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HomeMy WebLinkAbout0089 HARBOR POINT ROAD - Health R9 84rborPoin� 'Rd LOCATION SIWAGE PERMIT NO. J' 7AAL' VILLAGE p INSTA LLER'S NAME 8 ADDRESS A X7 if/U.e., -62-514' Y J-0 N'S+' INC, N UILDE R OR OWNER OIL DATE PERMIT ISSUED DATE CU.MPLIANCE ISSUED r ...wwrs��: J .` � 5 `_ �t 4 �1 5 + r�� � �� ��a J ��;�r� y�' : - �, �' �'v/ �{c�a THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `TTO.c�N..................OF......? R,IV STg. ..................................... Appliration for Uigpu.ittl Works Tomtrurtiun runtit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Mt 6©2 �'oswi �D 3 q...._. ... .. -- ......................... ................ Location-Address 1� ,(J or Lot No 1 ._...- •------..... .�.......CV r�C.p&X-bag.;......1-C1.L_fV.�:....I_2Q_1 lo--------------------••-----__ W _ f --rsa Dom, XK_/"��'� CIeI�T iill 1•C F if ddr ss 2�.f�(/�° r//��j/� ._.. . .................................... .1..._._._......._...__.............. ... Installer Address Type of Building Size Lot-e.t�0.........Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building .__.. No. of ersons____________________________ Showers Ga YP g ----•-----•--•-•------- P ( ) — Cafeteria ( ) a' Other fixtures ----------------------------•...- . W Design Flow.................�5j::___--_-__-_-__-___--gallons per person per day. Total daily flow............ ____._.__-__.___..gallons. WSeptic Tank—Liquid capacity_.� gallons Length_._.I........ Width.......G..... Diameter................ Depth....... ..... Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No...-L....,--..... Diameter........%....... Depth below inlet......6.......... Total leaching areat'J0_�'._....sq. ft. Z Other Distribution box ( ) Dosin tank ( ) Percolation Test Results Performed by a- �P,�j} I .1�............................... Date.1Q.(4Z-5_.................. a Test Pit No. 1._..._...Z..minutes per inch Depth of Test Pit......g_!______ Depth to ground water...J1.d-Ae... -.- t=, Test Pit No. 2................minutes per inch Depth of Test Pit......�6:.._____.. Depth to ground water..A,,,o•/. -- ----------------------------•-------..._._..._...-----._....._.._.......----_-... ----•-------------•---•----------._.......--•...._...:.....••-- O Description of Soil------... 1-f-a-------.OLO./1d6o..........L ? 7.C..?` =y� Uc�✓-. lLz3axz f-�•-•--•---•---•-----------------•------------------.......-•--------------•----•--------._...----------••---......-•----.......----•------.._......--•- -------------------............................................................................................................................................................................... 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 LITL% 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beed is d by the board of health: '"" S. ned. m 83---- ApplicationApproved BY ="•• ..... ..........................................................6...._..-- •---- ./� - Date Application Disapproved r t following reasons:.............................................................................................................. ................. ............•-- ----------- ---•- Date PermitNo......................................................... Issued_.................................................. - Date No ". Fxs. d................... THE COMMONWEALTH OF MASSACHUSETTS �.— /'t_1 BOARD OF HEALTH MUN..................O F.... 'A 'C N ST. .. ...................................... , pphration for Uiopoottl Workii Ton,itrtiriion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ..------. 1..-...).q�-. o►! At 7 1W- ----------------•-• ------------------....-------•---------..-!----------......-------••------........------------... Location Address or Lot No. SS L.L C2LSaN.. N.........n.?........C.. n_Ar,!1.... ........ •- o :...<P? , ... AT w, s Ad Tess Installer Address �U y, Q Type of Building Size Lot........;--__..._....1►.-__..Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ................................. . W Design Flow................:rt"�_--_---.__.-----__gallons per person per day. Total daily flow......... .4- ..................gallons. WSeptic Tank—Liquid capacity!_'�_A. 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:j ��...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.... .............................. Date..10?��:�Ka.................. aTest Pit No. I........._2----minutes per inch Depth of Test Pit......�jr!...... Depth to ground water......... ...... 44 Test Pit No. 2................minutes per inch Depth of Test Pit....... ........ Depth to ground water.."-!!- W ..........•-•-•------•--••-••••--••••..........-••-•------•-•-..-•-- O Description of Soil 5'f'/» ? lllA ...