HomeMy WebLinkAbout0043 COTTONWOOD LANE - Health b=252 - 158 _I
Lot 175 #43 Cottonwood Lane, Cent.
No. 42101/3 ORA
ESSELTE
10%
0 0 0 0
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�
No. � FEE G
THE COMM NWEALTH OF MASSACHUSETTS
MASSACHUSETTS
�pplirativn for jBisposal Sgstem (gonstruction Permit
Application is hereby made for a Permit to Construct(t,<or Repair( )an On-s:te Sewage Disposal System at:
Location Address or Lot No. l� Owner's Name,Address and Tel.No.
Z-6-T 17$ oo-11,oAj wcx) e-A-N(:� 6 evle. 6 oAD
® P-0 3v,Cd 103
/ki ,,&C, e•e. M14 778- a7/8
Installer's Name,Ad ress,and Tel.No. Designer's Name,Address and Tel.No.
y,4 Pe*,.e_ S,,,rry IG c s0CTp
2c/a o V 5i �ihw s S r,%W S.M,4 'Y 6-oo ss
Type of Building:
Dwelling No. of Bedrooms 3 Garbage Grinder(Py�
Other Type of Building No. per Persons Showers( ) Cafeteria( )
Others Fixtures
Design Flow 3 1-/6 gallons per day. Calculated daily flow 330 gallons.
Plan Date i— C Number of sheets Revision Date
Title 0214 A,),
Description of Soil 1•P�. ®— 11W� So, j �'�/ 6Me�ru�nSWubt rrruvel L/—S-'/a c'c�1RS�sRNf�f�ra4��
S`(a e s,awa Gvca - t-e�l�f3kS 7-�� t>1��r�M In cc>_rSe cotty> O WodeiQ•
-tt.�So, t i��' s� s��C. d-G ` Mr0t4-d1%., sigNb i-6-✓/4 67meb 544NtD 1-6&-4 J(tu''>,I
G/— l/ t'ruw►Si9;uD-rGvi►uz il`—t a' C&-wSe w e S pa —No we •+°iQ r�Rr?aj-
Nature of Repairs or Alterations , �Answer when applicable)
Ca® 5rn�r� Tbgn/t� , . /—�on.0 Ff--SO S w / �l �'1 s�^fO�� CAI S, FS fC=�yS Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the aforedescribed on-site sewage disposal
system in accordance with the provisions of Title 5 of the Environme l Code and not to place the system in operation until a
Certificate of Compliance has be n issued by this Roarqpefle
Sign- Date
Application Approved by E Date V 9�
Application Disapproved for the following reasons
Permit No, g r 7S Date Issued 3 $�7G
No. Z5_ FEE /GD
THE COMMONWEALTH OF MASSACHUSETTS s
MASSACHUSETTS
�yvfirativu for Disposal *Vsttm &'nstfu r#tort Urrmit
Application is hereby made for a Permit to Construct (tor Repair( )an On-site Sewage Disposal System at:
J
Location Address or Lot No. Owner's Name,Address and Tel.No.
Z-07t 1'7S ('O'17_0/'J wcx)P 4_o4 P 0
1 P.o l0 3
v L� rhaSG, &e, M04 778— a7/8
Installer's Name,Ad ress,and Tel.No. Designer's Name,Address and Tel.No.
\lANOee. S..,� y (ouAEjc rtgANTS
!24Aj e o V 5i AMa`_rS7UrnS r>,111 S i► o Yd8-voss
Type of Building:
Dwelling No. of Bedrooms Garbage Grinder(09
Other Type of Building No. per Persons Showers( ) Cafeteria( _)
Other Fixtures ^
Design Flow g 3 16 gallons per day! Calculated daily flow 330 gallons. F
Plan, Date �" d �' 6 Number.of sheets Revision Date '
Titles u S� e /A A.), .!I• ry w,
1 � ti
Description of Soil 7 1 �ruvel c/-�'/d oojAse f.4 vfb,t6, ►��reL
.eTi SA1+46-v Au.eL t-cv i3kS �'- mt(b -to ccw.,rS2 c Au.> 4jo waver o
�re co, e S � , o
{ S` J'
Nature of Repairs or Alterations(Answer when applicable)
f� S-00 Srn`/T� Td1•yk n• uguX l. FlowI� l=r �SoRS •�F> ''k �l� rs 4�rS,n �S1C +�Syf �----
I
Date last inspeceqd
3
Agreement:
The undersigned agreds1to etfkgfe the or steG nand mairitenance of the aforedescribed on-site sewage.disposal
system in accordance with the provisions of Title 5 of the En me t-al Code and not to place the system in operation until a
Certificate of Compliance has �eng ssY�Zl,6y"this Bgard� f T e
Si �< Date -
�
Application Approved by � ' Date
Application Disapproved for'`h f llowing reasons"
Y
Permit No. 7s i Date Issued 3 4
' � t
THE COMMONWEALTH OF MASSACHUSETTS
l�c.X Ile i
- MASSACHUSETTS
r
Gertifirate of ompItttttre
THIS IS TO CERTIFY, that the On-site Sewage Disposal System installed �or repaired/replaced( ) on
for G'-A e- nt v 1-•0
at 161 1?5' 4 A AjQ' I has been constructed in
accordant wit the provisions of Title 5 and the for Disposal System Construction Permit No. dated
3��y 9{' Use of this system is conditioned 6 compliance with the provisions set forth below:
The issuance of this certificate shall not be construed as a guarantee that the system will function as designed. This
Certificate expires on
DATE Inspector
f
THE COMMONWEALTH OF MASSACHUSETTS
No. CA,/1nS MASSACHUSETTS FEE po
,visposal 'System QlonstruIrtton Permit
Permission is hereby granted to
C�2 ey
to construct(t.)-or repair( )an O.-site Sewage System located at
10' 1-2 5- cv�5` dots LA>J4
and as described in the,ab ve Application for Disposal System Construction Permit. The applicant recognizes his/her
duty to comply with Titl@ 5 and the following local provisions or special conditions. <'
All construction must be c mpleted within three years of the date below.
