HomeMy WebLinkAbout0065 CHRISTMAS WAY - Health U-7lo-24
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LOCATION Cy2�'sP c�Ry SEWAGE- PERMIT NO.
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VILLAGE
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I N S T A LLER'S NAME i ADDRESS
BUILDER OR OWNER
DATE PERMIT ISSUED
'DATE COMPLIANCE ISSUED a q �3S
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THE COMMONWEALTH OF MASSACHUSETTS
I n� BOARD OF HEALTH
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Appit-ration for Disposal Works Tonstradiun Haut
Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal
System at
.....Chr -A m0.s ..�....`'�...........m S. l- � .............. �K.:2.............P� 13'1
Ocation Address or Lot No. .
-... . t �. ,� ................................ - -.... ................................
..----. _........
W Jr o`/ r Address
a ..................................................... E........-•------._.......__._............_ ..............----....____.........................................._....._._..............._..__.
Insta ler Address Type of Building Size Lot.��.,-2.3.a_.1-...Sq. feet�-
.-� Dwelling—No. of Bedrooms.......�J.................................Expansion Attic ( ) Garbage Grinder
a`4 e of Building ( )
Other—T yp g .--••--•-------•--...------- No. of persons----------------•---...._._. Showers ( ) — Cafeteria
Other fixtures . ------------------ .......-.....................•••••••• .......
W Design Flow............................................gallons per person p�� day. Total dai�y low.........._.... 3 ......_....... lon
WSeptic Tank—Liquid capacityYl'.gallons Length.........?... Width:._._ ?c.. Diameter................
x Disposal Trench—No..................... Width__r__.... ._..._.. Total Length....._...,..... Total leaching area_........._._.......sq. ft.
3 Seepage Pit No........I............ Diameter..._ .E'c Depth below inlet... e : Total leaching area_.3`j..Z��5t u_ G 1 Q
Other Distribution box X) Dosin a
•.. . .............•-.........
z a+�ba� t �.. s 83 Percolation Test Results Performed by.. . . �..._. . .. ............... Date......_..._............._._......._...
Test Pit No. 1.....� . .minutes per inch Depth of Test Pit....14 ....... Depth to ground 'Water...han............
f� Test Pit No. 2................minutes per inch Depth of Test Pit....�.44 Depth to ground water... .�.�:-.
.........
O Description of Soil........S�-e..-q c' ' - ..-2�n----------------------•----•-----...........---••-•-••--•................................---..
41e.;.e. :.............. --.....-. ..............----......._. ....:..__
v �....................... ............... •..... ...................
W ��7 n.t ��.'-:e .��!.t ter,!._.. .
x .
U Nature sn Iterations—Answer when app i leu,.tii�,_...__ ..... ...............................................
-•-•-•-•--••---------•-•-------------•--•--•----•-•-----••-•---.....--•-•-.....-•----•--•----•--....---•--......------------....-•-•-------•----••---.....---•--.....................---•-•--•..........
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of LITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been ' e by the boar lth.
Signed.---- .....C._C. .
Date .
ApplicationApproved By.................. ...:.. ..r-- ...- - - --•- ................................ ........................................
Date
Application Disapproved for the following reasons:_..----•-•--------------------------------•--........--•--.:.. --
...........................................................................-----..........------..... ...........
Date .
Permit No...... .... .9....................... Issued. . - -.....----
Date
L,
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No..a FEs.Zi.................
THE COMMONWEALTH OF MASSACHUSETTS
6
BOARD OF HEALTH
..ti.. .W ....................O F....�cs,r Y.N
,yr
------------------ .........................
Appuration for Disposal Works Tonstrurtion Permit
Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal j
System at:
.....Grris -may ........................V,Y\►11. s--:.. ..................................... 3� Pq._13�
ocation-Addre 9s I or Lot No
Address
..................................................... ........................................... ...........................•------•-•-----.......................................................
M Insta ler Address
Q7i
Type of Building Size Lot.la..;o.._.A...Sq. feet —
U
Dwelling—No. of-,Bedrooms..............' ......111� ........_._.._...Expansion Attic ( ) Garbage Grinder
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
QOther fixtures .•--•---•-•---•---•-•••••..............................----••-•---•.......----•-•------•-.._..----.............--•----•...............................
