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Home My WebLink About0066 WEQUAQUET LANE - Health bb ( tgGm v o, I-Ane, �n4z-evi U, C1.-Q� I ) 5 M E:A D No.2-153LY UPC 12934 smead.com a Made In USA �qsCYC,,4 l� a► SUSTAINABLE FORESTRY INIiIMNE Certified Fiber Sourcing w.w wocrawans m j THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................OF....13..d1r.klS��. (e. ......................................... Alipliration for Di-qui l- Works Tonstrnrtion Prratit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: e ..._..La_yk e._..._......_ C&tifcn__ l c.... ._ �-.......................................... t Location-Address t No. r caner Address Installer Address d Type of Building Size Lot__A Aj.E?Q4?.__-.__Sq. feet Dwelling—No. of Bedrooms......................______________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons........................... Showers ( ) — Cafeteria ( ) Q' Other fixtures ----------••--• •--•--••-•-•--• - W Design Flow............................................gallons per person per day. Total daily flow---------3_3_®_.....................gallons. WSeptic Tank—Liquid capacity/00 gallons Length................ Width...... Diameter................ Depth.-In.- ..ipree-04 x Disposal Trench—No_ ____________________ Width__ __._.._..___ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......./------------ Diameter._..6_ __.__..._ Depth below inlet____________________ Total leaching areaAZ_�......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `-' Percolation Test Results Performed by.... ax!Ls1t ...4._ 5,5_t? _i�_ - Date__.,, Y._A_3_....... Test Pit No. 1_C_;!n...minutes per inch Depth of Test Pit____________________ Depth to ground water_.40. Le_jQP&,'! Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil.....Q-- .......�y.... 5v�-s-®-l•--..............�- �� - . rum -- a V --------------------- -.............................. •............ ___ ._._.....___--•-••-•----•-------___ --------------------------------------------------------------------------------- •--------- ...- •--•--------------------•--------------------------.._.__....-•--•-•-•--...._.__--••-----------•-----•------------- ------ U —Answer when applicable.............. ... ....Nature of Re airs or Alterations - - - ----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI'I!L- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee sued thh board It Si 'ed... ( - !Z 6le..T ate Application Approved B y... �-----------------------------•-------••------..._...---•-----------•-------- ............. Date Application Disapprove reasons=-----------------------•---------------------------.••._..------------------•--•------------•-a••••••••--•--•-- -••-•........................••••-•--••..._•••--•--••---••••--•--•-••••--......_.._......--•--•-•--•-•-•-••••-••_.._.__.....____.._•-----••-•---••----------•.------------------------------------••---- Date PermitNo......................................................... Issued....................................................... Date No .3..-3�y..._ FE$.yQ..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ._..................OF.....�} ,T. .5. ......................................... Appliratiott for Uhipaii al Works Tomitro.rtioit rantit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ...I.A. ............. 16C...... zq&'................................. �r �+�. Location-Address j, .,I� -------------- = x-----•f'j..3.j.51 .:j x 1 �i' �t No. C?►1�4 i. .. .r!...... caner Address e--tf.-- "I ✓ L .�. _ .. ............................................................................................_..__. Pq Installer Address U Type of Building Size Lot..A.;4A9!; -t---Sq. feet Dwelling—No. of Bedrooms.......... ..............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) � Other fixtures ....... W Design Flow.............................:..............gallons per person per day. Total daily flow..........,�'....3..p.....................gallons. W Septic Tank—Liquid"capacity Z�4.gallons Length................ Width................ Diameter................ Depth... x Disposal Trench—No. .................... Width... ._......._.. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.......I------------ Diameter----�- .-_- Depth below inlet.................... Total leaching area. .64.....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.... q✓fAJA . ..A5.3.4-ZA-d 3�. ------- 1 Test Pit No. 1..�..��__...minutes per inch Depth of Test Pit.................... Depth to ground water...C!-G?� egrl �4C( 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ........................................... ••---------......-----•-••••--------------•--•--- ---- O Description of Soil...... _'.. `w S¢a ' -----•-•------' ° ' rat_. .............................. x U ..............••--••••----•-----••--••-----••••-•---•-•--•----••••---••-----••••-•-•------.....•---••-•••------------•-----------•••-----•---•--•-•-••••-•••••-••--•-••......--.....-------•••--•••. 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 TI TU4 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee 'i sued th board 1 It to Application Approved B ._.. ....• .. .. ....------•--- Application Disapprove o following reasons:.............................................