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Home My WebLink About0017 RAYMOND STREET - Health (2) l� �� 0 hTo.. .� ... Fm3.....`cam..................... (0 THE COMMONWEALTH OF MASSACHUSETTS IO(o BOARD OF HEALTH . ........ �.4............OF...... Y'h.�•�-# .1 ------------------ j'1 1 (,,,jjeNVV irFafiun for Dispau al arks Tonstrurtiun Vamit CDi Sewage an Individual) or Repair Applicati is hereby made for a Permit to Construct ( ( ) s osal System at• X g p ................_...- ......... ....... .........tq ...............7 .. Locati A Lot No. f r o - ddress :� ..... tr � e �l _fi�? ... ! ......................................... Owner ii Address W ('1 --,Z &ti-------. .. .................•----------------------.......--•--...._•. ....._• --•- ................. Installer Addre Type of Building Size Lot_._..0j..0r .Sq. feet Dwelling—No. of Bedrooms.._..:....«-.................Expansion Attic ( ) Garbage Grinder ( ) P., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ....-------•--•--•------------------------------------.-----•-•------.................-•--------•--- WDesign Flow..................-S_ti�................gallons per person per day. Total daili flow.............33._C..................gallons. WSeptic Tank-tLiquid capacity. gallons Length....._._._.. Width..._--...... Diameter___:- Depth.."1t�..__. x Disposal Trench)-No._ , tN, : Width..N...*;W., Total Length--W.°-!.',Total leaching area.._..�i.A.®...sq. ft. Seepage Pit No..................... Diameter..........._.'__.._. Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box X) Dosing tank ) �.+y.lt, 3 q 3 5 Percolation Test Results Performed b .__....__�_,..�:.. U. _..��?. L® ` a Y - - - -- •- -- -•--�_ Date-----L. .3-�-•j-,9.41"ie---- Test Pit No. 1...�.�_minutes per inch Depth of Test Pit.....(%......... Depth to ground water........6_Q_....._.. f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 of ...-•............. ----------------•............................ Description of Soil ."_8.x........1�R .5'± .`�- �G--`� x f w x -•-•-••----•---------------------•-•-------••-----•••-------------•-----•---._..._..•--•-----•••-•-•---•••-•--•--------------•--•-•----•-----••-•-••••------------------•••-•-......-----•----•----•--•- V 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 TI1HE 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. - mot°—e Signed•• ----.... --_ -Q �� -,- ------� �J Dat Applicatiopp ed BY•-•-.•.... . . --•----• --• •. ----• • ---..................... -----------1 1 -• ------ Dat Application Disapproved for th following reasons----------------------------•--......------------------------------------------------------------------........_ ••--•-••------------••------•-------------------------------•----•---...------•-----...........-----...----.....-•----------•-----•----•-----•---.....----------•-•-•-•-------------•-•••--••-••-------- S --------••------•-•----- Issued------.T ! � Permit No......... S-Y------- ----------7 - -�-..................... ----•- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH O`,J_0.............OF....... ..c�.( �5 Applir�ation fear 11hipas al Works Tonstrnrtiun Prrmit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at:,'/ Location-Address , �j or Lot No. 4L� f_.f -.1._. Y e.,r�b2 C. .. 44t_cam ►-e n be C /L A/ rJ!7 -• L-A .................... i caner � � Address Installer Address Type of Building Size Lot...Z d f.0.51a-_._Sq. feet Dwelling gNo. of Bedrooms.-_......_y r e. ..............Expansion Attic ( ) Garbage Grinder ( ) rt------------- aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) P4 Other fixtures W Design Flow.................. � ......_........