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Home My WebLink About0070 SAINT ANTON'S WAY - Health oa�- IVVI �`>�Gi�3 i SEW- ACE PE Rgs' T HO. Lai 164 S+. Av c)ve5 way_�6��g V1LLA� k 7''� 7o w►c,�5��ns vo"Os IN TA LLER'S NAME ADDRESS 8 UILDER OR . OVINER r�y C j' PERMITDATE ISSUED l ? � _ � I SI ED DST E COMPI ! SCE S ,. 1 Z� 164 y ASSESSORS MAP N0: 04 (23 No......................... PARCEL No, Fizz THE COMMONWEALTH O BOA RD F" F-I EVH X IH7E . .........OF.... .............../.tJ.1..�.......... ..................................... App iration for Biiipniitt1 Mork.5 Tiamitrurtion Vamit Application is hereby made for a Permit to Construct (--,Y"or Repair ( ) an Individual Sewage Disposal Syst . �� _ � _.. ................... Location-Add r or t No. X.._ .3� s�1 ...... �.P a-... ..._ . .... .t __.._.�?_..1. ._.._ l 1. i� V e l -�-•----.... Owner Address e ] •......_ G�✓"�.�..5.. .�,J./T 5. .�d.. _.1. Cat!!t�,. . ...................................................... Installer Address Type of Building Size Lott_'_&Q_5t ._..Sq. feet U Dwelling—No. of Bedrooms......... ..................Expansion Attic (GZC) Garbage Grinder U 'k Other—Type of Building No. of persons............................ Showers — Cafeteria 04 Other fixtures .........................••--•---•-•..............- .................... ....... W Design Flow..........5 ...................gallons per person per day. Total daily flow........... ..�.. .............--_gallons. WSeptic Tank—Liquid capacityJ.4�Q.Pgallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----------- ------ Diameter.................... Depth below inlet.................... Total leaching area..-_-_....._......s . ft. Z Other Distribution box ( ) Dosing tank-(, ) Percolation Test Results Performed by...... ._!.'..____ ...__.. '! (l P Jc{ Date..._ Test Pit No. rS_..minutes per inch Depth of Tes�Pit...___._._ ,�_ Depth—Co ground water.... . 0-4 �/ 11 44 Test Pit No. � 2�iA 'minutes per inch Depth of Test Pit.../...._._.._.. Depth to ground water.. ___..._.__. a ---------- ------------- •--------------------.-.----•-•------------------------ ---•--•--•------------ 0 Description of Soil...0. ..r.. .. ... :1?.So ---- V �- ...: -° cam!. �._... '.............L. ..---�«e 5•--------.............-•---•----•------....... W ............................. ....... `-f V 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 TITIE 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee ssued by the d of health Sined..... -- -•---...... .. .�� -- -- -------------------•---- •-•--- ..I.�..a. .......�- 4 Application Approved By.......................... ¢ .D_.e`. �� - _.... Application Disapproved for the followi reasons:.............................................................................................................. -•'•-•-'......................••-----'---....._...-•-•-----•'----•-•--•--••---....._.._........._..........•---•--•----•---'-•••------••--'•••-•---••----•-•--••-••....•--•---••-••••••-----•---••------- Date PermitNo......................................................._ Issued_....................................................... Date No...... ............� F�a...�...•.... � ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD .... ...........OF. .................../7 .. Alyliratiun for Dispuual Works Tonotrnr#ion 11rruti# Ss Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal t� Location Addr C ,«.