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HomeMy WebLinkAbout0001 HENRY F LORING ROAD - Health 1 HENRY F LORING ROAD Centerville A= 172 -214 SM EA KEEPING YOU ORGANIZED No. 12534 2-15BLOR ��� Posr�oHsu�® umwtm GET OGGAM AT SIOMM �I_Y - � BCQQ00M 22 0 -� F A M V J l9 •,.y ?AQESAG� (�WNDE2 � r FL ow Ilv x 3 = 33oG.Pp Ic -rA*jK = 330x15o0/. = 1495G,R u5G- loon GAL. " � o of DSAL i t AGYfAIL AR GA - 1 jo S.G Liy� &Xf l Awll" . BOTTOM 0 5•F, �„ moo/' a 5,P x 1 o = 5 7 II -T oT A L pA t = 33o G: • I TA Y FL-ov( PD TA!JN �C.oL-ATIo*I RATE I'�IN 2MIN o�LE55 y 1 �,, lb -�l'� .�.. , 1H OF j4()4 AWG /1 IOo O�1 ESvLo 0, Q o. 251ISTV ON L E� 1 Go -co P FND=e-/ 5Cl _ Y� loovLvA INv• Bcl85O�(, DIST. INS CAL. 57,8 Box �7 SEPTIG Z (OOo j1�� /f 7r•L TANK CaAQ15E (�p�, I SA,1n 57,0 \ LC A. INV. 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YJ IAI C.00w SGHED LILE j�No A""t-.C:.._t_.OG A�-.:'T"Owt.l G_OOE.�/. Z. A�..t_.OIMClJ�/IptJ�/. SNA�.I._ ('-�E VFRIF�E7]B-Y:"fHE.OWNFAy QVAQ--rjt-A6 SIZE. P,CUCgk1.OPNC� GA-rALOC� 11t•1M�r-�'i r +nA �EM,A.F�KS THE ST .S' of c.aws�j'To•,UC^s'1Ol,I 'LI"'/v I--t Va k �1--'4-'/g At:Ic�EP�SE+.l 'tw 2.44,�. .._ 23 Tw 24 3Co 30: G - 3 2!o"k. 2?yp�. 'L-8 x 2-Y) ANDEPy�`sl•j A x, 281 � "T °o F''C2�-0""� PFSDFO_ ESQ .4SErricM To.TFS_ S-0ti x 5S14 cu 335 30 1 _t C Etch; . F .L Grit!Af3oAt F 1 44-At,Q-4.0(o 4-4'/4 50 Co - GEh6TES� v1 a�lx,.N1A`/SA�yyu.4.Cf1lj AI:QTE`J'_ _ S�'GTrOP�t i 5 Gc•C�.6 U t_.�`i .. :!i 4-oo qps R.cP 760 -7- LOCATION SEWAGE PERMIT NO. VILLAGE INS A LLER'S NAME i ADD ESS d UI DE R OR OWNER F i DATE PERMIT ISSUED � 3 DATE COMPLIANCE ISSUED �z ` O 1 . { � a LOCATION SEWAGE PERMIT NO. VILLAGE INS A LLER'S NAME & ADD ESS S U 1 D E R OR OWN ER a DATE PERMIT ISSUED 3 DATE COMPLIANCE ISSUED O �S �S 01'- N o...S I?.`tta FES..... ...�`.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H ALT'H ,.. Appliration fur Digpaaal Works . ott.strurtivit Frrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: ` - ........ Y... ..: .. A...�lt�� �� - '�:i--lam'.......... ....... •�Location-Address y or Lot No. ..........J.S , Q__LA. ----- ./.----•............... ..-..................-........................ Owner Address :..........l�.A ....... .f i1Za!'la .. -----------------------------------------------------•-----------s.••---•....------- --..._ Installer Address Type of Building Size Lot_2-.J_ 8..Sq. feet ., Dwelling—No. of Bedrooms............. _........................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ______.__. .......... No. of persons............................ Showers ( )�— Cafeteria ( ) a :z Other fixtures Qr0o�;,c ,....... Design Flow__....__.�_1. _______________________gallons per pawi®aa►per day. Total d4ilyt flow.._...._..__.� .___.___._..._Olon. Septic Tank—Liquid capacitA0.6. -gallons Length_l.___f,©..... Width: d4_... Diameter________________ Depth'___-Ci.. x Disposal Trench—No.................... Width.................... Total Length.._A__-.l__�,_..__._ Total leaching area.......__.... .....sq. ft. 3 Seepage Pit No..........�-_-____._. Iameter_.._.....1_�._. Depth below inlet""1'_ ....... Total leaching area ..sq. ft. Z Other Distribution box (' Donn tank ( ) �� D Percolation Test Results Performed by.. ./"�_ le.. _... Date................. a Test Pit No. l__.� inutes per inch Depthr4of Tes Pit....1_-5D-(ra._.it Depth to ground water c...-_. 44 Test Pit No. 2................minutes per inch Depth of Test Pit...... Depth to ground water.. ��� 9 ...................... .. ........................ l� ........................... O Description of Soil..':X ..L(� - ft _ __'_ :.-• l._..``..---:--- -.- lcaQ . L,vPt' 5-------- --- oz :..( •, -- yE Z.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 LITL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation u14 a Certiti to iance has ued by board of health. ,,�� _�'& `V�lI r Signed. / l' .... •. te r:...... :.......:........ lQ/J ' Dat A plication Approved By--------------=---- ----•-----.. .. --- •-••-•-- ..... Dat Application Disapproved for the follo i g reasons_________________________________________________________________________________________________________________ cc---•---....---•-..._...••. -•.._._.....•••-•...................--•------•------••-•---•--..._..._.._._..---.._......_..-------------...----••--•-----........ Date Permit No.........F.S - '..................... Issued-....................................................- --• _ Date FFjc 9 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �'� ,���1trtt#tlattr flan �t�nn�ttl nrk� Cnlatt�tr�tr#iun �rrmi# Application is hereby made for a Permit to Construct ( or ,Repair ( ) an IIndividual Sewage Disposal Systetn at ......... � ... :?a.-----� 30 I .....- 1...a .'...---. .`-' 4 �—` V - ..- ............ ..._,... Location•Address ,� or Lot No. W Owner Address �t+1 -.-,.PVA.Y.r V' . .............................................. Installer Address Type of Building Size Lot _1.. ..Sq. feet Dwelling—No. of Bedrooms...._._.....''"--.........................Expansion Attic ( ) Garbage Grinder ( ) pa Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ........... ......................................................... W Design Flow.........A_ e"7n........... gallons per person-per day. Total daily flow......... "`'' ..............gallons. W Septic Tank—Liquid ca acit �tabe allons Len"Length.. 4'". y li e u q p y _g g _. Width-.��-_... Diameter................ Depth__l�.. x Disposal Trench—No.............:�.. Width __.. Total Length !. Total leaching area ..sq. ft. 3 Seepage Pit No.._........ ----.... Diameter...........I.�_.. Depth below inlet` s��....... Total leaching area `' .sq ft. Z Other Distribution box O Dosing tank ( ) ` '' • r�1 .a Percolation Test Results Performed by._z''t '>X _ <... .... :nA�IE _..... Date..........................+ Test Pit No. I..._!;;; . minutes per inch Depth of Test-0 ......... ( .. Depth to ground water�,,I G%4 Test;Pit No. 2..................minutes per inch Depth of Test Pit...... S :- Depth to round water. l:• t-�t.>�,_i � P P -- P g . , ......••--•-. ... ------•--- « O Description of Soil ...211 '1( . r U .............................. �o !_� s� �'.. `t I_ to •,�,. `�` �'� '�1," r . t ►wCic 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 TITLZ 5 of the..State Sanitary Code —The undersigned further agrees not to place the system in operation unti at Certifi to fiance ha�een is ued by the board of health. �1 Signed_! - ' .z (f , i.. ......... �Dat• APPlication Approved By................L : ..... . .. ` STQ.. _I..��.... Dat Application Disapproved for the follo i reasons:.......................................................................-......................................... ................ -•-••- _..._ ` .......... Date Permit No........ Issued.. .. _ ....................... Da ----------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T ..........................................OF:.....:................Qm............................................................. (9rdif irate of Tomplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) _.._by............. }A P �Zuti lV ...... at.... Ld'T j a' -r N stain 1 N D. NT E V t UaL has been installed in accordance with the provisions of TITLE 5 of TheState Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated THE ISSUANCE OF THIS CERTIFICATE 'SHALL NOT BE CONSTRUED-AS A GUARANTEE THAT THE SYSTEM WILL UNC ION SATISFACTORY. DATE .. ... 30 � �. : t._..:.. .... Inspector •E..r a• byr _rrrra w—rwn.w..w.s�•ren�. _ .r r .. _-r`r Y•a s r rd'r✓.Y per .• .pwr.Y.i„ wbr ............... N r aM a r•. y n n i a.r r f'� Y r r `i THE COMMONWE*LTHOF MASSACHUSETTS BOARD OF HEALTH .................... OF......... ............ No FEE ..... Disposal Vorkii Tunstrnr#ion .perm # Permission is hereby granted........;IIA�.S }, 1 = ..._ to Construct ( ) or Repair ( ) an E dividual Stprage �isp���� G V 1 '�� ............ at No................... 2t 3. ---•-- ! �•--... L� - 3 .. Street , as shown on the application for Disposal Works Construction Permit .... Dated...... ........ ........ 4 �^ . Board of Health ti ............................ - ..................... ... DATE........................................... ::_ ..._.... ------------ 'A0CATION SEW GE PVE MIT NO. ,kV ILLAGE I N S T A LLER'S NAME A14 ADDRESS S U I L D E R OR OWNER L DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 1 �r o i i 1 U/ 2 IL SECT%ON SEWAGE ` r —SEPTIC TANK — z — "D"BOX — — LEACH t ' f ai TOP OF FDN A'� (MSL)* , 11211 OF 1r8TO 42" i WASHED STONE. ( f AN OUT IN-,-OUTt• �. I I N• u1 ooG p, Q / �; Co / VQ SEPTIC �n9, �J j' _,.TANK. :' ELEV E` G e,. i ELtV. ELEV 4 : ELEV. t ti. + � . of j 1 Q J In ; ELEV. ELEV. , �p'CJ/`'/ r -� •�' WASHED STONE TEST HOLE LOG TEST BY WITNESS . TEST BATE,`''•+ s 1 st` BEDROOM HOU ,.. DESIGN T.H. * T1 T.H. # 2 1 ELEV.7L 5 ELEV.14IB NO �A 1 " L . DISPOSER DISPOSER . �" VL3 -7d•tjl 24 U �c� 8 PERC RATE MIN/IN. FLOW RATE , J--.5 (GAL./DAY) `'> (N '' SEPTIC TANK A AN / v. �5•S REO'D SEPTIC TANK SIZE LEACH FACILITY 61 VE L SIDE WALL ('-`' . r ,1251/a;L :5(4.O G/D II BOTTOM / 132 (-0l'.7 132 Coa•8 --T ( ) q FIE bJNIT Ise)" E I ) TOTAL �N USE: �=- LEACHING }7i T' g C�WATER%ENCOUNTERED NOTES: (UNLESS OTHERWISE NOTED) ``H OF 1.DATUM(MSL)+TAKEN FRO I................ I� QUADRANGLE MAP OF MASTA � '•' 2.MUNICIPAL WATER;::: =C:_1 -:.-�_:.».r___.: _AVALLABLECSG AAN¢ H. y�js 3.PIPE PITCH.N"PER FOOT' O A HNE 4. 3 OJALA y 4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO• �- 44 5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. o 0JALA rn `g " CIVIL 6.PIPE JOINTS SHALL BE MADE WATER TIGHT No. 30792 --7,-CONSTRUCTIONjOETAILS TO BE ACCORDANCE WITH COMM.OF MASS. �� �� .e STATE ENVIRONMENTAL CODE`TI`TLE 5 �'"� '�fCISTE e 9ECISTEa����� .. • �'r/ON 116�'/ t10 C REG.PROFESSIONAL ENGII` ,j BOARD OF HEALTH 'CONTOURS (EXISTING) -O-O-O�- " APPROVED DATE (PROPOSED) MA i / 99 V 76 ?5 q3 / /7/, 37 ft­ f. A__ r 71 . i ! r �u. L •�.Y� /�� t'.,a'i.. � - Y W'.t 1 � I fir+ ,.. � f, �. T`{i - 5 I - t is:a���.,�f;•, ,�. rH�� \ 1 P 7 'lG 75 *74 i"•N;'.'+C„7 { '�d'1 *+yys(I } V -..a � dSfR .'Ha4� Q � ^ Q ^ 1 oAa'w.11i'tG iAT DtT''.i., Mc _ k �i AAT : 4r. '.; ;{.' '1 nM,(�! ..i 1/11 I Vv(J;' - �' � � I f f�A'-' • .. i is 6:UraE. or— — -6�S—--69��6\ — -69,3—_.— Pr vCM6.l-T ,�DISTANCEA ERTIFIED •� �� z.:yri t , i ,: �"L.iA'Y�!ii r,gr..3idSITE I PLAN` �j; v + '•d.: t,,t, .�1t�+'��� LOCUS: Id�I /� REF: OWR Cope engineering PREPARED FOR:. 1 _j•�,��t—T CIVIL ENGINEERS i LANDSURVEYORS ------------ , REG.LAND SURVEYOR SCALE-- .DATE, _f'i�; .s t