s:s.�i k+ar` _r ,n•+: r.:: ;sT.Na.s,.'Cca"v -i:•7sms',Hrtµr•w:; '.`.,ww+ni. ".suu-n.�++Jt'k'"4.ra '...F,!.'se;:,ga a.ym;.�4..f.-w6+n.t;•:v1r V . yPPF sa �O FT. M/N �A n'NO E/T/'/ER 7 N•f S.4 PT/C TAN K OR -- — -- — .,, .-` �, EACH./!vG o!T :4R. E /"TORE TH.9."r /2.•BELOvt/ /G fT. M lAI ---� SW A L L BE BROUGHT TO G RA O E :�.-;i✓ EXTRA 4•P✓C P/PE ry �v CONCRETE HEAi/y CAST /20N Cn✓ER Sf1.<{LL a,- C/SE17 CO YERS—� �B PER FT. \ /F/N /�R/1VEWAY a - III —`���-- �__.__.::�_,�—_� _ -- 1_.�—.__ 4?9oE CU ✓.ER 1. 4.. CAS T ° 71-T IRON _f rr� •-r r IRON ` I 9:4 o v a p o o OF 1/8 r -'3/B GAL. ° 1 • •i • • • • 1 r.. p c'4 µ ?� MIN. P/TCN _ U D/ST, 1 {yA5HF0 STONE .PER �T. F: StPTiC TANK o • 1 Y • 4 L ,p' uAA i • • • • • 11 - pD to BMX I.o a o n • 1 H • • • • • �o o�� �� �? ' �;� ., �., i' v c � 1 1 •EFFECT/VE �b . •�- 3 4 1 '� o �. 1 • • DEPTJ</ • • 1 p o WASHED STONE o n m • • . e • • • 1 1 p v e y f . PRECA5 7 ffE -AG E /NIieRT E'LE{VAT/ONS ��a • o �' r ..�i • • • . . 1 1� a ;ol J 0/7 OR EQu/V. ` I /NYERT AT Bu/LD/NG . . _y0 F1�.` — -- - — -- --- + ;,V/_ET SEPTIC T.4.,VK FT SEE TfIBULATJON DUTLET SEPTIC TAIVH 3_FT. f INLETO/STR/t9UT/ON SOX �T. SECT/aN 4F GROUND I�lf1TERTAG�LE S 0UrLETDI57-RIB[/T/UN BOX FT. SEWAGE AV/SPOSA L SYSTEM //VLETSEEP.4C,E T �srfa'Crl_.4TlD/� L AEA CH//VG P/T 1 . DES/GIV CHI'TEW/A sc,aLE D/HENS/?N $—�— FT. NUMBER OF �> GARBAGED/SPOSAL UNIT_ -_ 'SD/L LOG n TOTAL EST/N/ATED FLOK/ GAL. . SO/L TEST / SO/L TES7 *,E SO/,L TEST 'NUMBER OFJcCi�fiGE v/TS_ FLE✓. �+'�'O �`-ELEY,__ DATE OF SOIL TEST / •S/DELaEACH/NG PEst P/T _l SQ, FT. y�Laz` RESULTS ITV/T/VESSED BY _! lBvTTOM Le;AcHl/vCr PER P/T 7 E SQ. FT. PE/tCOLAT/ON RA-r.- M/NI/NCH RCOL�TION RATE/k2 = MIN.//NCH TOTAL LEACH/NG AREf� SQ. FT. y •,f.4 sc/ I �H Cf ,d RESERl�E L cACNlNG AREA_I L; ._S.P. FT. , _ o ROBERT y� P. c-1 BUNIKIS No.22162 Cl 57 orF C 4 t-r e sSnNAI i � r _ 4.� - - U a '' µ• 7/-2 MA//Y ST.,: : 33 /NO. Ms1!/V ST '' '` 4 CNo GROUND :!�AreR �NCouivrE.f cp , NYAMN/S MASS S4 YAiPMOUTN, MAS 4 K t Y►./�TER AT • '. �'...'.,ge.,,.a�w.. .,,�,.w•tis......�' .- .. ..y •a._' 7_777777