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HomeMy WebLinkAbout0136 NOBADEER ROAD - Health � f � r t _ i T 3—�y3 j ..................... No.. `� t� THE COMMONWEALTH OF MASSACH SETTS BJ OF HEALTH w' OF S ' Gi U 3 X41Vfiration for MiVviiFal Work.6 Tomitrurti n ramit Application is hereby made for a Permit to Construct (a/) or Repair ( ) an Individual Sewage Disposal System at: I �j�ri �YV1 �ILIOIIL� l - - ... :k...� .--�.�..��-.. ...:� ............. �' ........................................--•- t� tion s I Z o'r o. ���► . S o . ,...... ...-.5 � wner Address a L "�'` r�.t" ................................Co I ................ 0.f`t Vi S ✓ .... GL— -----•---.. ......... Installer Address Type of,Building Size Lot._..7. =.... ....Sq. feet Dwelling—No. of Bedrooms.............� g ..........................Expansion Attic ( ) Garbage inder 04 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafe a Other res ..._.. Design Flow........................... ......__:gallons per person pe day. Total daily flow..........fi..49._...............gallons. W W Septic Tank—Liquid capacity[ Length-__ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length-----------......,t Total leaching area_____._- - - :_' .._ sq. ft. .�.17 Seepage Pit No------------i-------- Diameter. .- . .... Depth below inlet..... Total leaching area. ZSq. ft. z Other Distribution box Dosing, tank ( ) aPercolation Test Results Performed by._. Y!a.4 ...1+404 . .. ��, Ss ate.....?r.........J_..3......_.. Test Pit No. 1................minutes per inch Depth of Test Pit......17....... Depth to ground water.. _- G�, Test Pit No. 2................minutes per inch Depth of Test Pit.......:............ Depth to ground water........................ a x . r i..................(.�....f1....S....C..E..................�........7..I l' - f .................... O l r. Descriptionooi.... -- � . � ---------------- ............................V.7:.I.a........ .................. .......---•----.....__........•.•.._....•_......----.•.... W UNature of Repairs or Alterations—Answer when applicable-, •---------------------- ------------------------------------------------------------------•---------•---•--•--•-----------••--------•--•••-•-•---•--------------------•----•----•-•--•-•.............._. Agreement: The undersigned agrees to install the aforedescribed Indi idual Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary Code— The dersigned further agrees not to place the system in operation until a Certificate of Compliance has beenAss d y e board of health. ed- . . . . ... ....................................................... ApplicationApproved By---•-- --• -- -- --------------•---------•--•------------------------------ -------•--- - Date Application Disapprove or t e lowing reasons----------------------------------------------------------------------------------------------------------------- ...................•.........------------•---•-•----------------•-•-•-•--.....-----------••---------•••-- Date PermitNo......................................................... Issued........................................................ Date No...... .3 7413 FEB.. ............... .. THE COMMONWEALTH OF MASSACHUSETTS (J BOARQD OF HEALTH . ..!J.. .. ----...OF.............. ...t�.. ... -1 �.----•-•-- Appliration for Bigpoii al Works Towitratrtion rumit Application is hereby made for a Permit to Construct (/) or Repair ( ) an Individual Sewage Disposal System at: + / / / U Aj ri G+ � G�' (._e 1- +� e r v) I l.G �(,[..V vk, S Gi �t C�.I /��C-- .... - ...t------�--....--• . .....:_._.�`................... ..........................................� ---...--------I------_..... ----- - - Iyoc tion- ss r Loo. } r!t 1 1 Y i ( �L - 1! l - r� Cc In la I Ct ner llaaress - w �- G is s �. . Co . I . c: S a- -------- .