HomeMy WebLinkAbout0292 MEGAN ROAD - Health (2) Zqa Me an mod, �o�wtiuo
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No.- ✓_._ .:�....,. :i ,- :. . ............
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
fry ✓ .-.OF...- ....'--------------------------------------------------
lir ti�an for Bi-qVn,ial Works Totmtrurtivit Vjqmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:_ Lot
N
-- ..... ... .4 �._....�-- ------------� o........ ----------_-. ----- or_._t...�._ .................................
ion-Address
'-•--- ____.......
..................' ..............--......_........... ..--- ----'- _..............._...
r
er
ZI
'W1 ...................... i— - 1 f ...Address...- U ._------
----
e� JhS
Type of Building Size Lot ______._.._./_..___._Sq. feet
Dwelling Bd '__________________________________E
ng—No. o Bedrooms
xpansio Attic ( ) Garbage Grinder ( )
Other—Type of Building k--••• No. of persons .................... Showers (I ) — Cafeteria ( )
a Other fixtures __________________________________
Design Flow____3.3 6 �-'� gallons per person per day. Total daily flow____._.3.3.0__ Ions.
WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter__�_.__.__._. De th___
x Disposal Trench—No.____________________ Width_/_.................. Total Length_______________.___ Total leaching area `___jj._--_sq. ft.
Seepage Pit No..................... Diameter........ Depth below inlet_____:_______.... Total leaching area_5 _S-Sa..._sq. ft.
Other Distribution box (LX Dosing t )
`" Percolation Test Results Performed b .. ' -c le -�a Date..... _. .
Test Pit No. 1...2.i._.____minutes per inch Depth of Test Pit____________________ Depth tb ground water........................
(T Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_____-__________________
O Description of Soil_______ _ _�ni- .�_____s'____ __________ __
------------
U -----•-------------------------------•--------------•----------------------------••------•-----------•••••----------------------------- -
W -----------------------------------------------------------------------------------------•---- --------------- ------- --••--•••-••-••••-••••••-•--•••--•-•••••--••--•---•-••••••---------•••-
U Nature of Repairs or Alterations—Answer when applicable.--___-_ �wk________________________________________________________________________
........................................-.....................................................................................................................................--•---------------_-•---
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of IITL is 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has be ed by the bo d of�lth.
d�
Signed ............... ------U1
Application Approved B ..... .• ------`-fi
Date
t^ "
Application Disapproved for the following reasons_______________________________________________________________________
---------- ........................
-'-••-•••---••••--=-••••...••••••-••••---•--•••---•---••-••••--•••-•••---••-•-•-••---•-••--•••................................ ------------------------------------ ..................................
Date
PermitNo..................................................--•--- Issued---------------........................................
Date
- ... ..p.. ....CJ.................
No.
r:
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALTH
�. ..OF.... ' �..........................................................
fiv ApVftratiun for Diqpug 1 urka Tamitrurtiuu Vamit
Application is hereby made for a Permit.to Construct,_.( ) or. Repair ( ) an Individual Sewage Disposal
System at .
................": ... --.•-•-- •• ••••............_-•-- ---------•-•---•...............--
.. j..... •••• .•-
Loee ion-Address or Lot No.
.._. ..... .._... ...
r
t 1 AddressPQ fd
d T,ype of Building Size Lot. 1............ .*_:.._..Sq. feet
V Dwelling=No. of Bedrooms___:. ................Expansio Attic ( ) Garbage Grinder ( )
PL4 Other-Type of Building ...... No. of persons..... .................... Showers Cafeteria ( )
p' Other fixtures
W Design Flow.... _ mn ..gallons per person per day. Total daily flow.-_.... salons
WSeptic Tank—Liquid capacity............gallons Length---------_---- Width................ Diameter____.._--..-.-- De th... .........
x Disposal Trench—No. .................... Width--------------------- Total Length.................... Total leaching are -----------sq. ft.
Seepage Pit No..................... Diameter.......4... Depth below inlet..... ........... Total leaching area. . .4.....sq. ft.
Z Other ank
Dosing
( .
`-' Pe colation 1Test Results Performed by._-__. Date....._
.�} ��"}}
`�a Test Pit No. 1.=: .__.____minutes per inch Depth of Test.-Pit :.._... Depth ground wte'r -1..................
Test Pit No: 2...... .......minutes per inch Depth of Test Pit.........:.........:Depth to.ground water......_.................
0 Description of Soil.----'-� f��� ._.r�':.. C�'".�, .................................................� ------------------ :.
... ____•__..._.... _._._.__•__._._._._.....
.................. ..__
W.Yf': - .................................................
