HomeMy WebLinkAbout0718 ROUTE 149 - Health 718 Route 149
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Marstons Mills
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THE COMMONWEALTH OF 'M ASSACHUSETTS R,
BOARD OF H ALTH
.....................OF..../.c....!1. - ..�.. 1.�...
Appliration for B isposal .lVorks Tomlru`#iolt Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Syst at:
..............•----•--•••-••-•••---
Location-Address or Lot No.
..... —.... .............. .........
.....---•------
•-----------
........
er
PQ Installer Address
VType of Building Size Lot.....' Q_ .l.�<....Sq. feet
Dwelling—No. of Bedrooms......2---..............................Expansion Attic Garbage Grinder ( )
'4 Other—T e of Building . No. of persons.__.___.�................ Showers — Cafeteria
d Other fixtures ..........................•----•--•-•--.._...
W Design Flow_....___..�5........................gallons per person per day. Total daily flow......}_`5.S?.......................gallons.
WSeptic an —Liquid'capacity QL?gallons Lengthg_-_�._____ Wid4K..._-.. Diameter................ Depth__._�!�___".. r
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No---------I---------- Diameter..../A-'.--_.--_ Depth below inlet___.G_.r_._..._. Total leaching area...a_`6_sq. ft.
Z Other Distribution box (k) Dosing tank ( )
Percolation Test Results Performed by...................................................................-...... Date........................................
40` Test Pit No. L_--A.......minutes per inch Depth of Test Pit.................... Depth to ground water........................
f3, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 4
.....................A...`.--•-- ......-............. ...............1......-------;-......._.
O Description of Soil...... �.2.._.. fG �i t.
x ....................Gaut
.......................... ---------••-••--•-----------• -----•-----•---------------•••--•••---------------••--•------------••••-----••••••-•----------•••••-..__....._.._...._..----•••-•----•---...._.
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 TIT 1Z 5 of the State Sanitary Cod The undersigned furtl agrees not to place the system in
operation until a Certificate of Compliance has bee ss ed boar hea
Signed-- -• - -------•••--• �` v�� ,•f
Date
Application Approved By-------------f� ��-.•-:.-.-----------........---------•---••--•-•-•--•---....--•--•-•------
(/ __• ....................Da
Date
Application Disapproved for the following reasons:.....................•..........................................................................................
Date
Permit No........_..3......................................... Issued..........<_....../_-...°?s' -`I...........
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD. /OF HEALTH
.................../UGU ......OF......... .................
...........................
-- Tatifirate of Tompliana
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
l
by...............rl-ccnaz!.t-_._......1-114__/Gc.. --•-----•-------------------------... ------ --•
..._...-------- ------------ ...._...... ----------
-------------
Installer
has been installed in accordance with the provisions of TITLE 225 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No....... _�!_________________________ dated--..--. .. —._ ---7�7_______.
THE ISSUANCE OF THIS CERTIFICATE SHALI, NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. e
DATE.....:...........................•--•------..........----._..._------•-----•---- Inspector.....................................................................................
y_
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THE COMMONWEALTH OF MASSACHUSETTS ,
BOARD OF �-I ALTH
......................OF... '. Z.l._ .. :. .: ........................................
ApplirFa#ion f of Disposal Works Tonstrnrtion ramit
Aptihcation is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
Sys. at:' ...... ....!.::..!.,�-�s r .................. �
Location-Address or Lot No.
• .. .. ._ .. ............ ... ...............................................
aw� •• t� 1 ; .
essOwner 1 ......Ad
c _:� ..........................................
Installer Address
UType of Building Size Lot..... 0'_5 1 ....Sq. feet
�. Dwelling—No. of Bedrooms____. _______________________________Expansion Attic Garbage Grinder ( )
Other—T e of Building No. of persons 1C_________________ Showers
a YP g •---•-•------•----------____ P ( ) — Cafeteria ( )
� Other fixtures ------------------------------------•------_____--•----------•--------------•--------------------•---•----•-----------••-------__-•-•-------••-------
Desi Flow.__..____.�_73"�______________________gallons er person per'.day, Total daily,flow..___:' . � gallons.w / _" vWSeptic Tank—Liquid caPac>t _ P� allons LY _ Vi . __.__ ................ ep ___ _ "._.._
th
eng
xDisposal Trench—No_................3�._ Width_._.................... Total Length..................... Total leaching area.........._.._.__ sq. ft.