- ----------------------- . ..... i--------••-----................................ 11 Installer Address UType of Building Size Lot.... q. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Gr' der ( ) aOther,,Other—Type of Building --------------------•------• No. of persons---------------------------- Showers ( ) — Caf eria res -------------------------------------------------------------------------------------------•-------------------------------------"".` W Design Flow.......... ........::_:::......____gallons per person pert day. Total daily flow_______•- . ........................� gallons. WSeptic Tank—Liquid capacitylO gallons Length._._.11__ Width................ Diameter__:_-----_____._ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area..._........__.....sq. ft. Seepage Pit No............I..._... Diameter-_t_n".l`4_-__ Depth below inlet....._5.....0._-. Total leaching area_4;aS!1<4. ft. Z Other Distribution box ( 4 Dosing tank ( ) i A� `-' Percolation Test Results Performed by..... 'u- - .._ _ _.. '__�WAWA(4ate_.....``,�-__.1.�_`. 3..._..... F I q-7 S Test Pit No. I__L....minutes per inch Depth of Test Pit_._._.i is------- Depth to ground water__N-�_N. rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --- - Description of Soil.........__ ' ..... 1 j ' --------------- UNature 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 TITIS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signe'd...................................................................................... l .... ate Application Approved Bye:._: X,tD.a- e_ n P .Application Diapprove4 tr Kfd-lowing r ---- ---------------------------------------------------------------•----• . ----- \. `^k .... ...............•._.....---....._..............._......................_...........__....._.__... ., Date PermitNo......................................................... Issued--------------.......................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... ,,� (9pdifirFat of Toutpliattrr THISISyP6C RTIFY, That the Individual.,Sewage Disposal System constructed ( ) or Repaired ( ) by------... a ....................... oInstaller at has been installed in accordance with the provisions of TITi; 5 of The State Sanitary Cod as ascribed in the application for Disposal Works Construction Permit No. .,,_._ ! ---------------- da.ted.�.__��_ ...................... THE ISSUAN E OF THIS CERTIFICATE SHALL NOT BE ONSTRUE AS A �UARA T E THAT THE SYSTEM W1 TION SATISFACTORY. z// DATE..... .,<... •• •............................................... Inspector.... ..-• ---•--......_..--•••-•-----------...........-••-•--------------•-.••... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF -----...... 1 :":� .a........ , FEE...F.�.................. Permission is-hereb granted._-=;¢t`:-_. �:-- �i..............•--------------------•-------------------------------•------------...-------•-•---•--•-....-----.. to Constructoo )for" pair ( );aa Ind'iv d al Sewage Disposal System atNo. '` =J ._ -------------------------- Street as shown on the appli ion for Disposal Works Construction Permit No................o�'" . Dated........_ .... ..................... / ....................•�.f --- .:. ----•---;r ;''y!,s...................... Board of Healthf � DATE....... -- ... ............................................................... FORM 1255 HOBBS & WARREN. INC., PUBLISHERS � r • -------- ---- -'r"' --vrr .. •y-a.errs--,—an-re^ �.. _ --- ., ., fr -''''.. ... ..• .may"+ - - �-�•, ''�°s,""'""` _ - J'.' �•i � T :S. .lam',.. -�:-. �... :. : - I.. y (". ,.. �.al..,.. '•J..rl - ,,. .. �' �i`y�a ^i!i .. , .' v:�,>. r� `.'*•' d'" :g t:'.'T:��� .ir.�u, ex �5: .. ... �!9� a.. t�.y .t, k ...' .. .Yk. '� . e. � ♦. .i ..s: . .. W• C+'.. .. -, :4, -a4 . ,J W g T �rpy a- i fY a r:.