The URL can be used to link to this page

Home My WebLink About0087 PONDSIDE CIRCLE - Health (2) yq PondaUt Ur... t4a. 0133 /ova 33 Aga +� d No.-�j-�..1 Fps...../.&.........._ THE COMMONWEALTH OF MASSACHUSETTS 7 T- 71 BOAR® OF HEALTH -i—.ocA�.o.................OF....... cns.l cb./c.................................................... Appliratinn for Mipoga1 Worko Towi rnrtion ramit Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: YE s�r// ----Location-Address ^7 oirl Lot No. ls2F Cn/Iaj'�YIlC/zGd 9 ..... ! t11YG$!?x'Pit2...slf�l. /G�!�?Carl Z✓<` 0_1.... Owner Address a 4 f�/ <i�'/l7uce Q ---- -------------------------------------------- -------�-- --�.lrz�.�r.!�gc�---�...-- Installer Address dType of Building Size Lot____ ....Sq. feet U Dwelling—No. of Bedrooms.__._t __________________________Expansion Attic (,l6) Garbage Grinder V141) Other—T e of Building No. of persons____________________________ Showers — Cafeteria P., Other fixtures --------------•--•----••----•----------------- W Design Flow................................. ____gallons per person per day. Total daily flow.............................. _.__gallons. WSeptic Tank—Liquid capacity.U�n__gallons Length_&.- °__._ Width 5!-_$_...._ Diameter________________ Depth F,_6__ -- x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.....jiq�?....... Diameter-----1_ -_________ Depth below inlet___ ____________ Total leaching area__.SZ,$.....sq. ft. Z Other Distribution box (-,) Dosing tank ( ) aPercolation Test Results Performed by..A1n ___£.lc� r__.f__ !?��-________________ Test Pit No. 1...9........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 c,= R'+ ------------ ...................................._ ........ Description of Soil------Q ....--Tapwa l 1-------- -cmaf1 � U &Lsr Y171uA_Sa �_ r/1c j =��y 2?1�� Fits._ vt __f�/Pc1��1� AilY311-----•. } W is W1.L50N ` -----------------•---._..._._.__....-•-------•-•-•-•-•--••-•--------•--.-.----..__._..---•-••-•--•-•-----•--•-------...--------- -----------••-----------._.. .._. .•--------------------- its i' . .itlo.3021'6 U Nature of Repairs or Alterations—Answer when applicable................................................................ F ---------------------•-•--•-----.....------------•---------------••-•-•-•------••---._...---••-•--------••--•----------------------------------------------------------•_,.� Agreement- /lo�9Z The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in cor a ith the provisions of TITLE 5 of the State Environmental 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. Signed...........�"..—....... -...- ..................... ...... 9 I?are ApplicationApproved By -------- C e- -- -- �---------------------------------------------------------------------------------- ------ ".:s, .—. Application Disapproved for the following reasons- --------------------------- -------------------------------------------------------------------------------------------------------------------------- ---- ----- --------------------------------------------------------- ........................................ — Date—^ Permit No. ........ Issued ------------------------------------------------------------------ Date r No..74_j_s ./. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -•-------.-/o�W_..o ..............OF....... ...----............................................. Apli iratiun for Uhipati al Works Tontitrur#iun rami# Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: ........... c„ i� ------------- ----�.Q.T y----------------------------------..........----------------------....----- Location-Address or Lot No. ....TLCr�Q_.......Z1.1.✓�frc+......... . `17 f7��lxd��zX.ErC... �.....