W Design Flow.....::._. ��.........................gallons per person per day. Total daily flow................... ...............gallons,
WSeptic-Tank—Liquid*capacityM� .gallons - Length�!�K!2-'.. Width:.AT .. Diameter................ Depth..`.r. e.�.
x Disposal Trench—No. .................... Width..`................ Total Length.................... Total leaching area....................sq. ft.
3 Seepage Pit No.......1............ Diameter.._.1 O_e Depth below inlet-_4:.e- .:Total leaching area._3`� � sq;-ft:. G Q
Z Other Distribution box (�() Dosing-tank
''' Percolation Test Results Performed by... `r.:. ` ..r b"`.^ -..:... ................... �3 83
Date......... •-••-•---•-•...._......
Test Pit No. I................minutes per inch Depth of Test Pit... t .:'.._ Depth to ground water...no.he N
er .._.......
tz, Test Pi 'ONo. 2................nunutes per Inch Depth of Test Pit....11��:..... Depth to ground water._.13�-...._.....
.........................................................jO Description of Soil....... J ah
: ............ .......-•-- ---•------•
-_...
U �ti�e...r�• a_ -..--- .........
-- j� ......
/
U Nature of Repairs--or"Alterations—Answer when applieabley ..*�......... ........................................................
:.=•-•---•------------•-----•----•-------•....................•----••---•--•.....-----•-------•----------.................--------.....--•-•----------•----------......._.............
Agreement:
The undersigned agrees to install the aforedescribed, Individual Sewage Disposal System in accordance with
'the provisions of:ITL-_ 5 of.the State Sanitary Code— .The undersigned_ further agrees not to place the system in
operation until a Certificate of Compliance has been ', a by the boar � lth.
Signed....................•----_ ....-•--------.........-•--r'.'d`-/.........-- •--.�A
r Date
ApplicationApproved By---_------------------- .-......��.. . ..----•-•....................•-•-••---- ........................................
Date
Application Disapproved for the following reasons:................................................................................................................
--•-................................................................................................................................................................................._..-----........._
Date
Permit No..---.1Ag......4_412....................... Issued........................ ......................
5 Date
..- -"_ W .�.. <. _. �• mf.t+w. w a=. a,-. .� � P.v" c wr -r_�e..♦a.A.r.sz.+ii.u.. T• _T .,...•wa•+wo_a...�+ wz•.. �. rw w .4 + w T � ..a. w_- �....-.
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF........................................................ ........................
(Irrtifutt#r of Tomplitturr.
THIS IS CERTIFY', That the Individual Sewage Disposal System constructed) or Repaired ( )
{`t�`--•--•--------- ---------------...........................................-................................................
- Installer ` �
at......_..•-- y'.1�...-•--•---•............... .....-----•-- . ............ /...'... ..a" ........... ...-----
has been installed in accordance with the provisions of TITLE C of TheState Sanitary Code as described in the
application for Disposal Works Construction Permit No--------- --�, _____.._.. dated......................�f
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO STRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY
f
DATE.
`' -"•� •• •••-• Inspector....._{._.:.._.... ....... .. ....... - 1
THErCOMMO WE OF MASSACHUSETTS
ARD OF HEALTH-
�.
NO..............• FEE........................
Dispasal ko Tuntt#rnrliun Permit
Permission i reby granted - �- .....................:
......-
to Construct r epair ( ) and.ndiwnd al Sewage is sal System
atNo... u--•---•-•---•-----•-•......... -•. ................... ......................... ..........................................
Street f1 / g 6 , /
as shown on the application for Disposal Works Construction Perm' o..................... Dated..........................................
�..
and of fie�lth
DATE...... .........................................
ti
t. 362-4541
926 main street
yarmouth
mass. 02675 down cope engiaeeriag
civil engineers& land surveyors
structural design
Arne H.Ojala P.E.,R.L.S.
land court Richard R.Fairbank P.E.
surveys
December 14, 1984
site planning
sewage system Barnstable Board of Health
designs
Attention: Mr. Ron Gifford
South Street
inspections Hyannis, MA 02601"
Re: Job #83-OT1 Lot 40, Woodside Road, Christmas Way
permits
Marstons Mills
Down Cape Engineering inspected soil conditions and
septic and they confo ur plans.