..._ _______________________________ ._._.__.. ..__.._ _ -
1 t
UNature'4j. Repairs or Alterations :Answer when applicable.__ ....... ..........................................................
i
Agreement ,
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System"in accordance with
.the pro,visions of,TIT11 5 of the State Sanitary Code—The undersigned further agrees not lace'the system in
operation until a Certificate of Compliance has be ed by the bo d`of h lth.
;• Si ned ,r P. ---- --------.-•--
,,.: Application Approved BY -----• ----• -----••---- ........................................
•-•-- . •---•-----
Date
Application Disapproved for the following,reasons---------------------•
.---- --- ------------------- -----. ..-------------------------------------------------------------------------------------------_------------
Date
-_------------
a t . Date
Permit No..--.. Issued--......-•------•----------------------- --------
Date
--------a, Date
THE.COMh110,[4W,.EALTH OF MASSACHUSETTS „ w
EtOAR® F HEA H
r ............................OF.....,........._...... ........
IS �Y, That the. Individual Sewage Disposal System constructed"( ) or Repaired ( )
by..- ----- . --- ......... Z.... I .......... ...................... ...... ..............................
at....•........................... ...•• a•- ---•--. t - ...............L ...
has been installed in accordance with the provisions The State Sanitary, ode s esc ilxed in the
application for Disposal Works Construction Permit i ;-_- --------- -------- ------7 dliaedtltl-_._____ ..... ..................
THE,ISSUANCE OF THIS CERTIFICATE,SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. i
DATE ' ........................................... •-----............. k. Insf;ector.....................................................................................
3W LL
THE COMMONWEALTH OF MASSACHUSETTS.."49P�4
'` f
BOARD
V
No......................... F .....----.....__.._.
Permis4pdi is hergby grante ' = .........................................
to box {u • Akpai ar �x�ivi h
at No
........ .....................------ ------------------ .:. ......... '
,� St et• ,
as shown on the application for Disposal Works Construction. �Prt No ..__ at _...�' ___ '�..........a........
Board of Health.
DATE... -•--•----•----- -...
FORM 1255 HOBBS & WARREN, INC PUBLISHERS `"
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-`EXISTING SPOT ELEVATION 0,,0 CERTIFIED PLOT PLA-N
' EXISTING CONTOUR -'- - p -
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FINISHED SPOT ELEVATION #:0
` . `FINISHED -CONTOUR ---- p ---- ��/ - _� S
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APPROVED : BOARD OF HEALTH IN ,
•ry
4;�' bA-TE` .� AGENT SCALE: / 4 DOTE :
r< < : _
aDREDGE ENGINEERING C.O. INVG� CLIENT � Y���.2_.._
- 1 CERTIFY THAT ,THE ',PROPOSED f;
,f EGISTERE REGISTERED %8'07v '
JOB N0. BUILDING . SHOWN ON THIS�.PLAN..
jx, { CIVIL LAND CONFORMS TO THE: ZONING l°AWS
ENGINEER SURVEYOR DR. BY : OF BARNSrRaE
LE , k9ASS
- - - - - r
� 33;rN0 MAIN ST 712 MAIN ST. CH. BY: .k �_-. '__
S0. ,YARM,OUT'H, MASS. HYANNIS, MASS. / Z 7 �"SHEET__ pF __-_ _ p AEEG. LAND! SURVEYOR
NIPPON � l, e -bt.y "•.�. r.- �Lyr �ab ..✓ ",a ,? 'i.-: �.r� Vim' ,1.''.
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t Q s SIN iCH/NG !�r•T A.RE -MARS 77J.►A
24"22/AM ETEip CiVGiE' 4' Erla ;
BE BROUGHT To GJ4A_oE' �*�✓ '�:
fd F�E.p FCTN. j Ey'PvC PIPE cot-
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2"LAYER yr
" CAST ' rvrr r.--. rr.r•. rT.r � - �,^ orQ` C� /�8'•-'��B~
IRON P/PE ,c ! lJ 190 GA[ . I I ° , , � • • • • e • � i Y a •
q.: R N.P/TGN LJ ,� A Woo 5HFD STONE
U/ST. I
PE�c P'T._ i SEPTIC TANK n • • • . . . . •c° , 4. .
L' B o x i p F o . 1 r 8 • • I • •7. / f v C+, .3�¢• _ f �/Z•I -
° � ' ; i' ° c � � � •EFFECT/VE • n�., �
F - — WA5NEP STONE."
• _ - ii �� c r c r . • DEPTH • • 1 v , oo
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I� -.o'I `° ` r • • . o • e e p /' o ice- - PKECAST SEEPAGE
`•o d, o, r i • • s • e . eoe of . P/7 OR EQUI✓.
