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Home My WebLink About0041 LARCH LANE - Health .. .......... :.:..:. ..x. t P.. .,. ..,.. ..,ro, .,t .:.:, ,.. ..::..:, o ......., ..•."+ID"!.....gym- ,.. , k w Y j t f 1� Q y i t �# a �R fi f ,t t No........... ••..-d--7 Fps.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH i3�? �✓ i�9 ..._...7 '�°. .....OF.......................i�.................-5....•----•---..........i_.._..__....... Appliration for Uhip ial Works Timitrurtiuu Frrutit Application is hereby made for a Permit to Construct ( <or Repair ( ) an Individual Sewage Disposal System at: i1 s 4 ....1%.d. .... .......Lo9 J2 C L-.�}i✓ .�i✓.. L.--.......... -......1....-..................•••-•--•--- Location-Address or Lot No. ...................... �� -s- ® l c. i� 2 T'c•13 2�......�.�',Y ✓yl -- ........ -- Owner Address W Installer Address d Type of Building Size Lot... _t® ......Sq. feet Dwelling—No. of Bedrooms.............. .......................Expansion Attic Garbage Grinde Other—Type of Building s 4 _........ No. of persons........ ............... Showers ,( Cafeteria (--)-- a' Other fixtures ............................... .. W Design Flow.............:................. �Q��_gallons per person�pe�rda�. Total daily flow---- WSeptic Tank—Liquid capacity/._._.....gallons Length. Width__.`..._...... Diameter..._._.......... Depth..t.__.._._.. - x Disposal Trench—No..................... Width....._.............. Total Length.................... Total leaching area..........-__.......sq. ft. >, Seepage Pit No..........L_______-- Diameter---..L'9.'___-__- Depth below inlet..... Total leaching area...... ft. Z Other Distribution box ( &I Dosing tanker _ `4 Percolation Test Results Performed by.... ��7z 5;0. �Zf./. � ... Date..._ aTest Pit No. 1....-r---_:�-_minutes per inch Depth of Test Pit... Depth to ground water..../.. LT, Test Pit No. 2.._{..._minutes per inch Depth of Test Pit._ _ ._ _.�.. Depth to ground water-___JJ2.`..._... 4-1 P4 --•-------•----------- -------------------•--•--------------------••-..........................••............................................................ O Description of Soil........ZtZ LV!"'_'?.... ...... V .1!✓..E %...----•-.v�—'�.� r'-'--v-------L-"4--`----- ...... n �- '.. }. .. -W ----••......----• ' w � t ------------------------------- UNature of Repairs or Alterations—Answer when applicable...............................................................:............................... ----------------- ------- ----------------------------------------------•-----------------------------------------------•---=--------------•-•-------•--•--•---------------------------•---- � Agreement The under�ig d'trees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITU 5 of the State Sanitary Code—The undersigned further agrees not to place the s stem in operation until a Certificate of Compliance has been ' ue by e b rd of health. / Signedt` --•-•---------------•-------------- -•----J G ......... Date Application Approved By-•----------•----------------------- •• •-------- ...... ----•-•-•--a .. Date Application Disapproved for the following re ns:••-•--•••----------•------------------•---•---------•-------•---•------------------•----•--- .....................••--••---------•-•------------------••.....•-•---•----------•-•--••••....--------•----•-•------•-•---••-•••---------•-•-•--•-----------•--•--------••----•---•--------••--•----•--- Date PermitNo......... ...................... Issued_....................................... ------- Date . .�.. c ASSESSOR'S MAP NO. 5\ PARCEL C5 0 LOCATE SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDRESS �38 U I L D E R OR OWNER CD o E� DATE PERMIT ISSUED •�� It DAT E COMPLIANCE ISSUED �� /� r _ - _:._�___ r _ _ �-�� Ica,cc��=t . �c®•�e� �� " �� `� � �� ►� ,�, l '(o/i No......................... Fxs............