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HomeMy WebLinkAbout0008 WREN LANE - Health M(-en l____c�x.ne-- �ZQ 02(, _ (Y) . (Y) 11S \`L 0-C-A T I.O-N._—_-.._ SEWAGE PERMIT N O. 2c ,5-73 VILLAGE I N S T A LLER'S NAME i ADDRESS 8 U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 9/- ,4- � 0 Sys i t ............ THE COMMONWEALTH OF MASSACHUSETTS B®AR® ®F HEALTH Appliration for Uhiposal Workii Tomitrnr#iun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System;at:. ............. e../ .- ��. -••••--•---••� � =p •-••--•• �' ................................ ion�A,drdres�s o Lot No. r�r Address / � a _.&. ............................................... Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms___. __. _______________Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria a' Other fixtures ____________________________ _ W Design Flow............................................gallons per person per day. Total daily flow............ WSeptic Tank—Liquid capacity....0...._ allons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total,leaching area__ZP___6_sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet_................. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~" Percolation Test Res Its Performed by_______....���.L ........... l�_C� ..___ Date...... __ /. , Test Pit No. l t .__..minutes per inch Depth of Test Pit____________________ Depth to ground water........................ (i, Test Pit No. 2___-�e�ni;nutes per inch Depth of Test Pit____________________ Depth to ground water........................ p+ --------------------•---•--------------------------•----___•--------......_.._..._..._..______-__-__......................................................... 0 Description of Soil------------ ------------------ ------- 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 TITLE 5 of the State Sanitary Code— undersigned further agrees not to place the system in operation until a Certificate of Compliance has be • sue y the bo o health. igned------ --•--------- ------•__... ._......------�..... .,.....:••--- --•- ApplicationAppr ed ---- -------------------------•------•-------......-•----•-----------------------..._----- f Date Application Disapprov for e f ollowing reasons------------------- -----------------••----------------................................. -------------------------------------••--•---------------._...--•--------_________-------__._...-•---------••-•--•------------•••---•-•---------------•••-••-------------•----•------------•---------••- Date PermitNo.....................................................•-.. Issued..................................................... "` Date `L� _- -•------------------- Fims........................... _ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...---....._...�S.�------.OF................... ..... ........Ili..... ._. Appliration for Dhipos al Works Tom action ramit Application i hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at .......... . '/,/;/�jaa�ation-A//dd,�re l //J/� or Lot No. ......................—........................ .il. .l.� .!.lJ .---._.. -------------- Owner Address d ....................... ............. �--•--.........�!..� ..4 ./ .... .1._ �� 7_.. � Installer Address UType of Building • b Size Lot............................Sq. feet I—I Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a —Type g ------------------------•-•• P ( ) — Cafeteria ( ) d Other fixtures --------------------------------------------•--------......---------------------------------------------... ._.. -_-•••----- w Design Flow..... .. ..................gallons per person per day. Total daily flow............ _.......__-..................gallons. WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area•__--�....C..A. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank i — ..•_.. ems �/o r Percolation Test Res Its erformed by.. .. . -�_................ A7 a Test Pit No: j-_ mutes per inch Depth of Test Pit.................... Depth to ground water........................ (X Test Pit No. ..........minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 .............------- --••••......--• .......................................... 0•------•----- ........................... ...............•-------•-•-•----•-----•.._.....•-----•-••...........-- 0 Description of Soil........................... -------......_.. • • - c.� ------------------------------------------ ----------------------------------------------------------------------------------------------------------------------------------------•----•-- w UNature 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 TITLI 5 of the State Sanitary Code— The ungprsigned further agrees not p place the system in, operation until a Certificate of Compliance has been issued by t oard of hp1ttr2 �-� Signed. - -- ----------- ------•- •-- e - Application Ap ev ldq—B-'- ....y="==..