Seepage Pit No.................... Diameter...Iq._......... Depth below inlet.._K_.__......... Total leaching area_..i�.. '__sq. ft.
Z Other Distribution box (k/) Dosing tank ( )
aPercolation Test Results Performed bY--------- ........................................-............ •••--__--_._. Date........................................
Test Pit No. I....�_.-_r_.......minutes per inch Depth of Test Pit__________________ Depth'to ground water........................
L-1I Test Pit No. 2................minutes per inch Depth of Test Pit...................'.-Depth to ground water........................
a ---•r, - _--••-...........
O Description of Soil......0'--� �'�` a .......5 - ...............
.
V --.._.... e •.......................................•--------.._...._... ------•--------------------•-•----._........------------------------
�ii ---------------------------------------------------------------------------------------------------•----•--------------------------------------------•----...--------------...._--•-----•-•-••••...••---
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 TITL u 5 of the State Sanitary Cod — The undersigned furtl agrees not to place the system in
operation until a Certificate of Compliance has bee s ed t boa hea
_ a
Signed-----..... .
Date '-�
ApplicationApproved By............ ��..........................................................................
Date
Application Disapproved for the following reasons---------------••-------------------•---------------------------------------------------•-------•----•...._-_..
.......................:....•------•-------------------------......----------------•=----•---..__...--------•-•--•-----•----------------=------•--------------•--------------------------------------•.
• � Date
Permit No........ 3-••-•- -••--•----•---•--------------- Issued vt /"
Date er
THE,COMMONWEALTH .OF MASSACHUSETTS
BOARD OF HEALTH
. ................. `Gbc gc. ......OF.........9 tka7�7.,�1C._...................._............:..__..
(P�rdif irFa#e of TontpliFanrr s
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by................ SUIk. --- -
° r, Installer
at........... 44r.•V..---------4 .-•----' r� /!f ra'if 1`G -----AM
has been installed in accordance with the provisions of TIT I 4, 5 of The State Sanitary Code as described in the
application for Disposal Works Coris.0,uction Per`rn t+10 ,.`:_ _„ ________________________ dated............. :._ "_. ........
THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE...............................'t - -••-•- . Inspector..
THE:COMMONWEALTH OF MASSACHUSETTS
BOARD OF; HEALTH
..........................................` OF........ !1 3? r � . ........-----...---..........._........._..
No..._.._, ---....... _ eau
S • FEE._.-
Disposal Works TonAtrudion Vamit
Permission is hereby granted....... .
to Construct ( ) or. Repair ( ) an Individual Sewage Disposal System
as shown on the application for Disposal Works Construc Street
tion Permit No. 'S_" ________ Dated...... ' .....................-_--_•
-------------------------------•-----•-------------------------------•----••----- _
_......-••-
DATE
Z 7� Board of Health
l ..................'__-=----........
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS " '
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No.22162 O y
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ss'ONAL Ea6
LEGEND
PLAN PLOT '
EXISTING SPOT ELEVATION Ox0 t, ,' CERTIFIED ••
EXISTING CONTOUR - - - p - - Ln-7- 3 l?v U 7-E7 I 4 9
FINISHED SPOT ELEVATION L0.-®
FINISHED CONTOUR ---- p - — 114A nSTUNS I /TOLL-S IN
APPROVED :APPROVED : BOARD OF HEALTH • it
A • 1 ` ' •
ss
_..DATE _.. AGENT _- SCAT E ' / ., 40 DATE. /2
ltLDREDGE ENGINEERING CO INC., CLIENT L� /3EL ---
I CERTIFY THAT THE PROPOSED '
fiiEGISTERED� REGISTEREDI jOB NO. BUILDING SHOWN ON THIS PLAN `
CIVIL LAND. CONFORMS TO THE ZONING LAWS '
DR. A •A.f'7_•
(ENGINEERS, SURVEYOR) OF BARNS 8LE ,
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33 NO AMAIN s 712 MAINMAIN .^T cH. BY :� ,� •--- ��y�'
S0. YARMOUTN, MASS. MYANNI�, AfiASS SHEETOF _� DATE R G. LAND SURVEYOR
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— '`' `{ Y ..d.fi+. .y splp ..9. •v ( 4 A fl f 1{ �' 7 If 1 � ',,.
