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Home My WebLink About0002 PASTURE LANE - Health (2)Fol Pas- r xt wvlt No.._._..... _'�� .la. Fss.✓�. .................. THE COMMONWEALTH OF MASSAASETTS BOAR, OAR OF CiA.LTH . ............oF.. ... .. S" Appliration fux 3�i� n ttl rk Cann trnrtinn rrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ----•----•- .... .............................. ,. �y �q� Loc$ti n ddress �• /1 or Lot ,o. v ................. .• :.! :G�ae-•.•^-•----^--^---•-•---••----... e Aid—dress Installer Address GG Q • Type of Building Size Lot....lrL_l. .._._Sq. feet U Dwelling—No. of Bedrooms.__......... .....Expansion Attic ul Garbage Grinder WO) PLO Other—Type of Building ../�cm�...... No. of persons........>.............. Showers Cafeteria (k4 a1 Other fixtures ...�.......... ................ . Q --•-•................•--•••••--...--•••••-•.--•-••---- ........................................................... W Design Flow........,a _.. ...........gallons per person per day. Total dail flo ........•33.0........ ............gallons. WSeptic Tank—Liquid capacity.l gallons Length....&....... Width._/e.... ..... iameter._ ......... Depth...r........ x Disposal Trench—No.JU07VC Width.................... Total Length............... T tat leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet............... ___ otal leaching area..................sq. ft. Z Other Distribution box (61� Dosing to ) ~" Percolation Test Results� Performed by....... ._..�r�'/Led i.��_ l�! '___. _._.__ Date........... a �/ / 1-4 Test Pit No. L---------------minutes per inch epth of Te it..... ....._.. h to ground water.... .._. G%4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... ep to ground water........................ O ............... -•..............••-•-•--•-........................................................... x . Description of Soil....__ _` ...:. ...........�_I.D. .. W x •-••-------•---------------------------•---•---------- ------------••-•••-•-•----•-•---••---•--••--••----•-•••----------------- ------••-•--------•--••-------••------ U Nature of Repairs or Alteration —Answer hen applicable. ....................... ........................ .. ...................................... .................... • •.............•- ........................ Agreement: The undersigned agrees to insta the a redescribed In ividual Sewage Disposal S s in in accordance with the provisions of TITL% 5 of the State anita Code—The dersigned further agr es not to place the system in operation until a Certificate of Complianc has ben issued by t oard of li lth. igne ... . ..... d/ .. .... ................ I . ApplicationApproved By------ -- --- ---------•-------•----:____:_........................................ . t --2.�•. . Da Application Disapproved .r th ollowing reason ....... ...................••---•-•--•• ---............................................................... .....................................................------........-----------•......_.. ...... ..... ••---•. .----•-••-• ............................................-......................... Date PermitNo......................................................... I ....................................................... Date •aaaaaaaaaaaaa+:eaaaaaaaaa�aaaaaa!�aaaaaaaaa.Oaaaaaaa'��aaaa�0 •• •�• aoaOOaa�Maaaia NaaOr��AaaaaaaaaaaaaNaaaOaaaaaa0 THE COMMONWEALTH ASSACHUSETTS BOA OF,. .E^ L H ......................................` ....OF....... .. r+!!,�1.7Y ................................... Trrtifira r of Tomplianre THI4 I T CERTIFY at the Individual Sewage Disposal System constructed ( ) 'or Repaired ( ) by......... -- /5 l ,q /� -- e /J Installer !._ '' �� /� ""�('_{ alter at.........- ----•... ----------- ----------------- has been installed in accordance with the provisions of TIjE 5 of The State Sanitary Co as de ribed in the application for Disposal Works Construction Permit No.__YY-- Y.