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HomeMy WebLinkAbout0077 SAINT ANTON'S WAY - Health Al ASSESSORS MAP NO. Q-5 PARCEL 0 0 L 0 C N SEWAGE PERMIT NO. (,o�T410 i,;&A 4. t-,4e ' 1-9 V I L L A G E J_co/_ Q3 G moio4ov,3 INSTA LLER'S NAME A ADDRESS >_ O S ce A �- c,p tn `Q V1,1A f S T6vo w"t� S s� R U I L D E R OR OWNER N DATE PERMIT ISSUED q i DAT E COIMPLIANCE ISSUED (�f L' -T ��A , -6 �> ASSESSORS MAP NO: �� � r 03 r No................ PARC Fs$.......................... 4X. O _ O BOARD F HE ...........0F... .........../ sS... _-----------------.--_------- App iratiun for Uiipusal Morks Tonstrnr#iun Vernfit Application is hereby made for a Permit to Construct ( 4,<or Repair ( ) an Individual Sewage Disposal s� _./...... ... ............................ Location-Ad ss or Lot o. o Owner Address ........................ ...........Cl.��-�t -4 a Installer Address dType of Building Size Lot.._. Q..P..Sq. feet U Dwelling—No. of Bedrooms.......................................Expansion Attic Kc� Garbage Grinder (tom aOther—Type of. Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures -----------------------•-------_. d ----•----------- ---•--------- W Design Flow........... _.._. ...................gallons per person per day. Total daily flow........... ...�.�-...•...........gallons. WSeptic Tank—Liquid capacityl��?a.%,allons 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.................sq. ft. Z Other Distribution box ( ) Dosing �� / '-' Percolation Test Results Performed by.......... �<'!..... .�.....`.- ...1�12.C�.�.c? ate... 3�....��.-..... ---. ,aj Test Pit No. 1CC.5.2....minutes per inch Depth est Pit..... F__ Depth to ground water.. ............... 44 Test Pit No. �cx_6_a..minutes per inch Depth of Test Pit-----..:�...... Depth to ground water.. .. a - .... ... --------- --------------- .- ,e-� f/ - Description of Soil-----•C.1_- - --- - ----...L?c� .. ..-P...._�`tsr'_ !.._�-----_..... x c.� ... !. .._...5 - W 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 TIT E 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by t oard of h 1 . Signed. .......... ., -- -•-........-•. ........................... I Application Approved By............................... ... ------------•-� •... Dat Application Disapproved for the following reaso s --••-•------•••-•••------•••----•-••••-•----•••----••••••-••---•••-•-•••......--••-•••... ..... .............. --•..............•................--------------•--•----....__...--•-----------------------.....-•••••---•--••------•--...••--- Date PermitNo....................................................... -__._.. Issued_....................................................... Date No......................... FEs......................... THE COMMONWEALTH OF MASSACHUSETTS / BOARD �QF H E .....I....OF.... �'` �,r� .f��...s :...................... Applirttiiun for Disposal Works Tonutrurtiun, Frruti# Application is hereby made for a P rmi�to Construct ( 6►)"or Repair ( ) an Individual Sewage Disposal f Location-Add ss P or Lot o ....................... . ....................................... P-L.✓ t ..... ................. wn r 11 Address ° '- "� r C 4 L A., r" ............................................................... M Installer Address Type of Building Size Lot.... Sq. feet Dwelling—No. of Bedrooms........... --------.....................Expansion Attic qA-'g Garbage Grinder (Lvp aOther—Type of Building ............................ No, of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ------------------------------------•-•-----•---------.-•••--•-----•-•-•------•----•-••---------•..--•-- Flow............SIN g P P P Y Y -� ------------------------- Design � W ______________________gallons per person per day. Total daily flow___.._....._:_____:_.._._...._._._.......... Ions. W Septic Tank—Liquid capacity f 4-�` allons 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.........._.._. .sq. ft. Z Other Distribution box ( ) Dosing ty„k ) f G +3 f f 4�'�""}�i7 I Percolation Test Results Performed by... .___._._. '.__ �` ___.____. ate... ....... .................... 4 Test Pit No. l lc'���'.-_-minutes per inch Depth o est Pit_ .__. .:_ __�.. Depth t ground water.___ 04 Test Pit No. i 4;`!_c9..minutes per inch Depth of Test Pit-_.---- ...•.. Depth to ground water--- a x �ha+ P e....,» 3 .............--.-.----•--------------•------.-.--_ . .. ---•----- I ..O Description of Soil..... 0_44 . .......... ..... ... -----------•-----------------------------------•------------•-•----•------...-------------•----••----..