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Home My WebLink About0045 DOLAR DAVIS ROAD - Health 45 DolatDavis Road A= 171 -215 Centerville e No. 42101/3 ORA 10% ` ( _ �_. o No.---•.......� .� F�$............... � I ,7 I ,2/sTHE COMMONWEALTH OF MASSACHUSETTS F HEALTH . . Appliration for Disposal Works C onstrurtion 1hrutit Application is hereby made for a Permit to Construct or Repair an Individual 0 pp , y V p ( ) Sewage Disposal System at �D ��}-Y— ��.j s a Location-Address or LQt No. .T'-1 3- ....q` .......sri-i.!!A...•...tA..Sq.......................... O,+wne;, / � Address ........Y�4_,�4....�L- _Installer Address dType of Building Size Lot..!_�?fee>1---------Sq. feet U Dwelling—No. of Bedrooms............>.-•••••-•--•• .Expansion Attic ( ) Garbage Grinder Other—Type T e of Building No. of persons............................ Showers — YP g ---------------•------------ P ( ) Cafeteria ( ) a' Other fixtures ...--------•---. ---•• - W Design Flow...........52,.!, ......... ..........gallons per person per day. Total daily flow........�.1.-.- !2.................gallons.. WSeptic Tank—Liquid capacity. allons Length.............•.. Width................ Diameter................ Depth:............... x Disposal Trench—No ____________________ Width.................... Total Length........_......... Total leaching area.......,...1...��......_sq. ft. Seepage Pit No...........T iameter.......�.Z__..... Depth below inlet.....45....... Total leaching areac�,l....sq. ft. Z Other Distribution box ( ✓ Dosing tank ( ) Percolation Test Results Performed byir3. :R .�.� .. !- ..� ........... Date......._�.I!..�. ........ t•__ - a Test Pit No. 1-__-- -_--....minutes per inch Depth of Test Plt___-_L-4_..._.. Depth to ground water.._....____--..._.._. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ---•------------------ ----------------- . Description of Soil....................................�� g ----- ��- - F............. ---- . x . W •--------- ' ----------•---•-------•-- x ------------------------------------------------------- ......................................--•••---•--••-•-•--------•-----•------•-••-•••-------••••••---••••••---•--•--••--•-•--•••-•---••------... 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— Th undersigned further agrees not to place the system in operation until Certificate of Compli nce has b n ' e b board of health. Q -gApplication App oved ...------•-_--•-• --......... --- • • . ---_ ... ---� ....� ...................•------- to Application Disapproved for the f o to ing reasons:_...--•----------------------------------------------------•-•-•--•----------••--........... .................. ..............................................................-•--•.....-•--•••._...•---•----...........--••-•-••-•-----••............ •--•-.....--••-•-•••-••••-•----•----•---------••••....._----•- Date PermitNo........... ------------- Issued........................................................ Date/ y No........................ FEB............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF....................................... :::!I 3. >r e�f _c ..................... Applira#ion for Disposal Works Toustrurtiuu rautit Application is hereby made for a Permit to Construct ( Vor Repair ( ) an Individual Sewage Disposal S stem at: ............... ... .....1 .............---------......-••---•--,--...1:2 --------------.......-----=------------ -----------------.....----.....---•-••-------- _ Location-Address or Lot No. ......................... Owners .