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HomeMy WebLinkAbout0097 GLENEAGLE DRIVE - Health 97 GLENEAGLE DR.,CENTERVILLE A=191.140 i I p �yll�llan/jA/ �RECYCtpp�o 2J yR` l/ll Nop2 153LOR ' bn.�oNs��� NAST1NG9. MM 'G1 ^T•� No........._�.✓?__r'1-... F@s.._... _ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH � A!S/ /.. OF........1309 IY..J-77o.!;G.6-...................... Appliraatinn for BhipasFal Workg Tontitrurtinn Vautit Application is hereby made for a Permit to Construct (k) or Repair, ( ) an Individual Sewage Disposal System at: .................................. ...................... ""---"................................. joTtion-Address,) or Lot No. Owner Address Installer Address Q Type of Building Size Lot_16_.j9_0___Sq. feet U Dwelling—No. of Bedrooms:...........................................Expansion Attic (. ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) A4 Other fixtures ________________________________ Q .. w W Design Flow.....___,&___O $.�7�iiL�Oi�7___________________________gallons per_cxsQn per day. Total daily flow.......... _ ....................gallons. WSeptic Tank—Liquid capacity/�O.gallons Length g-:_----�-_ Width__' �.!a��Diameter................ Depth.__s_"_'y..� x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------1----------- Diameter-_/_O_FT__ Depth below inlet_4._A.T..... Total leaching area.---Z6_7...sq. ft. Z Other Distribution box (X) Dosing tank ( ) 1-4 Percolation Test Results Performed by._fe jAr,____________________________________________________________ Date---_/5 - .__.____�..___.... 4 Test Pit No. 1...155�•_Z'•..minutes per inch Depth of Test Pit_1e_'y_.__.__ Depth to ground water--- Test Pit No. 2----L.Z'_._minutes per inch Depth of Test Pit../..'44/....... Depth to ground water________________________ - - ----- --- - Description of Soil ' ._._ -_.57-_._.WOQDiC.G /h�. ' ......... _•Je_aSO/. ............. V ._'_1 �._.� �'1R!✓-- lrt7?_SA!�lQ f----e-Z---------- .. 3. ---------"-""---""---"•-"-------"---- 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'T T_EE p 5 of the State Sanitary Code— The undersigne further agrees not to place the system in operation until a Certificate of Compliance has been issue by the board 4 Signed. L�r /----'�................ Date Application Approved BY � L -- Date Application Disapproved for e following reasons:-----"-"----"---------------""""----"-----------------------............................ -•-••---•--•--•...................•---•-•---•---•••-•----•________•••_________••••-•-•••-________________.__.. Date G Permit No............5--J-�"•-"1............................... Issued_""""S"....................621 •- Date .4� lky. -^ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .-/."-.0J^/!0!V...........OF......... ..................... Appliration for %ipwiFal Works Tomitrurtiott ramit fi . Y., Application is hereby made for a Permit to Construct �06 or Repair. ( ) an Individual Sewage Disposal System at: _.......,s�...t.'�-------7--.h-.. T--•---------- .................... ................................................ �F.�eSaC Loca n-Address .............. .. or _ tse� �O�vV..._. W f Owner,,,., Address .. /� �. Installer Address Type of Building Size LotIS._9_____ .....Sq. feet Dwelling—No. of Bedrooms............7.............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building ______________ No. of ersons___.__._____.______________. Showers — Cafeteria Ga YP g -------------- P � ) ( ) -- ' Q' Other fixtures ..................................... " --------------------------------------------------- --------------------•••----•-_------------ ` W Design Flow..........1�U.........................gallons per_,persea per day. Total daily flow..._._._..__Z_2-A...................gallons. W Septic Tank ;L Liquid cap4cit'vAOD.�_gallons Length_-8=_�t_�Width_ 7',/ Diameter________________ Depth.... x Disposal Trench—No .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------J----------- Diameter../O:fT___ Depth below inlet_.<?.._F _._. Total leaching area_._ZG_7..sq. ft. i Z Other Distribution box (X) Dosing tank ( ) Percolation Test Results Performed by .................................................... Date.__¢/Z G/�__ _.__.. Test Pit No. I.....ji;;1---minutes per inch Depth of Test Pit... Depth to ground water......................... Li, Test Pit No. 2.....G_1__minutesper inch Depth of Test Pit__.10.!!F4''___ Depth to ground water...___..--........... . ----------------------------•-------••-•----------......