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Home My WebLink About0021 WATERS EDGE - Health (2) MARSTONS MILLS -__I No.. —:.!��...... FIcAo .............. THE COMMONWEALTH OF MASSACHUSETTS ,..--BOAR® OF HEALTH row- OF.......................................... ................. ....................... ®5 A:pVjirFafivu for Dhipvii al 3��xk� ay�t��r�ilaaa e�uti# t;p Application is hereby made fora Permit to. Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Location- dress or Lot No. � �- �e ...................... -. _ Vic.=- 1 oA_ial -----..._ .._ -� -.l.�l ..-•---�...................... W Owner Address Installer Address Type of Building Size Lot.................•..........Sq. feet Dwelling—No. of Bedrooms............Z.............................Expansion Attic ( ) Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures .................................................. ----- W Design Flow.._.S ............................gallons per person per day. Total daily flow__._...'ss........................gallons. WSeptic Tank—Liquid capacity.l. 01�'gallons Length................ Width................ Diameter............_... Depth................ xDisposal Trench—No..................... Width.......1............. Total Length......:............. Total leaching area....................sq. ft. Seepage Pit No......I.............. DiameterAIP__..... Depth below inlet.....!.......... Total leaching area.-17.0....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date-----................................. 0-.4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........_............... ----------------------------------------------------------- -........ •............ ------------ -...... •----- ----------------•---------------------------------- O Description of Soil......................................................................................................................................................................... x U --•-----------------------------------------------••-------------------......------•--------•-•---......---•---------•----••----------....-------•--................................................... 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system operation until a Certificate of Compliance has been issued the board of health. Signed.. =1 '.................... )fg Application Approved By........... ----, ;--_._„/ ��_ Application Disapproved for the following reasons:.............................................t......................_-_------•-.__, --••-•-•------------------------------------•----------------•-------•----------••----•----•----------------....................................................... Permit No......................................................... Issued................... No_: Fimr........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. ........................OF...............................:........._............................................... Appliration for Disposal Works Tonstrurtion Vvrrmift Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System Y4= C3_jr (41 .....E,D(9 (. ...............2................................................................ ........................................................... ................. LocatioR- ddress or Lot N C', T-.O, h 0* ....../ ............................................. !......�- .. .... ................Owner Address (4 .................................................................................................. ................................................................................................... 1_4 Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms..__.._....:...............................Expansion Attic Garbage Grinder V") Other—Type of Building ............................ No. of persons............................ Showers Cafeteria Othe&,fixtures ...................................................................................................................................................... Design Flow-.-.-'I'r. ................................gallons per person per day. Total daily flow-------YJ S. ___-.