� .. � s. -_.... ..J . ._ .. ...�: . lc ...� -�'.. ....d t ..... .+„ .. ... _. .2 ,3 v. �':� ..1:: '+KL�`.. " " J •x" `.i: '� ��-F. .. b:� M ..< - ,- ,:Y, . _�. �� -1,+xr +.,c. .. w'" .�` T:. .:r .c9; � '�`o."A4 •-,F w �. '�'"�'3�' •,ytar., '�" •n: :r: r,... :..... .. t y Yj...wM: h T .(. F�`• '7/� k-I,P�'q+' piS+ :. -k. � /.� � Y ., Sl TE PL A IV 7-YPICAL PROFILE SCALE �. NOT TO .5C4L f }-18"S70. LT. WGT. C.I. MH COVE e x 4"C.1. P,'PE 4"BIT- FIBER PIPE TIGHT .10INTS i ' OUTLET LEVEL -17 El. i FLOW LINE O ---- TO FIRST JOINT DWEL L ING /4" 65,a I O O _ G I. TE£ �' �5• t>:i C.I. TEE _ -� STANDARD PRECAST -- -f 4"- CONCRETEGALLON SEPTIC TANK11 DISTRIBUTION BOX TO BE INSTALLED ON + _ LEVEL , STABLE BASE. SEPTIC TANK TO BE INSTALLED ON i LEVEL , STABLE BASE CL '� ' tee, � `iT ty. pp,fFGAh`r GvIJL• I 2"- //8 TO I/2" WASHED PEASTONE L EA CN/Nr; P/T t f 2 _,� '� T V, P 9.EG A hT 44)06. ALL AROUND FREE OF IRONS FINES 1,Ooa 6%AL . S�PTiZ- TA►►sV, AND DUST IN PLACE BASF TO BE LEVEL 3/4" TO !-//2" WASHED CRUSHED MURTA R COC/BRICK Q RES o AS RE©UIRED TO BRING �. STONE ALL AROUND FREE OF COVER TO GRADE 24"C /. MH COVER AND FRAME IRONS, FINES AND DUST /N PLACE f '•=yam: �� + S T � � -._-.._ _.---__. ss INLET -_ 6' FLOW LINE �_ _ - ___ __ LEACHING PIT SECTION- PIPE I. CONCRETE TO BE 4000 PSI 28 DAYS s?- GAK I __E„ 2. REINFORCED WITH 6" x 6" N0. 6 GA. W.W.M. 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS. 2a P = i OPENING WITH 4-//8" ( 1 4. NUMBER OF PITS REQUIRED OUTER DIAMETER B NOTE; EXCAVATE TO ELEVATION '"7'3 OR LOWER AS J I /-3/4' INSIDE DIAMETER REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH j + PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN GRAVEL TO DESIGNED GRADE . ® p►�j77 Zv- 3z4 s{ - z '- v" 6'- 6" Z ' 41 0.. -- ----1 e MIN. T, EFFECTIVE DIAMETER n I I NO T TO EXCEED 3 7 M f S EfFEC T/VE DEPTH) y --- _ r , io - 67 0 WATER TABL E --- -..;- • SOIL AND FERC. DATA ---- GENERAL NOTES 1 °rcwALtt ��MT' 1� ulrt�k CIO'pO ' PERC. RATE Z MIN. /IN . No HEAVY EQUIPMENT TO RUN OVER SYSTEM. SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TO BE STANDARD - - TEST BY: mt�yGl: 1-I�cL,D �ui1V(, WA+12�tJ1[ 4: � AhhO-G,L_ _- — - — —t------ PRECAST REINFORCED CONCRETE UNITS. WITNESSED BY. ___ U v N ICJ i AG 00 1 ( 05, ex .� ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE 1�-17 5t. &7.5 T TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , TEST PIT GR EL.: 1,� 7f� .��- (vS4�7 DATE MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF {Z O A to TEST PIT NO. r I " 77 TEST PIT NO 1�7$ SANITARY SEWAGE EFFECTIVE I JULY 1977, 0" - 0 -- -- - ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE Td(��SunJho(1. �oP15oa" 044 BOARC' OF HEALTH. A. AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING, THE GdAIZhG h M�D•hA►*.1D/GoraP,Sf.E nLID 4 KAVF-L, 7 BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. S Mli�17. SAA.Jb MAD, hAil1D PITCH ALL SEWER LINES 1/4" / FT. UNLESS INDICATED fz' gLyb.S OTHERWISE. �o wA.T � tz tilo w /.Tle, R DESIGN DATA BEDROOMS �_ DISPOSAL r\_l a 0 e EST. TOTAL DAILY EFF. GALS. L EGEND - SEPTIC TANK k o o V GAL SIDEWALL AREA Z ' r7 GAL./SQ. FT BOTTOM AREA GAL./SO. FT r EXISTING GRADE LEACHING REQUIRED I ��� sQ.FT. SENIAGE DISPOSAL S YS TEM ZONE ` r2 FINISHED GRADE ACTUAL LEACHING AREA FOR DOMESTIC WATER SOUR10E N_ kJ A. T ra, 9 INVERT ELEVATION � gU -T -- 1..lvrbn.vrr-etx r2v to.D PROPERTY LINE ��1b8F Y'�s1q � #� GrCN_ tZV ILGaI , �aJZ_oJ goL,ro� NA l�► '`> 5 PL A N REFERENCE ---- L G 14 0 �7�Z- MEAN HIGH WATER NilltAM M. + SCALE: AS INDICATED DATE � �*� • BIENCH MARK DATUM U � Lr '`� "S v t�v � � �MrtcK � 1�� �• MAR;H �p i9771 4 N vVM. M Wi4,5W/CK a ASSnC/AYES [rL.C a-� t.7' z v A.J � � v>v 44 A. P. 0 4- � c►s1E�`�o�' �� EO X S 0IHUSE RT H FAL?05 6