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Home My WebLink About0063 ZENO CROCKER ROAD - Health (2) 63 Zeno Crocker Road j— Centerville A= 17.0- 152 No. 42101/3 ORA ESSELTE 10% (D 0 0 0 0 011 h, su.�, No.... Fizz....................!� ... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH OF �r�� F� C � 2 Applira#uan for Utspu,ial Worko Towitrurtinn ramit Application is hereby made for a Permit to Construct (/) or Repair ( ) an Individual Sewage Disposal System at: V o� � o I .� ...... . .. ....... � : ------ -------------------------- Location-Address or t N 1. ...XA&.................................. Owners— Ad ress -��` `11 , 1V'. ..................... Installer Address Type of Building , Size Lot..1 .[AIA___...Sq. feet U Dwelling—No. of Bedrooms................................ _Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of ersons------_...................... Showers — a Other g -------•------------------- . --P•.•-----•••••. .�:��••--Cafeteria......... d Other fi tures ---------------------------------------------- -----------------------------------------••----.. W Design Flow.............................................................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity j6OIe�gallons Length__ ._ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.............. Total leaching area....................sq. ft. Seepage Pit No........I........... Diameter......I.®_...... Depth below inlet......?........ Total leaching areaZ�?7d.sq. ft. Z Other Distribution box (�) Dosing tank ( ) , / � Percolation Test Results Performed bywa4 1G ?®G:__l!UG.............. Date....�_a1-�1--'�--.)Ak...... Test Pit No. 1----LZ....minutes per inch Depth of Test Pit-____I2°--___- Depth to ground water____.................. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... . 1:4 ---------------------------------------•-•----•-....•-• -•----------------•--......----•-....----•--------------••---.......---•••-•-••--••-.....----...--- 0 Description of Soil.................� "2......... `��'! / Z✓�" ��` Q�( r� -/..... x -------•--•--------•-----------•-•-••---------------------- _—.� .._..!Y!-.( 7, `�i4 p U W UNature of Repairs or Alterations—Answer when applicable............................................................................................... ---------------------------------••-•------•---------------------------------------•-••--••-•---------•---...-------------------------------•---------------------------------------................... Agreement: The undersigned agrees to install the aforedescribed Indiv' u Sewage Disposal System in accordance with the provisions of iI'1Z 5 of the State Sanitary Code— The sailgned further agrees not to place the system in operation until a ertificate of Compliance has beeeto. of health. �:A/,__* Signed---- . ...................... Date Application Approved By......i../c.....--•••-........-- ••---------•----------------•---........-•-------- ......... • _.. .......... Date Application Disapproved for the following reasons:;.............................................. ............................................................... ................................................................................................................................. Date Permit No...... 5�-. = ------ Issued........................................ Date r No./e,..!j._-__'..:L FnB.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... A.............OF.......) Kvv .............. ....... .................e, ...................... Appliration for Dhipoiial Works Toni union ".refit appliAA' Sewage Disposal cation is hereby made for a Permit to Construct or Repair an Individual Se? System at: .......................... ................ .........................................................fi................................. ' L Location-Address or Lot No. ...........................................................................Iv ........... .. ......... Owner ..............................'