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HomeMy WebLinkAbout0091 COBBLE STONE ROAD - Health 91 Cobblestone • • ' able I 1 { , LOCATION `� � SEWAGE PERMIT NO. L O t or16 JA L VILLAGE �iarf-gip— , ° I A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER v DATE PERMIT ISSUED DATE COMPLIANCE ISSUED I i r 1 f \ r Ii i, L-t �ATION "'Y SEWAGE PERMIT NO. 7a/--Z VILLAGE A & B CESSPOOL SERVICE 128 BISHOPS TERRACE, HYANNIS, MA 02601 BUILDER OR OWNER s DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 9-�S� �I �� �� ��� � --- _ �5�?' J 13 ', � � � :� �.� � � � . � Fma ................ THE COMMONWEALTH OV-MASSACHUSETTS BOARD OF HEALTH r .....................OF.....1.�.V--ns. Apli iration for 14iip al lVorkii Ton.itrnrtiun ramit Application is hereby made for a'Permit to Construct (X) or Repair ( ) an Individual -Sewage Disposal System at : �.cobb�� s_ r� • �. : h --- -LC'+ g - P�.:. �� Pc -14 ........ .._. .. . .... _ .._ Location-Address or Lot No• . ... f/ tom.... ....... .......... .................... . ...... .... caner Address -- � - � ---•.....................................•-....................................... C . Installer Address Type of Building Size Lot..43-.5-92..Sq. feet' a Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type .of Building ............................ No. of persons............................ Showers ( ) - Cafeteria ( ) Other fixtures . -------------------- W Design Flow.............S�J........f. C?Q.._gallons per person per day. Total daily flow_......: _ ©._._................... lops. <x -Septic Tank—Liquid capacit .----..-----gallons Length....lb__...... Width...S.......:. Diameter:............... Depth...:_......... Disposal Trench—No....:.................Width.................... Total Length.............._...Total leaching area....................sq. ft. Seepage Pit No......2........... Diameter_._.j P..._..._. Depth below inlet...... ........... Total leaching area71gs:Is Cam.- • o, z Other Distribution box (✓) Dosin tank (' ) Percolation Test Results Performed by..�O1v:?....... .i+1 3 �', /� .... .. Date.:....... _ aTest Pit No.G._' ......minutes per inch Depth.of Test Pit.....1!2 8.... Depth to ground water..i''- '�e (_. Test Pit No. 2................minutes per inch Depth of Test Pit................. Depth to ground water........................ ------- - - ••• O Description of Soil----...5 � *mac �.... •-•------=------ W -------- ---------•------------------- ........-............................... --------------------------------------=----•-------------------------------------------••---------------•---------------------....... ---.... 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:ITT 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee iss ed.by the board of health. ned. .................................... -- -•----.------ Application Approved B -,----•--•-•-•---------•--•---•----•--•....-••--•--•----------------------•-•-..--•-- f� t ...... Date Application Disapproved th following reasons:-----•- ........-• ---- ........ . . ...........•---••--••----•-•-----•....---._......---•............ --•--•.... .................. . ...................................................._......Date ......--- PermitNo..............................................-•-•-----•• Issued......------.......................................... Date f .�....................._ THE.COMMONWEALTH F.,MASSACHUSETTS -_ BOARD., OF HEALTH ...... ............OF.... rr..S ................ Appl ration,fur UiuOM urki Tuuutrurtiun ramit Application is hereby made for a Permit to Construct (X);or Repair- ( ) an Individual Sewage Disposal _system.at• . .... .....__......_...............- - ...... .: % ::.�......._... Q � r ------ ...Po 4 --- .--- - Location-Address ........ -. --- .......... —. ...............•-•-----..................•...•••... ............................................. Address at' • :�' ........•................•..... ..---......-----•............................... Installer Address Type of Building3 S• 2:.. - - Size Lot-------.-.--*-•---`_�--.....Sq. feet Dwelling—No. of Bedrooms..._._"T------------=-•-•-------.__.-_--Expansion Attic ( ) Garbage Grinder Other—TBuilding ( ) a e a Other—Type of Buildin g ...............•-----------. No. of persons.-•-------------------_-_--- Showers ( ) Cafeteria ( ) Other fixtures = ------- ............ -------------- W Design Flow..............r5..`�__........�_s a�....gallons per person pier day. Total daily flow.......... .�'9...................... lons. WSeptic Tank—Liquid capacity' s _.gallons Length...A........... Width..5__...__._ Diameter:............... Depth..-' _.. x Disposal Trench—No..................... Width.................... Total Length..................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.....-.._....._..... Depth below inlet.._.A.-......... Total leaching area ?'