IA/VCK7' ELE✓AT/DNS
/NY.E'RT AT BUILDING '77 ® FT. — f c SEE 7,IdUL.4T/ON�
INLET SEPTIC' TANK _ �L7 FT. v/fil+� '
OUTLET SEPTIC TANK 96-6 Fr GROVNv TER TABLtE
/NL,ET UISTR/B!/T/ON C30X _9G4FT SECT/O/v OF
OC�TLETD/STR/BUTiUNBOX 96.3F77 SELVAGE DISPOSAL SY.3TEM i
INLET LEACHING l�iT _9Z�_ Fr. 7A46ULAT/D/V
L EACH//V6 PIT
ra L.E : Y4 a
= / _ O,.
yDES/GN SCA
CHI TER D/HENS/ N FT.
F3 _ -� ._
/N'
NUMBER OF 6EORooMS SD/L LOG
GARBAGED/SPOSAL UNIT $D/L TEST r.
TOTAL E5T/MATEO 0-LOA-V-- GA,L.1DAY SOIL TEST #J SO/L 7EST#2 -S/OE LLsACH/NG PEK ' I 9 • L - L ✓ _ f�,13!•
7
NUMBER OF N/ �
P/T � vn.O — Z RESULTS INJTNESSEp iYY�•
6UTTUM LEygGN/NG' PE17 PJT .-7 K SQ, Fr L0A vj 0LAT/0N RATE At _._Z.-P M/nN.1INCH
TQTt1G LEACH/NG .AREA Z{o (°SQ. FT. Svg,5G./L_ l-iERCOLAT/ON RATE/k2 _ MIA1.1//NCH
RESERVE LEACN/NG,4REf+_
2- � - IZ -rAYLO � _
sq .✓o
N OF Mgssq G,t�R-✓C—_ L. L�c�T /S/��7/ �f L��s/4.---^;Ie-C xj
RORER'r
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73
: -..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.� /..
.... ...........O F. � --.. .............................................
a� Applirttffon -for Uwvviittl Workii Tonotrttrtion Vermft
Application is hereby made for a Permit to Construct_k��_} or Repair ( ) an Individual Sewage Disposal
System at:
Location.Address /
or,Lot No. k
Owner Address
Installer ler L -------------•-•--•------------
� Address
UType of Building Size Lot_tl �eta >........Sq. feet
.-I Dwelling—No. of Bedrooms-___-_-_-�----------------------------Expansion Attic W6) Garbage Grinder (11-16)
per, Other—Type of Building ......... .................. No. of persons---------------------------- Showers Cafeteria ,(vv)
a' Other fixtures ---------------------------
d ---------------------------------------------------------------•---------------------------------------------------------
W Design Flow.....l�_AP.0.........................gallons per person per day. Total daily flow-___-e��s-_0............._......_..gallons.
IxSeptic Tatlk—Liquid capacity�4d�----gallons Length------�__`... Width...`/_.--:._.. Diameter_.........____. Depth................
x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area-------------.------sq. ft.
Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area------..------__--sq. ft.
Z Other Distribution boxf(< Dosing tank ( ) /
a Percolation Test Results Performed by.___ ✓ f.11�I�lr✓� _I.�'R'1' 1"�'G�1/� Datele /lf
Test Pit No. 1................minutes per inch Depth of 'Pest Pit.................... Depth to ground water---------...............
t14 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water_-..-.----_----.__--___.
fW -----------•-------------------------------------------------••-•-------------------•-------•------•---•-----••--------•-•-•-----•-•-•----------•-----.------
O x Description of Soil--- --------------------•-•-•----••-----•-•---•--------•--•-------•--------•------------------..........-•-------•-- ---------------------------------------------
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 Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance hWbDeeissued by the board of health. /
/ --�
ate
Application Approved BY----. � ',Le.k K
---••-•--------------------------------••-•--••-•-•-•-•- -•-----------------D --------------
Date
Application Disapproved for the following reasons:-------•---•-----------••----••-•------•-------•--------- --------------•-••---------------_--------•-----------
-------•------•--------------------•------•--•--••------------•----------•--•-------•-------------------------------• -•----------------------••---•-----------•-----•---------------•_------------•----
Date
PermitNo....J_2e�....................................... Issued...................... --••-•-----•--------•------------
Date
............................................................................ .............. .......................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
...........0;7.7. '..............0F...... t cc� ...............................
...
Uterfffirttte of fkomphattre.
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by .s .I�OL-L a�c�.i+i I/
-7 I taller
at...............GAT ----/ Ye
� -
has been installed in accord'
with provisions of Article XI Qf The State Sanitary Code as described in the
application for Disposal Works Construction Permit No--------5-.2 ___________________ dated._`l=_ _. !.-..7...................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................................................................................ Inspector...........................................................................••-••---
......................................................................................................0........................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD gOF HEALTH
No. -=�7L ................. GG<-.w....OF........3.E1�.e,ST �e......- ,��
FEE ...
�f��o�ttl ork,� �oL�tr�trtion rrmit
h ! S .. '•�'
Permission is hereby granted.......