•--------......--------------------•-----------------------------------_---- Descrl�tion of Soil. �WA_�P,P>:.O..ta!P'�y - �� .os�p7 .........................7 f os S O � Z ` •----•--------•--- UW Nature of Repairs or Alterations—Answer when applicable P -------------- --------------------------------------------------------------------------- Agreement: The undersigned agrees to install the.aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTTLE, p 5 of the State Sanitary Code— The undersi d <ur :er agrees not to place the system in operation until a Certificate of Compliance has been is5ded b the boa/j/of th. Signed........= - -----•--------•------------- .._��-----'--•------------------------ - ApplicationApproved By ` ...............................................--....................................... Date Application Disapproved for the following reasons:-..............................................................................--••-•-•-•-------•--•--------_... � --------------•------......-----•--•-------- c •. •• ---------- ---...-•--------•------•-----..._ � Date ' Permit No. =----- Issued .............................................. ----=------ Date �" ^ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF. .:r............ Trrtifiratr of TootpliFattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by-•----•-------------------•--•----..._.............••-•--•--••----------------•------------•••--•----••--•-•-•-•-----•----....------------------•--........................_....•------...._....._ s q1 . ; �", "7" Installer at-----•-•--••--•-�-. ' --" ------------•---------•-------•--------------------------------------------------------------------------------------------------------------- -------•-- has been i'fsEled ia'ccordance the pr 4_4 of T 'IF of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NtaA&CONST AS A G NVEENHAT THE SYSTEM WILL FU TI( N SATISFACTORY. ............. DATE ! / Inspector ---------- ----- .{. Y ...................•••---- P -•--- T ....................... WE COMMONWEALTH tW MASSACHUSETTS (�A9///]/ BOARD OF ,HEALTH" 1 Aar,�y�•-•NT Y lt• ...........OF No._--------"3 , FEE........................ Romooal �o ,t tott rrntit Permission is hereby granted...................... --••• --••------•-----•- -----•• --•-••--•---••-•••-••-----•- ........................................... to Construct ( �) r Repb*r7( ) an�n kidual Se isposalr SS', at No. �T / '�` ----------- .a ---.._. ---- ------ 1.u' •„tr y:*•Stree � as shown on the application for Disposal `'Forks Construction Permit No............ Dar ---------'I Board of — a X :- DATE............... 1 ,. ZOO FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS'-r.4,� ' y - w!rri)MNn".rW ..o✓ .C..:...v'A.vu✓- . LOCATION SEWAGE PERMIT NO. ,Zvt Y7 ,PhPc?S P. VILLAGE Z INST LLER'S NAME 6 ADDRESS B U I L D E R OR OWN ER. ��/'�/� it� �L �\ PU Cam , t'� • DATE PERMIT ISSUED D-ATE COMPLIANCE ISSUED �/_7 i r _-- �► ����, ��� *t7."a��"'1 _.•� _. f �.: - ..•. 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(J F &6i#J So-ri StnA cc 775-9'77X SEPTIC TANK CAPACITY _600 LEACHING FACILITY: (type). 3 D Q—Y W d(S (size) 2 X 1 y -g ��, NO.OF BEDROOMS 2 f- —n14 BUILDER OR OWNER t�eP Yam . ✓ 3�� PERMIT DATE: J COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet o eac//hing facility) Feet Furnished by fee t + f,yi '.y EcK .,. e A r aokC k� V c HovSF ~ l 0 CA .ION � / SEWAGE PERMIT NO. �T VILLAC�, J I N S T A LL R'S NAME i ADDRESS e U I L D E R OR OWNER - ry 2. T - DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ;.. ` 7� i� f TOWN OF BARNSTABLE LOCATION 97 6:kW-19 SEWAGE # _�9'o�7� VILLAGE CF N[L F<Z V� C— ASSESSOR'S MAP & LOTI +/ / ,' INSTALLER'S NAME&PHONE NO. tJM_E . ao 6,J V aJ . 6 775-f 776 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) 3 D 2V w C- S (size) a7 X I L NO.OF BEDROOMS 2 +� BUILDER OR OWNER .YJ' }<° PERMTTDATE: 3 COMPLIANCE DATE:,1cj'i Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet oQeaching facility) Feet Furnished O a e No. Fee�— THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MAS ACHUSETTS Zippricatton for Migonf *p5tem Cow5tructiou Perron Application for a Permit to Construct( )Repair4 )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components Location Address or Lot No. Owner's Name,Address and Tel.No. 97 Gleneagle Dr . , Centerville ,MA Joe Hennessey Asses r' Map�ar MI amg.,,Ad�ress and Tel. Designer's Name,Address and Tel.No. m. t{Ob1 Son 'eptic Service PO Box 1089, Centerville ,MA Type of Building: Dwelling No.of Bedrooms 4 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil sap Nature of Repairs or Alterations(Answer when applicable) new Title-5 leach system Consisting of a D-box and. 3 leach chambers . Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B and f Health. Sign Date Application Approved byt:ZftDate Application Disapprove or the following reason -- Permit No. -- -�' -- -- --- -- Date Issued ---- ------ -- - —J No. Fee $50 THE COMMONWEALTH OF MASSACHUSETTS 4 Wintered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS 01pprication for Construction Permit Application for a Pen-nit to Construct( )Repair: )Upgrade( )Abandon( �) ElComplete System El Components rm Location Address or Lot No. Owner's Name,Address and Tel.No. 97 Gleneagle Dr. , Centerville,MA ,Toe Hennessey Assessor's Map/Parcel :taller' am A ress and Tel. Designer's Name,Address and Tel.No. m._ '. toiz�son peptic Service f PO Box 1089, Centervil&e,MA 77518776 Type of Building: Dwelling No.of Bedrooms 4 Lot Size x sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description,of Soil Samd Nature of Repairs or Alterations(Answer when applicable) new Title-5 leach system Consisting of a D-box and. 3 IeaCh cam ers . Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued by this B and f Health. Sign ' Date r7 97 Application Approved by Date Application Disapprove or the following reason Permit No. Date Issued ----------------------- THE COMMONWEALTH OF MASSACHUSETTS % Hennessey BARNSTABLE, MASSACHUSETTS t _3 Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(x )Upgr-30 aded( ) Abandoned( )by Wm. E . Robinson Septic Service at 97 Gleneagle Dr. , en ervi e , M Iq h s ben constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.V �'' ated InstallertnTm. F . Robinson Sr. Designer The issuance o his permit shall no bye construed as a guarantee that the sy to ,/i1�function as de fined. Date ''� Inspector ti ---- T— — - . ' No. ,�� � -------------------------Fee $50 THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Hennessey izpooat 6pgtem Construction Permit Permission is hereby grgxttGdleneage( Repair�(etLg> �el(le),Ab,�r�don( ) System located at y and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided: ConstruVin,,Mus, b c pleted within three years of the date of is ermit. 7 O G Date: ' Approved by '��� 6 ell NOTICE: This Form Is To Be Used For The Repair Of Failed Septic Systems Only. /7/--.;- / 0 1 CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT ENGINEERED PLANS) I, William E. Robinson, Sr. ,hereby certify that the application for disposal works construction permit signed by me dated '� g concerning the property located at 97 Gleneagle Dr. , Centerville, MA meets all of the following criteria- * There are no wetlands within 100 feet.of the proposed leaching facility. * There are no private wells within 150 feet of the proposed septic system. * There is.no increase in flow and/or change in use proposed. * There are no variances requested or needed. * If the proposed leaching facility will be located with 250 feet of any wetlands,the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation_ Please complete the following: A)Top of Ground Elevation(according to.the Engineering Division G.I.S. map) B)Observed Groundwater Table Evaluation(according to Health Division well map) 30 i. SIGNED: �� , t - DATE 3 I j LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 60 (Attach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submitted). a ► l (j a c !L J-? O � LOCATION �ee1�c�� SEWAGE PERMIT NO. VILLAGE A� 1 1 r INSTALLER'S NAME i ADDRESS e �S'A b 4�o R U I L D E R OR OWN Eflt �r� f T-IfR C)eC'� DATE PERMIT ISSUED 6 _7-5 DATE COMPLIANCE ISSUED / t O : 0/1 o 1 s A ,- THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH W .........O F......... ,q�Z n/ ' }l'G ------------------------ Appluratiun for Disposal Works Tonstrurtiun antic Application is hereby made for a Permit to Construct (t-j or Repair ( ) an Individual Sewage Disposal System at: _ C&;�rr�V/e-G� Zo 7- _ f • Location Address............................................ ........•--......------------------•------or Lot No.---•----...---...-•- ......•-- ,7o_.4 c/ 72Z�ev co 3vx 5-77 Gov-��5 a/ '_...A—sS- ----•-•-------•------•- -•--- ..................•------------._.... ....--------•••--......... --- --•---- -- Owner Address.- l a .......................... -------- ..... Installer Address `� g d Type of Building Size Lot......,._.