—. .sq:ft. Z Other Distribution box (V) Dosing tank ( ) Percolation Test Results Performed by__�J0.ve. '1^���►v� �•�. 3 a ---•---•••...... Date Test Pit No.O... -_a_.....minutes per inch Depth of Test Pit..-•-��8 Depth to ground wate ........ �e-_.-..-_. v�r fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ------------------------------------- --------.--------- O Description`of Soil........5`' ...��"� _. ------------------•-- 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 TI.T? :- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the board of health. Application Approved B _., .... ---•- •--/-•'!•••••. --------------•-•------•-------------•--•-•--------- ..... / Date Application Disapproved t following reasons:_... = ---•--•.�-•�!".... -=.•------------•-•••.............•-.........• ••-••--•...--.---•- .. --------•---••------------D•••..e at .. PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS d BOARD OF HEALTH '( .................................I........OF... ...................................................... CIrrtif iratr of Toutplinurr T JITO CERTIFY, That the Individual Sewage Disposal System constructed ( ; or Repaired ( ) by........ O ----ter-•.................•-•--------------...... ...........................-•----....._ at � -•-. has been installed in accordance with the provisions.of TI o Pe State Sanitary Cn � ibed in the T l� ee��• application for Disposal Works Construction Permit No--- T•��--•------------- dated_ Y f ............ THE THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. . //,, DATE....................... �....:"�_.�........... ---�- ..�_. Inspector _k -ram .............._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Z t y NO........_........... FEE........................ Dilipae.1 ku Tonotrttrti an rrutit Permission is he eby granted ---- --•-••-----•-------------------------------------------------------'-..--•-----•---•--.-----------••-----•-•--- to Construct ( ai �{ ) v'. e Disposal System �yU �� atNo............................ ........J........ .... . ....•......-:.---.......-----•---.-----------------_..----....._..---•---••-------.....---•-----------------.................. Street as shown on the application for Disposal Works Construction Permit. ............... Dated.......................................... .................. ..... -•••--••-••••............................................................. G�DATE....... - Board of Health — •--...••••_._.............- ----- ---------------•-------••. a " � E.wt. Le- rS%_At jc_ � L: MQCO h a G`Y SECTION - SEWAGE �= � , � �-�' � � z\C\s . «Q I' ITS I CQ4i f.►Tb AA — SEPTIC TANK — — "D"BOX — — LEACH TOP OF FON W_ g�:�- (MSL)x "2"OF"'TO 112" FY7TL. ,ea D15TA1-4C.1 0V=' 10 6- AiXaut+Cl a3lMZF- WASHED STONE l.IJ1G►-t PITS AND Q, t.A.t�' w/TH t�lrii , � IN- OUT IN ('�` i IN P(•O CC %SE -r. 1 `ELEV. K ELEV. ELEV. \ ELEV. \ / i / EI•=IFS. S ELEV. ELEV. `- `-- --_'OF 3/4"- 1 V2" I / -1 C; _. WASHED STONE t7 Lit (92/ TEST HOLE LOG C G f ,' ;' .� ,-ti-- 13-�. / -, , / ji 1�ollSE \, - TEST BY bPuGTH�1t rn+ ?c J• JAcr�13t 3.t�.t4 . L r� / 'T'.' T.H. � WITNESS ! r.) — ^�--1 —/---- 1 '--- . TEST DATE 3/I� WITNESS' DESIGN `� BEDROOM HOUSE �6 # S g T.H. #{� bO Q _ J S•G 83.o I i ��� �.�. -T.H:k6l \ p p`�-�.y4., ELEV. a��.� _ _ ELEV. NO ` /' /' i� - \ .� \ -tc-�.`g3.0� . �,.. 82. 6,-7 _. — I % PERC RATE �Z MIN/IN. olsPasER DISPOSER �l �' "'' (GL./DAYF qv-�[aCo� - l /LOW RATE q SEPTIC TANK 44o (1.5)= �- REO'D SEPTIC TANK SIZE I �ptt Of-Toww, a.-u.•,,� 4� LEACH FACILITY / % (��I t �` �� v T` \i-N 10' SIDE WALL 14 TT)4= 1 L�.& 314. t C, 10�Tr -1 S S ( ►.a 1 = - 1 b_S G/D. `.� `\ BOTTOM 4 TOTAL Z 4 4 • I _ 35 Z. •!�6 \. \/^\�:� \\ P Trj -L{O6�.Z = —1 `� • GY �' \ � J 4-(�SI\ ) / c�i7t� USE: w o LEACHING 9.o ti19 WATER ENCOUNTERED ( +b(o) NOTES: (UNLESS OTHERWISE NOTED) �•+!•�¢ f � r \cSG\ �_—� -. - = 1G4 . 41 ' ` 1`i1`�• �'�}�'i ' "- ?'oL� v . ,...1 .... 64•4. -I---._ _._____-- - - �1,9-- u.—' -__ _-- --zt•� 1. DATUM (MSL) : TAKEN FROM .-_______ _ _.QUADRANGLE MAP 2.MUNICIPAL WATER.............'S_._.. o UJALA v -----...-•--------A V A I LA B LE 3.PIPE PITCH: I/,"PER FOOT 4.DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO - __. 14 -44 5-t-ry,*jfw u.A►,r 5.MIN. GROtIND COVER OVER ALL SEWAGE FACILITIES: (1) FT. 4q" ��•o �F6IM�� Q ,- (sr,Cak''i� 6. PIPE JOINTS SHALL•BE MADE WATER TIGHT 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. STATE ENVIRONMENTAL CODE TITLE 5 5it• Y , ,,,T SITE PLAN LOCUS: � - �j -'.tom!c� I /�s_��...�:r• � M AS� . _ A IV __•,n ~__ _ PRd £, ' NA INFER cuF....� Mato 4�.Nc ca 'IVIL REF: Lo( �O - �. 3(L. 3Co-i r�E�.-T�� _ 3y�•. 4�.o No. 307f}� I d6wo Cape englneerIag PREPARED FOR: ')3y:�•t cA-G-G zb T;hw tpor,e.t k,�E•. 4 'PEGIST t \-) `�Il`- l _ 15/tB�S�- �� / � � r CIVIL ENGINEERS 60 H LAND SURVEYORS REG. LAND SURVEYOR CONTOURS (EXISTING)------•- g (PROPOSED) -O-O-O-O- APPROVED GATE �•�G•tMA Yarmouth SCALE Z/ZO MA �Vlcoe,o 3 DATE