x.,; '.g � _ i ' ` •f• i. ;" '• �tl.t�t';.Zy%�� (a {� 7,'v�ltts_ ';�{t :,�� •.t 4i+''�,
7'E /F EI THER THE,$EPT/C TA,�V.K OR '
�20 FT. MIN. /EACNIIYG P/T ARE MORE T,HA•V /2 SELOI•V
COVEN
IO I=T MIN GRAOE� fa 24"DIAMETER CO/yG'EF_ T.E
SJ,/ALL eE t9ROUGHT TO 6/4AOE . (�AN EXTRA uJ `
Go/yCR�TE 4"PYC PIPE AiE.4VY CAST //PO/Y CovER Sf/ALL !3E USED r^j
r »', COVERS Al/N. P/TCN JF/N .DR/VELA Y
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7r MiN. CDNCRE TE
.a. Get wE CU VER CL EA/V .SANO
Y _ L/QUID LEVEL
2 LAYER
iM2 o `s-
d A • o OF
4" C ST _ -_
0
%IRON PIPE t ( ✓ f s • . • • • • A. • 70 E I .=
MIN.P/TCN l GAL' d . • • o �/ASHED S
i4"PAR P'T• - StPT/C TANK o • -ti -
�.;:.'� . a � • •EFFECT'/VE ' . � 3 2 _
_ ," ,- _ o ° ° � • • DEPTH • • � ��e o � d•VASHED STONE .�,
1e; ::e• _ e o I ° PREGAS T SEEPAGE � �,�. � -
.- p br u i • • e e • • • • • Dp•P P/TOR EQL!/V. I �'
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/NVERT AT BUILDING �' FT, f`i FT O/AM C SEE TS -ATION>
INLET SEPTIC TANK .
OUTLET SEPTIC TANK = 3 FT.
GROUND WA ,C TABLE
INLET O/STR/BUT/ON BOX `� "-✓-P-7- SECT/O/V OF
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OIITLETD/STR/B[lT/UN BOX 7 F7. it fi
INLET LEACHING P/T �:.s FT, SEltiAGE /SP45A 1. SYSTEM TAQC/LAT/D/V
LEACH e�/T • ..
• p DIMENS/ON A � FT. � ,�,,, •
DES/GIB CRITERIA SCALE : �4„ FT. i l
NUMBER OF BEDROOMS
GARBAGE D/SPOSAL(/NIT SOIL_ LOG j }
� v VD/4 TEST... .
TOTAL EST/MATES FLOW GAL.140AY SO/L TEST ib�/ SOIL TEST 2 / i'w +E"' ►_
ivuMBER OF ELEY. 970 �-EL�Y. ,DATE OF' SOIL TEST'
S/DE LEACHING PEft P/T SQ FT. _ f ✓ RESULTS h//TNESSED BY r
L`RC0LAT/ON R�4TE yam/ V Ml/V.�/NCH
P ~<'
60TT0/*f 4494CH/NG PER P/T SQ. FT
- • PIEXCOLAT/O TE N RA
TOTAL LEACHING AREA .
RESERVE LEACHING AREA - SQ. FT.
ROBERT �c ;
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P. �L DREDGE JENG/NEPR/NG C40,/IVG. , Z
v SUNIKIS H `.`? 7/2 MAIN ST 33 NO.MAIN ST.. ✓: ;
No.22162 O FL, F S, 0
HYANN/S MASS. SO. YARMOUTH'
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A�No.22162�0
�O�Fss/S T E a6\ac
ONAL E
LEGEND
EXISTING SPOT ELEVATION Ox0 CERTIFIED PLOT PLAN
EXISTING CONTOUR - - - p - - Lo- - 3 TzoUTE / 49
FINISHED SPOT ELEVATION JJ0.® Nye nSTUi✓S /'J>Ld.-S
FINISHED CONTOUR ---- 0 - '-- -
IN
APPROVED : BOARD OF HEALTH j4
71A,�j� ,�� � : I A A'
A SS+
,�
- DATE - A-GENT SCAT E y= 40 DATE-: IZ14 17r
IELOREDGE ENGINEERING CO. INGI CLIENT Le 3EL
I CERTIFY THAT THE PROPOSED"
ffEGISTEREO REGISTERED1 JOB NO. -78 / a-y BUILDING SHOWN ON THIS PLAN
CIVIL LAND. i. CONFORMS TO THE ZONING LAWS '
DR. BY ! � ��.�,(ENGINEER41SURVEYORS OF BARNS BLE , A
3� NC MAIN S' 7I'2 NII�I,y T CH. BY .� ,F. —S0: YAFZMOUTPi, MASS. MYANNIS, !PASS SHEET'_ OF .� DATE R G. LAND SURVEYOR