�� or b N ,(` - G d f 'S v!.*R, 4. Address ... Installer Address ��r �� _ O q Type of Building Size Lot...:... .:.................S . feet U Dwelling—No. of Bedrooms.......... .............................Expansion Attic ell Garbage Grinder �a Other—Type of Building yp g ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ..................................................... ---...-------------------- ---------•--•-••----•- .......-•-...........•-•-- W Design Flow....._............................."- ......... allons er erson er day. Total daily flow_._........ ...................... gg P P P Y Ygallons. WSeptic Tank—Liquid*capacity®5?.`_?gallons Length................ Width................ Diameter_;............. Dept h................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--_---------_------ Diameter.................... Depth below inlet.................... Total leaching area.................A ft.. Z Other Distribution box ( ) Dosing to� ) /r a Percolation Test Results Performed by............... ..._.... Date...64�� '" ........ Test Pit No. ] .minutes per inch Depth of Test Pit...__ .t�. '':'``.X. Depth- o ground water.... 44 Test Pit No. ha'...'a�._minutes per inch Depth of Test Pit... .f.____.__. Depth to ground water._' •. .......... �-• , O Description of Soil '. *' So � _- •---•- x -••-••---------- ------------- ............................. = ------........------------------------------------------------------------------------------------.........------. 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 TITLE 5 of,the State Sanitary Code— The undersigned further'agrees not to place the system 'n operation until a Certificate of Compliance has bee sued by the of health Signed.. 5 • ••.......--- �� Date' Application Approved BY.........................`. 1n"l'!i •...-� � ..� y Date ............................. t Application Disapproved for the following reasons:.......................................................................................................... -•-------•-----------•---------------••--•------.....-------•-----•---•----....----•-------•---------•--------------•--•-••--•••---•-••---•--•--•-- Dat, PermitNo......................................................... Issued-...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA& TH ......................�..................OF...40G',...".°'7.....:..fit. !..4:................................ (9rdif iratr of Tompliattrr TH S IS TO TIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by 'S ►° f f - ------------•------------ / st ler at....#.: ?..._..�._(-_ ?.. f ' ?"�.... G� ------......4e"-.� -- --.5 '�-?....._.. has been installed in accordance with the provisions of of TI T YThe State Sanitary C e s described in theapplication for Disposal Works Construction Permit No.._.... �C4=�_2e.£� dated.... ......................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUN /TO SAT FACTORY. DATE---•---•--•-•--•-.........•-- - ........ 9,01k....................... Inspector.-•--- .. .. ............................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL,IH No.. :.0..... 0 FEE..... ...........:.. Disposal Works nn #rudion prruti# . rr Permission is hereby granted....... °�'°"`. .. .......:....., 1_:�t�._f-.