- ddress -^...... ... Installer Address Type of Building4 ��v .. Sq. feet Size Lot-----•-•--=-------------- DwellinNo. of Bedrooms____________ g— __ -_----_---_-----_-•_Expansion Attic ( ) Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures -------------•-----------------•-------•----------•---.---•-------•- Design Flow.............-`_ _______...._______gallons per person per day. Total daily flow__._......__ .............................. gallons. W -F, P P P Y• Y WSeptic Tank—Liquid capacity_._ — allons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. ._._••••--_____-•-. Width_i. ._`_.__...___ Total Length_____________ Total leaching area_______.________.._sq. ft. •- Seepage Pit No_____________ _______ lameter........___.._...... Depth below inlet.......4.�___... Total leaching area._��..sq. ft. Z Other Distribution box ( � Dosing tank ( ) / 1 �( aPercolation Test Result Performed by._ 1 , (z`.�_!�. _. _•a -•.--•••_•_ Date...._......._l._... `'#'__.._. 04 Test Pit No. I.......... _._minutes per inch Depth of Test Pit...... _ :_.__.__ Depth to ground water-------....""........ 0-4 1L, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •---------------------------------------• .......••-- --------..._-•--..................................................... D Description of Soil................. -- 3 S 1 -ez --•----•-•••.....---••-•-•-•--•-••-....-•-----•••--�...:n...) -`-------M. �: .4 !'� r� ' �'J ................................................. W x --•-••-•---•------------•----•-•-------••--•------•----•••-•--------•---•••••---•-•.••---•••••----••-----•---•----------••-----•------••------••----•••-•••••-----••••----••••-•-•-••-•-•--...--•-•----- 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 TIT - 5 of the State Sanitary Code— The ndersigned further agrees not to place the system in operation untir`a. Certificate of Complia ce has be i d y oard of health. igned........K ••--•---•• - Application Appr ved B / .... ....& '�. .... ..---•-•-------•--•------- ----- D e Application Disapproved for the f ollo ng reasons-.................... .............................................................................�� a Date Permit.No.............. -' = .......... - Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ;, ..........................................OF.... : ........ J..�.l............... ............................. Currfifiratr of Tuut#ftaurr TH,ISf IS OTIFY, That the Individual Sewage Disposal System constructed ( r Rlepaired ( ) by - =: 7_7 --------------- -------- yam. jq ,-jam' ''`� ,�s� 'S, �r�7 ,�*�' ...................................... ins at ! •, " f 1' 1 .._..._� jt d.:_ e7C ``' -- '+- f has been installed in accordance with the provisions of TITIE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.....S�: �:C� •--••-•.•• dated------------ _. . _-:.---•:. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UE® AS UARA TEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. .•-_�--�_._...�'.-�.............................. Inspector..._.__....---•--- THE COMMONWEALTH OF M,�SSACHUS TTS BOAR F HEALTH . '°ate:.: ........OF....,,F. .. : -/.•. .�- :.......... (�No. � ... FEE....... ....:......... �r Permission is hereby granted_____, 1 -% :-_...:jf :5��!%__j � ........................................... to Construct Repair �� ) an IngividuaJ Sewage Dis osal System at No. ---------------_--r 1 :.1"` - Z ..._......---•- Street .l as shown on the application for Disposal Works Construction Permit No.__.;_Sd ated_._____�_�"z�--7:�........ � � Boar of Heth�: .- ' 3 . � DATE . --' E FC:RM 12" -HOBBS & WARREN, INC., PUBLISHERS R SITE PLAN SHEET I of 2 SCALE: 1" zo' . II 20 ais pox o ° S 9 I 0,7, 1 6 Ixg I �\ MLLAU yu 3 WA M. N _ No. 19"1 AfGISTE�`�� REGISTERED LAND SiIRVEYOR FOR-A- L r--Na ZONE G�F•1't' �/11..1� �- AA PLAN REF. DATE BENCH MARK DATUM WM. M. WA RW/CK a ASSOC., INC. DOMESTIC WATER SOURCE 1'v l�Q w n.-r r-- BOX 801 - NORTH FA L MOUTH FLOOD ZONE. N o - A,1Z b G MASS. 02556 - (6/7) 563 -2638 LEACHING QASIN SECTION NOT TO SCALE shee e f Z 24"C.1.MH COVER EARTH F/L L BRICK AND MORTAR COURSES AS REO'D• TO BRING 4. _ _ COVER TO GRADE 4__ 8'FLOW LINE l I INL 2 ET 1_ _ __ __ ii i' '- 'TO WASHED PEA STONE FREE OF IRONS, P/PE FINES AND DUST IN PLACE OPENING WITH 4%8" 114 TO I/p WASHED CRUSHED STONE FREE OF } ��„ ' OUTER DIAMETER IRONS, FINES AND OUST /N PLACE AND 1314„INS/DE " DIAMETER 1. CONCRETE TO BE 4000 PSI 28 DAYS 1 : 2. REINFORCED WITH 6%6° NO. 6 GA. W.W.M. 3. 2'AND 4' SECTIONS ARE AVAILABLE FOR I GREATER DEPTH REQUIREMENTS I ao" t� 3-- 6'0" I 31—� 4. NUMBER OF PITS REQUIRED Pkl� I MIN. I IZ NOTE: EXCAVATE TO ELEVATION OR EFFECTIVE DIAMETER I (NOT To EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL — — WATER TABLE LOAM AND CLAY BENEATH PIT. REPLACE I EXCAVATED MATERIAL WITH CLEAN i TYP/CAL PROFILE GRAVEL TO DESIGNED GRADE. 1 —18"STD LT. WGT. C.I. MH COVER 4"C.I.PIPE' 4"BI T.FIBER PIPE T/GNT ✓DINT OUTLET LEVEL j DWELLING _s LOW LINE _ p TO FIRST ✓DINT - /4 O0 1 IO�Op 1 1 0 C I. TEE '- p 0 O I O 0. 1 1 1 `�-' 1 `' �j•Z(s .'STD. PRECAST CONC. �D/ST. BOX TO BE 1 1 0 0 0 00 1 1 :I AaGAL.SEPTIC TANK. INSTALLED ON LEVEL I I 1 0 00 0 0 0 1 I I f STABLE BASE I '1 0 0 0 03 P 0 0 8.. III O 011 � 1 \SEPT/C TANK TO•BE 11 1 000 O 0 1 1 I I` INSTALLED ON LEKtL, 1 11 100100 1 1 i STABLE BASE. r 1 100 I 0 0 1 1 � I LEACHING BASIN , I 1 ?0Q 0 0 0 0 1 i , BASE TO BE LEVEL i 1 1 0 O I O 0 1 it SOIL AND PERC. DATA �Z TEST PIT NO. P370, j TEST PIT NO. 2 .�PERC. RATE MIN. /IN. 0" TEST BY: WITNESSED. BY b� ry 17 t.tzA.v r.L TEST PIT GR. EL. 1 ' M r-_ v 1 vAA DATE: l I a I.S D 6LI ev 12, g fQ0 Gc you D W A-�EIZ DESIGN DATA GENERAL NOTES BEDROOMS 3 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL lVo SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD EST. TOTAL DAILY EFFL3�GPD. PRECAST REINFORCED CONCRETE UNITS. SEPTIC' TANK l000 GAL. . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, SIDEWALL AREA"'; GAL./SQ.FT. MINIMUM REQUIREMENTS FOR THE . SUBSURFACE DISPOSAL OF BOTTOM AREA 0' GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY 1 , 1977. LEACHING .REQUIREDZC20 SQ..FT. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ACTUAL LEACHING AREA OF HEALTH. Z�SQ.FT. ....AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES I/4" / FT. UNLESS INDICATED OTHERWISE, -0 F fl SEWAGE DISPOSAL . .� P SOS L .SYSTEM MARTIN y� (✓'rGL_ .:` E. V1 FOR' .p MORAN f23 17 fs`�IONA4 E�� - a� SCALE AS INDICATED DATE- • WM. M. WARWICK 8 ASSOC., INC. 8OX 801 - NORTH FAL MOl/TH ` MASS. 02556 - (617I 563 -26.38 PROFESSIONAL EN61NEER LP J. Gillis Inc.uality Building & Remodeling JRox 650•Marstons Mills, MA 02648j.gillisinc@comcast.net Gillis Cell:508-280-4881 I ++ 2-0 ° � , �-I 109.49' 3 DQLAV_ ~ ~DAV116 QDAb V��Q./�vr 1 f__• 9 Y)`�-_ ..giiv •,��ir'D 0:I41 OF �g��• PA`IFalir� :�j v�au—flGtf�tY � ii � e g �4�+a!P�j `' f^�`^:f ear�•. r � ° /fir, 19f0 LOCATION SEWAGE PERMIT NO. VILLAGE - 1 � ce INSTA LLER'S NAME ADDRESS V +� B U I L D E R 0R l9 OWN ER \. 4 ��' DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ze 6 34 Fr1GC e/ r 3