`1______________Sq. feet Dwelling—No. of Bedrooms............3............................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type T e of Building No. of persons............................ Showers — Cafeteria a YP g P ( ) ( ) fs, Other fixtures -----•----------•-------•--------------------- W Design Flow............... .....................gallons per person per day. Total daily flow.......... .o.....................gallons. WSeptic Tank—Liquid capacity.!�oo.gallons Length__�"6 Width-_- Diameter________________ Depth.,5-'8""_. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......../---------- Diameter.._... Depth below inlet.....G............ Total leaching area...Z�67.....sq. ft. z Other Distribution box ( ) Dosing tank ( ) _ Percolation Test Results Performed by.... 1M ..__�r... � _._.._.__.__ Date_ �_.. .11�5..__. aTest Pit No. 1....G__?._minutes per inch Depth of Test Pit___ Depth to ground water_._._.--............. 44 Test Pit No. 2...G..Z-._minutes per inch Depth of Test Pit___ ...._.. Depth to ground water______ ______________ tx ---------J...•••-•-••-•-•--•-•••............................•--_............................................................. O Description of Soil-----a Z¢"_ l�✓a GoLl'�-1.--..Sc'�-So!e-----------Z` '�=�4 " Go4i?-66- 'S`j�`' U ..................... ���G�---------------------------------------------------•-•----•=•--•--•-------------..._.....--------•----------•---------•----•---..........-----•-•------------- W U Nature of Repairs or Alterations—Answer when applicable______________________________•---___-._____._-____----___-__---_-----------------•----..-----. ---•-- ----.._...-•----------•-•--...--••--••--•.......................•----•-•-------------------------......•-•--••--•--•----•-•••------•-------................... -- Agreement The C'n a agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the prow s of iIT111 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operat' n til a Certificate of Compliance has been issued by the board of health. Signed...................................................................................... .......................... Date Application Approved B .. `Y!'-: -._— �y�. ' Date Application Disapproved for the following reasons----------------•-----•-•-----------------------------------------------------------------------------........._ -------••-----------------------------------•---••--•----••-••---------•-•-------------................---••-----•---.....•••--•••-•------•----••••------------•-•-••----•-----•--------•---•--•--....._ Date Permit No.......... 5................................... Issued....................................................... Date No. J_.�--''`1'7` Fr,$... �............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................................................... Appfirtt#iou for Disposal Works Toustrurtiou Uprrutit Application is hereby made for a Permit to Construct (c./) or Repair ( ) an Individual Sewage Disposal System at: - ....... ..__......_................................. - ... ------•--- .......- Location-Address or Lot No. tdAv T!1<+3u ` ?�° -5`f�/ ¢ �s�//Sf7al2jj �16155: ...•. •-•-••••••...... •---- ........ .... Owner Address" W M Installer Address � -------a� Type of Building Size Lot---`--- - -----------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 (---->- dOther fixtures ......................................................---------------•---------------------•-------------••-.......-- - W Design Flow............... -3�__-__._.__________.__gallons per person per day. Total daily flow..........=?:`....._...........--....gallons. WSeptic Tank—Liquid capacity�!'9o..gallons Length.�_�_"..... Width._4:�-_.,/__ Diameter________________ Depth:�__W—/Z.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------/........... Diameter.....1o......... Depth below inlet....A............ Total leaching area.-�.�7......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by... ^-fir -----*..•.:.. �/............... Date_ :�G.__5..................... Test Pit No. I....�...Z___minutes per inch Depth of Test Pit... Depth to ground water----- "a'_____________ (il Test Pit No. 2--- __....minutes per inch Depth of Test Pit... ..... Depth to ground water........................ Description of Soil...... ........................—/4r� V ............................. 4= „-----------•--•-----------•-••---•------•----------------------•------------------•---------------•------------•------------•--•--------------•----.....