/............ ......... .................ep Installer Address Type*of BuildingLot___ U Size Lot... ......Sq. feet Dwelling—No. of Bedrooms___..�.J___________________________________Expansion Attic Garbage Grinder ( ) a P4 Other—Type of Building ------------_-----------_- No. of persons____________________________ Showers Cafeteria ( ) Otherfi tures ....................................................................................................................................................... Design Flow......... .......................gallons per person per day. Total daily flow______._._._.. ..........................gallons. WSeptic Tank—Liquid capacity-1..........gallons Length._ATV.. Width________________ Diameter___-_-__________ Depth___.____._._..-. Disposal Trench—No_ ____________________ Width..................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------A----------- Diameter------k� ...... Depth below inlet__._..../.......... Total leaching areai!4eZ sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed ;�!:LJ-P......... .............. Date----L�2.1_ > Test Pit No. I------4- '__.minutes per inch Depth of Test Pit_____ _-z ........ Depth to ground water.......—------------ Test Pit No. 2................minutes per inch Depth of Test Pit__-_._..____.______. Depth to ground water_-_.__.-._________.._._. ...............................................................................................................................................r........ 0 Description of Soil-----------------. .......... -7/ ...................... .................................................................................... ......K4-EV........!�?_A_Qv.............................. ----------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ........................................................................................!.............................................................................................................. Agreement: The undersigned agrees to install the aforedescribed-.,,IndivWtial Sewage Disposal System in accordance with the provisions of T I'1:1S 5 of the State Sanitary Code— The Wersigned further agrees not to place the system in operatign until a ertificate of Compliance has been Y's b • Vd of health. I Signed ................. ......../.`/"., Date ApplicationApproved By....... ..------------------**---------------------------------------------------------------- .........Zn......... -...-...._..-- Date Application Disapproved for the following reasons:............................................................................................................. ......................................................................................................................................................................................................... Date PermitNo.._... .................................. Issued....................................................... Date �.,-'THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF... j..Jj..! .7 e......................... 05rdifiratr of Gamptiattrr THIS ILT CERTIFY, Thatthe Indivi(ual Sewage Disposal S stem constructed (,_�or Repaired by.................3 <�. ....... . . ..... .... .......... ..................................... Installer at.... ------ .................. ..................................................................... has been installed in accordance with the provisions of Tl-� T _I_L I 7' 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No_________________________________________ dated-.--------_------------ ...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE_.....__...,----... ...................................................... Inspector............ ....... .................................. THE COMMONWEALTH OF MASSACH CONS BOARD /Of HEAL.'TW .............6F�............... ........ ........................................... No...__' ............. FEE........................ Rapasal War womitrudian Pgrutit Permission is)weereby granted....... . .... .................................................................. to Constryct-1-1-1 or.Repair an Individual Sewage Disposal S stem at No. ... ........ -------- ----------------- -17....... Z,./ Street ) ;7 V as shown on the application for Disposal Works Construction Permit No...... ___.________ Dated__.___':___" . .......... ........................................................................................................ Board of Health DATE..., ........................................................................ FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS l 7� i �: :. A ION E S AGE PERMIT MQ:£ ' V1LLAGE j� INSTA LLER'S�� NAM6E i `ADDRESS R UILDER OR OWNER < 4-d41S ® DATE PERMIT ISSUED _ _ DATE C 0 M P L I A K C E ISSUED 311 a , C S1 TE PLAN SNEE T %OF,? SCALE: I = 3v, I !o \�5iX3 Zz �C��iE1ZV�i AA M'ti tom\ neoKZxso V � 0 0r-- �`l k' L/ -Q 'A1 Vl 34. hti l��yyl,S,eA4.9�a Aq,g1r�`o19 v p G v WILLIAhfl Mze . ✓� g WARWICK taa i9771 S u ,Wi pV ll��,� REGISTERED LAND SURVEYOR FOR. _�.vT' Uzi z�'No ��:�•� �.,vc�I� ZONES GCNT12-ytL.� � NCa�ti PLAN REF. DATE I a BENCH MARK DATUM _ Alf,uktJ�-:p WM. M. WARWICK 8 ASSOC. , INC. DOMESTIC WATER SOURCE -ramQ \4-'A°tf9:Lz. 80X 801 - NORTH FAL MOUTH FLOOD ZONE UyAJ - FtA7Axop IG MASS. 02556 - (617) 563 -2638 r LEACHING BASIN-SECTION. Nor TO SCALE Sh f V � z 24"C.I.NH COVER r t EARTH F/LL BRICK AND MORTAR COURSES AS RF.O'D TO BRING COVER TO GRADE INLET _!B FLOW LINEy"TO "WASHED PE.4STONE FREE OF IRONS, i PIPE ; r FINES AND DUST IN PLACE I OPENING W/TN 4!18" 14 TO //2•WASHED CRUSHED STONE FREE OF OUTER DIAMETER IRONS, FINES AND DUST /N PLACE . . ANO 1114"INSIDE " :I D/AMEr£R I. CONCRETE TO BE 4000 PS1 28 DAYS • 2. REINFORCED WITH 6"x 6" NO. 6 GA. W.W.M. _ 3. 2'AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS +D„ ----60" 4. NUMBER OF PITS REQUIRED v&jf MIN. I Iv' NOTE: EXCAVATE TO ELEVATION di0 OR (NOT To ExCEEDf3 EFFECTIVE DIAMETER EFFEcrIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL WATER TABLE - LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN 1 TYPICAL PROF/LE GRAVEL TO DESIGNED GRADE. IB"STD LT. WGT. C.I.MH COVER 53.y 53.v Z•5 02i 4"C.I.PIPE 4"BIT.FIBER PIPE OUTLET LEVEL FLOW LINE TIGHT JOINT OWEL L I NG TO f/RST JOINT --•+,-�ter,. .•-•-;1.;- - �4„ 00 1 I0 �00 1 I'DD CI. TEE �d'�� 50.1y I 10 100 1 1 11f000 00 11 I i tp --STD. PRECAST CONC. �p•�2 T. BOX TO BE ' 1 1 0 00 O 0 1 1 1 1 D/S 9VGAL,SEPTIC TAN INS AL�ON LEVEL, yO.DD I I I 000 00 0 1 i I STABLE BASE 1 1 000 00 0 1 i 1 \SEPTIC TANK TO BE 11 1 A 0 0 00 0 1 I INSTALL 0 LEVEL, - - if 1001 0 0 I 1 , STABLE BASE. I I 1 0 0 0 0 0 0 0 1 1 111100I000Iii . LEACHING BASIN 1 I g p O 0 0 BASE TO BE LEVEL 1 1 /1 O 0 44,v SOIL AND PERC. DATA PERC. RATE L� MIN. /IN. O„ TEST PIT N0. PZV6g 01 TEST PIT NO. 2 Z' Tvp . SuPsvlY TEST BY �lzy I-4 �D �, hal�cfi4adv�L WITNESSED. BY: r-PaV-P -' {vlED6UM TEST PIT GR. EL. 4A1vD DATE: 8ti IJO 6.iZ l�1 D. �.cJAt E� �Oiy DESIGN DATA GENERAL NOTES BEDROOMS 3 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD EST. TOTAL DAILY EFFO3 f' GPD. PRECAST REINFORCED CONCRETE UNITS. SEPTIC TANK GAL, ALL .SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE SIOEWALI AREAZ'SGAL./SQ.FT. TO REVISED TITLE 5 .-OF THE STATE ENVIRONMENTAL CODE, MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF BOTTOM AREA Lf GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY I , I977. LEACHING REQUIRED IZZ1 SQ..FT.. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ACTUAL LEACHING AREA OF HEALTH. Z :Z00 01.FT AT -COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE BOARD OF HEALTH . SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES. 1/4l / FT. UNLESS INDICATED OTHERWISE. SH of��`'• S^� SEWAGE D/SPOS,4 L SYSTEM MARTfN G o E. fOR.' L� � L LjvLLv1C>5 MORAN H Lv'I' �oZ i ►J v .e .p f23417AL �Q GI✓fll�l�EfL- CZO.�p G�IUT•�Vlu� M.A-�5 SCALE AS INDICATEO y DATEl.z/05 1 X M. WARWICK 8 ASSOC., INC. 80X.80I - NORTH fAL MOUTH ` MASS. 0,?556 - (6I7) 5 63 2638 PROFESSIONAL ENGINEER