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HomeMy WebLinkAbout0041 OLD TOLL ROAD - Health %■■■■■■■■■■■■■► ■■■■■■■■■■■■ems., i■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■ ■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■ee■■■■■■eee■■■■■ ■■■■■■■■■■■■■■■■■■■■e■eee■■■■■■■■■■■■■■■■■■■■ ■■ ■■■■e■■■■ee■■■■ee■■■■■■■■■■■■■■■■■■■■■ ■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■■ ■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ ■ ■■■■■■■■■■■■■■■■ r ■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ f , :_ ■■■■ .. ���■■■■■■e■■ee■e■■ ■■■■■■■■■■■■■■■■■ ■■■■■■■ , ■■■■■■■■■■■■■■■■ �a ■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■ iiiiiiiiii■■■■ii�iiiiii��=�in�=i LOCAT10 SEWAGE PERMIT NO. VILLAGE INST # LLER'S NAME & ADDRESS �G m 'lk S UILDE R OR OWNER L DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED ZyZl��Z _.��, 3 � 6���._../� d tdu 0--71 ffevs-f A-Z / 09 - 09 LOCATION SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDR-ESS t- -tolt OWNER N z-/ "' IMC 1� 1157(Z� DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED � �, ��M��� n O �. I� /� � .. �7/I�a. • ! t Q _ � � R r . , \ : � w , � � � c ..:�... THE COMMONWEALTH OF MASSACHUSETTS BOARDZ Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: Locatjg�-Add is, Address 6167e3 T;ywpeiBuilding Size Lot_.W._6.9._Z7/..Sq. feet Dwelling—No. of Bedrooms--- Expansion Attic Garbage Grinder ( Other—Type of Building --- No. of persons.........-3.............. Showers Cafeteria ( ------------------------------ Z Other Distribution box ( ) Dosing tan gy", Percolation Test Results. Performed .. ...... Date........... /.S"� -------75�_?9 ...3w&.o3..... .......zl�!--- . .............. -...kk, . K The undersigned agrees to install the aforedesc��4 al Sewage Disposal System in accordance with the provisions of'TTLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been jg'su�d by the bof)-d of/,reja�ph' Date Date Date ' No................ • ....-- •- Fss fir. '"........... THE COMMONWEALTH OF MASSACHUSETTS BOARDF H Ar TH *T_ .. ...... ..........OF.... ... ............................... , pplira#flan for Dhipugal Works Tonatrnrtinn ramit ' Application ishereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: JJ ...... _..._.. . l L _. _.. :..y 40/dl; ........................................................................... Locat' n- ddress ����--- --....-�,,.�..►i�:r fit!..._. _ � �.dr.':-- --��.�. ,a�l...���t.�.°'�.�`_.. )11 �wnerAddress Q /r f Installer Address � d Type Building Size Lot. ... . .j. .. ... .....Sq. feet U Dwelling—No. of Bedrooms------ ----- --_-------------_-______-Expansion Attic ( ) Garbage Grinder ( ) � Other—T e of Building _.. No. of persons......... Showers — Cafeteria Otherfixtures ...................................................................... ............................... Design Flow................1.1.4.................gallons per person per day. Total daily flow........... ....................gallons. 9 Septic Tank—Liquid capacity/.4M _.gallons Length................ Width ------------ Diameter---------_...... De h...._..._....._. Disposal Trench_No..................•.. Width_.._L/.......... Total Length....._......... Total leaching area .Y.........sq. ft. Seepage Pit No..................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing to�j ) ~' Percolation Test Results Performed by._..._... ? !?!�i__..> .._._ �''_?�'�_ ..___. Date___.._._.._;/�g ................. a Test Pit No. 1...e..57...minutes per inch Depth of Test Pit...... Depth to ground water.. ................ Gt, Test Pit No. 2.__.!�3` ...minutes per inch Depth of Test Pit......4.......... Depth to ground water... ................ .......... - -- -••... ---- i O Description of Soil.......- ,r✓ UNature of Repairs or Alterations Answwhen applicable................................................................................................ ........................................ -------------------------•------- . ... ----••• --- --------•--- Agreement: � ' / IE-. �.