HomeMy WebLinkAbout0111 RIVERVIEW LANE - Health if7
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KEEPING YOU ORGANIZED
No. 12534
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L O CAT ION �'�� ��� SEWAGE PERMIT NOA
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;\ VILLAGE
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INSTALLER'S NAME i ADDRESS 0
C . S cq %4eNS w31
---0*- O W N E R
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED — (
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SUBJECT TO APl•'T•: ',1,1`,+. nl -
BAR NSTABLE CO SE'.`•PVAT'CM Fi,$..............................
THE COMMONWEALTH OF MASSAP�i"/�M p��
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BOAR® OF HEALTH
ttiw 1 .................OF...... �....................
ApplirFatinn for Dispu,i al Works Tonstr trtiun rtrutit
Application is hereby made for a Permit to Construct X) or Repair ( ) an Individual Sewage Disposal
System at
cation-Address or Lot o.
.� Owner � �......................Address
.._.
y9ir1 {9C�►1�11 Address
d Type of Building I\ J Size Lot... _ ....Sq. feet
Dwelling—No. of Bedrooms-------- ..:............................Expansion Attic ( ) Garbage Grinder (NO)
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Other fixtures o�-----------------------••--•------•---
W Design Flow.........`519 ......................... per persontper�day. Total daily flow....... . ... .................... - lon.
WSeptic Tank—Liquid capacitydC f�-gallons Length�'�..._.. WidtA..'_�_6-__ Diameter................ Depth ....
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------I------------ Diameter----l"Z-------- Depth below inlet.. Total leaching area. _1.....sq. ft.
Z Other Distribution box ( ) Dosin tank ( ) ,
'-' Percolation Test Results Performed by ?'> P a F-!t -! __ A?--Z. Date.JV 14E._;�1-._..1
Test Pit No. 1...... ...minutes per inch Depth of Test Pit.... `L ------- Depth to ground water.-N-6424
fs, Test Pit No. 2................minutes per inch Depth of Test Pit.... ------- Depth to ground water. -OF
Q+' Y-- -._---�- -�---i�.Y----> 0L-...SU Bt- J 1} ' f 4-y!--e:9 .... ..........
O Description of Soil....---- �-? '`' r t'----•-7Amf...................................................... - ! QGER e
PA
'� 06 N 'NICZ aa3
No. z 2 '>
W --•------------------•-----••---------------------•-----------------------•-••----•----•-------------------------------------------••--------------------•------------- ------ ---- •-
UNature of Repairs or Alterations—Answer when applicable.................................................................... .. St` � � �� .
Agreement
The undersigned agrees to install the aforedescribed Individual Sewage Disposal Syste i accordance the
the provisions of TII'MIE 5 of the State to C e The under ' ned further agrees not ace the system in
operation until a Certificate of Com fiance h ee s ed the h. 11
Sned...... .........4... .... .................................. �-1_. ,_6 -�1 �
ApplicationApproved By....................... --•_. ............. . •_... ... . ........ . ................. ......... -�
Date
Application Disapproved for the f ollowi reasons---------------------------------------------------------------------------------------------------------------_
. • -•---•-•-••--••-•-•-•---•----•--•••--••---•-••-••-•••----•----•••--•-......••-•----••••••••---- -•-----••-•-----•--••--------------------•-----•- •--•--•••......._._
Date
Permit No.---- ------------------ Issued---...-- .. J ...................
ti
�......_ ! FEE ...............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
................OF..... "��t4.l.S'f. t � ..............................
ApplirFatinn for UWpaiial Works Tomitrurtion Prrutit
Application is hereby made for a Permit to Construct (yj or Repair ( ) an Individual Sewage Disposal
System at:
............... ..� .�..... 1...................................................... --•--•-----•---••--•---•-••-•-••--•-......... ........ •--• -•..........••--
L cation-Address or Lot 1N0.
1� C Fr-*I.`T'�-��.1 L�,s`T -...................................•- •-----•--•--....-•---
p {- Ownet Address
art+ �e --- -------•-•--•--•-•-•••••----•---•-••-•-••.....---•--------•-•-•--•-•.........--•••.............•--
tt
Inti t L�'t✓ . 1 S Address
U Type of Building t J Size Lot--- ....Sq. feet
Dwelling—No. of Bedrooms.................................:..........Expansion Attic ( ) Garbage Grinder (Nd)
P4 Other—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( )
QI Other fixtures ............................