-----..............gallons. .--------*.............gallons. ....... 9 Septic Tank—Liquid capacity.h_!�15?gallons Length................ Width................ Diameter__..._...._..... Depth......_......_.. Disposal Trench—No..................... Width..... ------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.-_..t______________ Diameter.k.).0........ Depth below inlet.....L........... Total leaching area-A.70....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results, Performed by..................................*Pit._____..........._..------------- ................. Date.......................................... Test Pit No. I................minutes per inch Depth of Test Depth to ground water..................._.__. Test Pit No. 2................minutes per inch Depth of Test Pit__..........__._.... Depth to ground water....._.................. ............................................................................................................................................................. 0 Description of Soil........................................................................................................................................................................ ..........................................................................................................................................................I.............................................. U ..................................................................................................................................................................................................... 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 T I T iE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until aCertificate of Compliance has been issued k the board of health. Signed..;�•--A. ................ see", 4 • ......... ............................ Date Application Approved By....... Date Application Disapproved for the following reasons:.............................................................W.................................................. .........................................................................................................I..................I--------------------------------------..........................---------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..........w....................................................................... THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired by---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Installer e_06 e at.................J�.............................. .................. . . ............... ------------------------------------------------- has been installed in accordance with the provisions'of TITLE '.5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit N&_A��- .................. dated------------------------------------------------ THE ISSUANCE THIS CERTIFICATE SHALL NOT BE CONSTPRU'11'!S, UARANTEE THAT THE SYSTEM ....Wl FU CATION SATISFACTORY. DATE... . ... --------------------------------------------- Inspec ..... -- -------- ----7------------------------------------------- - ----- THE COMMONWEALTH OF ASSACHUSETTS BOARD OF HEALTH , ...............................I...........OF..................................................................................... ............ ............ Disposal Vorkii Trainstration "amit Permissionis hereby granted............................................................................................................................................. to Construct or Repair an Individual Sewage Disposal System atNo_yl------ .1ri-I.......E ir---R.0..... .................................................... Street as shown on the/pp)Ation for Disposal Works Construction Permit No.................... Dated--___--__._.........:.................... ......:: Krd of Health------- ............... .............. DATE--- V l ..................................................... FORM 1255 HOE38S & WARREN. INC.. PUBLISHERS L r rEE K �/ °°o Fp G 3`v , j�-_"'.' ` A LEA : 4.