The URL can be used to link to this page

Home My WebLink About0005 CALVIN HAMBLIN ROAD - Health Via.i v �`►� ��°� �� . Q� M � �� 1�'��cn3 / � C LO CAT ION v � SEWAGE PERMIT NO. )"--i LL nv�&(, - 7 l -SJ w VILLAG �� a�,� .; tea AN - a�3 INSTA LLER'S NAME A ADDRESS C7, X LL B U I L D E R OR OWNER DATE PERMIT ISSUED /_zJ _ ?9 DATE COMPLIANCE ISSUED - _ 2� � ��. ��` �� ,6►� �` `� �' . 4ibiZl0� — ate Old 3 Fps.. )t`' (�Q THE COMMONWEALTH OF MASSACHUSE17S pI .� BOARD OF HEALTH S� G✓ ....................OF...-�.T.�f� �'f -.....r7LP.- Appliratinn for DinpnFai Morks Tnnitrnrtinn Vamit ' Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal C Sy/stem at Locati�- dres or Lot No. . ._. ........ �X................................ ......... Cam= . .................................. ...•--------•-............-----•------......... •..-.......................................... f Owner .................... ..........*------Address a ............ .CJ.1.`:1..•-_......lL� � Installe Address �� Type of Building Size Loth .. .rti� ` .__ Sq. feet U Dwelling—No. of Bedrooms........•.._.........................Expansion Attic (X41 3 Garbage Grinder (h o) pa, Other—Type of Building ............................ No. of persons......6........... Showers ( ) — Cafeteria ( ) Other fixtures ............................ . W Design Flow..........,Al ......................gallons per person per day. Total daily flow.......3-75.5�1-........................gallons. WSeptic Tank—Liquid capaciVZ gallons Lengthg..'A.... Width y.--/Q. _ Diameter................ Depth...` .... x Disposal Trench—No..................... Width..................... Total Length...................... Total leaching area....................sq. ft. Seepage Pit No-------I............. Diameter......10 1...... Depth below inlet...... ..._........ Total leaching area...A.j_?....sq. ft. Other Distribution box Dosin to '-' Percolation Test Results ) Performed b -__I �. ►"! fl��_ .........__ Date....d.��5��_........_-. ,.� Test Pit No. 1._�...._..minutes per inch Depth of Test Pit.... ....._... Septh to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 .................................. ..... .....•••••---•-.........._•..... ......................... O Description of oil....12...'...t- , 4�-c:. .��5c�� / ---- ....................... -7 o �..__...__ :� y�' f 0 --------------------•-- l'-a� •-----•••- V ..............:J.Stfi�!-v r!!!_._.. e�i1!fGci W U Nature of Repairs or Alterations—Answer when applica I ............................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TL I Tl iE 5 of the State Sanitary Code—The undersigneVurthe5_,00ees not to place the system in operation until a Certificate of Compliance has been i d b e boar heal Xigned ._.. •---------•----•--•------------•• Date Date f Application Approved By...... ..-•------------------------•---..-•_... l- 'r Date JkAjp6plicmation Disapproved for the following reasons:-------•--------------------•-••-----------------------••---....---------------------•-----...........---.•_.... ---------••-•----.............-•----------.................---•------•-•-•-----------•......................••••---•-••--- �� r9-- ------------_-----_--- Date No...... ...... .. Issued. .....--•--.� �s-- - ----•-•---71 ...-----•-----_.. Date No..._....il FEz THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7_� . ........................................................ .2.....................OF.... Appliration for Disposal Works Tonstrurtion r.emit Application is hereby made for a Permit to Construct or Repair Individual 'S_ isposal System at 4 dw ;/- .... X_.�,"� vllvl�........................................................... ..................... . ....... m�. .....f!Z/f:. ......................... ('�ocat=.... or Lot No. ..................... ------------------ ..... -------------------------------------- .......