-- Owner Address a-------------------------------------------- ---47.__ /msm..-.4r...�....... e:!Y l�.... Installer Address U Type of Building 1 Size Lot----;�,J_9?A....Sq. feet Dwelling—No. of Bedrooms.....�o.e:�..........................Expansion Attic (-t6) Garbage Grinder (4) Other—Type T e of Building _..•_-____•-_•• No. of persons............................ Showers — Cafeteria W YP g ------------- P ( ) ( ) G4 Other fixtures -------------------------------- . W Design Flow________________________________SS__..gallons per person per day. Total daily flow............................qA�._..gallons. WSeptic Tank—Liquid*capacity!s�..gallons Length!4':,.".... Width S L ...__ Diameter________________ Depths.!-C$_�"... x Disposal Trench—.No. .................... Width..._................ Total Length......... Total leaching area....................sq. ft. Seepage Pit No.....t ------- Diameter......L?----__-___- Depth below inlet..."4............. Total leaching area._`".. ..... ft. Z Other Distribution box (x ) Dosing tank ( ) Percolation Test Results Performed by.Z-,~ f---_-----•--••_•-•-•_--- Date_.42,5'._�L'9� _.�y� .- a Test Pit No. 1...9........minutes per inch Depth of Test Pit------24_......... Depth to ground water___----------._. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water___ a ---•------ .......................................................... • a Description of Soil------�- ��---.T>7�sR�!_ .��aSca�1 f tC�rac!c� slrn¢ ....... ................ r\ (4 <c�.$J_fl?�srl�__Ss�.eac�r✓/.91 �_ ... _lZt � ._.lgotrG_c�%�i�/t lf.Ll---•-•...... EPHEN / ALI Y:N! v` . ----._....-•--••••--••-•----••••••••-----------------••••-••----------•-• ------- C8 -------- r. U Nature of Repairs or Alterations—Answer when applicable--------------------------------------- ____ __ _ 6F r� ---------------------------•----------------------------------------------------------------------------------------------•-----------------------------------------•--- — n�_ e Agreement: lONAI The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in a the provisions of TITLE 5 of the State Environmental 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. — - Signed............................._----- ---- .--.---.--- -----..........------..... .... -- . . --------- . --._....------------ Date C Application Approved BY ---------- ^---�) ----------------------------------------------------------------------------------- ......- .5:...- ` � Date Application Disapproved for the following reasons- ---------------------------------------------------------------------------------------------------------------------------------------- ............... .__..............................................................--------.--_._------...................................................---_.............-Uate ..... ........................................ Permit No. a1.- `fir------------------ Issued ........................................................Date t r' THE COMMONWEALTH OF MASSACHUSETTS BOARD yO�F HEALTH................ OF ..------------16 r axa ............................. (gertifira e of C�ortplianre TH,I,,,� TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by ..........tea....;/-.. ................................... pp y� ' Installer at .............LOT......l.....----P'.� ... C� has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ........1...a•_.- -��. dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST5 A fpU RANTEE THAT THE SYSTEM WILL FUNCTION 1ATISFACTORY. DATE...................................... ---...- --....----- Inspector ----------P., ...------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..