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HomeMy WebLinkAbout0017 ZENO CROCKER ROAD - Health (2) Li No. 4210 1/3 YEL E SELT . .. 10% i --- �' , � ��� I ------ a THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH - ApArFation for Dispas al larks Tumitra.rtion amit Application is hereby made for a Permit to Construct (V� or Repair ( } an Individual Sewage Disposal System at: S •^• ................ 7 M>, Address or L .................... . ..�.... `I �. ...1 ..._.... IJ iJ l5 -- Ow dres; Installer Address Type of Building Size Lot...11af7 :?=.Sq. feet Dwelling—No. of Bedrooms.......... .............................Expansion Attic ( ) Garbage Grinder 016) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria. ( ) dOther x res ......................... -•------•------------•----...------•-----••------••••--------- --------•-------------------••---------------............---- Design Flow....... . �© w g ... ...............................gallons per person per day. Total daily flow........... WSeptic Tank—Liquid capacity_I��gallons Length.`?_V.17... Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area--_--__---..-.----sq. ft. Seepage Pit No--------I........... Diameter....Y!..___.... Depth below inlet_..3:_ ...... Total leaching area_Zj1>!1sq. ft. Z Other Distribution box (-I')- Dosing tank ( ) aPercolation Test Results Performed by.41 W.1.4_ .._:!�S.S_ .......................... Date........ P377fa Test Pit No. 1...LZ_minutes per inch Depth of est Pit------- ...... Depth to ground water------77:""......... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------- ------•----------------•----- ------------.-•--- ------•------•-...... --------•-----•-------- ••-•---.....----------------•-----•----............--•.---•-- Description of Soil -' a ds ��'�j:cl`-'-- ��-----�'--_----- y7 / 1? c'-' �.. .... w V Nature of Repairs or Alterations—Answer when applicable................................................................................................ --•----••------••------------------------------------•-.----- Agreement: The undersigned agrees to instatl the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL U 5 of the State Sanitary Code— The ndersigned further agr not to place the system in operation until a Cert'- of Compliance has b n sue b e rd of health. ate Application pproved By................. ..... :.' � G ..... ................. ... -------------- Date Application Disapproved for the f 61owing reasons:.................................................................................. -------------•--•----•-•-----•--- --....--••--•----••-----------•----•---•------------------------------------------•------------------.......................................... Date Permit No........... `�2. .....--- --•• - Issued............a� c=� ate rs Rom_ - L0CATlON l SEWAGE PERMIT NO. ; 1 LLACE INSTA LLER'S HAME t ADDRESS k..� E�-__;_s 6 Lam_ DATE PL,Rra ; 7} 1SSUED 3 -_ fit 0VrE Co0MPLIANCE ISSUED r ^/ 1 . �� 2� �0 6 � J W N r Mw— THE COMMONWEALTH OF MASSACHU' SETTS 'BOARD.................. Trrtif tratr vf*­Tv'vt;1'1'ianrv0­* THIS IS TO CEj? by..... _TIFY T he InSlw' l W ual Sewage Disposal System con or Repaired'( ...........—41cl ...15� ............. .......... at...... I ................................................................................................................ /07....---&�e, .. rf5oe has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the, application for Disposal Works Construction Permit No.............................. ........ dated- THE ISSUANCE OF;THIS CERTIFICAT TE SHALL NOT BE CON L91 RUr ..ARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.................... . ......... .. 7----- ......... Inspector.._.__.....::: ......... .. ---------------------------------------- THE, COMMONWEALTH OF MASSAC SETTS BOARD OF/'JEALTK No....... ...... -7-729-P OF...............N p7- ................................................... FEE........................ Permission is hereby ganted................... . ...................... . .......... .............................. to Construct or _air (,_� an .144victual agePi at No.. ve . . ......................................................................... ................... .. ............... Street as shown on the application for Disposal Works Construction Permi hLo. 66 F-2*P-C�[)I ............ atcd..... ..........................................................I........................... ................. DATE....................... Guard of Ifealti, HnAR4 A. J, WAPPFN • j?qC.. Nrx;=s 2�'�` 1 Fics..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH "r 7 ...... .........OF............ .5: 1 i ----...----• ------------------- -Applir�ation for BiopogFal Works Tonstrurtion Pumit Application is hereby made for a Permit to Construct (.4 or Repair ( ) an Individual Sewage Disposal System at: o ati i Addr ss or Lot No. . ------------------•••....---•••----.......__..._o._..._. dr ........................................ ..................................................._!_....;...._... ..:. Installer Address' Type of Building Size_Lot...lfat7�Z-•Sq. f t� V Dwelling—'No. of Bedrooms ...............................Ex Expansion Attic j P ( ) Garbage Grinder-( ) aOther—Type of Building .....................•..._.. No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixwres ...._.... =- ................. •--•••......••-•-•...........•••--•-•-••.......-•••---••...._-•••-••••. • Design Flow.......... _ .....................gallons per person per day. Total daily flow......... '®W P P P Y Y ...............••-•••...gallons. WSeptic Tank—Liquid capacity_l �'gallons Length-.`� ... Width................ Diameter---------------- Depth......._........ x Disposal Trench—No. .................... Width......:............. Total Length....................Total leaching area....................sq.Jt: Seepage Pit No--------I............ Diameter.... 2 1........ Depth below inlet__3.__1t1........ Total leaching area.Z.111.!Isq. ft. z Other Distribution box (_,") Dosing tank ( ) Percolation Test Results Performed b t41A�¢�c!.l.G_ lest :! 4 .................•......... Date........,4 1'377 Test ]'it No. 1__.L -minutes per inch Depth of Pit..._._.! ......_ Depth to ground water.....-�""'.__.._._. f� Test Pit No. 2................minutes per inch Depth of Test-Pit.................... Depth to ground water-....................... P4 o -•-------------- Description of Soil------------- DllZJ4:`�C' x ..=--1. ......ems.-' _?....t' p:.._ o.....:. ............... x .................. --------..................................-......................................................................................................... .. ........................ 0 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 TITLL 5 of the State Sanitary Co — The u lersigned further agr not to place the system in operation until a Certifica e-cA; ompliance has ber is b of health. -c-� Si ed.... .d. ---------- --------••---...-•---•-- --••--•.. Application A red B (' ,.� � / =�z /� fg Date •.............•-•••.................. -----------------•--------- Application Disapproved for the following reasons:............. Date ......:..