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