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HomeMy WebLinkAbout0028 LAWRENCE LANE - Health 2-8 LaWronce- LN i qo.A z5ti _7 ` No................ FRs.............................. THE COMMONWEALTH.OF MASSACHUSETTS BOAR® OF HEALTH T�t�w...OF... .eir�ST,ggL� .................................... Appliration for Uispoii al Workii Tonstrnrtion ramit Application is hereby made for a Permit to Construct (1/1) or Repair ( ) an Individual Sewage Disposal System at ��; rt `-...:^.... -.c-................... .................- ----•-LaT -•------...-------•------------ ••---- rf� ��� L�atiog•AddrQ _ y �� b U ' or Lot No. �( ._..._._......C.:.--sly �..�.}...._..�F' .............. ....•----------------------------1-��...---------..............................--..... Of ner ress •-Add a _ �' ......C��ni.................... .........C � p� Installer Address Type of Building 3 Size Lot... ... .s-4.Sq. feet Dwelling—No. of Bedrooms___-----•-------------•----..._...•.___.__..Expansion Attic ( ) Garbage Grinder ( ) 114 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -------------•.....--------•--- d //p /.§' oeao.�1--•-•-•-------•-•-------•---.-._...--------------------•------_--------------------•----------- W Design Flow...................••-•- --oDo.gallons perms per day. Total daily ow..._._....___..-3X.6.___.......___..gallons. WSeptic Tank—Liquid capacity/_.....-.gallons Length.O..-4.--. Width. -/.... Diameter................ Depth.. x Disposal Trench—No..................... Width.................... Total Length............:........Total leaching area....................sq. ft. Seepage Pit No......../......... Diameter../�2-e!F�T Depth below inlet... T. Total leaching area.� 7...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by...,6��x �YE............................ Date.... 3 ........ ,aa Test Pit No. 1...i4�inutes per inch Depth of Test Pit.................... Depth to ground water.-_i✓.0 f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Q'+ --..._--•-- -•-•-•.................•-•.............-----•.......----- ......•••_.. ...-•-------•---••••••-•-._......•-••._......•••....... 0 Description of Soil....._o_��-_Z` `_ A� srf mi __ �2 h o P ............ -- ................ ,�r� ...................................... U ........................................7 .....--_-/��_`"..�o. ,� ---s_.,moo. W ••••-------------------------•-•-•--•-•----•---- � � F'vca u.t"TrJe� 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 iITLEI 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee s ed by board of health. Signed.... .........•-•---............................. ............................ � D to Application Approved BYE :_ .. y` ......... Date Application Disapproved for the following reasons:.............. -•-•-•---•--•---•-----••--•---------•--•---••---•-••------•----•------•............ --••------••---------•-------•..................••-------------•----••--•-•-•----------.....----------------•-----•-•-•----•---•-----.._....-----•------•--•-•-•---------------------.................. Permit No......................................................... Issued.... ............Qd...-----•-- Date•••--- Date .............................. THE COMMONWEALTH OF MASSACHUSETTS -�'BOARD OF HEALTH . ......... ...... ............................................. Appliratilin for Disposal Works Tonstrurtion runfit Application is'hereby made for a Permit to Construct (K"or Repair an Individual Sewage Disposal System at: .................. 1...�..........j............... L . . ... ............................ ..............-.-.-.N--o-..- -.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.- . 7— rLo9cati)Zdrp or Lot .................. Address -------------------- - ................................................ ............................... J 0 U Installer Address Type of Building Size Lot...... ..Sq. feet U ............. Dwelling—No. of.,,Bedrooms..........................?...............Expansion Attic Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers Cafeteria Otherfixtures ......................................... .............................................................................................. Design Flow...................../Z��............gall ons paer&4��wopsoaf�er day. Total daily flow--- .................gallons. ......................... Septic Tank—Liquid capacity Ad-� .gallons Length.g!�--( - Width -Diameter................ Depth,57_=i/ ... ..... Disposal Trench—No..................... Width......__....._...... Total Length_................... Total leaching area....................sq. ft. Seepage Pit No.._.........../....... Diameter.../.':-"...r- Depth below inlet....6_e!� Total leaching area..v!95;;L7._sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by... Date.....I $--4 .. .... ...................... Test Pit No. 1....f� inutes per inch Depth of Test Pit.................... Depth to ground water_.__.._.............___. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.......__..........._... Pd ........................................... ........................................................................................ 0 Description of Soil------ .................... ................................ ............ ....... .................. ----------------------------------------------- ........................:................................................................................................I............................................................... ................ U Nature of Repairs or Alterations—Answer when applicable.............................................................................................. :7---------------------------------------------- -------------------*--------------*-----------------------------------------------------------------*----------------------------------- Agreement: t, The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be ued by board of health'. Signed..A.- ..........f.,.f..... ........ ............................ ..... _?!,,., D te- y d.4 Application Approved By..-...... ..... ----------------------------- .. ......... P Date Application Disapproved for the following reasons---------------••--------•---------------------------------------•--•-----------•--------....................... ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................�.l.......................OF.... ................ IS 14 TO RTIFY That thethdividual Sewage Disposal System constructed �or Repaired ................................................................................... .......... ......by...... .. ........ ..........Installer..... .......... '4woo-'e4�... at.............................................. .. ......... .4........................... ...... ............................................ has been installed in accordance with the provisions of mL 1V 5 of The State Sanitary Code as described in the application for Disposal Works Construction Pcrmit Nk, --y-7-:7--_-----_---------- dated_.....-©_..._�y........................ THE ISSUANCE. OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL fUNCTION 6 �?SFACTORY. DATE.................. ....................................... Inspector------- ............................. .......................................... THE COMMONWEALTH OF MASSACHUSETTS / ^/' ' BOARD,PF HEALT .................0 F..., 247 re'_'T ................. FEE._.................... Dispos lug trud 4t r Permission i!,I`ereby ranted...-- IR ..... ....................................... .. .....................................4.............................................. to Constr�� an Individual S ewagas.... ..................................... skSvstem at No...... . . w. e ` 11 ................ ............. ........ . .... ......................................................... Street as shown on the application for T)isposal Works Construction Per No .. ........ Dated...... ............ . . 0 -------------­-­-----­- DATE. f_.67f� ....................................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS L aT 5- � / % jgo -a160 os�A L O CATION SEWAGE PERMIT NO. Q w r -e� c-P 4* VILLAGE 0 n -1 v /Jo INSTALLER'S NAME i ADDRESS �4Yc Co ii --q -7-- S UILDEIII OR OWNER v �l ��{ �dr � DATE PERMIT ISSUED DATE COMPLIANCE ISSUED r 4 � .-ate• +rff j i V .rr+�v..va....�:L . . .. _'.., „" ,.»..�'' ,,.: :.. r. i ` 1 1 -77 xv j + k 7 JI 4t a, q 7 , 7W, VDAT,{d /' S%%u�r//i✓ f y �E _ �7t\ t Q s RICIIARD R!C}1 n JAME'S E �e 1 �. I ( 4�Hr aRN cr 1} L; µ4,6�� It G t SiF I / �` S gyp+✓�/ `AN1 LEGEND --- R �` EXISTING SPOT ELEVATIONS O,A EXISTING CONTOUR- - - 0 - = - `'�!L FINISHED SPOT ELEVATIONS ro.0 FINISHED CONTOUR o PROPOSED PLOT PLAN APPROVED: BOARD OF HEALTH ,MASS. DATE AGENTc?, ,�ni�? . r✓ 1 CERTIFY THAT THE PROPOSED R. t/. 0 HEARN, INC., RLS, RS BUILDING SHOWN ON THIS PLAN 1348 ROUTE 134 CONFORMS TO THE ZONING LAWS EAST DE'NNIS , MASS. OF. ,�ws?,a'ca MASS. DATE. SCALE: =310 .. ,JOB N0. �-7G: ,' CLIENT: J DATE GISTS •AND SURVEYOR CAR. ©Y l�/ ,HEFT �! OF __ SO!L _ TEST ELEVATIONS NOTES= �, ALL WORKMANSHIP ''AND MATERI LS DATE OF SOIL TEST ig i�/3f'c� INVERT AT , BUILDING r FT. ��?. INLET SEPTIC TANK FT SHALL CONFORM TO D.E:Q.E. TIT 5 WITNESSED. BY' A�r �ll/i� AND . THE TOWN OF ,�.r �-air R °_ES PERCOLATION`: RATEZ MIN./INCH OUTLET ',_SEPT:IC TANK 9 •3 FT ` �. AND REGULATIONS FOR ' SUBSURFACE' INLET DISTRIBUTION BOX 26,-G FT. OBSERVATION HOLE` E OBSERV,4T.i0�l. �t.OL� 2 - _ . DLs�os•aL 'OF. saNkTARY ...,SEWAGE , ELEVATION = ELEVATION.= OUTLET Q{STRiBUTlON BOX �L� FT. ,• L ACHING P T .a" F . INLET E I T L�.�•, BOTTOM ' LEACHING P.1T YIF.� FT DESIGN CALCULATIONS NUMBER OF BEDROOMS .. . . . . . : . GARBAGE DISPOSAL UNIT.. r% ,x TOTAL ESTIMATED FLOW (l'"`' GAL./BR:/DAY x - BR:):... s_ %LL GAL./DAY REQUIRED.: SEPTIC TANK CAPACITY. , . . . - GAL. ACTUAL ' SIZE OF SEPT:IC TANK TO BE. INSTALLED... . ire{ GAL. s � LEACHING AREA, REQUIREMENTS SIDE WALL AEA �GA /S.F. BOTTOM AREA GAL./S.F./ _. , . p �vcavivr ; LEACHING CAPACITY . ( BOTTOM SIDEWALL ):. ... may' GAL. RESERVE LEACH"ING: CAPACITY. : GAL. TOP OF ti FOUND. t � EL.EV CONCRETE. 4`. SCH. 40 ,CLEAN SAND COVERS' PVC PIPE - MINA PITCH . COVER ET E a e 1./8 PER. FT. Qsa ; I ;• - OF 2% MIN. PITCH ----t- 4- 12,� MAX. . : �''` M, �� RFC!•f.�RD ?i_ �a RIEHARD FLOW LINE - I a. : Q'HEARN �} O HEARN JAMES4 .. •-:• - .. `.� � Nw 278Ti to' No.694 r 2 LAYER OF i/S /2 WASHED 'TONE. o n o a' l e a 3/4.- I 2. �E 4'.' CAST IRON WASHED ��, °rsY��` PIPE - MIN. " PITCH w H STONE O I/4 PER FT. ®IST ': o n �� t=- 'PRECAST LEACHING. BQ n o BASIN: "OR EQULV. i Uj - GAL s:G Itfl A S S.. :SEPTIC 191 TANK :, ... AIN tS`� MASS., 16 r WEST DENNIS DENN PRO.fII E Of GROUND` WATER TABLE - {ENT.. < SEWAGE t31SPOSA,L S1vSTEM P CL H ; . Z F_ I NOT TO .SCALE r__ <:,> DATE. : SHEET _ ", _