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HomeMy WebLinkAbout0091 JASPER ROAD - Health _ - 1 Jasper Road Marstons Mills - - - - -- A= 047- 027 1 - r L O CATION SE W A G E PE I T NO. VILLAGE IN.STA LLER'S NAME $ ADDRESS B U I'L D E R OR OWNER �o � �����►11��?�:t�/��S P ��/ice DA T E PERMIT ISSUED ZZ2 6/7,Y DAT E CO-MPLIANCE ISSUED �� ?� r � e I � c, fG No.........3.f..•--•• FILE.....2...e.............. THE COMMONWEALTH OF MASSACHUSETTS a BOAR® OF HEALTH q ................oF..BdYn.-$.'f,0h.6----.............-----..............----...----- V Appliration for Uiipnsa1 Workii Towitrnrtion Vamit Application is hereby made for a Permit to Construct (i--f or Repair ( ) an Individual Sewage Disposal System at W �... •-- !L f �k1— �•1c. .-•�Dl�l�f . jP� :-jQd............................................................. ----------------- --------------------- Lat Ad ss ? o . ...............................................ark t?�...... �-!. ne dress. j...........................................�.fO S Installer Address 14 Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.:_. .......................Expansion Attic ( ) Garbage Grinder (l­f P4 Other—Type of Building PkWJ!Vj....... No. of persons.......6................. Showers ( ) — Cafeteria ( ) <' Other fixtures _________________________________ ................................................ Design Flow......1.149.............................gallons perk 'per day. Total daily flow..•-••••••3 ......................gp1lons. WSeptic Tank—Liquid capacityl.5 ...gallons Length_ $:{P...... Width...r7.'C�.__; Diameter................ Depth.4-_..._.... x Disposal Trench—No--------------------- Width.................... Total Length............a...... Total leaching area....................sq. ft. Seepage Pit No.......I............. Diameter.......-........ Depth below inlet......z�......._. Total leaching area...2 .1...,.sq. ft. Other Distribution box (i�j Dosing tank ( Z Percolation Test Results Performed by .......................... Date_. 2,._d,.t97�__.....-.. aTest Pit No. 1---1.Q......minutes per inch Depth of Test Pit.---��......... Depth to ground wate;iiii'J.�l7� � ,Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to groun ater....................---. GY ...._----;-------- --ON-- ---- ------------------•---------------------------........-----•-••---.-.. . tN 1iF rbY� ....................... 94 O Description of ��.il.------ r- :.. .. ............ ss ................. - ---R.EXWlCK m V ....... g_. W ••-•--•-••••------....--•---•...--••---•--••-------••-••-•----.....•=•-•-•----------••--••••-•-•.••----••-••---••-•--•--•......................• �- ----CHAPMAN •... ............... Cn V Nature of Repairs or Alterations—Answer when applicable......................................... .........No.27 -- .............. ..............•...----•------..........-----•-•----------------------..................--•-••-••-•-•-•••---•-••... -• ----------•-• ................. Agreement: < The undersigned agrees to install the aforedescribed Individual Sewage Disposa cordance with the provisions of iITL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' ued by the board of health. Sign d... t Date Application Approved By.........•• -•--•-.... .. . ..w<ll4. .. Date Application Disapproved for the following reasons:............•---........--------.....------------------.......-----•------------------•--................-•---- ....................•--......-------•--------•----•----------••--•----............•..........---------•-••-•-----....-•-----•-••••--------•••-•-•---•••- Date Permit No.......................................................... Issued-­v Date ---.. .-•------------•---- No... _....... FEs ... .............. _ THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH [Pun...............O F..I�c�rn.5.1cab le—------------------------------------------------ ,�oolirtt#flan for Dispoti al 10orko Tomitrurtion Vrrmit Application is hereby made for a Permit to Construct (vj or Repair ( ) an Individual Sewage Disposal System at: .... cJ.Qr.1................................................. .. ................. ... � t ........................................... //,&/`•/ /to Lo ............ ................................ .............................•--•-•-••- Owp9r�� � f,�@caress---•----------•--•-••-•.................... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms. .._3...........:...Expansion Attic ( ) Garbage Grinder p�1 Other—Type of Building VW4U ,ny.:-••... No. of persons.......6................. Showers ( ) — Cafeteria ( ) Q+ Other fixtures --------------------------------------------•------------•••......------•-•-•---•--•-----••----...---•-----•--------•.....------------..........--.. W Design Flow-------I1D..............................gallons pert per day. Total daily flow..........3,�Q----------------------gall ons. .I r n WSeptic Tank—Liquid capacityt5....gallons Length.10.'::& __ Width.... Diameter................ Depth4�6`..... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. ... Depth below inlet._.... Total leaching area_-a 4-.. s ft. Seepage Pit No.-----�-------------- Diameter---=-��----;•- P �-•.-.-..-_ g � '�..-•-. q. Z Other Distribution box (,„r) Dosing tank �/ �97 Percolation Test Results Performed by��3 -:�t.�.�t,l�''�p�!-��ixS".��-:=--•••---•-------•-•• Date. .��,. '__ __ __________. Test Pit No. 1._�� 2.:._:_.minutes per mch Depth of Test Pit._.-+s........ Depth to ground water �sruDu3z�AsP/� GX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Dep P�1 MqS ater........................ -c4 ---------------•-----•••• ---•-----...............•--..............---.._........_.....•...... ------...........-•--- yak..•• ----.... ..4 . O Descri tion o oil........ .z ra...__... .. •--RENWiCK-- yN ........................ W .......CHAPMAN....-�' ........................ ........ .......•--------------- U Nature of Repairs or Alterations—Answer when applicable................................ No;27654 p ---------------------••-• .................-...............................................................:........................................... .... ......... g • ................•........... Agreement The undersigned agrees to install the aforedescribed Individua Sewage Disposa ystem in accordance with the provisions of TITL r: 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been.issiAel by h board of health. Si ed� ' . - ---------------------•-------------------•----------•..-•-•- .......................... Date Application Approved BY zy .-. •F.._ 2 .... - -. ........ Date Application Disapproved for the following reasons:----------------------------------------•-------------------....---------•-----------.....----------.----••----- --------------------------------------•--...----.....-----------•--------.......-------•--•-•----------------•------------------•----------------•----- ........................ ...................... Date PermitNo......................=-.................................. Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA ' ................OF....... .�....... ....... .........::...............s................... CAA firs of (luutpliatta THIS IS TO CERTIFY, That the Indivi al S � � •System constructed C ) or Repaired ( ) bY.............................................................................. •�------ -- ---------• --• - - `1 .,,,o ( n }�] �� Installer i I . .. . has been installed in accordance with the provisions of LE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N49 dated_ `:__ez.. .`_ _'_.__.._____. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. . Inspectorf6 ------ Y--------------------- DATE......... .2 THE COMMONWEALTH OF MASSACHUSETTS BOARD 9jF HEA T�� ..-................... _2 'r No.------.......p.,i... FEE......... ..... Permissionis hereby granted..-•------------------- ---�`---...:.-----•---•---....-------•--------•------•-•--•-----------.:......._........._..-----...:.....-..---•----• I to Construct ( ,ore air ( In i�dtial�Sewe,i�>sposal sterr ` atNo...................f�.... .� se!r. �� . ........... ......... - Street / �� +� � as shown on the application for Disposal Works Construction it N ____ ___ _________ Dated- DATE �. ...................................................... Board of He FORM 1255 HOBBS & WARREN. INC...PUBLISHERS p ~ r-- . 1 SOIL" LOS ,r 3a•90 \Xk�f�Vi�\V/Nr �+ari/ yt.iWiA/ x r_2•:.PEASTONE LOAM 9 FILL 12")dAx, . - r uC. . _ DIST: 4 r � BOX ' IIr � .° ° D PrrG 26.9 /O•MIN. 1500 I• D, ee° • 1000— GAL. v DPI 1z2.�o GAL. a PRECAST OR e °D °I SEPTIC t 6' I, , BLOCK ° o p TANK I; e ° ° SEEPAGE PIT. v �bp rd e SkYA r s 18�8j sF f f I I • ° Sot 'N ae» - I. 1 20' MINIMUM o FOUNDATION I IVie" WASHED STONE Ate I �rerfr y f&63rzrc>r�trre ; wr�r,�z 5 Wn hereon WaS AVaA*_d by an a uaf of curve an Dec.201971 1 O' - � pane. RAYa �r 1l rrFa�-rns wr'fh' f Zaning 4-laws lack Area r> uj1r ` 198s.F�ro��iFh 9 �9 l r ST BY : E. .• c w '' »y . TTi�ivW nsfa6,��If7r�5$, r1 ' prOVli = 7s'Fr TOWN INSPECTOR ►"�.•�.[ ?t..�cw�y o 0 I . BACKHOE OPERATOR : P' 3-v4,•.s t s;•,,t TEST MADE ON - pr DANW. A 4%! '`� (• . McKECHNIE �•M '" No. 17933 O / a• + kkj .� t h sUtor R� I-— tool ! ' i 6 t c "7- 4 7 a 137 - . N All t I Lo7- 471, 48 f �� ..{.y..y..--_ �---a.-..w,..�-..+. t;.,.N....e�-.—..—,t..T��..-,fir .L it� - ,MFa....---..«Yf.t. •..+, f ......-.�«.��rG`_ ����,`_ s --.,.�..-•h•----....----•..:cy,.uc.. - t..-.-,-^-a-_-- A) al. ry 12 , . t D 4 /P�Zs� . . I '- RENvViCK > 4 B.. 1 C14APIOAN wNo. M34,0 Y&L t- 7 52�­07�E ELEVATION SCHEDULE „ PROPOSED SITE, PLAb I. JNV. AT FOUNDATION SE A8E 9YSYIM DIESIGN t 2. INV. INTO SEPTIC TANK = ��✓ ✓� IN Now 3. INV. OUT OF SEPTIC TANK = 4. INV. INTO DISTRIBUTION BOX = �3 ' SCALE: t"z 20' Jan, 19) 19"1$ -4 I C-S 5. 1 NV. OUT OF DISTRIBUTION BOX = CAPE COD SURVEY CONSULTANTS 8. HYANNIS, MASS. INV INTO SEEPAGE PIT 1 _ ROUTE 132 LZ 7BOTTOM OF , PIT - 23• _ A DIVISION BOSTON SURVEY CONSULTANTS, INC. - 8. BOTTOM OF STONE LAYER' =