- 20.3.............. dated_ 3 _ ._..._._...._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................•---•------•---.....--••----.........-•---......----....._...... Inspector..................................................................................... *Oaa 690 a a00000.4.see**o Goa*0000004000aa00000--%000 aa**oeoo*0000 000000a•00a,104.0a 06000060096000006 0000*6000 see 0J0000000 aa000i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HBAL-ATIJ No..E. .......T .....I............OF......... ............................:....... ....20.3.. FEE�/.................. Elispollal 0 rks Su trnr#tion amit Permission is hereby granted V• ✓ ....-•-••--------••------------------•---------•----.._..----...........-•-----•--......................... to Construct ( or Repair ( an In ividual Sewage Disposal System atNo........./_&.�. r ...... .... ................••-.---••------------••••••---•-•••-----•-•--------------------•----••......------•--.............. Street as shown on the application for Disposal Works Construction Permit No.W11.. . --•_ Dated.......................................... • ----------------------------------------- Board of DATE............................................ --------••-•......•-••-•-----•. Health FORM 1255 A. M. SULKIN, INC., BOSTON THE COMMONWEALTH OF MASSACHUSETTS ,_- BOAR, OF HEALTH ..........1.. .<.,_i1. .............OF..... . �. . Appliration for Uiiipniial 11irkii C omitrurtivit jhrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: r ,........,... ...........................................................1 ---- •-----•-----.j-, ----.- . -.................................................... Location-Address or Lot No. W .......\ r ............... ................................ . l e-1..................................................... • V 1 l Owner Al ............................... ................:........�_ Address 1 .................................... ................................... ` ........................____..........._.._..... a Installer Address Q Type of Building r Size Lot..... Sq. feet U Dwelling—No. of Bedrooms..........,...............................Expansion Attic (,(J;) Garbage Grinder (UG) Other—Type of Building ./...... No. of persons--------- ................ Showers Cafeteria (t/c) a' 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--------------------sq. ft. Seepage Pit No...................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by..-- ••---•------••-••---••--••.............•-----•-----••••-----•-....... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Ix -•---•-----•------------•---•-•---•-•...---•---•--...•••-•--•--.....•--•.......................••............................................................ 0 Description of Soil........................................................................................................................................................................ x 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— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ne -----•------•------•--••-•--------------•---•--._...-------•--••---............--•--- gd D Application Approved By-••-• --•------------------------........ .............••-•-••-•----••--••----•....---•-•-----•------. ...._....-•-••.....•---------•--•----•-•••••-••------•-•-•---------•-----...•-••.............•------•-•••••---•---........-•--•-----•••-•-•••-•-•-•-•--•-----•---•--•--• •••-•------•••••--............. Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOA OF HEA�QH .�`....."'.............OF.......... M .` .................................. Tutif ira of Tumplitturr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.......................••••-•••-•---•••-•...........•-•-•-......•.............•--••.--•• --• -•-••--••-••-••-•••--•--•----------•••------•-•---•--•----•......••--......