--------------•------- ¢f . - ......__ Date Application Disappro. d f o the following reasons---------------------•--•---•----•---------------------•------•-............................................. ...............................................-.................................------------.............-....................--••••--.............-............... ...................... Date PermitNo.............................---------------------------- Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF Currfif gratr of Tompli anrr THIS IS TW�I F at the Individual swage Dis osal Sy tem constructed ( ) or Repaired ( ) by-------------------------------------------- .._ Installer at................-........................................................................................... has been installed in accordance with the provisions of KC1E 5'5;b The State Sanitary Cod s de ribe in the application for Disposal Works Construction Permit No.__•---___•_-.__-_---_ ` ------------------- dated... - --- - ................... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...........................•--............_..................------•-•--••_----• Inspector............---..................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H�FAJ,sTH �/ -...�.....................OF...................��- ' 1_.._. ...................... No- -------------------•-•• FEE........................ ioo �a1 ks T oats io err Permission is hereby granted------..... G.. ........... .... ........................... to Construct ( ) or•;Repair ( ) an Individual Sewage Dis osal System at No.............. Street .+ as shown on the application or Disposal Works Construction Permit--,K,6?! ------------- Dated.........................-................ 1....... ----- •••-•----•-----•-•-•--•--•---•••------••---••---•--•----- 7 Board of Health DATE....... ....... -----• ------•--------------------- FORM 1255 A. M. SULKIN, INC., BOSTON /zvHrA6 �� pERT j v MORSE ul { P No.10951�O 55!/nyG1� GoT F GIS P k, �u TS ��'��T;� 1/` `% r=�f, �,✓: ' IFS SIONAI- Sr PR i V,4 TE J3N-L�Icu� `h piYa 00 lade ._. -3. 1 ` f _A . 66 TRNK lot, I&r ! b X I\ box V � � k i q r 144 \ e,*p,4,vs�vnl a o r r 0IOU ro 1 00 Volt, i ,E LEGEND EXISTING 9POT ELEVATION _OAO �� t P,Igs, , CERTIFIED PLOT PLAN EXISTING CONTOUR — 0 ,! Z-oT /4-A ._ i �,( ., =s- ,ROG > . FINISHED SPOT ELEVATION FIRLlr �o /`7�9.fz,5 7 o FINI-SHED CONTOUR - 0 ;1 crxtae IN °APPROVED BOARD OF HEALTH DATE AGENT R SCALE, / � ° DATE$ L 14EDSE ENGINEERING CQ I /V1 a 41��;� s CLIENT. I CERTIFY THAT THE PROP09CO EGISTERE REGISTERED JOB.NO. �4 ,0` 3 BUILDING SHOWN ON THIS PLAN CIVIL LAND �q_ ,, _ : CONFORMS TO THE ZONING LAWS ENGINEER URYEYOR DR.®Y' OF ARN.STABLE , MASS. 12 MAIN STREET CH...BY L �c;' HYANNIS, MASS. / SHEET OF ATE REG,• LAND SURVEYOR. f 20 FT M//1C /VOTE = /F E/TI'/GR TJlE SEPTIC TAN/C OR GEi4Cl//NG P/T .4RE MORE 7-A0A/V-/2"BELOJN /O PT• M/-V GRAOF, �A ""V1AMET.ER C0NCAmjF7,= C'ONE.G► S/yALI .®.� BRDUGSMT TO GRAOd=. '4N FXTR'A CONG4ETE g PYC O/OP tiE.4VY CA ST /AmO/V C0Ve.r S/IALL DE USFO 2--P COYE/�S M/N. DITCH /F/N GR/VELVA Y @•• � PFiP FT. • — 2'}�. MAN. CO/VCRETE i cyJ�Aof COVER CL FAN -SA N.0 Xc Lqu/D LEYEL CAST :_ _ I c"LAYER IRON P/Pf l0 D f7 T O v o e • e o 41F I8' d M/N.P/TCAI G/�L. ' d • • • • • • • • • e o4 V4"Pon r''T SEPTIC TANK D/sT. • s • • • • • • • • • sea WASHED S7?7NE . Box p • t B • . • •• ••• • / • I c::� • • ' r t • pEPT1,l • • • • ` � • J444SHE0 STOkE 7 t x t.o = 78_ ► a. • • • • • • • • o n PRECAST SEEPJAG£ 1AlV4w T E`LE✓.SIT/GMS PI-r CA n a cr/- ��a a •o• � • • • • • • • e �o P/T DR EQU/V. Y S4"y aA � Y a a C'L.9z.a /,VY.ERT AT Q/J/LDI/VG 9 9-0 FT G FT: D1AM. lNEET ==,nc TANK 9,5,a FT, /o FT O/AM- C(-SEE WWVLAT1oN� Q/J?LET SEPTIC TANK. 98,6 FT. r- l D/STR/f3l?IDN`®OX 984 c7 SECT/aN OF GROUND Wo4TER TA 4E OVITLETD/STR/BfIT/ON BOMX `/8;z' FT. j //VL6'7- LEACH/AIG I�LT 98,0 FT .SjFWAGE 0/SAOSA 4 SY.S716M -rA4W4ATI01V LEACH//VG P/7" -SCALE : h _ /=o" "O/MENS/ON A 3 XT. DESIGN CR/TEK/A olrf.Hvs/oN 8�—FT'. NUMBER OF BEDrROOJd1S -3 D/MENS/ON C FT. G/�RQ,tGED/SPOS/1L UNIT ©N� SO/L LOG TOTAL EJT/M�iTED FlA*v 330 SD/L TEST G,4L.�DAY SO/L. TEST */ : $OIL TE'ST*,2 iNUMSER QF.4054CN/NG PITS / f'ELCY. °OP 'Or—ELl'rY. PATE 0A- SOIL TEST S/OE LEACH/NG PER T PI -Via PT. _ . RESULTS JV/TNESSED d �/Y PE JAC.0/3/ f BOTTOM �LICN/NCs/DER P/T ? T.$Q. F RERCOLAT/ON RAVE At TOTAL L.amAG'H/NG.AREA �b S . .iT °' J�ERCOLAT/ON RATF I*Z r '�N MIN. /NCH Q i RESERI/E LEftCrIIN6 AREA SQ. FT. � - Z,® �` a Mint UPI h�dss mod . Yes LoNG ^/o �. Ro3ERT AL y�\ 4 c�s /sIIi4 Te S7T0,A1S 14 >LL s 1 SFuCE f o . A �T2'�IIEL i i t EIDRED RSE: co •, v No.1095T O �F 4�7 ELOREDGE=E/�IfG/NEER/NG GQ,/NC. 7/2 14AIN 9- NYA WIN/9. MASS. 6�OV/VD, �1/i4TEfP' ENCOU/YTEREQ .., CL/EKT:NjGK�/L.4 S DA7&: 5`�2-1fy'¢ I' GMO L A/eD ,Nc/1�TE. 'A.T�L L K Z-