__gallons per person per day. Total dai� flow.............�-2..3.0-...... gallons._........._ R; Septic Tank L Liquid capacityl��n..gallons Length..... Width............ Diameter.......... Depth.. _...._.. W r i x Disposal Trench I No.`e��.t91' �._:Width_` ; ..: _. Total Length. �__. . .Total leaching area----V_�.O....sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (x ) Dosing tank ) (3.0.H. l�k� -3 ,9 5 Percolation Test Results Performed by... _...�...v"lA .. : �._..� .Lpl\( Date___.!?. 31 �f a ,� /-•• --•;,...... Test Pit No. I-.L _.minutes per inch Depth of Test Pit....26---._..... Depth to ground water........ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 1--•-•----------------.--------•------•-----------....---•--........._.........__._._...• ' T •---•-•..................••........_.....-.. D Description of Soil.... =.a_ -... �� 5'" = °�f.�,-._ ..�' �'► .� �a±� .�c?G.�_ __.SG h ------ W ....-•-------------- --•-•- V 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 TITIE 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. _.�1 _ Si"ned.. 74s�.h _ l u+~ / ^ :... _ _,.. R-1 ApplicatiorY owed By .. . ..................... -------.---� � Application Disapproved for t following reasons------------------------••--••-•-------------------------------------------..................................... ---------------------------------------•--....-----------------•--------•-+-----•-----•----•--......•------.._ .....•--•--. Date `S�Permit No......... •--- ..._..--•••--•-.. Issued•---•-.. j g - ✓ ••---5---........- ----------- ----------------------- Date THE COMMONWEALTH OF MASSACHUSETTS ,- BOARD OF HEALTH a� .................................O F..................................................................................... Tntifirate of TuntpliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) f,A . q by ram- -:.I..%..... .............................°�' i 7 _ Installer at.--•-•--•-......._..="'`- ==== ' -f I r ZILIIJI - .� --------------------------••-----•-------------�--.....-----•--._.... has been installed in accordance with the provisions of TITLE: ,•_.5 of The State Sanitary Code asi�bed in the !�� I-- application for Disposal Works Construction Permit No...... .. ......:.:::............ dated_..._1_ _I_. °_...______......_..._._........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... !- $ ............................. Inspector.... e, THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH % /r vrrJ O FYI ......... ... ........................... ................. ..... No.............•--_.•----• FEE........................ Dispos t Works Tnnatrnrtin_n Prrutit Permission is hereby granted.............................ti.....-�-" Z 4 2 C- ---....------••--••-----------------------•---....------••........................................... to.Construct ( �rkRepair ( ) an Individual Se age Disposal System at No.. [ .........."!}I - -'r'^ �n U(il ......... . .._ - Street as shown on the application for Disposal Works Construction Permit No��. _'r-��1_ Dat d...._l./j.�. :f€. ....... _ �- _. Board of Health DATE ........... FORM 125.5 A. M.SU KIN. INC., BOSTON SECTION - SEWAGE F1E.�o -SEPTIC TANK - - "D" BOX - - LEACH _ r y� TOP OF FON ! (MSL) "2"OF I/aT0 4z WASHED STONE IN• OUT- I OO�G OUT- SEPTIC T f/j \AI•�'\ o ELEV. �0.r�.-1 TANK •SZ- \�90 o�od a ..7 �:,,oG� � � � ELEV. - \� ELEV. V \ Z s' ` ltcscl ELEV. ELEV. o"S OF3/4"-1t/z" ! f' t, S.T. - ".•-\. % WASHEDSTONE r TEST HOL E LOG � � �� ,.. _ �• . . TEST BY `T- . .�e.1Ni/ `'a S < C-� r-t WITNESS TEST DATE \Zf�'; 8� DESIGN BEDROOM HOUSE - T.H. # 1 T.H. # 2 ELEV.%Lars ELEV. NO top PERC RATE « MIN/IN. DISPOSER DISPOSER 3; FLOW RATE B30 (GAL./DAY) sib _ �. 