-----•------•------------................... Da.t.e .............. ....................................................--•.................................................................................................................................................. Date PermitNo..................................=---------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......... ................................... Trdifirttte of Tootplitiitrr T IS 0 CERTIFY, That.the Individual Sewage Disposal System constructed ( or Repaired ( ) by... .. ............................................ ..-- --•-----••-•---------••...................•------.........--------•••----------•--•-•--------........_ Installer at...�-� . 1-----------•..... . ----- .•-- ---- ----- =has been installed In accordance ith the rovisions of TI � � ,l} dated-. - a scribed in the p - T 5 of T e State Sanitary C y� application for Disposal Works .onstruction Permit N o..__F ..._ < ... . ..................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A UARANTEE THAT THE . SYSTEM//X L UNCTION SATISFACTORY. DATE....L...�Z_. ........................................................ Inspector---. . .................... ---------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No...V.> ?. .. ....:......................................OF...............-••-••••••••••....................................................... � FEE........................ �i fro zl� rh CnoitotrWioxt anti# Permission is h reby granted......... - '--------------------•------------------•-.._......------------------•------.---- ................ to Construe .............rRepair ) an In • Sew isposal System at No.... I *risposal _....----. Street as shown on the application for Works Construction Permit No----F�-2.%M� a .. ? ...--•• ................ .............................................. ---- ------------•----••----•-•----•--•-•-•---...._ and f Health DATE.......=---------------•----•--••-----......•-•.............-•••--•-•--- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS / r C'=W— 0 1 y LOCATION SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAIRE i ADDRESS K. BUILDER OR DINNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED /� i �� 1 � � �� s1 1� � � ..� .'F-- ti ~ d o �— a t S/ TE PL A N TYPICAL PROFIL E NOT TO SCALE SCALE - I = ?.O •��.EZ GG •.$ y �' 18"STD. LT WG T C.I. MH COVER 4"C.I. PIPE 4"BIT FIBER PIPE TIGHT JOINTS ---- .- - FLOW L/NE - - - -- O O TOE ST ✓O/NT� _- - - -- - �( O OWEL L/NG -- e� : U 1/D 14..1 Wiz, G3 J I - Gz.7e, ! C.I. TEE C.I. TEE - �- 1--- - STANDARD PRECAST --J --- SB j CONCREFE GALLON G2.00 I SEPTIC TANK __ DISTRIBUTION BOX B TO BE INSTALLED ON 1 LEVEL , STABLE BASE i — SEPTIC TANK T TO BE INS TA L L EC ON L oT 3�1 ce LEVEL , STABLE BASE III G9 ' i 57 D° 2 //81, TO 1/2" WASHED PEAS TONE L EACHING PIT ALL AROUND FREE OF IRONS, FINES BASE TO BE LEVEL AND DUS T /N PL ACE BRICK a MORTAR COURES 3/4" TO I-1/2" WASHED CRUSHED AS REOUIRED TO BRING ` STONE ALL AROUND FREE OF COVER TO GRADE 24"C.I. MH COVER IRONS, FINES AND DUST IN PL4CE o �. --- - A ND FRA ME ------___ ' 7� 0-7 i - - ___ - - - _ ' LEACHING PIT SEC TION- INL ET---- 8 FLOW L INE 7- PIPE I. CONCRETE TO BE 4000 PSI 28 DAYS �� P 1 ! 2. REINFORCED WITH 6" x 6" N0. 6 GA. W.W.M. f 1 --�6„ �- 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS. 0 j. OPENING WITH 4-l/8" i 4. NUMBER OF PITS REQUIRED a �,r�-� �+u•�� T `q' f OUTER DIAMETER B UI /-3j4" INS/DE DIAMETER = + NOTE EXCAVATE TO ELEVATION �o OR LOWER AS 3 REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH PIT REPLACE EXCAVATEC MATERIAL WITH CLEAN GRAVEL TO DESIGNED GRADE � - 6 6 - MIN. EFFECT/VE DIAMETER (NOT TO E)(CEED 3 TIMES EFFECTIVE DEPTH) WATER TABLE •c, A`47 ~ - { SO/L A ND f,E, fC. OA. 7A - -- GENERAL NOTES _ PERC. RATE MIN. /IN . No HEAVY EQUIPMENT TO RUN OVER SYSTEM t TEST BY: /3�'uC•E fi!w/-O SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TO BE STANDARD Wnq►✓ �I�J9:ioG. /��C -- -- - -- } PRECAST REINFORCED CONCRETE UNITS. WITNESSED BY_ _ _�'m'v._ = r _. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE T TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , TEST PIT GR. EL. 6,5, DATE '-4%_ZZ MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF TEST PIT NO. i9l Z. TEST PIT NO 1913 SANITARY SEWAGE EFFECTIVE I JULY 1977. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE t ' BOARD OF HEALTH. co�•e5E s�.vn AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. /y'�ED. ��tiI> B' ___-- - PITCH ALL SEWER LINES 1/4" / FT. UNLESS INDICATED OTHERWISE. /2 AM V.4P_A/o WoO r€le- /2 i110 GSQ.�/a YV4*E2 DESIGN DA TA BEDROOMS -3 DISPOSAL A/10AAE ES,T. TOTAL DAILY EF F 230 GALS. L EGEND — SEPTIC TANK- 1:20 - GAL . SIDEWALL AREA _ Zf GAL./SO. FT. BOTTOM AREA _ V G GAL./SQ. FT SEWAGE DISPOSAL SYSTEM EXISTING GRADE .� LEACHING REQUIRED- 93.89 SO FT. ZONE _�L?-� FINISHED GRADE ACTUAL LEACHING AREA _? �- f/ SQ FT FOR S T INVERT ELEVATION j DOMESTIC WATER SOURCE Tow.v W�4TEFL — d T - PROPERTY LINE C,E.V TE,-Y/Z_,L /,�,47.eh1✓TA_ _ rt,Y�►;+ 5 __ PLAN REFERENCE' �-C ._ � _ __—______-_.___ _ MEAN HIGH WATER SCALE' AS INDICATED DATE 5 ziMBENCH MARK DATUM: - Z_/ -5 19Z9 M.1-4 MARSH WM M WARWICK a ASSOCIATES BOX 801 - NORTH FALMOUTH FGL70O Zv c/E v "C" /l f .'SSACHUSE T TS 02556