*--------------- ---------------------- Address Owne Mt;:L.. ......... .............................. .................................................................................................. Installe Address Type of Building Size LotAtk!'3.7 ..Sq. feet 1*71 Dwelling—No. of Bedrooms...........................................Expansion Attic FY15 Other—Type of Building ............................ No. of persons.......6...........!!��Sh Garbage Grinder owers Cafeteria Otherfixtures ..................................................................................................................................................... Design Flow.........._05.P............................gallons.. per person per day. Total 4ily flow....... ..........................gallons. Septic Tank—Liquid*capaciv .. ...gallons Lengtl&.'...�...... Width."'."Yo.... Diameter________________ Depth_'I.......... Disposal Trench—No..................... Width.................... Total Length..................... Total leaching area....................sq. f t. Seepage Pit No......I............. Diameter.._..ZO.!...... Depth below inlet..... ............ Total leaching area... ----sq. f t. Z Other Distribution box Dosing tant,( Performed by Date._.. . ................. Percolation Test Results .... Test Pit No. minutes per inch Depth of Test Pit.... ............. epth to ground water........................ G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..__._...._........._:.. ................................ ........ ....................... ....... ...................................................... 0 .... ............................ -------------------- 7 Desc tion of;Soil....2- ................I....................................... U ....................................................................................................................................................................................................... W ....................................................................................................................................................;.................................................... U Nature of Repairs or Alterations—Answer when appli . ............................................................................................. ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I TIE 5 of the State Sanitary Code— The undersign f urth e��r, I iees not to place the system in operation until a Certificate of Compliance has been jsgiu d b 0 r I �`he boaL*6 �ieal�1' �5 e_1 I ned.. . ... .................................... )ig "IzDate `J.. - Application Approved By...... .................................................................................. ........ .............. Date Application Disapproved for the following reasons:....................................................................................... ............... ........................................................................................................................................................................................................ Date PermitNo......' -------•--------•-------------•........ Issued.---- ................................. ............ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................................OF.............................................................. ............ Trrtifiratr of Tontlifitturr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (X ) or Repaired by----.--.-- ...-•---•.......... .-•-•- ---.._....-•-•--.-- ......................•-• ••. ••-•-• --••-•• ............ -•-- . /�V2ayer, *,9_� 41 at.................40,r 011W ...... ................................................................................................................... ............... . ...................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for'Disposal Works Construction Permit No.......Jrl.............................. dated ................