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HomeMy WebLinkAbout0718 ROUTE 149 - Health 718 Route 149 q= 101 —010 I Marstons Mills 1 l f .} ..o IRV- »... .. 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_ T � #.X..... 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 " ' y. a rl ` _ ', ♦ [ �•r I .l r ,- � ,' ram iy^ yf j. w r N 5 A c. i• e,i �ln ;, y 50 cp ,,•i O tj� ,�5 .. 10 �• � �' I ./' 1. r•' � �• �` '�. 0 � t. co se ' ' S r ♦..y : ~'' , s•`• a' f , ,`0 ,f M. •T,; O�s ,, f 6 gay vv o v 7.9 3. z v F G 8� r / s 9 57 .n RORERT ti T r , O tt r e S P. n G // o�o BUNIKIS ti No.22162 O y /� \A90O/STEp��t`� 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 , _ A 33 NO AMAIN s 712 MAINMAIN .^T cH. BY :� ,� •--- ��y�' S0. YARMOUTN, MASS. MYANNI�, AfiASS SHEETOF _� DATE R G. LAND SURVEYOR ! ♦J.��'J I�{��� /ypr;Sl x, �,W•y ,K i'1.,. = h rt �� .F:,,7 � % F L q R} , .:f �' I 7 2 / ;,,,i� I ^ 5 f { f,• ft F 'Yid -I ,Ii Cf (f' t" f��t i!�{l>f �yly �{ 1 .ff t.{ Y t t fey — '`' `{ 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 YB 2 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 �' /Ivve�c'r �LE�ATio/vs •. i N • p - EZFs`-7,� � x /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 o - n 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 ; lip 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' �FG{SYEP��,�c`` NO GROUND yY�4TL'R �NCOIJ/VTL�I2E0 ► ' GRO UA/D L�/ATFR " ssioNAL N a JOB /VD. �—y SHEETyOF ., 4 r r 15 1 57- Z� b 5° O ,+ (14 0 ,G r/o �• 'IJ l , ._/ < 'Tj P 7 , v3 3� 4 g �r~ GD S ,��� p1 90 Zus �s :S,F: RORERT \,r O' s P. r I r / ?�o BUNIKIS N 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