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - App iratinn for Disposal Works Tonstrurtiun thrutit Application is hereby made for a Permit to Construct ( ✓1`6r Repair ( ) an Individual Sewage Disposal System at: .......f e_"i--:r......` ..L._.. .f ..... ....-•.................... ti Location Address 1 or Lot No. ----------------- W Owner Address a ....... . ..................................... ............ Installer Address Type of Building Size Lot._1-7.`7 0_C......Sq. feet �-, Dwelling—No. of Bedrooms............... �........................Expansion Attic--- Garbage Grinder a`4 Other—Type of Building� ��_:_ ..:_...._ .�--j~— No. of persons....... -_............... Showers �(-,...•-)-•� Cafeteria-(—r d Other fixtures . WDesign Flow............................ .......gallons per person per day. Total daily flow-----------�...a'._:."."?.................gallons) WSeptic Tank—Liquid capacity4*.ria.gallons Length__- Width..::.1_../.y=_ Diameter................ Depth_....._./ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. r Seepage Pit No.........f.......... Diameter....!_2-'-._.._.. Depth below inlet......:r_.. .. Total leaching area.......Z.-. sq. ft., Z Other Distribution box (1.-) Dosing tank-(--) '-' Percolation Test Results Performed by...... ?J..4 ,,_a%✓G Date....l._ Test Pit No. 1....�•_?.4.-..._mmutes per inch Depth of Test Pits_%_ `:._. Depth to ground water.._ 44 Test Pit No. 2--5L4...minutes per inch Depth of Test Pit.,'_...6_2....._. Depth to ground water---,JJ...7............ r P4 .......__.•..........................................................._.._..................._.._..._........._..............._........_......_...._........ D Description of Soil........ _ __ _!__ - •- ' _ r. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... --------------------•-----•--•--------------------•------------------•--------...............------•----••-------------------------------•--------------------------------._......---........•---- Agreement: The un&4 r edTgrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITI.%, 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. --...................................•-•-----•----.....----••---•--....----------- Date Application Approved By................................... Date t Application Disapproved for the following rea ns:••----••----••....-•------•...............•-----•••••---•-•--•-•-•---•---••-•-------•••. --- '...--------- i -•------...•...-•---•--•-----r--------------------------------------------------------------------------.-•-•-------------•-----•---•--•----•--••----------•---•-_.._..•------••----•-----••-------•.... Date Permit No.......... _j6.....1 t Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (Intifiratr of (Som liattrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (PI or Repaired ( ) by------•--•--•----------------•-----.-.-•----.-----•----------•--------------.----•-•---•--------•----------------------------.-.--.-.--------------.-.-.-•----------------•--•-----••--•---------•-- Instal ler at.--- -------- ----- •--- -----•='•-•------------------- has been installed in accordance with the provisions of TIT FFiS of The State SanitaryCo�1e ae ribed in the application for Disposal Works Construction Permit No.-_____ ...... dated-.------------- _.�(__ ____._................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNJOI �0 ATISFACTORY. DATE....... �.! S. .......... •.................... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .1 C I/i/ / No... ..' FEE........................ Disposal Works Tonstrnrtion rrntit Permission is hereby granted...L r-• ..................................................... to Construct ( 4-)-or Repair ( ) an Individual Sewage Disposal System atNo...J___.,,a-•�----- ........... r� ........................................-' I ..... Street as shown on the application for Disposal Works Construction Permit No._-'W6.