- No........�."°�.D.�jun FEE.. ........ Disposal Workii Tomitrur#iurt punfit Permission is hereby granted----------~---------------------------------------------------------•--_- ................................. to Construct ()Or-or Repair ( ) an Individual Sewage Disposal System atNo............j-,%'T ........ •- .... ...............---- Street //��yy .as shown on the application for Disposal Works Construction Permit No.. r___!=y-:�T Dated........................................... 1-----------------------------------------------------of Health r Board DATE '.� / :-•-------••-•----•--------------- v FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS BREAKOUT CALCULATION: PERCOLATION SOIL TEST 10' MIN. PRECAST CONCRETE RISER, AS REQUIRED DATE OF SOIL TEST � -Zb ` � SEE NOTES 2 do 3 WITNESSED BY -rt LA.91>>yJ�, 4" SCH. 40 PVC PIPE PERCOLATION RATE MIN./INCH MIN. PITCH 1/8" PER FT. T.O. FOUNDATION BACKFILL NTH TEST PIT 1 TEST PIT 2 f TBool�O MIN. CLEAN SAND -o.00 ELEV.- -o.00 ELEV.- S�'O qo,,� 48 � P4RT 47 Flow -2,5 -Tor 4 iPITC / 59, 164 _ 43,5(�O x 330�pd/ocrc = 4cd gipcck 11/4"HPER FT. _— / c,l _ P}},O�mez,.i' IUD f9mt4F' / \ 2' LAYER OF M�' �f!1►J!�'i �C FLOW UNE j 1/8" — 1/2- vjl WASHED STONE 46 q 2-0• i WATER LEVEL ADJUSTMENT: -rp"'Z .&or 4 DESIGN CALCCU ATIONS : � 2 G g�►Io� C4'�� X 47. Z LEVEL � 4,7/uc lJehr .Zr1^i:.yC- cs'c la p,� ca1.3" of SMnc , 4'-0" 46'8 6. o NUMBER OF BEDROOMS LIQUID p p 3/4' - 1 1/2" TEST DATE �'L2via . EI 3; O WATER LEVEL GARBAGE DISPOSAL UNIT LEVEL , 00o F / WASHED STONE TOTAL ESTIMATED FLOW DISTRIBUTION tb 2 / INDEX WELL /}INi '."4l (11C GAL./BR./DAY X 4 BR.) 440 GAL. /DAY BOX / w WATER LEVEL RANGE ZONE G REQUIRED SEPTIC TANK CAPACITY /SOQ GAL. CD c> CD4 DEPTH TO WATER LEVEL FOR INDEX WELL ACTUAL SIZE OF SEPTIC TANK [SOU GAL. FOR THIS MONTH LEACHING AREA REQUIREMENTS / / / SIDEWALL AREA 2,5 GAL./S.F. GALLON SEPTIC TANK L I WATER LEVEL ADJUSTMENT 7 Z BOTTOM AREA / o GAL./S.F. DEPTH TO HIGH WATER __ €�. 38,2 LEACHING CAPACITY (BOTTOM + SIDEWALL) /l M GAL. C - > RESERVE LEACHING CAPACITY //B�O GAL. SEWAGE DISPOSAL SYSTEM PROFILE NOT TO SCALE BOTTOM OF TEST HOLE NOTES: LEACHING PIT (z koq'.k) h- 1. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D.E.Q.E. TITLE 5 AND THE TOWN OF _ RULES AND J REGULATIONS FOR THE SUBSURFACE DISPOSAL OF SEWAGE. 2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO WITHIN 12" OF FINISHED GRADE. + 3. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE SHALL BE MORTARED IN PLACE. 1 4. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABL OF WITHSTANDING H-10 LOADING UNLESS THEY ARE UNDER OR y� \ WITHIN 10 FT. OF DRIVES OR PARKING AREAS. H-20 LOADING SHALL BE USED UNDER OR WITHIN 10 FT, OF DRIVES OR PARKING. LOT 5. HORIZONTAL AND VERTICAL CONTROL, SEE LEVY, ELDREDGE & WAGNER FIELD NOTEBOOK # ZI / �ADO WETLAND I-OcArioN FLAG-&Et-*�, 3`{ l` 32AnC-o,z_D L, HAL- ON 4 - Z - 87. LpT y,2 00 LEGEND: NIL lwSta �A,�r / / / EXISTING SPOT ELEVATION OOXO EXISTING CONTOUR-------00----- -1 FINAL SPOT ELEVATION �, FINAL CONTOUR - R'f •gyp r / .- SOIL TEST LOCATION TOWN WATER W W SEPTIC TANK C DISTRIBUTION BOX 13 \ % pr , / � / PRIMARY LEACHING PIT p f/ SF RESERVE LEACHING PIT A. 30 t Wtra► LS ..� INITIAL ISSUE NO. DATE DESCRIPTION BY IL,i9T w f7st Q(P /►?� Y`y _j- 'w�� /' �� '/I�N 5 ST ' . 'i31J�Y i�L �r ofWP — .]c'` / SE 3- � l '3 / oc s h q0 !r is S � c%�/ SCALE: �" 4!� JOB N0. l ZS j ��` y STEPHEN 5ti 6 3 � ALLYN o ,+. , WILsoN 4 No.302iS APPROVED: BOARD OF HEALTH LEVY, ELDREDGE & WAGNER ASSOCIATES INC. �/T1 DATE AGENT KNGRlLM LANDSCAPE ARCH>'fM PLANNBRS LAND SURVEY' ORS LOCATION MAP 1- _ 889 WEST MAIN STREET CENTERVILJ E MA. 02632