-•-•--. 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 TIT LE 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 board of health. Signed...................................................................................... .......................... ate Application Approved --Y-- Date Application Disapproved for the following reasons:................................................................................................................ ..........................•-•----••-•------------.....---------•-•---.....-•---------------••-------...----------------...-•-----------------•-------------------------------------------...-----•--•••- Date Permit No...._....�_.. ' �l S7 Issued Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... ��..................OF.......... ......f .....�:...:.... T r#ifiratr of Toutpliattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (4o<or Repaired ( ) by-•-----..---4 0 •-----•-•--9----•-----------------/ --- .-G---�.------ ------:^-----------r_----,-------�-----;-1.-.------------------------------------•--------------------- L �r 1 vt c— WJ1 J1 tQ at ---.--•—----------------•----•----------------•••••••--• -------------------------------------------------------------•--•-----------------------------......----------------- has been installed in accordance with the provisions of TIT `�Of 'The State Sanitary CO �gsc�ed in the application for Disposal Works Construction Permit No..___._._.:...._..__�_.!__............____ dated......................s._..__........_.__..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST UE® AS A GUARANTPE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. IDZ0 sDATE........................ ••.... Inspector---------•--•- ........ �g _... .......................................................... THE COMMONWEALTH OF MASSACHUSETTS •..w .�._��_ BOARD OF HEALTH .............OF......f /t'J�,r✓�:T% C�3�� c 1 No..... `rf FEE........................ �'1 Disposal Wor Ton rtir ' n rruti Permission is hereby.granted = -------------------------------•---•-- ...... ------- to Constr ct (I.,oT fI Repa r ( ) Indiv„ydual. Sewage So( al,�Sy�ttn t ✓c 1 1 Street 'i5 as shown on the application for Disposal Works Construction Permit ____._-_/-----_I_/Jbated... ................................ .......................................... ............................................................« 'Board of Health DATE-------- '" -------- / -- FORM 1255 A. M. SULKIN, INC., BOSTON �.I n I 1� I Ld T /a � CA 49 44-0 --, yi p�Posc-� IFIV d 4q' zo' ` As P 0o DUST. 50140 pQoPOS�-b v BoxI 00 W47M -laW/C F Sep"-- �� IGowaver \\ v 1 18" IN 17/, z 1 Lor 6,8 Al EZEVA7`70NS Qsrs�n O/1/ S/TC PL•4r/ LACATION C'CTcrZl!!GGG J• SCALE ..=30. . . . DATE AvG: 8 /�8vr PLAN REFERENCE OF o DI ARD .yG� i E KELLEY N ' N A. 261 LAG tc TEa�` `� I CERTIFY THAT THE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF . . . . WHEN CONSTRUCTED. DATE . . . . ... . . . .. . .�Li�v 77Zg8UCC0 - R4W7-10 Ve7Z REGISTERED LAND SURVEYOR y L. TOP OF.FOUNDATION — CONCRETE COVER CONCRETE COVERS 4 CAST IRON 2"MAX. r 12"MAX. • OR SCHEDULE 48 4"SCHEDULE 40 PV.C.(ONLY) P.V.C. PIPE PIPE - MIN. LEACH PITCH 1/4"PER. PITCH 1/4"PER.FT. PIT PRECAST LEACHING o' INVERT `•e EL. `f? ... INVERT INVERT P �•e PIT OR SEPTIC TANK 4C 83 DIST. EQUIV. e INVERT BOX H- a; �000• •••• GAL. (NV,ERT INVERT-A �O' w w .,If 3/4"TO I V2• ;.� EL...:7 .. EL44;3o �� �: WASHED w .�'• STONE D IA. --1-I c�cto�..rea PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE P- �8zz SOIL LOG WITNESSED BY : DATE !9!e4•.f/��TIME.��-ov Ar7 .T 74- �, CoN�o�/ , BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ENGINEER ELEV. . •�� . . . ELEV. . "/� . . �•/�DlAgr/ WooDCo y"t7 DESIGN DATA : NUMBER OF BEDROOMS 3. . . . . . . . . . TOTAL ESTIMATED FLOW . , 33o GALLONS/DAY eoq nS� CaARa�� BOTTOM LEACHING AREA ?B: -f . . SO.FT. /PITIG.P.D. SA�vD S � SIDE LEACHING AREA . . .188'.-0. . . SO.FT./ PIT/47/ C.P.D. GARBAGE DISPOSAL (50% AREA INCREASE) OIL TOTAL LEACHING AREA Z 7 SO.FT H PERCOLATION RATE 15 �. MIN/INCH LEACHING AREA PER PERCOLATION RATE ��... SQ.FT/G.P.D. No WATER ENCOUNTERED NUMBER OF LEACHING PITS . .o^�C ?iT �i✓/7 APPROVED . . . . . . . . . . : BOARD OF HEALTH ° /L ?`T o� STDN� o.V fILG S/DES. DATE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AGENT OR INSPECTOR `AN or ON �tt o�� LoT .te9 g" •E. ii KELLEY H A 6w e�I6 L L �/Z/V� No. 26100 84 A PETITIONER : T �• •T/Z�J13cJCC O