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU D AS A UARTAEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................Z......... ................................ Inspector............ ........................... ...................... THE COMMONWEALTH,OF MASSACHUSETTS BOARD OF; :,HEALTH ................ ........................0 F......... ................................................. No.......` ........ FEE......................... Disposal Varks TWnstriu-tion ramit Permission is hereby granted.. If61111'.............................7----------------------------------------------------------------------------------- to Construct (� ) or Repair ( ) an Individual Sewa Di :)sal System at No................d!4...........�1;...... .......lel' � ge ispi ". Aela.,$ ..................................................................................................................... as shown on the application for7'61;06s a*1 Works Construction" Per m.t No.__.................._ Dated....../�......... ;7 4/........... ....................................................................................................... Board of Health DATE................................................................................. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS' l l`✓ 0 A A LI f 1/0„ Ems'___ o 3 a' 3 0 f � � � N 3 o N /000 GAL, d SPn7/C a, il V� Zµ /'r T N ' 31 arcs„�E, Wo- LEGEND , EXISTING SPOT ELEVATION 0,0 CERTIFIED PLOT PLAN —« -I,. N,..ol�_R0 FINISHED SPOT ELEVATION- - 0 0l'"--- -- --�` L"T 4 C'`I4 van/ H.4MJ3L/N ko�� k INISHEO CONTOURTO®V`S IN APPROVED : BOARD OF HEALTH TA -9, AASS* DATE AGENT ' SCAL.E O DATE : / 2. 1/.3 ,EL DREDGE E-NGINE-ERING CO. INCH CLIENT I CERTIFY THAT THE PROPOSED EGISTEREC}l (REGISTERED JOB NO.-le y BUILDING SHOWN ON THIS PLAN CIVIL i I LAND CONFORMS TO THE ZONING LAWS l `�I ,A, /►�1 ENGINE-ERgJ SURVEYORS/ DR. BY OF BARNSTA LE , MASS. 33 NO MAIN ST 712. MAIN CT S0. YARMOUrH MASS. HYANNIS, MASS. SHEETJ_. OF _ DATE REG . LAND SURVEYOR t PT/C TANk OR 1 IV 07"E 80 FT. M//V. GEAC/4/ivG P/T AIDE 116RE T.HA"v Iz"&ELOW 24'p/AM ETFR •CONCRET� COPPER I P / �N SjJALL BiE �9ROUGNT 'TO 6/�AOJE �fiN EXTRA GONCR 'TB 4"P✓C P/Pg NE,4Vy C C/q ST IRON CO��iErR Sf�ALL L3E US�.C� - M/N. P/TCN /F/N ,L7R/VIE WA y ff L. i v •C Oo vERs y vF.P Fr Co VE"R CL EA V SAND ! L/QU/O LEVEL .: x • • _ _ • �.. '��'.�', � 2 LAYER d�•' sY OF • 4..CAST �' v • ' o IRON P/PE i lb D GAL. f o o v o r • • • • . o • e e a �' WASHED 5727NE M/N.P/TCN a SLEPT/C TANK D sT, p y r / s • • • • e , o p• a q BOX p / 1 B • • • • • e • Pcc,,�'e ar:i .. e y eD � r r •EFFECT/VE e s w • • � e • • DFPTf•1 s • • � o o WASHED STDiYE , � - a o e • e • • • • • • r Aa ,� o ° PRECA SEEPAGE h•. 'e r u� a e • • . o • • • / e D oro P P/T OR EQ ' U/V. r Q ' o e e l • • I • • 1 1 da} D i Nr lNV ZA-r EL EYATIONS CL r �G i s p K :. INVERT AT BUILDING FT.• 1 y 0/AM, C SEE TA®ULs1T1_C7N>- - - INLET SEPTIC Ti4/VK Ol/7LET SEPTIC TANK S '' FT G,ppuNo W,�ITER T�iBLE %NLET DISTR/f3UT/ON BOX �a FT. SECT/ON O F' ,.0drLoF7D/5TR/0IIT•/0N BOX 24.41 FT SEJ�AGE O/SR4SA L SY.STE/�'1 —,gBULATIDN /NL�T LEACHING PIT FT. LEACHING PIT DIMEN.i/ON A FT. SCALE DES/6,At CRITERIA C FT. ' NUMBER OF 6EDR010145 SOIL. LOG ., iReAGEO/SPOSAL UNIT -Sall- TEST TOTAL E1T/MATED FLOW 3 3 O GA1..1DAY SOl1- TEST I SOIL TEST#2 Z /(� �7� 'Q' l 'A(UMBER aF 40ACIVlNG PITS / `-FLE✓• r� ELEY. ,DATE OF SOi;L TEST / $/pE LEACHING PER P/7' �� "SQ, FT. p 4 RESULTS IN/T�7v/ESSED A BOTTOM CHI MC PER P/T S4• FT t `� ' P4`RCOLAT/ON1,RATE / Z M!/V�/NCH FffNC011►T/ON.RATE/k2 M/N.1INCH .f 707A LEACH/NG AREA Sq. FT. VCr AREA SQ. _ KESERVE LE.4 Z L�L np evv 1-4 o` /R06ERl' " a _ C BUNIKIS ��f:f'14TCV,= No 22162 O N � � .� 1 N ST. 33 NO, ,,No. - 'EPA K HYANN/3 SO. YARMCXJTNe MA SS. isT \e\ N0,6R011N0 yfl,4TER �NCOIJ/VTEREO SIONAL ...,T3 GROUND WATER AT EL I/ .IOC SHEET z-OF Z .t