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Home My WebLink About1740 OLD STAGE ROAD - Health G� � ' / � 1 i �. � � , LOCATION SEWAGE PERMIT NO. L 2 5 i�6;.-, 12cl 8A/- 7/1:9 VILLAGE %f4�� IS I N S T A LLER'S NAME i ADDRESS B U I L D E R 0R OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED I ' r I` fL y3 �� 33 �2.ear� �f r ._ y 71a oG No...... . .............. ............ ...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH --..TOW................... 0F...... .9!�51..�h. �r�......................................... Appliration for Uhip as al Marks Tonotrnrttun rumit Application is hereby made for a Permit to Construct V-)—or Repair ( ) an Individual Sewage Disposal System at .......... 0 k&,!SA-'IS..-�°�----••............................... ............•----• �-o ...--.... .. ._.............. Location-Address or Lot No., 1 r It ............ _. ..._____ .l.................... ......... ......................_.._...._. Owner Address r a _f. �..... ..._ . .`�� rt.sr,.S ------------- I .....---- Installer Address UType of Building Size Lot....� (?_cl_..__.....Sq. feet Dwelling—No. of Bedrooms...... ...................................Expansion Attic ( ) Garbage Grinder (/Ai)' 'PL,_4 Other—T e of Building C t 0ic Res No. of persons___•-__-_6.............. Showers — Cafeteria Q' Other fixtures .................................. d -------------------------------------------- -- W Design Flow.•.........S*3�.....................gallons per person per day. Total daily flow----------- _._.......................gallons. WSeptic Tank—Liquid capacity N.q gallons Length_.(�t.A Width.!!.'!0...'__ Diameter-----------A... Depth._S!.P°.' x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......1.............. Diameter....... ...._..... Depth below inlet......6.`......... Total leaching area.. .............sq. ft. Z Other Distribution box (X) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1__._!i........minutes per inch Depth of Test Pit...I.Rn Depth to ground Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •-•-•----------------------•---•--••-------•----...------...•--•-------...................---....---........................................................ 0 Description of Soil....S'9_Al7 i�__�_ _._' 3 -----------------------------------•-------------------------------••--•-•------------- 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 the J1oarA of health. f Signed % t.........- Date Application Approved By........... �� .-C/-P / --•---- Date Application Disapproved for the ollowing reasons:................................................................................................................ --------------•--••••-•-•--•-•......--••--.....••-----••-•-••-------•-•-•-••---•-•------•..._......_...._..-••--••••-•-•-•---•-•••---••••-•-•••••••-•--•----•-----•--...--------..... ._....._..-- Date Permit No........f!`!- ----- _..... Issued.----------•--•-- ••-•--.....•---•..............•----- Date w �4- sI® No-- -.......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T��.t•.,.;..........................OF..... .fR.d�� T...A. �O' ppliration for Disposal Work, Tontritrtion .rrutit :, tr _ "�L Application' is hereb made for a Permit to Construct '9 w" y ( ) or Repair ( ) an Individual sewage Disposal System at: ............0 t&, ��:`':`:��'..................................................... L O . �^ ( Location-Address or Lot No� 4 I # t Q--r- . ,-----,P 4 � 7a+��.:_.. 7 f� 1��C�:n_C F `^1G.ey✓ s - .._._.. -- q._..._.. ...................................................._...••. Owner Address ! a ..-•-_- C ti.� ... f _d�._t C-\J•r- awn._..4.._::....:_�...... .........