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HomeMy WebLinkAbout0454 CAP'N LIJAH'S ROAD - Health \ C���cfvi ItP� I ILI 032 N a M EAD No.2453LY UPC 12934 smead.com • Made in USA J4�Y� SUSTAINABLE FORESTRY INITIATIVE Certified Fiber Sourcing wwwAlgrogrourg n � I / U L ION S W PERMIT NO. O AT AG VILLAGE STA LLER'S NAME i 4-DDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED v _ ___ � - 4 �f ��r6. �, �`a, � ��� .,, No......... .34..... ; FEB...... ...:�............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® ( F HEALTH......OF..... . f • r Appliration for Dhipotial Vorkg Tum4rurtinn an-i# Application is hereby made for a Permit to Construct ( _-�Or Repai ) an I ividual Sewage Disposal System at: k Q 6 .. -------------- -------�-�. ----- ... . . -- Location.Add ss or Lot No. 1111 .fl._ . ._ �.. ._.... ..... ................ Omer Address In a er Address dType of Buildi g Size Lot............................Sq. feet U Dwelling E No. of Bedrooms.......................................Expansion Attic ( ) Garbage Grinder '4 Other—T e of Building ............................ No. of persons........................ Showers — Cafeteria a Qther fixtures ...................--••--...... ... W Design Flow... .5-...._.....•......._.•.........._.gallons per person per day. Total daily flow____..� - .............................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter---_____-------- Depth................ x Disposal Trench—No. -------------------- Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------ DiameterwDk..__..__ Depth below inlet_.-.__ ..._ Total leachingareaQ;4Ag ( ) g ( ) s ft. Z Other istribution box ✓ Dosing t p 0 ^/�C ' ��°''t /f 7y- �r Date ••-•••-------••••••••-••.---- a Percolation Test Results Performed by._ _. ........ �___....__ ', — Test Pit No. 1................minutes per inch Depth of Test Pit. ._ Depth to ound water........................ Test Pit No. 2................minutes per inch D of Te ___..__........... ept gro d wa ..... ........-!__. �j ` Description f Soil ® -� �---- ----- " - -� - ------- ------- V ...................��- ....... �3 ` ....... -- ....... ------ -. '................................................................... 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 iITL: 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issie by the board of health. Signed...... •• -• •..... LAP '.............. • ............................. - � Date Application' Approved By..... �te Application Disapproved for the following reasons----------------------------•------------------------------------------•----------------.._..--•-••......---_.... -•---••--•••••-••-----•-••....--•-----•-•••--•-------•-•••-••-•••••-••••.....---•--••••.......--•••-••••....-•-••••••-•••-•-•-•----••-••••-•••---•..................................................... Date PermitNo......................................................... Issued.... ........................ Date THE COMMONWEALTH OF MASSACHUSETTS w, BOARD OF HEALTH F .. ... ..;6........