*2 ,. ✓ ".Z/• The undersigned agrees to install the aforedescribed Indiv' ual Sewage Disposal System in accordance with the provisions of T TL{p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b 'ss ed by the bo A of ea Sagmed -een' .. -------------•-• ......... ............•--- ••---•--- ------ - /� P. to Application Approved BY----- t" t ,. !J �!j" •--._. .................•--- n_./,� Application Disapproved or the following reasons------------------- PP PP f f 9 . •--------- ...._------ ---- -----------------------------••--•--------•-•-•---••----------------------••-•---•------.................................................. --•--••-•-----.............................................. Date PermitNo......................................................... Issued-....................................................... Date y{ iy THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTH ...... .... ' ... ..........OF....... . ti "t�r'�..,.......... (9pr#ifira of ToutpliFatta THI S TO C RT That thet Individual Sewage Disposal System constructed ( ) or Repaired ( ) by -- ----- .c ------ p ` ,, nstaller has been installed in accordance with t provisions of TITd j of The State Sanitary C de s des rib d in the application for Disposal Works Construction Permit No._-.�,,�... _4.^�__....... dated-..-------`�.9..��............... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......-. .................................... Inspector---- .._.._.. ... THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH ... ....... ...OF....... ................._.._...:........................... � !a No......................... FEE.......................... trn Wn Vrrufit Permission is ereby granted...... -- ..... ''... to Cons rue t ( ) or/l it (. ) a ctia Se age D psal Sys /� , l� �t!/ .................at at No. , ... r ' ... Z �J. ----- --- ------------------------------------ Street as shown on the application for Disposal Forks Construction,,P mit /_��....._;'�_. Dated.__1> `� (' Board of Health s DATE ... -•------------------------•-•-•---...--------•---------....... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS f - ��C�l��"C /`� I�-•rt�" "�`/{ � c.�>� � �a. -ra�r�r�, �N��. - �c.t��r,� r�cN�,.. vN {_oT =- ' 16M t:7p�`7' 3 ��sew +r4� v t/I/n p {5 ►3 awl r- —,ter lvy FL4M = I I D= pram. LX$o"--.H Ir & MT- r t,-t sin= . - usa �' )4 iar+ s-rv> � .•�i'N _+ a ITT,- prct7Y = ;Ir ,c .4D 2,x�S)+• 'T x I•D) _ •47. pes .rL �-tMM- s►4Hc•G- INStA•Lstf #It7 µalN'r�►N� z"fz[y L� 1M ,n --,�r>�NG� w/ t+4E aMMarrwE3�c.-rt1 q��t --n rt.p. s Ix'sr,.nD FIP4r-. 1 O' i �1� 1V Ntt Mt~-=�t+-1► --�Y r�rt ww -74;, 0 2 •�Atit�• `� ��i, Soy '�[ --._. ...__ _ z {1 t �t 24 / ! V �, x NO Jrp,tµz?: P��H Of NtsdiG .t`IDPI I�A7$ - I "Gf*Of' G �^ N tr=%5S•'M,44 2 N�tt;Lrm--. IE F.• 84'• 7H.r-ux, + ItiN, tJ� - MAIE let, S n'z7 e-, vet• pyr- INS• INS• g f k � � ! E3L. ply, 5r� ►N�/. �.� � --- Ion bd•!i• P,s•CGI'LFzL'1'E � t I �-�- 4�fpoc- TANK (3 ONZIM PIPE �-� '� � •2l�n mF '•yAtl' To I'h'W •tF n •<`ft�4i's At.G AF�'aNt7-F-�."� Hors S-4e onl, OR-owN ������ ,�•�+ ���x Fqmp* oiL; 60,v Ta at,- tab .o±(Tc, s-iwaT^ cr- � MVPAU &oL.r-NH CAN MO) IN #rt4 tO' Salmi o 1� I !tag OVCS OF "riT :STa`iS fi-Vl MR-A--s W1- :- C44:.`-4 . V I r t dl -6044'7 (fib O'(0806 a e.P*PA-,T Pt ++!'�'e'•-�r FLim THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I� 1......... ...................OF....�' ......... ................................................. AVV iratiun for Diipuiittl Works Tonstrnrtiun Vamit Application is hereby made for a Permit to Construct (A or Repair ( ) an Individual Sewage Disposal System at: 6z.7f.. �;...®t1 Z�?.... eS - sole Location Address or Lot No. o Y ..... ��R..... ..................... '.. H.... D_.� r . �htt.--- nerA dress a "t'... .................................•---...... ► ...._ .. ........ �t.R ��.i---........ Installer Address ` l d Type of Building. Size Lot..._......._�.I._..___.....Sq. fee0�0),) Dwelling—No. of Bedrooms....A&... ...........................Expansion Attic ( ) Garbage Grinder (11A1 PL4 Other—Type of Building .....NA................ No. of persons........_._................. Showers Cafeteria f�) P4Other fixtures .......................•--------------.....---••--•--.............------... ......................................................................... Q W Design Flow............. .......................gallons per person pr day. Total dailyflow..............3 Aq..................... _Ion . WSeptic Tank—Liquid capacity4OPR.gallons Length.Y-.�". Width.. ..... Diameter. ............ Depth._.'"... ,, x Disposal Trench—No. ._.`. . .... Width.................... Total Length.......__........._. Total leaching area-- =::: ......sq. ft. Seepage Pit No.........I-.--------- Diameter..... An........ Depth below inlet...... Total leaching area....�.t_sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by--........�Hp....T..��l":f... ..................... Date.....-� ..� ..... '-1 -�— a Test Pit No. I.�C� Minutes per inch Depth of est Pit....../.�....... Depth to ground water............../ . 44 Test Pit No. 2.h5.5 .minutes per inch Depth of Test Pit....... . y-!-. Depth.to ground water........................ ------ ...................... ..................�*-a of Soil...k`3_-3_.s�-- ]®�.-4'.S lib a ^ ----------- ---------- U -----------------------------------34-1!......� No_ C/��----.......................-----------------�T...._j`�..... v �iFn trxi W --------------- ------------- �`f C—/�T Sa�D �cf- !8-� . � .. E�.•S .... U Nature of Repairs o Alterations—�nswer when ap licable.....N............................................ ...................................... 4e� .f?_....... ...... _... .-----..... ................................................................................ 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 board of health. oo S' ned---- -- ��/is, -�-k.. " }e` 0............................ ...��. .. .3......... at Application Approved By----.--- j_... .. .. .. ... -••-•..............................• •..--.....�,....... D e Application Disapproved for the following reason :------------•------------------•----•--------------.......----•-------------•---•----.....:.. -••--•--•-•---•--------------------------••-------•-----......------••.......•---•-•••-••-••---•-•---.-•- Date PermitNo......................................................... Issued....................................................... Date -- -- - - - - - - --- - -- No.� .._... �� Fxs.............................. TAE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .-.....4................OF... h1 c ......_....•.............. Alip iration for Diupuual Workii Tonstrurtiurt Prrmit Application is hereby made for a Permit to Construct (;e-) or Repair ( ) an Individual Sewage Disposal System at: ... ... .. .--- Lo atoon-Address or Lot No. ------------------------------------•----. ............................................ C Owner Ad ress W o �T �c12 Installer Address 3i '^ d Type of Building Size Lot...... i___v__ .......Sq. feet U g— __.._Expansion Attic (--� Garbage Grinder Dwelling No. of Bedrooms._._.__��__________________________ ag p,I Other—Type of Building ...........A_ No. of persons.......... __.___...._.___ Showers ( ! ) Cafeteria (-?' Q' Other fixtures _________ ___________________ _ W Design Flow____._..._._5J________________________gallons per person per day. Total daily flow........33_�.__._.____.._._____.__._.gallons. WSeptic Tank—Liquid capacity. + ._gallons Length_._g^6.`�.. Width._. '6 Diameter________ ______ Depth_ "�6_��... Disposal Trench—No._.__.__. ...... Width____________________ Total Length.._._-:____-____.___ Total leaching area_. .....sq. ft. x Seepage Pit No--------,----------- Diameter.......b�..... Depth below inlet..._._..`........... Total leaching area... ....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by........... RT C i �� �`' 1 Date...... 1 Test Pit No. 1_.L--- ._..minutes per inch Depth of Test pit....../S ...... Depth to ground water........ ............. Li, Test Pit No. 2..`: `-___._minutes per inch Depth of Test Pit...... ..__ Depth to ground water....... 5._-_. Ri .0 ! - _• .