.< ----------------------------------------------------------- -----------------•--------------••-••-••-•--............•••• .
W Design Flow..........raTi ........................gallons per person der day. Total dailyfi�ow----.._. ..3_�......__._.......�:_ to s.
WSeptic Tank—Liquid capacity1Qp�gallons LengthSg.-_.�a�'.. Width�i'_ D-�Diameter________________ Depth_.7.-•. ��
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........�-.... ..... Diameter....�'Z_______ Depth below inlet_. �. `�_�. Total'l'eaching area.. _�.__.sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by.CPjK_C0-bSv-V_I&1f_.. 1.1.04 -
Test Pit No. 1.......z'._.minutes per inch Depth of Test Pit.....1_'� -'DepthYto ground water..lll l „__._..
44 Test Pit No. 2................minutes per inch Depth of Test Pit..._10L .. W" %ao ground water.-_1
R-I' .. V — 2U T�1' d!1-:.1�..�1?1� �� f "'. 1!lq'� CQAjS�. S OF/N'4
Y ' �, -
0 Description of Soil......... 5.�'`' i VS -'"--•---7 ----- ... . �
x �� FIOri�R
._._. .... .......
W
o MICHNIELUBCZe
------------------------------------------------•-----.......__..._.._......---------_._._...___`_-•------____.------------------------------------......••....._............... C,. .---*0730420
U Nature of Repairs or Alterations—Answer when applicable : Cg,'•+
._____________________________•-_._-.---____---•.-----_----
..........................................'--------------------------------'----------.....-•-------------------------------------------------•--•••
-------------- -
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System accordant '
the provisions of TiTI 5 of the State S tar. Co e The under ' ned further agrees not to ace the system in
operation until a Certificate of Com lance h ee sVed by the b
S* ned..... � `�.�I� ........ ---•---•----------------------- �.�..�iD ..(.�.;_
Application Approved By.......... .......••••• J
Date
Application Disapproved for the f ollowzg reasons:......................................................"I
...-•-•-•------------------------•-------------.,.......------....---------------•--....----------------•-•••--•--•---•••---•--••............•••...--••• ............. ...............................
Date
Permit No. i ............... Issued------------- ...................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................
Trrtifiratr of-TompliFanrr
HIS- TOE CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
by...... ..!tom ,,L. ---------------------- ---.......----....------....
r_i /
at
17tallller
has been installed in accordance with the provisions of '1'__`: of The State Sanitary Code as described in the
application for.Disposai Works Construction Permit No......................................... dated-------------...................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUN;1 N AT SFACTORY.
DATE..............................-- 1`�' ��--------.............. �..,Inspector .------------------•----------------•--••-•---•-•---......._.....---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD QF HEALTH-
4k
r�E....... ........
No....�,, .✓ a F
E: l.J.._ ......•••. ••-• .... -=••----•• •--...... . ......................................
Permission is hereby granted:�
to Construct ) "pair",(( }C a Individu 1 Sew age Disposal-Sys
n/
at No...�--�..... �-�=•�-�---�.,1.��•`-�y*�:----�------ --.�:.-.r; �t f `��.�'i_.:.-----.............
Street
as shown on the application for Disposal Works Construction Permit No._-., -S ated_ ._Px�.............
s_
Pi .r
11
P36ard of Health
k DATE..------. ------------------------------ i
4
_7 FORM 1255 HOBBS &'WARREN. INC.. PUBLISHERS j
{^; , OFF
REVISIONS: .
T DATA DATE OF rESTING� ���� �� r ►�-- PERC. TEST" DATA : SEPT/C TANK DETAIL s�zE- ��t�� �.��t� _ _ DIST. BOX DETAIL : LEACHING FACILITY DETAIL o °AT�f�►�
TEST PI - - . , , , - ►
TEST BY #'—� I —____ __ , , r y'_•4 TO CONFORM TO T/TLE 5 REOU/REMENTS `3TR Gv A,%:. 1.? 1�►%64.r_ 'rC.v" Vi i 1►
DATE OF TESTING:1� __ - f__ — TANK TO CONFORM TO TITLE 5 REQUIREMENTS. _
T P S rp _ t W/TNESSED BY _,_ `= = - ------ - NO. OF OU rL E rs
_ . , TEST BYE
_ - - -- - - - -- --- -- WITNESSED BY __� +_ t. s -.. .�., _ .7_ �,, r�ri> i �',��� t t «JPI 0 s: +N 11140
-
Y ` � c-, try L , .