DATE (L""` - 9& Approved by
,FORM 1255 Rev.3/95 A.M.SULKIN CO.-BOSTON,MA
LH C. PLAN 20239 C
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TOP OF FOUNDATION
20' MIN.
COVERS MUST BE BROUGHT
10' MIN. TO WITHIN 6" OF FINISHED { 4" SCHEDULE 40 P. V.C.
GRADE MIN. PITCH 1/8 PER FT. 2"LA YER OF
96 CONCRETE CO VERS 1/8"-112" REQUIRED
CONCRETE CO VER 9 7 WASHED STONE 100
4'" CAST IRON PIPE 6" MAX
4AMIN
i i i i(OR EQUAL) MINIMUMPITCH 1/4 ' PER FT. CLEAN SANDFLOW LINEINVERT 11019 _ _MIN.E1.= 95_50 _ LEL ° °°° o a a ° oINVERT - °INVERT GAS BAFFLE a•=95.0 INVERT INVERT ° oa °° 92. 75
=_94: 75
1500 _ � DISTRIBUTION - INVERT 1
GAL_ONS EL.= 94.00
SEPTIC TANK BOX -
PLACE ON FIRM COMPACTED BASE, TO BE WATER TESTED
OR ON 6" OF STONE IF MORE THAN ONE OUTLET
PLACE ON 6" STONE FOIL BS'OI PT101
3/4" TO 1-1/
PROFILE 0 WASHED STONE Y�5,TT- (S-A S)
.. BOTTOM OF TEST HOLE ELEV. = 77.50
NOT TO SCALE SOIL LOG NO OBSERVED W4TER TABLE (4/7/J4) ELEV= 77 50_
tiVITNESSED BY: EDWARD BARRY (BOH)
SOIL TEST DONE BY JEFF RYTHER PE
PERCOLA TION RATE _2__ ,�fjjV/ I1VCH INSTALL 4 (FOUR) FLO WDIFFUSERS TVITH 4
OF STONE ON ALL SIDES.
GE'1VE'RAL 1V0 TES DATE 4_7_94 DA TE 4=7-94
TEST HOLE 1 TEST HOLE 2
1) ALL WORKII UNSHIP AND MATERIALS SHALL CONFORM TO D.E.P. _
TITLE 5 AND THE TO WN OF B_ARNS_T_ABLE_____ RULES AND EL. - 94.5 EL. =89.5
REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE
2) ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO 0' 0,
WITHIN 6" OF FINISHED GRADE. 1' TOP SOIL 1'T T P SOIL
3) ALL COMPO-NENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF
MED. SAND 2' SUB SOIL
WITHS'TA_VDI;VG H-10 LOADING UNLESS THEY ARE UNDER OR WITHIN 4' & GRAVEL MED.- SAND
COARSE SAND & GRAVEL DESIGN
ES TG `i T CA.
y T C T i T A T TO 7� S
10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE 5. 5 & GRAVEL 1 1 Al t��f� (�f�Ei j 1�l
USED U NDER OR WITHIN 10 FT. OF DRIVES OR PARKING AREAS. &E RA VE D 6 I&' :::] E RA NUMBER OF BEDROOMS 3
4) ANY MASO_V ARY UNITS USED TO BRING COVERS TO GRADE SHALL 7' W�'oBBLEs WOBBLES GARBAGE DISPOSAL NONE
BE MORTERED IN PLACE. 9' MED. SAND TOTAL ESTIMATED FLOW
I 5) NO DETER_LfI_-VA TION HAS BEEN MADE AS TO COMPLIANCE WITH & GRA VEL ( -11O GAL./BR./DAY x _3 BR.) 330 GAL/DA Y
"! DEEDED OR ZONING REGULATIONS. 0 WNER APPLICANT IS TO 11 ----
12' MED. TO MED. TO
OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY. COARSE 12 COARSE
6) UTILITIES SHOWN ARE APPROXIMATE ONLY, EXCA VA TION CONTRACTOR' , WHITE SAND WHITE SAND EXISTING SIZE OF SEPTIC TANK : 1500 GAL
IS TO CALL "DIG- SAFE" AT 1-800-322-4844 AT LEAST 72 HOURS DESIGN PERCOLATION RATE . . . . . < 2 MIN./IN.
PRIOR TO COMMENCING WORK ON SITE. NO WATER ENCOUNTERED
7) CONTRACTOR IS TO VERIFY GRADES AND ELEVATIONS AS WELL AS EFFLUENT LOADING RATE . . . . . . . 74 GALIDA Y/S.F.
SITE CONDITIONS PRIOR TO COMMENCING WORK ON SITE. LEACHING CAPACITY 346 , GAL/DA Y
8) PARCEL IS IN FLOOD ZONR "C' RESERVE LEACHING CAPACITY . 346 GAL/DAY
9) LOT IS SHOWN ON ASSESSORS MAP 250 AS PARCEL _ 158
((32x12)x. 74)+((32+32+12+12)x. 74xL)GE 2 of 2 JOB NUMBER 50890-_______