Of
Very truly yours
A NE
J
c�a I IL
702
�ala e
9EGISTE4�����``'
RO:rh /ONAC
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SECTION - SEWAGE NOTE '• �2RBLoo lC'�A-E t sE-�F��s��gle o \
3g
F „D
. gyp/ -SEPTIC TANK - CaS/ _ .'BOX - 2?-" LEACH T PI •
' t TOP OF FON \\� Q
)1"].o s gEmo�lE ANY 2 oF,eT(M L)x. Sv�-TR6LE Soll WASHED STONE (/
ENC.otitn reRtED W ►TN.1tJ
— l_oT 40
_ !o FT. ROD 2EPLAcE WtT1{ �
_ _ CLEg1J COARSE SAND � �j�� � 35,034} S-'�•
k XIN- ou
t /
OUT• IN+ OUT• .. I r ,
3•a 11� sEPTGG 12.15
TANK VI-
ELEV. ELEV. ELEV. ELEV.
ELEV. ELEV. 1� ♦r + �
0 -
.10.bF V,.._ly=.. �y /n
C
01
- WASHED STONE y� / T �X \\Z / (
cr
TESL' HOLD LOG sir
TEST 6Y Fcait` it1 Q. Jo c o�1 B. H• /i \\\
TEST-DATE $ .1 .� WITNESS' DESIGN 3 BEDROOM HOUSE /
T.H. 4 1 T.H. 2
_ ELEV. ELEV. NO
10, rn 11 I•L) to m 111. ,/`Z DISPOSER DISPOSER ` -- --+
' + . PERC RATE MIN/IN. \ �O
3 if Ss:t. lo$4 n Su6. 108.( FLOW RATE 330(GAL./DAY)
Si + . ' SEPTIC TANK 33o X (1.51= \
r+ 5o�na clean \\
A �oG.4 rned KiEO'D SEPTIC TANK SIZE c°�Ob \\ ` 2 //
clean Sand L \
gaud' LEACH FACILITY 1 tl p
'+r• r'... � ho SIDE WALL ( 5) 14. t.. G/D. mil. \
0101,
BOTTOM 1 G _ ( 1 tl 1 e S rJ G/D. k �"�
s adjvs'1e� TOTAL 204. 1 si. 3 2. GtD. L �v (.�h
w 12 water 1ev�i �-,`3
mo ¢ean: lot- N o �\
Coons, 13 2 1 O t•\ � ��' Ox
n san LEACHING a USE: ONE P I T ,
i 99 ,4 �9°► 01
Idr EFF• O1A• x 4'EFL• KEPT �C' \�
* * WATER ENCOUNTERED t-- O'
` F'.EMoVE R\-�- VNSvtTAR�E
14 I �1
So1L W►THlta 10' $;-"ADIQZ OF
' NOTE S (UNLESS OTHERWISE NOTED) 1=ERGH iNG FAG►l.1TY v '�
� LI1'Y11T of 2EMovAI. of
` 1.DATUM.(MSL)'.+TAKEN FROM...CCT•V IT QUADRANGLE MAP Ski P-EPLq Ep`W ITVA CLEAN SAND
`2.MUNICIPAL WATER--__......1-5_.......__...............AVAILABLE It
3.PIPE PITCH:VVI PER FOOT -
4.-DESIGN LOADING FOR.ALL,,PRE-CAST UNITS:AASHQ- 10 -44
S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. — 0 —DISTANCE AS CERTIFIED I!'
• 6.PIPE JOINTS SHALL BE,MADE WATER TIGHT' ey, I]) JIt,
7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. � � -en\+ t�Q\� ^'"�•�`rS SITE PLAN
' STATE ENVIRONMENTAL CODE TITLE 5 ,
o aLA ARNE �� S: GH�tST M F�S WAY
_SOW Z 53 "Zr�I.�E S '$/1 1$3 ( C� ) Ar�tVE H.
/ � H-
' fr.EVEt. -- 4`?9 Ao�. = Z•I ------------- CIVIL OJALA SToNS ►LLS 55.
REG.PROFESSIONAL ENGINEER No. 30792 b2b348
0 4 Ez39.,Pg r3�
r�O,.WR CeOp@ @/!g'//1@� s/Ot�>li �t\ii�h ��,^y6 � y� PARED FOR: HA��Y COW.L EIz
+ t CIVIL ENGINEEF S
LAND SURVEYORS ---`------
K BOARD OF HEALTH g� �M REG.LAND SURVEYOR
a .
su SCALE - 31 S
0
5
CONTOURS} '(EXISTING) -
R ED -0-O�0-0 S11'[3 �
(PRO OS j - APPROVED SA2N MA
DATE +' DATE '