' _ '--r-' ems, '-- � i�%'-- G � REMOVEABLE COVER A-z , . .
.R°•.i ' , y ice. t ' ,. t #. l2 MANHOLE BROUGHT TO — �, „
.• FINISH GRADE. 2 PL'ASTOAL -�LOAM&FILL
., '• _
----- --- r. #✓ S I# :�. --- — ' 13 CLEAR 3 CLEAR
_ � , �°,>- '�I OUTLET PIPES M> r-
--- 6"MIN. "M/N of '_+ AS REQUIRED
D EP rH OF TEST --- - ---- s"M/N _ i I _
----- -
RATE D - - - - - - INLET- II I
s — t II� �t D/ST. I t
---- ---- - z --- — - —L",1 � .� } _- ----- INLET TEE — I MIN OUTLET TEE \ '
BOX I • I a..
It - ` / I 4`�C./. /000- GAL. I r I
— ' / 000- L
q INLET AND OUTLET 4 O" MINIMUM OUTL ET TEE DEPTH SEPTIC TANK I PRECAST oR BLOCK 'rKIN
ti TEES' TO BE CAST L/QUIO DEPTH 14"A T L I QUID DEPTH OF 4' 0 2
--- ° SEEPAGE
.' l9" �� 5' I 4.�_ CONCRETE �, S P PIT
F
— — - -- ---- - /RON SCHED. 40 / •.. ID
_...-- --_-_-- --_-_-_ a ONSTRUCTION
r" DEPTH OF TEST —__ P V.C.' OR CAST/N 2 4 „ 6 d b o ,.� /o
c
;�'"?►�} i"r PLACE CONCRETE
RATE CONCRETE o 34" " B BOTTOM ON LEVEL STABLE BASE
I
- --- ----- -- - ---- -- - - -- ---._._ - ---t- - --- _
• I t
CONSTRUCTION vt.
i �WATERT/GHTI i • • I
_ INLET TEE PROVIDED WHERE SLOPE r T/O FOUNOAN I,
I . •:,.t;♦' . ,•: .� ,•, . •. .. -, ;�,.'_°_r_..,• :, .... '. OF INLET PIPE EXCEEDS O.OB / OR --
`- — — --- TANK TO BEABLE TO WITHSTAND IN A PUMPED SYSTEM. - 20'M/�/ _I
BOTTOM OF TANK ON LEVEL STABLE BASE H-/0 LOADING UNLESS UNDER /'WASHED STONE
PAVEMENT OR IN DRIVE. H-20
L 0 AD I NG UNDER PAVEMEN TOR I
/17 g-t DRIVE. / t
/ --- — --—
# j RECOMMENDED MANUFACTURER _—__—_______-___. RECOMMENDED MANUFACTURER
MC} ilk (OR APPROVED EQUAL) ( OR APPROVED EQUAL)
Vill L V,
NO TES IN VER T EL E VA TIONS:
PLAN VIEW
/. THIS PLAN IS FOR THE DESIGN AND CONSTRUCT/ON OF THE SEWAGE
DISPOSAL FAC/L I T Y ONL Y. SCALE / c> `
IN V AT BUILDING
2. ALL CONSTRUCT/ON METHODS AND MA TER/AL S SHALL CONFORM TO
_y . . b IN AT SEPT/C TANK ON)
BOARD OF := . _._' t___ --/NV. AT SEPT/C TANK(GYJTI
MASS. D.E.0.E. T/TLE 5 AND THE = ` ; __
HEA L TH REGULATIONS.
,
IN AT DIST. BOX(IN) ___ 5•
i
/NV. AT D/ST. BOX(OUT) A_ � • •; .��
--_...--. A T LEACHING FACILITY: _
BOSTON, MASS. WORCESTER, MASS.
Pi r �t" HALIFAX, MASS. NORWELL, MASS.
BEDFORD, MASS. LEXINGTON, MASS.
HYANNIS, MASS. MANSFIELD, MASS.
CRANSTON, R.I. DERRY, N.H.
