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Home My WebLink About1347 MARY DUNN ROAD - Health PAI ft 04#" Rd . - e u LOCATION SEWAGE PERMIT NO. _ Z=1 0 T�� /f-i%Y avWA,- AJ VILLAGE I N S T A LLER'S NAME a ADDRESS 61F 7-0/)P//L O gev s 5% I /+ B UILDE R OR OWNER lroeNol- Cdvo 5/ DATE PERMIT ISSUED OAT E COMPLIANCE ISSUED -729 .-�jC7 t �� r �.� �� y 3` � { � -_ ,�� F�3_3. ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............OF...... Y.s ' ....................... Appliration for Disposal Works Tonstrnrtion thrmit Application is hereby made for a Permit to Construct ( ) or Repair (. ) an Individual Sewage Disposal System at: . .... ' y..�4?v ..... ----------------------- ---------------- -. �- - ............................... Location-Address _ or Lot No. Q _... - y----•--------•-------•-----•--.: y Owner AddresV,o ........................... --------•----,..-------------•--......-----...-----...............-------- Installer Address UType of Building � Size Lot..,.0 . �.a Dwelling—No. of Bedrooms............. ......................... Attic (V) Garbage Grinder ( ) '04 4 Other—T e of Building No. of persons......................... Showers — Cafeteria Pa Other fixtures . f W Design Flow.........��.........................gallons per person per day. Total daily flow........ _.......................gallons. P' Septic Tank—Liquid'capacitv/00.4Q_gallons Length................. Width................ Diameter---------------- Depth................ Disposal Trench—No..................... Width...... ............ Total Length.....................Total leaching area.....................sq. ft. Seepage Pit NoAa_,!.6_..... Diamete . ..`......... Depth below inlet.................... Total leaching area..�e;!�......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) e aPercolation Test Results Performed by.__. '_. _.l / .............................. Date... -6.0........... Test Pit No. 1S ._..minutes per inch Depth of Test Prt_./s ! .... Depth to ground water_ e9r :._____. (z, Test Pit No. 2!- ._.._.-.minutes per inch Depth of Test Pit.-.<XK..... Depth to ground water-------:............... a •---•-••••------------------------------•-.............. . O Descriptiono ...... <57- �� x cj ---•--•--------------------------------------------------------------------------------------------------------------------•---------------------------------------------------------------------------- W UNature 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'i sj 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 rd of health. Signed :... � .::90. Date Application Approved B Date Application Disapproved for the following reasons----------------------------•.................................................................................. ..-•..'......-••..................•---------•---------........-----------••-----•-••-••••---------....•-----------------------•------•--------------•----•-•-•-•a--------•------•----------••-•••--•--- Date Permit No....-•-••---••••-•••...._----- •--••--•-•---••-_. Issued.-- - Z Permit Date NL NA.. FE ........... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF, HEALTH .............0 F....... -_---- Appliratinn for Dhipoii al Works. Tonsirnrtinn rrntit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 00 ------ .........- Loca ion-Addr s or Lot No. �Q --•-- .�`............................... .._......... • ......_.... ./i5'. .�11...c. .. ! ......................... Owned _ r � Address$9 - ---- a6.T '.G�o�V- ....../✓4.,��si� ►�d_a----- ----------- ...--.................---------...................------------------------------... Installer Address Type of Building +r Size �-, Dwelling—No. of Bedrooms.._-. --___.:Oe.........................Expansion Attic (t/) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria -el Design Flow.........Other fixtures ---------------•--••---•------------------••------------•------------------------------------------ .%%%. .....................gallons per person per day. Total daily flow......... ................................gallons. WSeptic Tank—Liquid'capacit d.gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench No. .................... Width ....... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...�....16..._.... DiameteA...�._.......... Depth below inlet.................... Total leaching area..