----- + U 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 TITTLE 5 of the State Sanitary Code The undersigned further agrees not to place the sys em operation until a Certificate of Compliance has bee ssued by t oard of h l ._ -----------Application Approved B �` m� r!? �• _ 7. PPPP Y----------•--••-•--•-••••. •----• /; — ---------------- y ... f at Application Disapproved for the following reaso se----------------------•--------•-----------------------•---••---------------•--•-------...........---•------- -----•-•.....................•••-------......._..----•-•--•--.......-----••--••••-•---....••.......----••--------••--------------------------•--•••-••••••-----------•--•-•------...................... Date PermitNo................................................... Issued----------------•-----.................I.._......---.__ Date THE COMMONWEALTH OF MASSACHUSETTS s BOARD OF HE,AT1 ,,�' �a , ................. F.... + '• ...� �I............................... ........ O (Irr#if irtttr of Tuntplittnrr IS TO CE4TIFY, Th t the Individual Sewage Disposal System constructed ( or Repaired ( ) by-• °'�'� ��' -( • - • --••--------•-----------------------•--•-----.----- _-------- ------ ---...... -------_-------- + Installer at.... _ __.._._�_ ". ... � ; s ... ` . .- .... ................................. f has been installAd in accordance with the provisions of"?I,' 5 of h tate Sanitary Cod es ibed in the application for Disposal Works Construction Permit i�To.- •---�-•-•-- .--_. dated.....•... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WJMF NCTIO IISFACTORY. DATE.. 2�� ..............•-----------..... Inspector.. - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No......�. FEE.......`....... �iu�ru�tt murk un�#r uan �rrutit zr Permission is hereby granted. . • ----- •.._--_. ..................................................... to Construe ( o Repair an Individual Sewa Disposal System .e I ^��`` at No. 1 :: ,.... ....... ---••-• -•...................•-......---•--.......---........... Street , ! as shown on the application for Disposal Works Construction Permit No.`�__.........__ti Dated....... � -.-...•.- J Boar DATE.................. - ----t!-_ ..... � FORM 1255 A. M. SULKIN, INC., BOSTON r ' t Flo A. 3h e 40 o - �� ,M - \�'OG. Fes--�• �� Z 'r,� Vf A .- �8 � s� e ;9 3 r x V ' k; %, OF Mqs O RO E z pH'IUP N c� • Iv WEINBERG ElfIt No I No.366 O, c sT L AL LEGEND - EXISTING SPOT ELEVATION CAA CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 FINISHED SPOT ELEVATION FINISHED CONTOUR --� 0� ��%/BA Sr Ar,-o.�� `✓Ay MA.�sro.�f yl,c,yS NOTE: The location of any existing underground 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. verification of the existing locations in the field. SCALE, _ �a DATE 1 2 zG/�� ta; DREW ENGINEERING Ca-IN >,e�r�:i I CERTIFY THAT THE PROPOSED EOISTERI. REGISTeR O J06 NO. 4 BUILDING SHOWN ON THIS PLAN CIVIL LAND C� CONFORMS TO THE ZONING LAWS OF 6ARNSTABL MASS. T12 MAIN STREET . oKBY� 1.E c..�'.` ZTE YAM% MA. 9g.' . SNEET.Of 2 M A REG. LAND SURVEYOR i 7,47 .5.� E S=P T/C TA N/C OR 2p FT. M/N. -'��'�LcisGiN<'wG P/T ARE MORE TNA;V /2'0BELO.W �.'. SNAGL B.E ,3A?0UGNT 7-0 GRAOE.C�iN EX7•RA I > �4"PVC P/PE `, o; GONCaCTE irf riv. P/TCif ' t�E,4 v y C^ S T /?ON c o NER Sh'•4 I-L C3E USED r /P,/N DR/VEWAY /B PE.Q FT a cfTAD4 CU VEfz CLEAN .SANS q • ,�. BAGKF/LL k *LAYER t SaVED Y.C. Pl foE. i ® - CvA4 • o ' QF : � • • • . • • • • 1 • o o b• Ml/V.P/TCN o Q WA SHED STCJNe�� D/ST:�� a SEPT•!C TA/YfC BOX_ o. b • • � • t � • • e • .•o '4 JFEGT/VC 1 * . • 3la I f2~ 'i 1 • • OGPTh/ • • 1 • o o WASHED STONE 7 ' a • • . e • • • • • p PRECAS T SEEFDAGE f w a °r v P/T OR EQU/V„ 2 tN!/eRT L'1 EIIAT%CNS 3Ae- lNYERT AT BUILD/NG . lF. T_ x it a/*s { J SEgTABULATION s INEET<•.SCPrIG'..Ti�JVK:T� T� t� -FT O/A1M• ' CC ' -•�O(o��,!,.p•_..T , f,t 4t'74 T- SERTIC 7ANK J= 4 fig. K lJVLET DlSTRiB/ljioN BOX `j FT t SECTl4 r QF No TER *4©C �ROU TA9LE TLE_ BllT'/ON 6QX �Q6 ¢ FT , .• - 's 1 " fNGET�LEACN/NG'PIT 16; FT SEI�6�'i4EaE L�<aSI 'C�SA L"'SY..STM T/4 BIJL/4TyON k ' ,$t s LAC 'f/N6 P/T 0)MENSION DESIGN CRITERlR x r �- ...,. '�Cx � �f r DIMENS ' A� D MENS/ON G .FT M1J/rldER OF BEDROOMS A :" i riaf?d�,aGE`DlSPOSRLUXrr TaTAL. E.?T/MATED"FLO %�f - � Y c�Q!1. TEST J / SO.IL TEST#.G� G,4,L 0.4 s iilfJMBER dill LEa'ctllwd P/rS _T_x,: ' . / ELF✓../D9• �LE�L! .. " DATE OF SOJL,TEST SLOE LEACH/NG PER P/T SCE FT. : RESULTS J�//TNESSED BY 6oTT0/�t LEptCHlNG PER fi/T SQ FT PERCOLAWON'RATE / < AV'VI-JNCN SuBt8�6 �a5 PIERCOLA7-Co RATE Jk2 . MJN INCH: s i TOTAG:'1.EACH!/YG AREA SQ .FT. e� I RESERIiE LF�4CNllVG AREA v .sQ _FT.- ` • '_k..�° FMB^s W'����i1 v' 7 ti'C' .. - - OS+"rida• d f�� 'r!° " _ P IUJL t f� WELC76ERG i . . . P r � Qr, �LOREDGEENGIN.EER/�VG CO,1NC. " 712 IqAltV Sf ` HYANNl9,.MASS'. . . 366 Gzc �c ?/ ^ST ,,:� ,� i Yx '; [�. NO GROUND YYi4TER ENCO[INTE:�EO CL/,ENT: i DATES Q GRO[1N0 WA—r.R AT ELEJf B�pg�A � r isXJOB NO. SHEET—OF ' F.t'