PROFILE: SCALE.,
----- --__ _ __ -__- --__ ----- — -_--- - - - ___- ---- -_ ---- � f "~' " ' - � - s: .r✓ C'0,2.�G� ♦3 a� �3 RED. ,,rT t•-�=►L. L I�N ,_
- ---- ---- — -- --- - --- rfi/,
S��0
� ,; DESIGN DA TA •
[� �
0
�/! . ! DESIGN FLOW: Fr
r i ` ----
��f, r ( i/,/� t ,�� �1 , i `I� I � t � t � `---,�' j�• , ,t I � � �� '��� � �'
47.0
k •
I I f�, ,I t ��� 4' •` � ri J� l� t � i t "� � � � � �'�'� I..���: ; E� ,t _ � �� - ----- - _ _ _...__—_ -
` REQUIRED SEPTIC TANK.
— ----- --- a ;..----
i
�'' /j I, I I it I ' �1` ` � � # ' -1-�_...•.._ ;� ��' �,I � -
0 Y i w3 �'r 1 AL
Q —--— ---
t � � ==-.•• ---' � `'� '� of�' 4�'�
t r x , SEPT/C TANK PROVIDED —__ �:_-- GAL. mlE
' �,.
- --- # I? I t APB U
—_--. -- — -- - - I V l I l !.._ �. f .a t �_. � t_._.' t I ,£ 1 `` 4 +�TJ i
N t 4 t i t rz, tE." 5...
r REQUIRED SIZE LEACHING FACILITY: CONSULTANTS
' a �g {
+ � 'lt! f�( ! � i i � i i �#���` �# � t � �ry.��,.� r��' • , "�__._ ''�::._....,.._ .m. . - o '� �� �' � 1 4 _ __ _-_. --_� ---__ ( _��- -i — ----- - _.--- { MAIN
•�-., ��.••*+���� �� /�
�Q_....� � ,,72�1 MAN S( ::��.fV� '�l'"f
/ _.31 — — ----- 3AtRIVSTABLE VILLAGE, MA '
(617) 362-8133
3i --- - - --.---------- -- -- - DIVISION OF
i i t i! ` ! I I _,� t ? .:, ` . . M 'v,• x _ i i I `' BOSTON SURVEY CONSULTANTS INC.
•
t;t� �t 1 t � � y i I ', t ,`' f 5 I; J,. 4 � p,.... .f •. �., l dhit3 '� `
SIZE OF LEACHING FACILITY PROVIDED: ENGINEERING SURVEYING • PLANNING
t I 1 } txrf' —_ `
�' t i S i I r t - TYPE OF SYSTEM, 4 T W/3"5TC*4f_ TITLE:
t I i t t � l 11
EC T/ON • S t - - - -- ----- - --- - ----- —
� 4�:
'�� � i � ,�„ � Z t �� �`� _ x`�: �8 4. , •3 a f 3"�i /ss � 'S "afa !S �#\•, �i � � # ...,M.'..
' - a - - _-- ----------- SEWAGE DISPOSAL SYSTEM
-- -- - �, ---- _ _- -- ---- __ DESIGN
n,
'' -------- -- ----- - -- ------- ---- —.._ - __ ------- _---_--. ___.----- --------- ------ — ----. __.----. _ - ._ •�"' ,' s'/'.,✓t C; rs•Y.>~1.:7.. ,�., ,.. T�,r r+••=.�•e,„>art LOCUS PLAN
1� �' cam,•-"-`' '�'�•lh"".' 7'` ....... "'"' •-�
FORt
.•••.0 R"7iP.°s-•a +C.
� .""� +..,..`�,.t'�.c-X.,.,:;•ter,'�^°;••:�..-.< ,�,� ..�a C?.S c'^..•: �� "•mow',
ti
T-• •�..:,•gar•.; ,�..,.. „ ,e�'', mac' ,~- � +
SCALE AS SHOWN
..-•-,tom'?.,.' ,r."''-.: +r -�. +G..,r,,e:�', "- .d."�'�".�': ,rif,;"�,°�..•av"�e"�'�.�. .�•'H'✓`"� ''•, � y1
METERS
er'cs. G. �' 4 _.. G r' GZ ' '"✓` c!e +orr •. ca �v � FEET 0 /a ao 40
- ,• .t�,� �"�./':c::'i`r' �*s'9.++�• .,.ice� �..��� �' •5`..:My 4"zF . - —
DATE ��.:'�
i
^ f COMP./DESIGN: ftiPI
em
CHECK: �,ikW f�P'9+�
__- --- --- � DRAWN: �;�'�•-'.
( -- f�ATU/fil• '
j
FIELD: . G
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I I i FILE NO:
I DWG. NO: 7 JOB NO: �•��a . 01
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1 i SHEET: l OF: I
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