- ----.../....-•--- ----------•----------......------.....-•--•--•--•---•----•--•-•---:
to Construct ( ) or Repair ( ) an Individual Sewagy Disposal System
at No---------66),......!C-2.......... �/. ------..7FO1 i lj/�.gF..�/s
. -- ---------
Street T
as shown on the application for Disposal Works Construction Permit No.--S73_r--- Dated------------------------------•___-__•--•-
....---.....•-•--•--•-•---...•-------------•-••-•------•- ---------_..._...-----......---•-----•••-_...--
Board of Health
DATE.............................. ..............-..................................
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
No. = ......... FEa..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_.......... ... ............. O F................................-.... ......I............................
.........
Appliratinn -fur Ui,ipnuttl Works Tonstrurtion Vrrntit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
----------------••---------•••-----••------••--------•------------------------------•--•'---...... ................................................................................................
Location-Address or Lot No.
...--'-•---•----•-------------•------------•----.....---...-'--•---.........._..........----•-•--- ••-•--•-••----•-••----------•--•--•••-'---•---•-----•.....•-•---•-•--•........................•••-
Owner Address
W
Installer Address
d Type of Building Size Lot----------------------------Sq. feet
U Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Other fixtures ----- ------------------------------------------------•-
W Design Flow............................................gallons per person per clay. Total daily flow--------------------------------------------gallons.
WSeptic Tank—Liquid capacity------------gallons Length---------------- Width-----------.._.. Diameter--.---..-_----_ Depth--..--_-_-_---
x Disposal Trench—No--------------------- Width-------------------- Total Length.................... Total leaching area.-------------------sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet-------------------- Total leaching area------------------sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed bY--------------------- .................................................... Date............. •------------------------
,_l Test Pit No. 1................minutes per inch Depth of "Pest Pit.................... Depth to ground water.-----------------------
fXq Test Pit No. 2----------------minutes per inch Depth of Test Pit.................... Depth to ground water.-.-..---__-__--_-------
P4 -------------- ........................................................................................................................................
ODescription of Soil------------------------------------------------------------------------------------------------------------------------------------------------------------------------
x
V ------------------------------------------------------------------------------•-••----------••------•-------------••••-•---------•-----••......• ------------------------------------------------------
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 Article \I 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..................................................................................... • -•-•---•----------------------
APPlication Approved By- - � Date
-.... .---------------••---•-•-•••••-••••••---------------------••-••---••••-•--- ........................ ---------------
Date
Application Disapproved for the following reasons:--------------------------- ----•-•--------------------------------•----•-•-----------------•-------------------
---•--•---------------•------•---•---•----------------- -----------------------..-----•---•----•----------•----------------------•--•--•-----------------.-•---------------•---
Date
PermitNo. = --�-- --•--•-••----•-•------•--•--•----•----' Issued........................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............ ?!�..........:
err#if iratr of Tonw itturr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
/i. e.- t r
.............by
Installer
at L._••.. i i '
has been installed in accordance with the provisions of Article X,I of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No---------- ___________________ dated..... _'------ ...f.......7,/_.____...........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE............................................................................... Inspector.....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
/ 'v / Y ....`...
No.--- ........ FEE..................-•--•.
DinpooMl Norks Tomitrurtinn Vantit
Permission is hereby granted____-_-- ------- "- _-- `'
to Construct (A ) or Repair ( ) an Individual,,Sewage Disposal System
at No------------------'--------- = F
--------
Street
as shown on the application for Disposal Works Construction Permit No_____________ Dated..........................................
----------------------------------------------------...... ............................................
Board of Health
DATE--------------------------------------------------------------------------------
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
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CERTIFIED PLOT P L AN '
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L O C A T I O N /ti� Q/9oEi r a GSCAt :i DATE �/
R G F E n £ N C E' A3EItiC* .GoT 5-7 .qS .Sti'aw ✓
DATE -a
I HEREBY CERTIFY THAT THE OUILDING G. LAND SURVE " � I2
SHOWN ON THIS PLAN IS LOCATED ON ��AHOFMgs�,
THE GROUND AS SHOWN HEREON AND
THAT IT �o'ES CONFORM TO THE � Pv..,
RAYMOND �F, .g���"'`Dg g
ZOP41MG DY - LAWS OF THE rowN OF o SHORT
No.27483 v, JOSEPH M. eJ+ 1
I� HCN CONSTRUCTED . ` �o �f
A4' `GISTE�L.`�"� o MONAHAN,JR. H
�F e� 13660
S ASSOCIATES, I W C Fssio E �'�01STV11```o�`
112GISTERED ENGIMEERS 8 LAND SURVE � SU9t��d
MID -CAPE OFFICE DUILOING - I269 no UT£
SOUTH YARM O UTH; MASS. 02664 I