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HomeMy WebLinkAbout0152 LONG POND ROAD - Health fY7 ,s 7— i c i I I{ 1 5 M E A D No.2.153LY UPC 12934 emead.com • Made In USA SUSTAINABLE PORESM INMATIVE Certified Fiber Sourcing www.a mgremwro i6a- (V LOCATION SEWAGE PERMIT NO• koi-/ 3a• V I l,L AG E 11 ova INSTALLER'S NAME i ADDRESS Cryth . S U I L D E OR OWNER DATE ' PERMIT ISSUED 7/5 DATE COMPLIANCE ISSUED i • a 7 • R *a THE COMMONWEALTH OF MASSACHUSEtTS BOARD OF HEALTH Application is hereby made for a Permit to Construct or Repair an Individua is System at: Location-Address or L_ No. Owner Address Type of Building Size Lot...��.4PL!2.........Sq. feet Dwelling—No. of Bedrooms............... Garbage Grinder ( Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by....1H Test Pit No. 1...t4_4...minutes per inch Depth of Test Pit.................... Depth to ground water.J.Vulc..... The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board o health. ___' � Date Permit Date - ----'---'''---'---------'—'—' ' ---'--' — —''--''---- ' — — --- o��..� ..�........... Fxim.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �Q��H OFMgs .O. .I'...........OF..... 1 s:a's� ^q o ROBFRT x GORDON ( u' Appliration for Dispasal Works onstrurtion writ RAHRlsON No 17493 °j Application is hereby made for a Permit to Construct ( ) or Repair ( ) an IndividuaP W. P,,' Disp System at: °ems o sL'7n7g- I AI�..._..t—,Fa 1 ? �C..(# t). fi €.�.'>„ !• .................................. ............................................................... Location Address or Lot No. , � ................... ....... i",� �i / 4 e....__I ' .........._.................................. �. Ownej Address a �.��..... •�•-q--A-17-..•---••........................................... ........1� :..�? _5. (........7. -------------------------------------- Installer Address Type of Building Size Lot...!?.4A!AZ........Sq. feet Dwelling—No. of Bedrooms............... ...................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building .....4 A Y: .9-7_ No. of persons.......... ...._.... Showers ( ) Cafeteria ( ) Otherfixtures .............................................................. ....................................................................................... W Design Flow......................:�C4r...........gallons per person per�day. Total daily flow_......__._.__. . .._.___.___.__....gallons. a o WSeptic Tank—Liquid capacity.jAfg�gallons.� Length----- ._.._._ Width.....X..__.... Diameter................ Depth.... x Disposal Trench—No..................... Width..... -.......... Total Length..__._.............. Total leaching area....................sq. ft. a a Seepage Pit No..........I......... Diameter....._..41......... Depth below inlet... ........ Total leaching area... .L/.....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `-' Percolation Test Results Performed by.. I........................°� ....... 1.... Date....... � a Test Pit No. L-___4---minutes per inch Depth of Test Pit.......a _{.... Depth to ground water...f9/.'oP C..... 0:4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil.... -` ?? Y _3� d _._.`..+ ,��. . � f °'�` `' ............. •+� J ............ r�1 .... V ............--------------------------------•--•.............-••---•------••-------------------.......------------------•----------•----.....--------•--._......--------.............--------...--••---- W ----------------------------------•-----•----------------------------•-•--------------------.......---------------------------------------•-•---•---------------••---------------.._..---•----------- U Nature of Repairs or Alterations—Answer when applicable................................................................................................ .........--•-------------------------------------------------------------•--------------------.....------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the boar of health. ed... Application Approved BY --- ......--- Date Application Disapproved for the following reasons------------------------------------------------------------------------------•---------•-•......----•....------ ....................•------------•----------•------•--••....-------•........-•----....-••---.....---•--...........--••-----------•-------------------•--••--------•--................................... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH, ...........Z!` ....OF.........- ....... ....................................................... (Irrtifiratr of Toutphattrr THIS I,SJWER �T.hat the Individual Sewage Disposal System constructed ( L11"or Repaired ( ) by...................................................................................................................................................................................................... n at .................................. -----•--------••-•---•...................:............