~.................................................. � r THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired by _... - -- - .°- I a er ' ----- has been installed in accordan with the provisions of T j of The------- tat Sanitary C e as^described i the application for Disposal Works Construction Permit No...._._ ....:............. dated,---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GBJ�fRANTEE T@IAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..........................................................-----•--......_........ Inspector.....--•-------------------------------------------......---..........-•••••...•---- THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH :..OF.....:. ........................................ dDt ... ...r.'A- No....... --- FEE.. ...._...-•-•---•-- Disposal Works Tonotr ion rrmi# Permission is ereby granted f W._....................................---.---------- ------ ------- --------- 41, to Cons t ( & or Re air ( ) an Individual e D s t t "� . '�.. at No _.._... - --------- ---•-- tr rg7�as shown on the application forDisposal Works' Construction Permit ......... ....e ted._ � 7 Board of Health DATE......... .. { ..... .......................................... FORM 1255 HOSES & WARREN. INC., PUBLISHERS - No......... .... Fxs............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF H E LT �t ... --.....OF....... ...:... ..: . . ................................... l App iration for Di4pnsa1 Workii Tnnitrurivan Prrutit Application is hereby made for a Permit to Construct T or RePa aDisposal System at (� t/ Location Add` ss©� or fin. - ---R 42-K. ..�r� .. .�SS.1��N........................ « .............:.. ......... -•----•---•-........................... Omer Address W 4: Installer Address Q Type of Building Size Lot.............................Sq. feet U Dwelling 1—/No. of Bedrooms....: ..................................Expansion Attic ( ) Garbage.Grinder pa, Other—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( ) a ther fixtures W Design Flow_____ __________________________________gallons per person per day. Total daily flow----- ......................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................. Diameter----------------- Depth................ x Disposal Trench—No...................... Width.................... Total Length.....................Total leaching area___.._....__..._._.sq. ft. Seepage Pit No.__ Diameter��X _.__ Depth belo inlet ......... Total lea in area' P f sq:ft. z Other Distribution box ( Dosing t�n�k � Percolation Test Results Performed by... ..._...j' ._. 1. .__` ______________________ Dat.........................................' Test Pit No. .................minutes per inch Depth of Test Pi epth to ound water____________________ Test Pit No. 2......... ....minutes per inch D of Te ept gro d wa W _ ♦ T` i_. _ ..._...... _••_______. .. M ._....__. ., vr ` O Description f Soil..... 4'1 .d ,.. -- r ..� '....... x ..------...... '` r'r... '°'{.. ---- -' .... f ---------- ------- w U Nature of Repairs or Alterations—Answer when applicable..............::. ... ................................Y..._......