�i_��......sq. ft. Z Other Distribution box ( ) Dosing tank ( ') a Percolation Test RJ46 ults Performed b ' e!' Date.. Y -- ; - - - a Test Pit No. ._._minutes per inch Depth of Test Pit e±� ..._. Depth to ground water.-�6L9�....... •. ., fi, Test Pit No. __..____minutes per inch Depth of Test Pit.�sl6...... Depth to ground water........................ O Description of Soil.... • 41'�'1:"`S....... r '•' '•4�. w.T! ' /K C' x , 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 iiTl.- 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 Wrd of healt Signed � .-- . --- ./r'�a5' ' ...... � ..� --- Application Approved By_________ , '. _. _ . .. Date Application Disapproved for the following reasons:...............................-----• ....-----•---•--. ----••---••--••-•------------•---•---•------.......--- ..........................•-..._....-•--••-----------------...-----------------------•----...------•----------------•-•••---•---------------------------•----------------•--------------•-••------------ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSE-TS BOARD Qf HEALTH .......... i ......O F.... ...... ........................................................... YY R Tntif iratr of tt o mpliFanrr ,A T I -'-�,✓, CERTIFY Fiat the Individual Sewage Disposal System constructed ( or Repaired ( ) by.... ' ft. y - ' '' ------------•- . ... ` nstal Z has been installed in accordance wi ` the provisions of T r The State Sanitary Code describe,d,��]]in the application for Disposal Works Construction Permit No._ ........ ..... ........ dated_.... '" l.~�''Gl...._______. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE......... 2 - ----------------•------------.......---- "Inspector.v'�� •�-•-- THE COMMONWEALTH OF MASSACHUSETTS " BOARD O . HEALTH 7 a7 ............ .... ...OF...... .... ................................................ �, No................. .. FEE... --..... Ui111100�nrks �U111.1 r inn rrnti# Permission i hereby granted &..._ � i ------•--------•-•------------------ to Construc o ep ( ) an Individual •e g Is�Is System, at No. Gl' , !_ i yew•----- ... .......... Stree r1 as shown on the application for Disposal Works Construction Per t o._..__t ._ _.. _ ated_-_ �. - ................ ........... - ....................... 02 to . Board of Health DATE----vvv -------.............................................................. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS L OF L 5//&a775 I 1 /97 33 i N v Lo T 7 T`t4C � Lo J� X� AL 60 �l.• .o` /gas. �-� --- A ' 7- I CERTIFIED PLOT PLAN No7r_ L-zEvA7-inn/s BitS�'D v� Bi�!ST.S►� . MASS. LOCATION . . � SCALE . /•�-�.�. . . . DATE T c y, Z8 /qBo PLAN REFERENCE EDVVARD E. KELEEY . C1MMAQUID MASS. 02637 .S•uDw•✓ !9 !. Foie EDWARD R� K L co�3t I CERTIFY THAT THE LR�sT�ivG' `Du.vD4�70.V t g`� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND " QI*T` AS SHOWN HEREON AND THAT IT CONFORMS TO THE � �*0 SURd�' SETBACK REQUIREMENTS OF THE TOWN OF QA7?!�ST�9d34� . . . . . . . WHEN CONSTRUCTED. DATE PETITIONER: 41 (3l3�it/STBL� � REGISTERED LAND SURVEY SNE�T L 0,X7 Z SN6�tTs TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS •'� 4"CAST IRON 12"MAX. �� 14/ 12"MAX. • PIPE (OR 4"ORANGEBURG(OR EQUIV.) EQUIV.)- MIN. PIPE- MIN. LEACH ' PITCH 1/4"PER. PITCH 1/4"PER.FT. PIT PRECAST NVERT Q LEACHING EL..-�• .o INVERT INVERT SEPTIC TANK DI ST. o w PIT OR EL:X:06 EQUIV. INVERT EL. `�9.. .7. . BOX .�. GAL. INVERTo3 INVERT w w ::�. 3/4�-TO I VZ /.� EL.`.�`.Z•P' � n u- WASHED w STONE ,• /Z —�+-WDIA. None PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE S� �E. /58o TIME.��'.30 'Q � !4 . C•. BOARD OF HEALTH TEST HOLE I TEST HOLE 2 Tr> . E �P,E, ENGINEER ELEV. . �`��. . . ELEV. S. 00 �w� A:. .A-may. P.Q.S. 4,OA„ s-s DESIGN DATA NUMBER OF BEDROOMS 3 N`�• TOTAL ESTIMATED FLOW 33c? . . GALLONS/DAY pe" ��• BOTTOM LEACHING AREA . .74?, o . SO.FT. /PIT SA�a 78r /86,Sn SIDE LEACHING AREA SQ.FT./ PIT � GARBAGE DISPOSAL . NV^�4.(50% AREA INCREASE) H�D, SA+va TOTAL LEACHING AREA SQ.FT /67.„ PERCOLATION RATE T!o MIN/INCH LEACHING AREA PER PERCOLATION RATE .`.. SQ.FT. NO WATER ENCOUNTERED NUMBER OF LEACHING PITS 1. P!T.�v!17�1yVo. APPROVED . .. . . . . . . . . . BOARD OF HEALTH a�STovF /-PLC. SiDC35,= /S-C7�e��S / f DATE . . . S'E: . . WGINEERS-SU KBLLEY CO. RVEYORS �( AGENT OR INSPECTOR 346 LONG POND DRIVE a k SOUTH YARMOU'TH,MAN& OF02664 OF M4 THO EDWA I -n` LF>> ,A k.24260 tq G/STEP SS�ONAL�a� PETITIONER