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Home My WebLink About0003 LARCH LANE - Health 3 Larch Lane Centerville A = 189 — 006 — 004 1 LOCATION ils.-f -*43 SEWAGE PERMIT', N0. VILLAGE s-z i-esr� a�y L�-L(E J~ INSTALLER'S NAME L ADDRESS �{ B U I L D E R OR OWNER DATE ,PERMIT ISSUED DAT E COMPLIANCE ISSUED . .. .. � Gc�.i�aS� t No.....: .'. Fizz THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 1� s z........T- .. ..OF...... /Z--hJ� .............. Appliration for Disposal Works Tnngtrurtivit Permit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: 0— 1=7A/ L JE, ..........-•-••-••...................�5 .......3_ .Location-Address -------- --- -- .............. . er /� �'/= y�eVi r� Address ...........•.... �a."N....... ............................................ ••...............••---•••-••--••-••...._......•..............--.•-•---.......................... Installer Address UType of Building _ Size LotZZ-41 ----- Sq. feet �., Dwelling—No., of Bedrooms..............."?.......................Expansion Attic Garbage GrindeF—((—f aOther Other—Type of Building 124Sf.�----• No. of persons_._......4P.............. Showers ( Cafeteria fixtures �./----•---•------------•...•.......-••--•-•-•------••------•---•••••-••-•-•-•---•--••--•--•••----••-•-•---•-•............... W Design Flow................... .. _ ga P P Y 83�............... lions per person per day. Total daily flow................. ions. 04 W Septic Tank—Liquid'capacity.l�_®lallons i Length. '(1" Width.... .. Diameter................ Depth ...... xDisposal Trench—N ..............:...... Width.................... Total Length................ Total leaching area.........._.-.--. sq. ft. Seepage Pit No_____________________ Diameter..../..�..._.... Depth below inlet.....3..:��..1. Total leaching area.2-.`#�sq:ft. Z Other Distribution box Dosing t aPercolation Test Result Performed by._ _ram . �� T...:�`.•'f�� .. Date... 1j ...... ,.a Test Pit No. 1._..�.�.minutes per Inch Depth of Test Pit....I.4.(...... Depth to ground water....___ � . .44 Test Pit No. 2................minutes per inch Depth of Test Pit....LI......... Depth to ground water._..Z_-------- ____ t�' � �........ ............?I......................................................................�L� o Description of Soil..... ` ��.. f .. / - - x W _ Nature of Repairs or Alterations—Answer �- x ---------------------------------------------------------------------------•-----------------------------•------------- UP when applicable............................................................................................... ..•--••••------------•--••.............•----•---••----••----------••••-•••--•---•-•-••-•••-----•...•-----•-----•••••---•--•-----•-•-••--•-•••----•-•-•-•-•---••--••••-•-•••---•••---•--•-••-•-••-----••• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL U 5 of the State Sanitary Code—The undersi ned further agrees not to place the system in operation unti�rtificate of Compliance has.been issue b the boar of health. Y Signed . . ............................................... Date Application Approved BY ----•-••................... ..... 3-0 Dat Application Disapproved for the f of -ng reasons:-------•----------------------••-----------------------------•--•-----------•-------------------...------•-••--. ------•......................••••-•--••-------•......••••---•...._-•••----...••---•----•--•-••-•.....---------------------...----•--••-•---•-------••••----•••---••--.................................. Date PermitNo............................................. -- Issued....................................................... Date No........................ Fms............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 77 9_)!� ✓''i/...OF...... e.. . ' Appliratinn for Disposal Works Tonstrurtion 11anfit Application is hereby made for a Permit to Construct ( }"or Repair ( ) an Individual Sewage Disposal System at: �_ 97" .V j L_ L_ ......._•---......................... .....•--•--.......•----........ . ........................................................l v � .. i2 C h? .. ................. Location Address •- F-T .... ....... .................f .......................................................... Own Addre wrier •-•� W ss L_�b Installer Address Type of Building rr� Size Lot4- �.- .� :.Sq. feet -, Dwelling—No. of Bedrooms............3......................Expansion Attic (,,--•jj'" Garbage GrindeF•-f--)` Other—Type of Building ..... No. of persons........_&.............. Showers (, j-= Cafeteria P1 Other fixtures .- --• - - = . ------------------••------- ••------•-------•.._..----•-•. W Design Flow.................._`-= .....gallons per person per day. Total daily flow....... -----_--._pllons. W Septic Tank—Liquid capacity?-_ 4?ga1lons Length.... ' i9._ Diameter. ------ W>dth_` .. Depth. = x Disposal Trench—No. .................... Width.................... Total Length.......--..._._.._. Total leaching area.._.........._.._..sq. ft. Seepage Pit No.....__.............Diameter....[-�'4__•.�....... Depth below inlet.... �.. Total leaching area. .` -s sq. ft. Z Other Distribution box (l Dosing tar _ _ / aPercolation Test Results _ Performed by._.a�.__)Z--S f�� ::.�........_/...`�!� °._ ..��_�/� Test Pit No. I.... ._minutes per inch Depth of Test Pit---1.-4.......... Depth to ground water..-.I. - . rzf Test Pit No. 2----.4'.Z-..minutes per inch Depth of Test Pit...t '.._._.. Depth to ground water___- Description of Soil----•---- �--- -...........••----=-�........- = ==�-•-----,�- x, ................................................ U --•--••••--••------•-•------------••-•----•-----•-----•---•••-------------•••------•......---•----•-•-...-----•••-------•--...•----...._......-- W x Nature of Repairs or Alterations—Answer-�--------------------------------------------------------------------•-------------••----------•---------•-------.-...._ UP when applicable-------------------------------•--------••--------------------............---••-•---•------•.. --------------------••---.......................--•---........-•----.......----......--•--•------...........--•-•-•---•------••--•---••---••--••------••----•--••••••-••---••-----•--•--------••----.... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until ertificate of Compliance has been issued by the board of health. 00) Signed., `=-------------------------------------------- Date ApplicationApproved By......................................................................... Date Application Disapproved for the following reasons--------------------------------•----•--------------------•---------------------------------•-•--•-•----........_ --------------- •------------------ ---------•----------•-•------•----------------- --------------------------------------------- -------------------------------------------------- Date PermitNo......................................................... Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..... .................... (9rdifiratr of ToutpliFanrr THIS IS TO JER FY, That the-Individual Sewage Disposal System constructed (Pl-o-r Repaired ( ) by.. -------- --------•---------------.........---••--------•-------------•------•--- ----------- _ _ -- •-•'•°-;;�--r-�r---f----L-- ......;-�71 rInsrl er'-'�>--�-4--r-�--'w-v � --•--•--- 4 - ��-•'t�."