_ ................... .....__ ........ .......................................................... Agreement The undersigned agrees to install the afor'edescribed Individual Sewage Disposal System in accordance with the provisions of iITL: p 5 of the State Sanitary Code—The'izridersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ned .. ..- :.. --- . Zo ate Application Approved By._.... r `.." ._. ......:... ...............-y............ .7­7 .iDate Application Disapproved for the following reasons:_:........ -------•-•----•----•-----•-•----------••--------- ..................................... •------...--•-----•-•------------•-•....................:........•------•=-•-----------...-•---•----------•-•--•-----••-------------------------------------------------------------------........... Date PermitNo......................................................... Is"sued..................... .................... r F7 3 r. r - 'o 8. oTYPICAL SYSTEM PROFILE AREA PLAN FDN�TOP FINISH GRADE= KI.4-C70 NOT TO SCALE II_ 2O ' _ C, b. PNJD. TOf� 105,00 FINISH SCALE . .eELEV ,4 ` .5.0J'+ FINISH GRADE OVER TANK= I_I GRADE OVER PIT=1_ :!X1? ff=7-at'- 1 PVC OR 0 O s . • o /j .. ,6 �,,,C. I TEES .�i:::. V : : . �/; . a • � o r e o • • • e • o'{ BSMT f..:o•°:::.•o....e ...•e., .a:. •,...o `' • ' o , FLR It ;1,t�La GAL. ` 4 e • o o • • o e o 0 REINFORCED DIST. BOX ' CONCRETE 8 e e o • e► • • o o e TO BE INSTALLED ON .: '" LEVEL STABLE A E A L S SEPTIC TANK D GAP G+ TO $ INSTALLED A • e • • e •' e C. B. FWD. T � E LLE N PRU ST WNCL?E rI= Line t!1 1 I I A LEVEL STABLE BAS o • • e • o e t I:�L.E'v. I 0 9.Cam_ � r. �. _ 11 it I f.. . :. '` 2 -I 8 . 12 WASHED PEASTONE.AL • e • e e • e e e BRICK a MORTAR COURSES AS AROUND F F I FINESa • . • • e • • o 0 o e _ 0 FREE 0 IRONS, .. PRECAST Ct��+:tCR T REQUIRED TO BRING COVER TO GRADE -AND DUST IN PLACE e LEACHING PIT _ cq/a ✓` SEE ' =7 24 C.I. MANHOLE COVER a'- 3/4 TO I-I 2 WASHED CRUSHED r FRAME - SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL FC�R, IRONS, FINES AND DUST IN Go� C3 E?t-Z ?.v P1T PLACEL0 �'" 1` � FOR FIN.'GRADE Qt2 � ti GAL, T � t��l� Ova !Q G� +C�14 . i 'C + '�" C r t '"t SEE SYSTEM PROFILE F -IC. �ANk -�-S f-�t?,, F1 L h~. S 01 L AND PERCOLATION 4 DATA _ y v�AL.l�G, CatrJ�" � i QTH#2+laf;641 r' --- 8 T lt _ PERC. RATE . _ 3 MIN. IN. II FOR INV. ELEV SEE ,..., . 4 , . . o , BAX.'TE 1�. �. N Y� i TJ C , PR0Po f�D iz� U} T _ , SYSTEM PROFILE o , ,, TAKEN BY . -t INLET ._ - , •.� ,; 6 �� - M ce, P�.a w.. nA�� c•�,r..,- _._� _.. t p L NE a • Ac_ta5rA LF END, Or- SIDE ) . .., � lU��'�2�', o o _ ,r r � II o , WITNESSED BY. B F3 " ( ` � ,t I , 0 0 OPENINGS W/4-1/8 � " PATE: J L)MM 2 Ig"L£ , ' y OUTER D I A. 8, I-3�4 , , SPLIT 5 1.IT t�Y !w 28 ± N I 7' , a 0 INSIDE DIA . ° TEST PIT-GND ELEV. t�17,52`f IC�t,(� •c}� ti �Ut L t2..tT 1 ��I g r o D p 0 TOTAL ° a o AREA ° 3 - `n �- LOT -#- - -U �1 a.5 �p�� I-.C7 A (�IU RUST,T, L.� "61 »o, � _ o F". SA N!