�..._ ....................... to Construct ( r Repair ( anjndivldu Sewage D Syst atNo........._ .r"'........... •...... ' :Ct __ r"` " . ..... ----•----- ------------•---•--•-----•-•----- , Street ' ff - a.s. shown on the application for Disposal Works Construction Permit No': ^..._ '' _ Dated........ �.�y_l._'{?. ............. ........................... . ..... .................•••- ard of Health DATE " ...•............••............•... . ... FORM 1255 A..M. SULKIN,-INC., BOSTON V7 A �j r v N rA6cE k 6 ,.�',/� /. :r.-- /� wbr�`0_. l di! C L u S TE.R .O G-✓EL�r+EN i/ S,000 s� 00 r f , LE.Acir, c ! r o" Zo w £ 2. 32 po . , s $G°is as ►^! 50 /109;V . vol/gY LEGEND EXISTING SPOT ELEVATION OAO CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 -- FINISHED SPOT ELEVATION (� ,� T �� , ',. � w.�:4 FINISHED CONTOUR 0 NOTE: The location of any existing u�nde_r��_;d sewerage. * � .� wells, or other utilities shown on this plan is approx- IN imate only as determined from records and/or verbal information. .The contractor is responsible for the SAgh` x49 4,blASS*' verification of the existing locations in the field. SCALES DATE br,a DREDGE ENG/NEER/N8 CQ /N CLIENT. m A' I CERTIFY THAT THE PROPOSED F RISTERE REGISTERRD. JOB NO. gyO� BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS MAW Dot By: � OF BARNSTABL MA 5 'i 712 MAIN STREET CK By 14YANNl9, .MA93. 9NEET.L. Of DATE REG. LAND SURVEYOR .'V0, /F E/THER Ts-'E -5 PT/C .TAat/k OR 4 44 Fi4C.,'/NG P/T ARE: /10Re 77HA;`/ /Z' J`V P i /p FT• M.�N i '-RAOE, A ?4.'r p/AMETEK G'ONG'RE.T.E COY�R I "ALL ®E BRDUGNT :7-0'.6RAOE: 6�•'✓ -XTRA C:G/VCRC'TE r PIPE ! cAVY CAST //PO/Y CO!/ER S>/.4GL I3 USE1J M/N. P/TCN CO HERS I' CO/VCRLc7- 'o.� //i— 4�C•4oE CU VER . CLEAN .SANG !? i�► �:., BACkF/LL SCNEd t1Gb 44 rrr �c.�.r 2 LAYER p,VC. PIPE JOOQ ' GAL. s { b� M/N.P/TGN D/ST. a ! • • .:• • • ,. • e .•4� WA5HeO 570NIC .. !' Prr SEPTIC TANK • s • • • • . . • , , 4 �• a BOX p • ! •+ 8 • s • • • � o 0 Q o.. •.°• ...r:- tiv. •: `� ' • s o � • •. pEPTj,j.• • • • � si o 1V�751/ED STQiYE l �' ': — � • � I !•• • • is • • I.• O o .. ,. 2.Ss: 37?, o a. •. • • • • • • r p o F PRECAST SEEPJ4GE lNYetT eLEVATIONS • .goo GA��ay /NYERT AT 841/LD/NG 109. b FT. //1/.LET 3EPT/O' '7.4NK M6-0 fT 'r —� t T O/�4M, C SEE TABULAT/0N)' ouTLET SEPTIC TAAix - APTid FT. L G ROuNo WA1 TER TABLE 1A1LFT OISTR/B4 710H BOX /° FT. SECT/ON OF torLETD/STR/,P(!T/ON-SOX/oS.Y FT 1V4E7 LEACHIIa PIT /D Z SET. SEN/A6E 'OlS/o0.5'i4 L :.SYS LEACH1/VG =PY7- TABvLATioN / - D/MEN3/.ON ,.A 3 SCALE .. /4~ /=O ¢, FT- AD CRITER/A .F1vSION J3 1IVA fOER OF BEDROOMS � '' D/i�✓ENS/ON �C FT. GARCACAF-015,r-105AI- uw/r _ SO/L. LOG 11 TOTAL EST/MATEp FLOW _34 GAL./DAY -SO/4 TEST / SOIL TEST*2 SOIL TEST V41Aj4qER OF 4E.4CRjJVa a/Ts__ fFCEY. laB S _ ��-Et�Y ,DATE aF SOIL TEST i S / , FT. plc /�la./OE Z ACHPVGoT SQ .RESUJ-rS P//TNES5E BY ..►:fe./rea�`` 1 }9OFTOMLE,4CN/NG PERP/T /�'3 54. FT. Q .3�d•Py f'tItCOLATION_.R�4TE#I •� 2 lrj7�IlNCht -.W TOTAL LEAcH//Y'G A.4E 6�A 2 So. fT. f 77 5-3�BSA ArF CCOL47"/ON TE22 RA 0 M/N.f INCH '= RESE�Z✓E LFftC,N1NG AREf+ 2G�-SQ FT �� r ,✓��e✓G alb OF �y P� •'+b . ,�.O%��s �, `.� ��`�� Y�J. �. RODERT WEIMBER • F g3� No. 366 EL DREDGE ENCs/NFERlA/G:CO,ING;£ 7 N T. S/ Eh 9¢ 12 A1,41 :5 � ,y N YA /V/5, M ONAL .a s- NOG.ROUNv yyaTER ENCOUiVTEAL-4-7O C A./ENT�REao✓��iE.� ' D.dTE= Z/uP��