�,6.c. F (MIN : 15', pm= I50 f�a.rrAF� " O/ A M2. AAri-iu, P.4I -C) N 3o'- F S. B. g. oF�� T --- � � h 42 I'L�23/82 MGvT WAIVED Pr_(`A�aT. T . oFLw ::_-Riv_c- p- Cln-lf)CHIAL 1 Efl \�� s4� 9 was- , �►/ �n PL c:.T °t h why-�+=1Nc 360 44 —� H1VG p,T LOT Q 24. 4-1 101 r � N Jj L 0�� .s T �- 54, 737 S �• t� � o " us " U '� � ;• 29874�0 Q R � h �sTE u". N lo LEGEND EXISTING SPOT ELEVATION O „ i� ''ed x0 I ' CERTIFIED PLOT PLAN EXISTING CONTOUR -- 0 --- •r': FINISHED SPOT ELEVATION v ALP_ ` / 0 T q FINISHED CONTOUR 0 �' ` " /�� /?-=7UiV - r�✓�ic � I ;ig `� I. E - t, .iu951 O 1 N APPROVED , BOARD OF HEALTH 4f�t t`Su \� vsJ ae w0 tl¢7 DAT E AGENT "'''�` SCALE, DATE , /2- LCriEDGE ENGINEERING CO. INC), CLIENT I CERTIFY THAT THE PROPOSED �R EGISTERE REGISTERED .JOB h0.82-i) 4 9 BUILDING SNOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER LSURVEYOR 1.DR.BY� �__ h OF BAHNST LE 712 MAIN STREET CH. BY, J.7_>.E HYANNIS, MASS. _ '�-_ = - SHEET— OF ATE ,,REG.- LAND SURVEYOR /VOTE /F E/TNCR THE SEPTIC TANK OR 20 FT. MIN• LEACH//vG P/T AAA MORE TNA:•/ /2"B.E1-OW /D /"r M/�/• 1RADE, A 24 •�/AM ETER G'On/CRETE COVER 1 SJNALL BE QR0U6H7' To <,T A oF.(� N EXTRA C;ONCRt'TE q'PYG P/PL hIEAVY CA57- /RO/Y COVER Sh�ALL 3E USEO ELEI/• /02S COYERS �g pERTFT /F//V OR/VFWAYi f CO/VCRET ,A GJlAo E C O ✓E'`z C'L EA iV SA N•,O Lpu/o LEYEL . r- a'�arER V 1._ RON P/PL SRO �s/�L. • •• 1 • • • • • • • • e •o GF 'b MIA.Plr D/ST. . •• / yyA SHFO 57?7NE L •: 14•pcis>? SEPTIC T,41VEC . 1 • . . • , . . BOX a • 1 8 . • • • • .• • s. ' ♦ . 1 1 •ERECT/VL � ► . r Ia - I V2" • • • • • DEPTH • • 1 • WASHED STONE At f U • • I 1 • • • • • 1 1 O • 4-7 PRECA5 T SEEPAGE' lNYCR'T ELEYAT/OXs P/T CAPAC-/Ty 548 C"��'�v�y ' ►• • • • • • • ' 0 0/7 DR EOu/v. • • ' =94.S 548 — /NYERT AT Ql//LD/NG 99•S- FT. Q-6E I D 16 0/4 M.y C SEE TsiBUL4 Tl ON� h INLET SEPTIC Ti4/VK 99,3 FT I .oa7LR7-SEPT./C TANK 99. 1 FT GROuNo / TER TADLE //VLEr D/STRiD!/T/ON BOX 98-9 Ir. SECT/OJV GF Ot/TLETD/STR/BlrrI0N Box`{a•7 FT S SEyyAGE O/SPO�S'A t. YST.C/K //y�T LEACH/NG P/7' �-S Fr. -r,4av4ATIO v LZACH//YG P/T .scAL.E %s" O/HENS/ON A 3 FT. DES/GN Cft/TER/fit 01NRN5/oN 8 6 Fr. 3 DIMENSION C FT. 'N[/JNQER OF BEDROOMS GAReAGEo/sPoswL. vvlr 'rf SO/L- LOG SOIL TEST TOTAL E.TT//rYiTED FLOW 3 0 GAL.IDAY SOIL TEST At/ SOIL TFST 2 T 4 � G��-- /VUMBE,P C� 40ACNI/VG P/TS f'ELEY. �- I �"ELFY, DATE aF SO,/L TES S/OE LLACH/NG PER P/T / �� S<L PT. p _ / ' RESULTS It//TNESSED dY�iz G/r Foe i0 30TTOM LFAC'N/NG PER PIT 7� 54. FT Lv .H A6MCOLATiOIv �CATLw,*/ LESS N/IN,/INC/r` TOTi1L LEACH/NG AREA 2"6 6 SQ. FT. / 1- ¢ PEA COLAT/ON RATE lk2 2� MIN. /NCH } gESERVEGEACylN6AREA y�' I'SQ. FT. 'S' �c35alc QEF SoiLT�sT ►.1= P- i oq I A � ��• c �... LOT 4-3 WATO.R_ C, ' 05 Rl�. r �.lie ShND /,'J.4 2 S Ft-) /v S jo c''_ 7 of VV I- I F 4 ELOREDGEENG/NEFR1AlCr CO,/NC. a r� Q/BTE�yp� Vt "'u,E G I S 1 7/2 lWA/N ST. yYA,VA//S, MASJ. "' SUR��' S�ONA%- yy�4rrR z- Q GRO U/V0 WATER AT FLEV ,JOB NO: �Z`�g� SHEET OF �- M IAPPLICATION FOR PERCOLATION TEST ANDO(BSERVATION PITS t LOCATION_� 9 clef NO. VILLAGE �l- DATE . APPLICANT FEE leQ ADDRESS •� p Qom► TELEPHONE NO. (Non-refundabl( ENGINEER TELEPHONE DATE. SCHEDULED • (Applicant' s signature)- OR A LOT NU: -yjAl � Zii7-'` � 5�-• • 60 ' '• • • • • • • • 0 • � • • . . . . ; . . . . SOIL LOG SUB-DIVISION NAME �� DATE ��i- `( � TIME EXPANSION AREA: YES k"NO iffgk)-12 t - . ENGINEER:') 'TOWN WATER PRIVATE WELL BOARD OF HEAL? EXCAVATOR SKETCH: (Street name, etc:, dimensions of lot, exact location of test holes and percolation tests, locate wetlands in proximity to test holes ) NOTES : eiff \ r J 6 p PERCOLATION RATE: TEST HOLE NO: ELEVATION: TEST HOLE NO: • L�w?,K Y, 1 ELEVATION: �----- 3 3 4 5 4 6 5 m 7 . 6 5 . 9 10 10 11 11 12 � 13 13 �Q 14 15 14 16 15 S.UITABLE:FOR SUB-SURFACE SEWAGE: . LEACHINGIELD EACHING PITS ' ITS �'- LEACHING TREN:CHES� t� UNSUITABLE FOR SUB-SURFACE SEWAGE. REASONS : NOTE: :ENG,INEE�RING PLANS MUST SHOW NUMBER- ASSIGNED -ON PERC TEST APPLICATION ORIGINAL': COtiPLETED IN ENTIRETY BY P . ANn RFT"RNED TO BOARD OF HEALTH COPY: RETAINED BY APPLICANT 5 � LOCATIO N SEWAGE PERMIT NO. eaZ VILLAGE I N S T A LLER'S NAME i ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED I DAT E COMPLIANCE ISSUED _.,�_ �