� 1 r ..:... :ti.._........._..j: 1 r<^... .............. Installer Address Type of Building Size Lot__`_`{:.l.I:_ t........Sq. feet Dwelling—No. of Bedrooms_____..............•-_......_...._.......Expansion Attic ( ) Garbage Grinder aOther—Type of Building rI?.��__-.Pf--_..... No. of persons..........�................. Showers ( ) — Cafeteria ( ) Otherfixtures .......................-.........................-.............. V s t W Design Flow............ .............................gallons per person per day. Total daily flow........____ _ ......._........._..gallons. WSeptic Tank—Liquid capacity!.p.f? .gallons Length.Z�%'.-'..._ Diameter________________ Depth_ _&-`__l x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.....I.-------------- Diameter.._... ............. Depth below inlet....t............ Total leaching area..................sq. ft. Z Other Distribution box (X) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1...y.........minutes per inch Depth of Test Pit-_1.�?::�.......... Depth to ground water.n ..�6.17 fr~ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ OM .-•----•-•----•----•-----....-•••-•••--••-•--••-•--••--.....•-•-•-•-••-•••-.......•...............•-......................................................... Ste. �,n� n ► ��.�s Its. , _.__. v — -3 k Description of Soil ► :.:... ----------------------••------•------------------------------------••----------------------------------•-•------•--•--- 1 ..................................................................•••-•-•-•-----•••----...-•-••--•----•-----•-•---.................................................................................... 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 been issued by the board of health. f CrL1 Signed--- rK x = Date Application Approved By........... = 4'��' / --•-- . . . Application Disapproved for the ollowing reasons----------------•--------------------•-----------------------.-____._.--..._•____.-....__.__.Date -------....-- ---•----•--•---••-••....._......•••---••••-•-•---••--••--•--••-------•-•••----••---•--•------•-......---•---•-•-•--•---••-•---•-••-•-------•---------------••-------••--•-•......----•-••---••-•-••••-•- Date PermitNo.....--- --------------••----------- Issued....................................................... Date T' y THE COMMONWEALTH OF MASSACHUSETTS :x BOARD OF HEALTH G.�. O F........../�,y'(�0 ter .......................................... . ........................................................................ 3 CUrdifiratr of Tompliana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired ( ) by---------------------- ............. ........ .......-------•--------...--•-----•---•----•-•---•-•------._......--•-----....---•••-•-....._....--••------••-- Installer ------------ has been installed in accordance with the provisio s of TITIF 5�of The State Sanitary Code as described in the application for Disposal Work3"COristructlon Permit No.' t_. 1.c.................... dated------ __-.%"..._ .................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. t�. DATE..... / _._. Inspector.... ......r. -------- -•--------------•---•-----•-----_-----_------ ;,mow" j:F,s..';s�: THE COMMOrj;WEALTH OF MASSACHUSETTS BOARD ASP WEALTH G' ...................OF.........4�...... J�•.�,G✓ v FEE- ................ Disposal Works Tonstrndion rrmit Permission is herebyranted............-�/-e �G A-a✓�4 g /f--- ------ to Construct (y ) or,Repair ( ) an Individual Sewage Disposal S stem at No...... T•-_._. ✓i c k Street 1?/r✓ d. r as.jso�wn on fl~.applicatlon for'pasposal Works Construct>on Permit 0..................... Dated__.