_.lC,,, --- -- -- - ----•----••--------- has been installed in accordance with the provisions of TITLE of T tate Sanitary ode as described in the k-� /z application for Disposal Works Construction Permit No......................................... dated -�/ .................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL F NCTJION SATISFACTORY. , DATE.. .-' r..��-�..................••----------...---..... Inspector. �� 't �Cpr THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �f� f F, j No..... {�... .:-�. FEE....:a. ?........... Disposal Vorkv Tnntrnrtion frrmit Permission is hereby granted.......... _` t.V`, _...f_.'1.0.U, ;-''t ...'.................:..............•--•...-•--..............•--•.............. to Construct ( l�r Repair ( ) an Individual Sewage Disposal System at No G--v �: �;6'c .. rf 1 r•-?. R`�' , " - v "*,/=> " C' %�~6Z Y'J.. ----------•--------•------------- -----•-----•-----------•. -•-•-•-••---•• ......... Street as shown on the application for Disposal Works Construction Permit No. ?.v.p_Z'_:}._ Dated... __t_a r' __��_ka............ 7' DATE. 2 ........................ ....................•- .VZ ............ oard of Health FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i " v ' c w� 10 OL I \y I ^R Q� � f ,o\ , p L E',4 G :44 r _ SO I L LOG . F:) J=- 5 2. Z (o DATE: / 2Z / I'*ZS ) 2h a,/ 19-5, WITNESSED I BY : 7— ,=) /-Vl 'ff -5 C- �IV 4- 0 3 T-CJP,5 0 4- ,114t c 4. u^') ")V'F'L $3 ?I . 0 Rr 1115- O t, �Qa��LI�U� ` `,./ 1�N O 0 -t -� HIV (0 U A.1 7-E-TZ IF Z) 4 S. MANHOLES AND COVER T` 0 BE BUILT WITHIN A-, ELE V. TOP OF -- 12" OF FINISHED F 0 U N D A T 1 0 N G R A D E AlFINISHEDK,41 N SLOPE 8\ I., GRADE........................ 44- 'C' 1 C AST I RO 0 R 4" PVC SC 40 PVC SC H 40 '5'5 i5R 'SljV E'L PITCH T C H 2' L N. 2" LAYER p- Ae- e-.,cj c 46 1/8" 1/2" PEA S TO N E P I T C H 44 /4.v FT rvY I N V E R T GALLON INVERT.- DIST E RT' 1 3/4"- 1 1/2"D i A I N V I N V E R T 8 0 x SE P7 IC TANK n D 4 C3 T I N V E r r D:O.* WASHED STONE I N V E R T c) W < 0!.*. ALL AROUND Al/ tpom D4.6 to 0�.n I GAR E 7 h. 7- m I N GRINDER ELEV BOTTOU ----------- OF PIT = 6'-0" 0 .A/ 20' AA DIA T PROFILE OF G R 0 U N D WATER TA19LE 2Z , `` � � oQ r3�Nc ,-� ;rz S A N I T A R Y DISPOSAL SYSTEM 4 6F- NOT TO SCALE _DESIGN DATA 1;10� 0 CONSTRUCTION OF SANITARY D 15 P 0 S A L BEDROOMS SYSTEM SHALL CONFORM TO M A 5 S . DESIGN FLOW —GAL ./DAY LEACH RATE C' M I N./I N C H ENVIRONMENTAL CODE TITLE V (REVISED 7- 1 - 77) — 2 3 PROPOSED LEACH CAPACITY : AND THE TOWN OF HEALTH REGULATIONS . a-,) j Cll-�-' SEPTIC TANK, DISTRIBUTION BOX AND LEACHING PITTO BE OF REINFORCED CONCRETE : 4 ,4 %.-f) GAL/DAY KAI N . CONCRETE STRENGTH 3000 PSI MIN . STEEL STRENGTH 2 0. 0 0,-Ip 5 1 H 10 DESIGN LOADING A/ 07-/=— 7- OP0 p JR p P->" 344x I\IyBr 0 DRIVEWAYS NOTTO BE LOCATED OVER SYSTEM UNLESS H - 20 DESIGN LOADING 13 USED . D,49 7- 1---> -71,16S e ALL PIPES AND FITTINGS TO BE WATERTIGHT AND TO BE OF CAST IRON OR SCHED 40 P.V. C. SITE PLAN SHOWING PROPOSED CONSTRUCTION SH - ? OF --'- SHS. ,a L e7 " - LEGEND L 0 C A T 1 0 N : 45,2/Z -s 7 29 L" er F 0 R : APPROVED 19 CORP. SCALE : DATE : - 'z 0 ja G BOARD OF HEALTH BUILDING SETBACK REGULATIONS PER EXIST ( NG CONTOUR R E F E R E N C E : -37- 4 /-:? 's 0 w'v /V BUILDING INSPECTOR OR BUILDING PROPOSED CONTOUR a DATE AGENT COMMISSIONER . 72-f In---/� f Z 11 - K! IN. FRONT SETBACK 210 " EX 1 STING SPOT ELEVATION 17. 6 I\J� MIN. SIDE SETBACK / 0 PROPOSED WATER SERVICE —W 0 R MIN. REAR SETBAC K TEST HOLE LOC AT 10 N H —4 CIVIL cn C . R . SHORT, INC . 140./STi27483 PROFESSIONAL LAND SURVEYORS L ENGINEERS NAL 1586 MAIN STREET (RTE. 6A) EAST DENNIS, MASS . 02641 J N,