-LODated.......................................... .......................................... a ol-i?ealth '.................................. DATE:�---/- ='---��-�-------•-•---...--•-------------•- FORM 1255 A. M. SULKIN. INC...BOSTON - � F rcimiI hunber :--- _Uate: --�f � - � (° Completed by ' HIGH GROUND-WNIER LEVEL COMPUTA11014 Site Location: �'=j , • i r �/�/ y ;r Lr7rL.0 f1 1 %> F^ Lot No. Owner: I- Y i'• /5' L. Address: -s Contractor: Address: � Notes: STEP 1 Measure depth to water table / 10 ft. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /2/��/B�r to nearest 1/ _ _— date STEP 2 Using Water-Level Range Zone and Index Well Map locate site and determine: f..� vV A) Appropriate index well . . . . . . . . . . . • B) Water-level range zone . . . .s��!'-� �w. LEj-, STEP 3 Using monthly report"Current Water Resources Conditions" determine current depth to water level for index well rno y r STEP 4 Using Table of Water-level Adjustments for index well STEP 2A , current dLpth. to water level for index well (STEP 3) , and water-level zone (STEP 26) determine i f!• water-level adjustment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . STEP 5 Estinate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water =74 level at. site (STEP 1 ) . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v* f w 1' 71 SOI L L 0 G 3 0 Z/ DATE j- WITNESSED BY: A:)M �* .5 c 02 JZ 7 o 7; AC) Ir i E3 3 2., EL 30's Ai FDJ UM ' M 1-=ArP 4 20 1/f 30.6'C /4-7� Aleli:_F 1411 L) C� =_ 4 2 6.0 f4 23. 7 171"1 77— 05\ SQi 4Ae7z s EL20.o I F 4 -s- L 1pzbpo 5 L,�T c 0 V,."/ Z) UANHOLES AND COVER TO BE BUILT WITHIN ELE V. TOP OF - 12" OF FINISHED GRADE . FOUNDATION 0-1 1 1 . I . I lJ* %% ".M I N. tFINISHED 6 R A SLOPE 4%AST I RO OR SC li: ! . -.0, — e PVC w Ac -.P', PVC -SCH. 40 -P 7�1 C. .A/. 1p ITC FT.' FC��2LE V MIN. 2" LAYER 0 AO 10 _44 7 1/6" - 1/2" PEASTONE PITCH irl ' I.3/,loo V4�Flr 4 INVERTGALLON INV DIST. INVERT' • R T \ X , 3G C: t- 1 ` ' ;� INVERT ' BOX k C) SE PT IC TAN K 3/4 1 1/2"D I A. 43 WAS STONE .7. INVERT 1"' %j 'j v lox lip. / 4 - -1 NV 11 T W 4 c a ALL AROUND . '00 11 1 40 f , *_ 0: W. 10 w C)*�. --Q GARBAGE AL j D ELEV. BOTTOM )Z)_-.sejz vF N / 3 . MIN. 6 R I N 0 eQCH ER 7,;7 ;!;V Z_ I " OF PIT P- 6 .2 • elltw --- -- - - - - 20' UIN. e-O DIA,43 J 4 ' a7- D Zr Z 7-AF."D ELEV. = PROFILE OF GROUND WATER TABLE S A N I T A R Y DISPOSAL SYSTEM D NOT TO SCALE JDESIGN_ ATA * cc -S-5 3 V\/ 0 CONSTRUCTION OF �SANIT' ARY -DISPOSAL BEDROOMS DESIGN FLOW 330 —GAL ,/DAY SYSTEM SHALL , CONF:ORM TO MASS. LEACH RATE M I N./( N C H o C7, 00 ' E.' V_:(REVISED 7- ( - 77) E N V I RON M E N TA L CODE TITL PROPOSED LEACH CA PAC IT Y : _ AND .THE TOWN OF---a,,=)iz A.-, ., HEALTH REGULATIONS. .*' tEPT( C ,TANK.. DISTRI'BUT16N. BOX AND LEACHING /2 PITTO BE OF REINFORCED CONCRETE : GAL/DAY M I N. C 0 N C:R E T E, S T R E N G TH 3000 PSI ti MIN. STEEL STRENGTH 20,000ps 1 H 10 DESIG'N 'LOADING * - DRIVEWAYS, NOTTO BE LOCATED OVER SYSTE M A/C 7-E- ,' 70PO. PER PLAN 3 Y Z3-Ac)X 7-,,=-- R - IS USED. OAV C. - UNLESSIH- 20 DESIGN ,LOADINiG 7// /V IyHol )Doc) 7 4S"Z) o ALL PIPES AND FITTINGSTO 'BE WATERTIGHT AND TO BE OF, CAST, IRON OR CH E D 40 P.V. C. S �D CONSTRUCTION SH. S 1-TE P L 'A N SHOWING PROPO OF SHS LEGEND _ . 'F'O R : APPROVED 19 SCALE: DATE : BOAR D Of HE A LT.H BUILDING SETBACK REGULATIONS PER EXISTING CONTOUR REFERENCE: -A-1 0 vv r,,/ BUILDING INSPECTOR OR BUILDVNG PROPOSED CONTOUR 4 0 4 p G� 3 8 DATE AGENT COMMISSIONER . ZOA/Z15' 72 .C . V, I N. FRONT. - SETS AC K EXII STING SPOT ELEVATION . 17. 6 PROPOSED WATER SERVICE _W_ j'a OF 4 MIN. SIDE SETBACK ol CRAIG TEST HOLE LOCATION qss SHORT MIN. REAR SETBACK M IN, LO-r sizes It. 27483 C . R . S H 0 RT> 1 INC . TE PROFESSIONAL LAND SURVEYORS ,L ENGINEERS S�NNAL ENG r p v _T_ Z2 D I S�T 15,86 MAIN . SrREE 't.(RTE. .6A) . EAST DENINIS, .MASS. '02641 , 15V 7