HomeMy WebLinkAbout0099 TROTTERS LANE - Health �] = MCI S
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No......... 5 L 04 GLC Fig$15.00............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.... n ...............OF.......B.armstable....-----------........--------..............._........
. ppliratiun for Disposal Warks Tunitrurtion 1hrmit
Application is hereby made for a Permit to Construct (g ) or Repair ( ) an Individual Sewage Disposal
System at:
................lot__�k1C..Trot � ;z..La �...... ......_... ].Qt..f!`16 .........
Location-Address or Lot No.
Innovative Builders.2___Inc: 55 Broad Street,._Westfield. MA ___„_
..._. .... .... ..•. --- -----•...
owns /� elf
Address
W .... _�_.. •�G S 1�0_aLJmut.street W....BArnstable------...
Installer Address
Type of Building Size Lot.2QaQQQ__+-......Sq. feet
Dwellingx No. of Bedrooms.........three.....U)...........Expansion Attic (no) Garbage Grinder (no)
Pk Pk Other—T e of Building "" . No. ofpersons....- _""" Showers n — Cafeteria o
Q' Other fixtures -------------------------------- ....
W Design Flow.............55...........................gallons per person per day. Total daily flow.,......:.33.Q_........................gallons.
WSeptic Tank—Liquid capacity! QQ_.gallons Length._4i......... Width----.$a...... Diameter----_------- Depth....4..........
x Disposal Trench—No. .................... Width.................... Total Length................. Total leaching area....................sq. ft.
3 Seepage Pit No...._..1........... Diameter.._......_1....... Depth below inlet.......6.......... Total leaching area......26k....sq. ft.
Z Other Distribution box ( ) Dosing tank/( )
aPercolation Test Results Performed . .................. Date_C"4 -7
Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.A/-.:?&/dtr
G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Q+' J..................•----- - -
Description of Soil 0 .... Y......r ...mil- �1 �r'✓' l �".°'......e'a Q s
O ,Lj t� I /
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 in
operation until a Certificate of Compliance has been issued by of b alth.
igned . . •....... ...................... ••------------•-•--------... L��7
................................
Date
Application Approved By.......... -- ... ..... .. . ..d=-=. ...4?�-- -- ............... ...... .'ZE_'._7.7.....
Date
Application.Disapproved for the following reasons-----------------------------------------------------------------------------------------------------------------
......------•----------------•-----------.....----•----------...---•--•---------.........-----..........------•--•--------------•---------------------------------------------------------•----------•-
2 4 s 7d—"—Date
PermitNo......................................................... issued....... -- ......................................
Date
n
` THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
Tin ...................OF......4arnst b1n.....---.-.....---...._...-•-•--------
Appliration for Uiipntial Works Tonstrnrtinn ramit
Application is hereby made for a Permit to Construct (g ) or Repair ( ) an Individual Sewage Disposal
System at
lat �l6 Trotters L !ne lot #lfi
................_....... -........--..........-•_-• •--...... ...._._...................... ..............
innovativeL�ui errSs� Inc. B or Lot W •MA
c� --•--....._.55 raid Stree-_._ estfield.,...............-
Owner Address
W Jahn Ailto 150 W Inut Street W. B ,rnst-bl-P
.......... .................. ......__�.....
Installer Address
Type of Building Size LotP,000 +----•-_Sq. feet
Dwelling No. of Bedrooms........ �?ree_____�3)............Expansion Attic (10) Garbage Grinder (2e )
aOther—Type of Building ________________ __________ No. of persons_._ _ . ._.____------ Showers (nc) — Cafeteria ('10 )
Otherfixtures -----------------------------------•-------._...__..__....---------------------- . ------•-------------.___._•_...---•--•------------•-------------
55 �330
Design Flow............________________________________gallons per person per day. Total daily flow..__._.__._._::._..__......................gallons.
WSeptic Tank—Liquid capacity1000 _gallons Length. H.......... Width....g.'�........ Diameter._'_"`____ Depth...4+..........
Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..____1._...___-__. Diameter..............
Depth below inlet.................... Total leaching area.....��?6__._.sq. ft.
Z Other Distribution box ( )_ Dosing tank ( )
`" Percolation Test Results Performed by-_C:_^l�_��'_<�` C2i { �-� Date. _`.4.?__�..:_7 _____________.