•----------------- ----------------------------- -•------------..........-•--•-•-••-----•-----.......-----•----------- has been installed in accordance with the provisions of Ar ' I of The State Sanitary Code as described in the application for Disposal `'Forks Construction Permit No..e/._... ................. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......... .y."? "�` 1....................................... Inspector----..... F ....,n..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �i ...............G...'"`. oF............ �� .............................................................. No......................... FED... 3a............. Movanal orks Towitrurtion rrutit Permission is hereby granted.. ` --�......................�ru....................---•--.......................---............-•--------•-•-- to Construc` air an Individual Sewage Disposal.System atNo...........................................................• ........................................... �._._....--•..................... Street as shown on the application for Disposal Works Construction—Permit No..................... Date4,L......................................... / e Bo alti DATE... Gl ,�� -----•----- FORM 1255 HOBBS & WARREN. INC.. 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'�� y r x � s �. t - . t k s.-',1 !j f'' .,, �T t,Si `= g k a S <.�' sty S * ig y a ¢�' ' r ; s s i 1 rr r -,! p i ' j i - .f t� Pf - ­t" '. } r \NLLn �Q '(YPM) 5 4 F =. x e S 4"R .n•� k r N'� s ,ryr,5 .: a 4 i v>_ `1 +„1. i �'x1 �' i = u :i e 3 t to Isl �,v :iis 4 4c Y .&r.,qlgl . a :.,.e4 , �.T,r �`j r ' a' - r .r-. . , tM1"`., t x Y<.s..f' s w, s 6 1 ..; x# �� t �� s ' x r .Ke o tr ; 4 dr F , ..5 _r" > J v", _q: 1 V, 44 _''� t Water,sample is 'of extselle t�qua .ity`' and mesas' the F', !N m M, , I lid# ot� -t,,aboei r <yy�,q��• may, , :: i_a.' t i " r z y, I*AI i..h5 '7- �b -t '' L.T"'i �,tei3 i/Vd pare 4tlra. .} r s r 140 r ti fi x�E y r �'. 1i "i e a Iu T z J i -' s - t- c a v dr n` t r .�, s q i vatar`sample i0."Arinkable :htt may::preaant° see .hetip' prnblams #o use.'" rS��lr i r „x:q, Water stela, ,ia drinkable butt ras khig)ner aver lgvel� hf h tbn age nt�a_ait � Y < ,;t� ' `P1.iture mcmitorpg iierecnotnezid Idoa not repx'ea�rt //��� qu t t & Waters le ie eP ar ali and r z -. ,;s ?r �P drat bet 8 � f t K �L��; ti �y�-'" t .�.,. shoe tIi {�n t ` •..try a r d t o 'c .a t a z Resampling:'and retesting is euggest�d to v�q ► t3�iese reste:j 'X . E. , � r � a f .x `' ` •Reaampling'and retesting is F ksuggestc�d. l G n ` g`rR's a .. _ v s A, s r+a:. z » k s�h v p� t f`#k J' pp�� 1 F x ��..1 s:` a ya t a. A Q S k yv s' 4 .i t y i q A S r ' u r £ srx r 3 k 4 , tr a r § r P d m �„" :f ° � "n ?L o x 9 k r i t rt 'z v r r.s'x ,•C.,,y- Z 3f r f! r f` rkr,i 0 a' :P ,,tb ? .1rr - a 4- r FI e.. t J ty ° r sgr' €r i t a t k 1 yo x ,r ' c a �. t ,.f k sus , Mr.. John Kelly Director �Y r t Barnstable :Bba of Health f, , ', ., x tM1� 53' l r r. �, y r - • i 5 sY F' 'S,% rya +j Y r t e` 7� J X:. Pilgrim Ramp Co. 3 - x -, , , x a : r #� Ipa�n�g^�'.aired Road e J��'r -S = a ri = [, .a _ r •A!'1 tt • 4i1� ,� t 51 t;, - �j Pry" � � c• Z F; \ a v� SEPT-,t�— � I.0 "} TANk r1 4 �J v4� 1 °y-- I .J YYE,-k L PROJ SCALE: DATE SOIL LOG MOTES L SEWAGE FLOW= 3 �orl 2. LEACHING AREA= e I y F 6 A_j/p Slip' Solt. T N ns 3.SEPTIC TANK = / c �o 4. ALL WORK MUST COMPLY WITH MASS. ENVIRONMENTAL `0 C�./I� = CODE TITLE 5 AND TOWN BOARD OF HEALTH ;SAND m M _ REGULATIONS iTl `67+> 5.BRICK TANK & PIT COVERS TO WITHIN 12"OF GRADE c � N�ED�vr� M�O�ur� 6.THERE ARE NO WELLS WITHIN Ie0' OF THIS LEACHING PIT, AND THERE IS NO SEWAGE LEACHING WITHIN 100' OF THIS WELL. ' �✓�'�• ^ sA,n�Q �0 .. r„ r am;"�'i T. SEWAGE SYSTEM IS MORE THAN 25' FROM STREET z• - N DRAINS r tr �•,, ��� e x PERC RATE= < Z Iv)"Il/iicH C `l / DATE 9A1.© 9 3•a FINISH 93,D GRADE 1 9 ; y' • r 8 y.; o. IO iA 4+' p✓G PIPE ,�� �7 " 7 c. n n ++ I _I 2 3' / tJL' �.Tr/1 2 l L PIPE 2 - 1/8 -1/2 WASHED rl a +� �, PEASTONE• EA PITCH 1/4•/FT.MIN.. v R E'r?I gq•vo a�v7 1 10 14 8� PITCH 1/8 /FT. MIN. sl�t� v,�a L 7,Sv 3/4"-11/2" WASHED 0 4°PVC ck _ STONE FREE OF �sp C!IF E TEE Sch 40 t FINES,DUST & IRON " -r M 6' DIAMETER PRECAST FOUNDATION SEPTIC TANK OR BLOCX', PIT LENGTH- 8' 6AI o •_ ., WIDTH - 5' LEACHING PIT 1 :L ,c r., ca. ea.o SEWERAGE SYSTEM PROFILE r WATER ( NOT TO SCALE) TABLE HARRISON SCALE + PLOT PLAN WITH SEWERAGE AT ENGINEERING ATE SYSTEM 0�9:z/rsr�� �� ��� • ,-CLINT LOCKE DRIVE PLYiNOUTH,MASS. 02360 PROD. 310 FOR �Ic�a ,rn Cut a My