-... ? A--... .. - ----•---•-•. s * c �•-- ------------------- -/l --•---•--••-•-•-...----•-• •---------------- •-•------•-----...-•----......•...--•---......-----........................_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 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 �s"dby he board oQ ealth. Signed._.. _-------------- �o`�� � Da e Application Approved �'..__ . Application Disapprove or e following reasons: ..................... Date PermitNo......................................................... Issued._....................••--•-............. ......... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtifirtt#.r of Tontphattrr ,THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) byL' --------• -=---------------••-- •� Installer at ' _ _: . ------•---................................................................................. has been installed in acc rdance with the provisions of TITLE 5 of The State Sanitary Co e a described in the application for Disposal Works Construction Permit N� _..._�..�:---_-.----_- date j✓,,22...��j��j ............................. THE ISSUANCE OF THIS CERTIFICATE SHALL O�BI�"CONSTRUE A i' TEE THAT THE SYSTEM W L UNCTION SATISFACTORY. � DATE.0 O��K--------------------------------------------------------- Inspecto . ..... ........................................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,! ........OF..... ................•••••..................................•.�.......... FEE{. ................... Dillposal Ivor Ivor -Tonstrurtion ramit Permission is-hereby grant ti2. ,.._. --•-.------ ---• ........- to Construct/() t Repair ( ) -ndiv•dual w e Disposal System atNo.-- � -• -------------•••-•••--- .� '......_f✓... - Street as shown on the a plicat n for Disposal Works Construction Permit No.._......_. ..._ Dated .. .................... ............:. . ......... . '....... ��-�----..---...-----• DATE. Board of Health ..j.. -•-----------------------•-------•-----------. FORM 1255 A. M. SULKIN, INC., BOSTON C SECTION - SEWAGE z m -SEPTIC TANK - 1 4C-' - "D" BOX - 1 Ga - LEACH TOP OF FDN �MCJv+e... A+.I`/ Ui•.���l.,rt��-*FU.-r Al _ (MSL)# fZ7� A DtroTANc of Icy A Aesx�+a4 E1 crtr2t' "2"OF'/8TO L/2" t�\'' vG> IEAGH PIT-5. ^WC, L•EPL,4.aJ. `F•/r-•,A egjNj`A, WASHED STONE r� •rr i M IN• OUT» IN» OUT» IN- - ,�i /"v 15 0 C> G �. 4 , �� rf ` �i 9 z. SEPTIC t\Z.O.(a""I ?•..� Q+ • ,r TANK 1-- ELEV. ELEV. ELEV. i + ELEV. ELEV. __ .. _w -> -44 IV OF 31. 1112" ( � ' 2 WASHED STONE ,� D G C TEST HOLE LOG eacti�.a+1ZT? e► �_ /accat�•� �.p.+-i. ,* 2 i',� \•' "' �- , / �•' fn� / l .'"' TEST BY TEST DATE , 3 WATNESS DESIGN 4- BEDROOM HOUSE ,,' � � � ' � •' Z"� � i %�� f �$� b, , -D » T.H. # 1 T.H. # 2 x vc� ELEV. ELEV. ` Qca" NO1 r +�. �- / DISPOSER DISPOSER �.\ ' ��1Yr� �/ +s l / i LAAMr� 'yu �„c�li � �sta 5tai�_ PERC RATE - —M+IN IN. ^�� 4`' 2 \ t .3 Z4" - 1j .q FLOW RATE 4t-4,4;, (GAL./DAY ) 44� SEPTIC TANK' 440 f - 514T Ct_ Y St Y c R:EQ'D SEPTIC TANK SIZE f e. Z4At LEACH FACILITY 7 tiF: t SIDE WALL <aX 'ETT xZ= �os•f�(2.� _. 1�' `� G/D. [3�x �•�SERvE: GLCh+*1 NiC�C+. �jc.t++U 4+ C.ra�a tEtEjD. Y,A±.�� � L �Ur. » 1QG?.� BOTTOM 4 `1T 1 �.0 ) _ G/D• �.+1 ( 13Zr`— L2.3 (32 - - Zv.n TOTAL = A-c7 .t _ �z 5't • ,33•'� / � 1� � . 'F SkUT,�I,- <•,t,..GCS USE: -----LEACHING dv I�.'� tg�".._ )�.G( C•v` `+.�C.t`.'tom �l `�K � >�r"4`�'. l:,t f� . �: � t �WATER ENCOUNTERED ENCOUNTERED \ 2 Z-c•7 } NOTES: (UNLESS OTHERWISE NOTED) ' + �7•ar.n.x G W t 4p.s QUADRANGLE MAP �.�H Gi /���5 � 1)I• /, irs�;, 3 5 d 1.DATUM (MSL)-TAKEN FROM___..............___________________ y 2.MUNICIPAL_ WATRER•___--__ti ___----___-______________AVAILABLE /�� 9Cy` 3.PIPE PITCH:C=9021=2= ��' t�F2 PcmcYi t i_ G� �` ` 'r lzu PG 54 L\ C�RA•Q 1 I Ca b AKNE �= ARNE W.• G 4.DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO - 44 H. r•1 U° 5.MIN. GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. p` O)ALA 1 �"` OJALq -O DISTANCE AS.CERTIFIED 6. PIPE JOINTS SHALL BE MADE WATER TIGHT v c. CIVIL 7.CONSTRUCTION_DETAILS TO BE ACCORDANCE WITH COMM, OF MASS. x26348 No. I HEREBY CERTIFY THAT THE BUILDING SITE. PLAN STATE ENVIRONMENTAL CODE TITLE 5 . .G ���/// SHOWN ON THIS PLAN IS LOCATED ON THE 'QFGISYk G} �fCfSlftiE, G�'4 �C't��►1�i�Tfa.C1 '1. _- �•�� �, ► ,r�. ,,`��_ ,,. \��,. GROUND AS SHOWN HEREON &THAT IT _ LOCUS: SUR`I oSt,)ri� �4�?�� CONFORM TO THE ZONING BY LAWS OF THE -- =*3------ - TOWN OF REG.PRO'FE55I NAL ENGINEER WHEN CONSTRUCTED. DATE REF: L.C•C.'.. L_-G. G.� '(3S3 WOW17 cope engineering PREPARED FOR: CIs y ti CIVIL ENGINEERS LAND SURVEYORS REG. LAND SURVEYOR- t, ' �� .� BOARD OF HEALTH ` - � j , � 2- CONTOURS (EXIST.ING)------------• 6r,►S"{�SR4+� F •� (PROPOSCD)-O-O-C�-n- APPROVEID DATE _^+ MA d Yarmouth&. .MA SCALE DATE r� C