__A.A�Ms b�--5Lu1bA 4a- ......................................................... o4M t J6 r . ..__ O Description of Soil--•••----•----•-•-•••- a Y a q- /V SgNO-c/qY M IXTVR� V .................................•-----•-•••••-••••••Z..•- ...�..._....T/Et(f.S�D..._...-••--•••••--•••••••••-••..._1:7--•_)g•& CICA. MAD.SR• UW ------•---•------- --------------••••-••-------------� -�-------- •----•--••------•---•--...__-------•-••--••--••-----•-•----•-••---•___...--•-----•-•-••-•------•--• 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 board of health. Signed- pp a 3 Application Approved By______________ l__ ______.f!`./� Application Disapproved for the following reaso •_._._.. -•-•-----•-----•••-•--•-•--••----•-----•-•-•---•••--------------••••••••--•--••-•••-......_..__...---_---- Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............. ..........................OF...................,.. ....... i��rrfif�r�tr ,af ia�t�rlt�tnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) oeR/epaired ( ) by-••--•••-.....`.tomb r.,•V...... _... Installer------•--•---------------------------- ...................... ...............•^ --••---at j t 1 �� ( ... c E l - --:-------•---4 has been insta11eY1 i acco�ance wi h the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit Nq:!F?- ___ _______________ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT B.E __CONSTRUED AS A GUARANTEE THAT THE ,.-- SYSTEM WILL FUNCTION SATISFACTORY. DATE................•-------•-----....------.....-------....._•---.._..._...._..--_. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 9 {r--bk-e- r (.��. .y�.......OF......................aL!��1 S ` FEE..� .......... �tu�ruu�tl Turku �ua�u#r�tUan �rrutt� Permission is hereby granted ......... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System ,' - at No._••••-----•-••--_--. -} tee- L (-"A �CM (\S t�k��e� •O�G�. ` \ �F•�.r1 - - --._...-•-Street................................................................................ as shown on the I3pli tion for Disposal "I s Construction Permit No..................... Dated.......................................... f r- -•:/ lj .__._-------•--••-•------•-•------••---•---•--••- Board of Health DATE........................................ FORM 1255 A. M. SULKIN, INC., BOSTON NEI !Gc /err+ S V t n� - A -k, cw", ,�. t (K '�•NO lJl.�'�� d�,_=!' , �y�� J. y fN• a+r,.t F �� � Y� . # r t � Yt4�+`•4 3 ik ZOIJ u ': 73 rY ; j150 C } fi �,�-, �'f t { r• � is �a A. q (f e (147 "' �c/ �). f,� `,.: '" X: �-r't `gin �V.J V' a✓'r. �7 J e.t, '. ',�� , _`,, .. .�� -�. ' ►vrt a'r ) hrr k�R. 1. 4 ."'" �^ 6Y < /?/'/"� �� ,."�' `. Lam, /I / cl Y ✓ �. i+' .I. r v 7. (Zf +ow t N 'S 0yUS7Li✓G h r gee z Gc*Y Q L ��Y cam— . �'/.�f�i`.�'�'�� ;: `` �"� � �' '���]• . / /' /{. y+ t+� L EMEND L T 70 �/ACANT kO�sE ow w. EXISTING SPOT ELEVATION. , x0•. ���N OF IS 3 CE IFIED PLOT PLAN EXISTING. CONTOUR �' � t i ROBE6iT s G.U 7 r ?.$r FINISHED SPOT ELEVATION 0 '' ` stZ!!�E' '" `tivr �-lam n!�r"F� 8�_.�T t. FINISHED CONTOUR t=�o >re� Y,< 8 AN - #. APPROVED BOARD OF ; HEAL,TNY� r F• P i DATE AGENT v " ;, ;° Eq '` P `{i ' SCALES' 1r��4 DATES `I;�3 v " LpRfpGE ENGtAIEERl16IG CGl IN Y ` CLIENT _" �.. l t`CERTIFY THAT THE PROPOSED- EGISTERE REG18TE-RED4` ` ` ' BULLDIPIQ SHOWN ON .THIS PLAN' = JO8 N0., CIVLL LANDi CONFORMS TO THE ZONING LAW i 0 NE R RV !� DR.iY k r i.. �� h � QF BARNSTABLE , MASS ... .... -' .. -� tr - ° �'��,y'. Z M�, 44r F•^" n :ill 12 M A I`N' S TR E ET ', Gi4. 8?�,! H YA N N I S, M A S 5.... ,� >: StIEET:; L'.QF" V eATE w EG. LAND SURVEYOR ��AFZ t #C� AD ow -J. 4 A m ­7 z .7,P yvc is.7"_", �47 V­ woe, ,)A 77-A k_ ��.i ta­_l OV W4 C_�, A"A .j,. _77, 41 'No -04" I-A �Zr �Zc W_ &W�4f;mi�r--­- .Ne� 7.WJ4& n WQ Nft Ir 7M.--k Ar, 'M4 �i.,F af M, -LAT Ail. V" ­y J. n�k* :;V­ A4, 4 FAA- W _­x_,V, MR A'N W,li . , p R wa W AM, Q_V� .44 ARNIM i� T. VVW il.� fi­ 0/ Z R ON f-A �:r, -'emm, My. 7t -3:wo !t tlQf 'Aty;� -q.Q,-M'SX7&,S-r A�3 U: 1146.1r. `.A IS N­.rl I 7. 'n6 AL 5W:j -'OV' �ArW Arl t -4 Al ag .4 7 _4 LIP ld� �Zl��;,�, t7 ""ON NWIPAI; 01.1