__._:._.__.__.__..._____..._ ----------------•--.......----••-•--•••••••-•--••-•••-••••••••••••••-••---•--•---••••-•••-••-•-••---••----•••--••••......•......._. Date PermitNo....................•---•..............__................ issued-......................... - Dater.._...---•---'-^ -•-- � ;� 1� ��'� j ., SITE PLAN SHEE r / OF 2 SCALE: !,,_ I 1 t f ,� l � o c'q yv hlh;.. o f'r�.�GA�T.-llrNP, ox. ,. 1'O O!O Lw*l , rr-i�GA- Goy , .r f Z7' .f" t97 j _ —T .7 �Qspr -WILIPUJ p►M yes WARWfdK . H .o No. 19771 n �FCIST£R�4 FOR RE61STERED LAiVD,541ftfWR ZONE D„ 4-•-NT0fLV LL16 w4i. PLAN REF: DATE $�57 BENCH MARK DATUM )Sl,*0'L-JMtz'P WM. M. WARWlCK .B ASSOC., INC. DOMESTIC WATER. S,OU9CE_ ' t BOX 80/ NOR rH FA MOUTH FLOOD ZONE. Na I' - i-11� ;° 'it ASASS. 42556 (6/7) 56 3 -26 38 y LEACHING 8ASIN SECTION NOT TO SCALE / 24C./.NH COVER ✓. EARTH F/L L : BRICK AND NORTAR COURSES AS REO D• ro BRIN0 4 _ COVER TO GRADE B FLOW LINE INLET _ i_..:,.;• p" $"r0,�12"'WASHED PEA STONE FREE OF IRONS, PIPE PINS AND DUST /N PLACE i I 4 /2 S EO CRUSHED STONE FREE OF i OPENING W/TH 4/ OUTER D/ANETER IRONS, FINES AND Dust IN PLACE AND 13/q, INS/DE DIAMETER I. CONCRETE TO BE 4000 PSI 28 DAYS • 2. REINFORCED WITH fi"x 6!" NO. 6 GA. W.W.M. .3. 2'AND 4' SECTIONS ARE, AVAILABLE FOR GREATER DEPTH- REOUI.REMENTS _ 60 4. NUMBER OF PITS REQUIRE pert—'. NIN. i 1 O/AN£TER NOTE: EXCAVATE TO ELEVATION OR EfFEC7/V£ (Nor To ExcEED i r1mes EFFEC7/vE DEPrH) LOWER AS REQUIRED TO REM;QVE ALL �- WAMR.MBLE LOAM ANDQ CLAY BENEATH PIT" REPLACE EXCAVATED -MATERIAL WITH CLEAN TYPICAL PROF,ILEh�o GRAVEL TO; DESIGNED GRADE.." -718 STD• LT. WOT. C.I.MH COVER tom• .a hI•oj ti. "C.I.PIPE 4"8/T FIBER PIPE OUTLET LEVEL OWEL L/NG FLOW L/NE TIGHT JOINT ^"+� 70 FIRST ✓O/NT 14 p� 110 Q0 to TEE ` 1 1 0 I U O 1 1 ..+ 111000 00 11 11 :STD• PFECAS7'CONC. i i f 0 00 00 of 11 &GAL.SEPTIC TANK'. D/Sr. Box ro BE A$.G � 11660 00 01 i I . /NSM.LEO ON LEVEL,. i i f 0 00 0 0 6.1 STABLE BASE I I 0 0 0 0 i 0 1 Seprl rANK rO�BE it 000 00 1 11 /HST LL D 0 LEVEL' it 100,00 STABLE BASE. i igloo 0 , i0pQ0 0011 „ LEACH/N� BASIN , its O D 11 , BASE TO BE LEVEL 1 S O0 O 1 1 , �. SOIL AND PERC. DATA 4�q PERC. RATE Z MIN. /IN. OBI .TEST PIT NO. P 37740 O�� TEST PIT NO. 2 TEST BY 014L)Ce; NAND A► V (aZAVEL WITNESSED BY V-0 Q LK t 1%0�p TEST' PIT GR. EL, Map DATE:.-'. I v v g I2' sa�D IGL No Gcl2�urJ�uJA'C�L. �-o.v DESIGN DATA GENERAL NOTES BEDROOMS 3 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL No SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD EST. TOTAL DAILY EFFL.2�-OGPD. PRECAST.' REINFORCED.CONCRETE UNITS. SEPTIC TANK �oav GAL, ' '' , . ALL'.SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, SIDEWALL AREA?_LLGAL./SQ.FT. MINIMUM RE �I U REQUIREMENTS FOR THE SUBSURFACE DISPOSAL S OSAL OF i BOTTOM AREA'- L GAL./SQ,FT. SANITARY SEWAGE EFFECTIVE ON JULY 1 , 1977. LEACHING REQUIREDI�SQ.FT... ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE, BOARD ACTUAL LEACHING AREA .� OF, HEALTH. Q.FT .-,-,,.AT -COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE AcTy,�.t= cAPAc I BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES 1/4` / FT UNLESS INDICATED OTHERWISE. "'o " `y� MARTIN..�cyG ,• , SEWAGE ®/SPOSA L SYS TEM 3 MORAN. _. H !�T 623417 4,L7 �p � — 4 T 1✓'�Y�Llr� • �OFFSSCONAl�E d -SCALE.AS /NO/COrep DATE �� ' �w s. WM, M. WARWICK 8 ASSOC., INC. Box 800 - NORTH.FAL MOUTH ` �- -- • t MASS. 02556. - (617) 565 -2638 PROFESSIONAL ENGINEER v '57 .. .. ..:r:_t m .nah<i,..,.a ... e:1•".e_. .,'.. ... .. .. _ .- .. - .. —