% Y '.gyp ---------- t Board of ealth----•. •••_ •.----•---- DATE. . .. fff✓// FORM 1255 A M. SULKIN INC., BOSTON v 7 t ri D S O I L LOG N0. 1 0 NO. 2 ' SITE PLAN -- 2 3 --- i 4 • - -- 5 TOP OF FOUNDATION EL.: FN 8 IN El. 6�3- 0 �-- 10 ' ern • • � ' • ' _ ' IN.EI 8' _ N El. -- --� IN.EE. �'�g ' r ° ---26� COVER 1/8" 3/8 WASHED STONE w� w,4:,� _ 12 IN. -'9___ �� G c^o . E/✓Gc�✓NTSc2 ,, O/B W/ 6" SUMP IN k1. 83 4 ��r, , o ° 3/4 '- 1 1/2 WASHED STONE -- 13 4- LIQUID LEVEL n i __..__ 14 o• C' • b p' oc r c � h� .'! 6" E FF. DEPTH . 15 �� 1, :-o� ° ` .•I n n b p PERC TEST RESULTS • . e c e a • (' � j PRECAST SEPTIC TANK WITH o PRECAST LEACHING PITS PERC RATE : _ - U .` r �� O O T.;? ° r� x 7�".yicy WHITNESSED - --�- - i i CAST IN PLACE INLET AND EL_ _ 77. 4 �o o� _ � � b ° NO.: 1 _. SIZE : _ _ OUTLET T "S PER TITLE � � �_N.��L� BOARD Of HEALTH : /OOG' GALLUn/ Di +-Z,SIZE AR�,�o / - - � ! DATE . C —t - D1.'C q'ry 'y��aE S 6""o.EE.�� - 1 I PROFILE OF PROPOSED SEWAGE SYSTEM l SYSTEM DESIGNED BY THE TOWN OF �._21A 77 REGULATIONS AND �/ �'�c STATE TITLE g FOR SUBSURFACE DISPOSAL OF SEWAGE . SCALE : 1/4"- 1 0 '! Zap C i ;t N . B . 1 . All PIPES SHALL BE SCHEDULE 40 P.V.C. SEWER PIPE `� ! /�� s• � �3 2. ALL PIPES SHALL BE SLOPED 1/4 ' PER FOOT EXCEPT FOR THE FIRST 2 FEET OUT 0t' THE D / B WHICH SHALL BE LEVEL ,� '�� l � 31 _ 78 .7 3 . DESIGN FLOW ___ BEDROOMS AT 110 GALDAY PER BR . __-_ GAL/ DAY SEPTIC TANK SIZE , 3 X =_ s GAL . USE GAL. W I a�T GARBAGE DISPOSAL �5.- 3" 47� 6 � ,� cam- D LEACHING SYSTEM : USEOEf'T�Y/'�4EC,457- �E.4cr�iNG �iT itit/i ' vF �ra•«E J y✓Er,� �1 _ - ✓ �� EFFECTIVE AREA : SIDE B O T T O M TOTAL FLOW TOTAL REQ 'O FLOW -3,34-::)_ X i _ •-} - GARBAGE DISPOSAL RESERVE FLOW GAL / DAY _ REFERENCE PLANS APPROVED BY : �K1�-_�� ►- _ BOARD OF HEALTH DATE rSITE PLA NPROPERTY ' l OWNER : __ T _ _ AND I ---� F 0 R BEDROOM SINGLE FAMILY DWELLING h DATE •t DOYLE ASSOCIATES FALMOUTH , MASS . ��S SOIL LOG SITE PLAN �,,�,�y �p .. N . 1 0 NO. 2 �u�so,L. �. �' 85.� 1 -- 3 4 TOP OF FOUNDATION EL.: �� _ J �,r�� sq,,.� s •. 1 8 - IN.EI. IN El. 83. 7 11 2" COVER 1/8- 3/8� WASHED STONE Afo w,.k-rse 12 L 0/8 W/ 6"' SUMP �" �� ' ' ° - 3/4 - 1 1/2� WAS�HEO STONE 13 4 LIQUID LEVEL •• �I •� ' ' s• p • O a• • O n _ � 14 0,,, •` B"EFF. DEPTH 0 - _ h 15 � _ •• • • i c� PERC TEST RESULTS .-PRECAST SEPTIC TANK WITH ! o PERC RATE : PRECAST LEACHING PITS CAST IN PLACE INLET AND EL. �7. 4 °�^o`° G o%� x �8��,�,y WITNESSED BY: sA _ __. NO.: _1_ SIZE: E,- 0 F HEALTH ONTtE 1 T S PER TITLE Y ws7-.4,e�- B 0 'SIZE • i000 GALLU/✓ ��OIA --` 1 � q A.��No DATE .Co7- 8 PROFILE OF PROPOSED SEWAGE SYSTEM SYSTEM DESIGNED BY THE TOWN OF REGULATIONS ANO A/ 6�10` STATE TITLE Y FOR SUBSURFACE DISPOSAL OF SEWAGE . SCALE 1/4 =A1 O f ti A°qv H .B . jq 1. ALL PIPES $.i1All BE SCHEDULE 40 P.V.C. SEWER PIPE 2. All PIPES SNAIL BE SLOPED 1/4 PER FOOT EXCEPT FOR THE FIRST 2 FEET OUT OF' THE O / B WHICH SHALL BE LEVEL I ,� �� `= 19 7b•7 _--- 3. DESIGN FLOW - & BEDROOMS AT 110 GALDAY PER BR. GAL/DAY /` �'� ,o �, ,Sr`.� G ,.•• ,�� , _-- _ SEPTIC. T PX SIZE S X #y-s GAL. '• �� 01-0 z � ox G USE zaw GAL. Wl �7- GARBAGE DISPOSAL HATCHING SYSTEM: USE EFFECTIVE AREA: SIDE / x� BOTTOM -2 X�Z= TOTAL F LOW l TOTAL REQ'D FLOW X ,'o = ��a WlTGt RBAG DISPOSAL /oTEs RESERVE FLOW_-, GAL/DAY _ __ LOT G Dot BUT G/E /A/ AA/Y REFERENCE PLANS : T APPROVED BY : -- - -- - - -- -- -- - t - - - F�^_< <,_,TAP-,L_ _ BOARD OF HEALTH DATE : ----- , PROPERTY OWNER : SITE AND SEWAGE PLAN — - -- - - - — "n T~ ` BEDROOM SINGLE FAMILY DWELLING - s. C T�LOT . L DATE . FSSfONat f�b\' — DOYLE & ASSOCIATES FALMOUTH , MASS .