----•............. Installer at..................................................................................................................................................... -------•------ has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Cod as de jib d in the application for Disposal Works Construction Permit No...Y�?!' ' . .............. dated_. .___ .''�°r._, .............. TIME ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......................................••----.._......._......-----...---•...---- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f f/ No. s/-1a a .................................... ............... FEE........................ Rapostt1 Works �utt�tr�trtUan rrmit Permissionis hereby granted......................................................-------------------•--------•------•-----------•--......------......................... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo............................................................................................................................................................................................... Street as shown on the application for Disposal Works Construction Permit No..�---- : ... Dated.......................................... i ............................. -• ----•- -- Board .o Health DATE................................................................................ FORM 1255 A. M. SULKIN, INC., BOSTON Zc�N (060C.) rj Ippo GAL 9CRK TAM' 1 ` ,`V h 61� toy V _- 4 ST 0 t�.r L_r1 R�-f VT.�'a' S OF,�yq v . ��jp T l BERG iIc No. 366 `• ,r C'ISTE� �4' YKo\N)S csy L LEGEND EXISTING SPOT ELEVATION OxO �iHOF , , CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 --- FINISHED SPOT ELEVATION ROBERT y� LOT a(:) f J_4M 'fK, PA IS' FINISHED CONTOUR0 BRUCE8 ELORE � N IN APPROVED BOARD OF HEALTH A A DATE AGENT SCALE t 1 - `It7 DATE 9 `l �f ? 63 t' LDREDGE ENGIWEEfI11VO CO. IN �i I CERTIFY THAT THE PROPOSED `�..� ^..._ _- CLIENT_ �� EGISTERE REGISTERED JOB NO. .63p 6 z- BUILDING SHOWN ON THIS PLAN CIVIL LAND S CONFORMS TO THE ZONING LAWS ENGINEER R V E Y R OF BARNSTABLE , MASS. 712 MAIN STREET CH. BY1 ZREG-'-. HYAIJNIS, MASS. ._ .SHEET-.1_ OFF-- ATE LAND SURVEYOR 20 F7. M/N. /V0TF : /.F E/TNER THE,5E PT/G TANK OR %E'qGf//ivG P/T .4itE MORE TNA:'V /Z"SEL011W /D FT M/N. 5R.4 OEM 24'O/A M�;TER CoiyCR E TE CO fiR �(�.. SNALL eF BQOC/<iNT TO'` RAGE.��N EXTRA ♦>` CCNGRErL• 9'PYC P/PE. i'iERVy C^ST /RON CO✓ER M/N. PL7CN G'OYERS �9•I'FR FT /F//V DORI VEWA Y 2•J• MiN.A CONCRETE::: _ a �oE CO✓ER C LEA%V -TAN.0 eACA RON P PE O O O Gi,L. v •o M/N.P/T�GV t 1 • • • • • •• • s �e SEP'r'/C TANK D/sT. o a r • • • • • • • • s • + WA SHAD S72�NE BOX v • � 8 • •" • • • • �� • . • 31 , •r 0, •E 1 1 FFEcr/vE a _ , • • DEPTt/ • • 1 • j v a WASHED STONE - Q 1 • • • • ••I 1 . o • • • • •• P o PRECAST SEEPAGE. GRT CL EY.4TION S x 1.p INYERT AT BO'/LD/N6 92,o FI' Sys GG' d 6 D/All. fi o SEE TABULATION IAILET .SEPTAC T.4/VK U FT OUTLET SEPTIC 7ANK INLET D/STR/Bt?/ON BOX '9Y-Y FT. OROuNo WA7ZR SECT/ON OF. Ot/TLETD/STR/®1/7/OM oaX f4z F7r. .SFl1/AGE �ISPO�S'r4 L SY. TEM INLET tE.mcN/wG PST . L F�' `_TABULATION LEACHING PIT DES/6N CR/TER/�l SC�JLE.: �'T. - D/MrENS/ON $ G.O FT. I01!/M6ER OF 6EDROOMS. GA.gaA4GEO/5P05AL!/IV/r N 60 SOIL .LOG SO/L .TEST TOTAL EST/MsiTEO FLOM/ ago 4gAL1DAY SOIL. TEST P/ SO/L 7wST*2 NUMBER AF LEACN/NG P/TS -ECEY, OATS d.4 oIL TEST S/OE LEACH/NG PER PIT jk 8 5 ,SY•t. PT. i D_/S�LOr�M RES(JtTS iV/TNESSED dY � - ✓• ��D6� 6OTTOM LFr4CN/NG PER P/T �6 PERGOLAT/O!v_JeATE TOTAL LEACH/NG AREA _7SQ.. AEhCOLAT/CN RATE/*2 `�7' MIN. /NGH ,RESERVE LEACN/iV6 ARE^ /a'ineJ soL Tsar �zN Of 14 W OF�q ` L pT o�d / r6 ' y% P�; / 1 o� ROBERT G,r °� �•�� 4STU�� Lf/.0 .. x BRUCE. PHIL N, vELDR �j vim' c�i WEIN G 5LOREDGE ENG:INA ER/NG CO,/NC.f 01 S TE�y�� S G� gRI sot? 71Z MA//Y ST. ! Ao'YANN/S, M .A": f Np SLR' AL EN [ NO GROUND YY�4TER ENCOUNTER�O CL/ENT: �" Q GROUND WATER AT ELEI/. _ - �` Qr DATE: / 3 :f JOB NO: !fso(2.` SHEET OF .