Test Pit No. 1................minutes per inch Depth of Test Pi .......... Depth to ground waterAl J_!{� V A,
a .
GTI Test Pit No. 2..............._minutes per inch Depth of Test Pit..................... Depth to ground water........................
- ...................................................--------------•----...._......•...........•.-•••................. ---------•--••-------
p G�i�G art, c ' S _b.� U;! // �f j / c r s t cti
Description of S .............. .. ---_... -r.............. :. = .............................S_.
U -----------------------------------------------------------•--••------------------------.._....---------•-•----•-•---------•--------------•-----------------------...----...£f J....------
W ------------------------------ -----------------------------------------------•-------•---------•-------------------------•----...-----------------------....... ......................................
UNature of Repairs or Alterations—Answer when appliViable------------------------------------------_____________________________________________________
-------••-----------------------------------------------•----------------------------.........•---•-----.._...------------------. •--------•-----------------------------------------•----.........--•--
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 been issuedd`by thh b/oard of..l ealth. 7
Signe -------•--------_••--- ................................
j....._..__ Date
Application Approved By. --. .. ..._.... .. -7� ��
Date
Application Disapproved for the following reasons_____________________________________________________..................................... ____..__.____.
.............•-----------.....-----•-•--..._..----....-----• ...........................................I--...•-•-------------------------------...-----------------------------------------------------
Date
PermitNo.......................................................... Issued_........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O 'HEALTH
.................OF....... ....::.....!........ti......t^.......
(Irrtifiratr of Tomplittnrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (x ) or Repaired ( )
John Ailto
by---------------
- --•----------
•------•--•.J ........ ......................
lot ��lG Trotters ��ne Insfaller
pp been Disposal
1 p > State Sanitary Code as described in the
application liication forllDisi o alcWorkseConstru Construction Permit No.:_.T__ 'Y ?' ' The dated_-.. `� �_ '''_ _________________
THE ISSUANCE OF THIS CERTIFICATE SHALL.NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCT ON SATISFACTORY.
DATE.........__.' ..::. s ............. Inspector--••-------•-•-•-----------------------�....-•----•--.._...._..._._...---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD PF HEALTH
OF..--... ................................................ /
................. FEE 1.._.. .............
Rapoostt rk trnrtUan rrmit
Permission is hereby granted r ............................................. ------------......._..........._._..
to Constru (�), o ( an ivi Sew a e isposal Sy
� � •
.
Street
as shown on the application for Disposal Works,,Construction PerraivNo.__ r- .,____ _ Dated..... ._'_ ._..__
_ fir/
Board of Health
DATE '- -
---_-•----------------
FORM 1,255 HOBBS & WARREN. INC.. PUBLISHERS "`•_.,.Y•*
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No.$420
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LEGE#VD CERTIFIED PLOT PLANEXISTING SPOT ELEVAT-ION' OXO
EXISTING CONTOUR,___ 0 ... - G 07' l6 7A ME
FINISHED SPOT ELEVATION 0.0
FINISHED CONTOUR - 0 --- 12 5 7�0 A45 JJ�/ 4_4.5
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APPROVED-= BOARD ` OF HEALTH,,,
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DATE _AGENT .' SCALE: . 1 "- DATE: 7115 �� I
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LDI4ED6E. ENGINEERING 'C0. IN n,/.
CLIENT /o I CERTIFY THAT 'THE -PROPOSED
EGIST£RE REGISTERED, ,IOg NO. ZO41- - BUILDING SHOWN ON THIS. PLAN
CIVIL LAND CONFORMS TO THE ZONING LADS
ENGINEER SURVEYOR DR-By' '4 `4 OF .BARNSTABLEl M AS.
3 NO. MAIN ST A2 MAIN ST..
SO. YARMOUTH, MASS, HYANNIS, MASS. SH' EET_..L.. OF —2— DATE REG. LAND SURVEYOR
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LOCATION HZ
WAGE PERMIT NO.
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VILLAGE IqVTI �5
�G�.�7or.� 27i1IJ.LS
IN.STA LLER'S NAME & ADDRESS
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ad
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BUILDER OR OWNER
DATE PERMIT ISSUED - �
DATE COMPLIANCE ISSUED aG ��
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