� �' 1�,AVC.I.. C A A D r D PIS. LIJ N � R o , . , , , pDo � h . �'I ZOK Q , ,, - It . f �� sl BOT. PERC. HOLE Q (Q EFFECTIVE DIA. i GU i r DOWN t /,� TOW W . ,. . .. LEACHING PIT - SECTION I~ :DR NO SCALE -- DESIGN ` DATA : NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM d -, N 0. OF BEDROOMS c C,F_Fm1). TC�P , NQ DISPOSAL a LEACHING PIT NOTES: A 3 G O ES. EST. TOTAL DAILY EFFLUENT GALS. 'A" t c , TANK GAL. . , , I • ' GONG. TO BE P.S,1 a :28 DAYS . . �.. a /• a. � ._ �.f 2. . F-. .� r . :,� , : RCIN W 6 x 6 6 GA. W. W. M.lowl - ,. . . .. R . .. r . . . .0Al . >. } .. 3. 2AN AVAILABLE D _4 ,SECTIONS ARE FOR GENERAL NOTES G E E A L _., t.._ _ ... •,. ,. . . GREATER DEPTH REQUIRE EN S . .. --. ., b. ?•i. r ,.. _.gam,,...00, .V . J. ALL SYSTEMCOMPONENTS SHALL BEINSTALLED. IN �I {�yy TOP 5 a Ll�. w�.. ,..v.,, e,t:r .R.S«, v \,a... :,_. -..-. . 'tt.i•.,,. ,,f::'-,tx�r.�:.:, lrr� .�,1I� � .. - •rn• .,- , I . r,. _.x,, _•. NOTE : ACCORDANCE WITHTITLE5 OF THE STATE SANITARY CODE _ . . ._ _ �` a35 r _ - RULES. . .,r... 1 EXCAVATE T E EV R W A 0 L 0 LOWER S 5e, .. .,.,.� DATED 9 ANY LOCALAPPLICABLE. _. JULY I 1 77'a •, :, - ram , .< � L h i x . ter:. . „ REQUIRED TO REMOVE-A AM AND CLAY CONTAINING > k: . . , L L LO C 4 ., ,.. . ANY CHANGE T THIS PLAN MUST BE APPR D. BY THE a _ 2 0 1S E .. . MATERIAL' B AT T REPLACE EXCAVATED MATERIAL :• � �.;,�k- ,: _..p,, , ,,.: BENEATH PI EXC ED BD OF HEALTH AND C E • [/ HARL S D SPOHR< ...,:.#' «..,»,:...,e+ ) emu-. '-., T•§ x... 7 �. ., ._, ., WITH G ANC AY'_FR AVE MECHANICALLY � L E L FREE GRAVEL L ,., k ,. » .a. S MP P � _._ .. ..,, .., .. COMPACTED IN ACE: 3. WHEN CONSTRUCTION 1 COMPLETED PRIOR TO BACKFI LIN +� ,. F FORINSPECTION.„ .• ,. e-- NOTIFY THE ENGINEER 0 SIDE R A _.�__S.F S. F./GAL_GALS F A V MUST BE HCOMPLETED. �' 8 4. FOUND AT ELEV. US CHECKED �. . ,_ ,_ � ... ,. •, _.r~: BOTTOM A `EA S. A A .. .. _....�� ., =. ,._ . . T R S S. F G L GALS$,... ,.._, - . .. . ... ., ., H V MUST T B CHANGED W I TH T WRITTEN< ... ,,-..>,§_. .� :,.•; - :;.� _ // 5 THESE -ELE. S US NO EWITHOUT RI TEN .. TOTAL AREA S.,F.. TOTAL GALS WADIAl- APPROVAL BY CHARLES D. SPOHR• STK. ET t . P p BOX , ` �_L" r:': LEGEND 6. FOUNDATION INSPECTION READ. WHEN EXCAVATED. TOP' + ! 11•C>4# QV�� � � I~ „ -4 Eflt `- 500' EXIST. GROUND ELEV. B. M. NOTE : 50.0 FINISH GROUND ELEV.- UNDERLINED AREA PLAN" ALL FLEVS . IBPSa!D CN TOP Cam' XIST, REV. DATE DESCRIPTION A � 47 50 PIPE INVERT. ELEV. ARCA' PLAN F'I�E��/' RED .FR �P JA�Rt_,F� _ �a .A - o O TEST PIT LOCATION SEWAGE DISPOSAL SYSTEM OM PI-AM + t a c� :� AIM �- � i '-� - .T :21 AUG i FOR O O SEPTIC TANK A MARK W UCH MAN ��f/ [��" 0 DISTRIBUTION BOX o T 7 � E R• a BUILDER Qw:% �� A A 4 " C. I . PIPE \ LOT I L I H ROAD H MA 1�K W A u� H tit A.�.,1 {y'�� (!may` [/'� ��^'+.�(�s+�7 i} ITO (j�^✓) , � ! — �FUI-!'I'i _ a C SBY H ILL � C N ( c � / # . ,• _, .� _ -x -ifiH-ttti-}- 4 BIT. FIBER PIPE T I G H T J O L N T S R o 1, A�7 T/1,��I V�L R Y IL L c^ �, r � ; , t ,, U v. DE:SIGNED. C.D:SPOHR DATE.1 C` � DRAWING NO. I"�YA � _1 1 .� ��.+�'. � a T(~ATI�K�T �A��. ©�:,� - -- - '.:PROPERTY LINE , �;`., �cT€ . ��/ � AL4, � a S P C.e,, ,C. _ rf DRAWN'. 5CALE:ASSHOWN MIN, CODE DISTANCE ( per 9 P C L LOT , .,. �. MAP SEC CHECKED. C. D. S .