4 zv ci.v I SEPTIC TANK 33�, (I �`�� REQ'D SEPTIC TANK SIZE loon ' �\ O\; �q AC_ Ao3•- G� Z.el X� LEACH FACILITY \ BOTTOM G/D. s TOTAL 1 f USE: atit. LEACHING �o .tea.r-4 c-e-V-k �'ir f✓M.w�DOH K o- 8j== NTH, Sa WATER ENCOUNTERED IN NOTES: (UNLESS OTHERWISE NOTED) 1. DATUM(MSL)+TAKEN FROM IJ S_t:lJ?c�C�A nr_,jQUADRANGLE MAP �� C� �Z`{ CF 4f4si"\ - 2.MUNICIPAL WATER-------------------- _-----------------AVAILABLE 3.PIPE PITCH: 1/4"PER FOOT elc'i' e1- +�� O� AkIVE Gs\ 4.DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO- -44 '+7�•.?f' AP'•E H. � � .� 5. MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. ;')'t =/ L.DAiso l7 A� ti i v DISTANCE AS CERTIFIEDCD - 6.PIPE JOINTS SHALL BE MADE WATER TIGHT ( CIViL to ca #2�J3=i8 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. Na. 30792 f STATE ENVIRONMENTAL CODE TITLE 5 R SITE PLAN �j r: z' ISM o��. '� ��/ LOCUS: 2A`C'v`c'�`�t STZC�� "o ¢ / \F^•� \e '1 ZSF=ET C--- 1t72tCf��ye.e� �.ni:'S rM [.e C�Ia,M NA PROF s L ENGINEER. . REF: Lam— 3'� l�L. i3tG '-1Cn PG 1 down cape engineering PREPARED FOR: WI I--►--t/�..T-�:,. GAC�,2C�=�'( CIVIL ENGINEERS - -------••--O-- APPROVED DATE � � LAND SURVEYORS ------------ CONTOURS EXISTING)--- BOARD OF HEALTH � W s� REG.LAND SURVEYOR. _ ( SCALE—` �4=a PROPOSED) r ( MA YrMIM�..W DATE. i SECTION - SEWAGE \A, .("_5 c�v -SEPTIC TANK - - "D"BOX - - LEACH 1� TOP OF FDN ' -�`�=�� (MSL)x � ..2..OF1faTO,/z" �4 WASHED STONE E�TE OUTIN- OUT• \ P.(!.. � -, i �\ICELEV. EL� K E� \ q0 _ riopod 4 •7.._;ropoo \_ �� i r `l ELEV.0 ELEV. ELEV. \3.4 Q� J ��... / ,•. / �•45 ... OF 3/4"-11/2". WASHED STONE HOLE LOG �` f TEST ' t ,' �-ti:� �`_" \••J�; �, TEST BY T.�• .La'?0._ .*.i � SaC. a\> WITNESS ` TEST DATE \2 �'� DESIGN BEDROOM HOUSE T.H. # 1 T.H. # 2 oc� _-v ELEV.S(.4S ELEV. NO toF PERC RATE MIN/IN. DISPOSER \DISPOSER FLOW RATE 3 � (GAL./DAY) SEPTIC TANK 3-e.- (i. = 4��a . "\ ® , Lc:, REO'D SEPTIC TANK SIZE Z B� !P'C ` a LEACH FACILITY • BOTTOM 4-7_0 G/D. / TOTAL USE: o�-*.- LEACHING (�—O i '�4� F��.LCI�C�!'�•-�Y.. �yrr ��I'•.W�D�'H KO.S E•M:." tTt..'7Tf-r' . WATER ENCOUNTERED NOTES (UNLESS OTHERWISE NOTED) ' 1.DATUM(MSL)+TAKEN FROM _U��S t:l�Zn I QUADRANGLE MAP � ��,�� C� .\Z� of k4S�,� 2.MUNICIPAL WATER------------------)__a---_---------------AVAILABLE �° �� 3.PIPE PITCH:1/4"PER FOOT eel, . 41' gam. �O ARNE' G� 4.DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO• -44 � , 5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. � OJALe2. o 0'A.J1 Nl �—DISTANCE AS CERTIFIED 6.PIPE JOINTS SHALL BE MADE WATER TIGHT ( CIVIL an c-a ' 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. 4 I 26348 t( No' 30T2 SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 <j �M Locus: +� 2M_f�o��:- Ati4. u^:�� ,�-A31�1,.. /"�'.TG�.�:?i.� �'�`0'•t.�...,,1 �^�r�1S�','�a � Y L'S F ET c_ �=�C`-C> .1 2t� �ti �/. 1 c a C�•i; jJ�';� AL �\� REG.PRO L ENGINEER •'� USC�S . ryas . REF: down cape engineering PREPARED FOR: WI I- ►--�/a. GAC�C�E.F="� 1 C� f CIVIL ENGINEERS LAND SURVEYORS - BOARD�EXISTING) — --0��— APPROVED MA �� s REG.LAND SURVEYOR. BOARD OF HEALTH r� DATE Yaw�Mi,W SCALE \ f DATE. " e+ SECTION - SEWAGE -SEPTIC TANK - - "D"BOX - - LEACH �- TOP OF FON \ \\ 1��• �\\\ L'1:S?a (MSL)a .,2"OF UaTO 4z" WASHED STONE All OUT• IN• / I \ OUT- \004G \ SEPTIC TANK lAt.3Z. \✓VG ELEV. ELEV. ELEV. — f ' IELV. `� \ Z\ '1).t,::. f�1 1ks" v ' ` O. ELEV. ELEV. 40 \45 WASHED STONE TEST HOLE LOG 1 TEST BY T. M/ 6a S WITNESS TEST DATE H. # '� T.H. # DESIGN BEDROOM HOUSE T. 2 I 00 ELEV.51.4rJ ELEV. ` I.v �.�"�,y _ • "'-' �,y 1j\ tom PERC RATE �Z MIN/IN. DISPOSER DISPOSER s b FLOW RATE 3'-'0 (GAL./DAY) 330 -e SEPTIC TANK '�3G (1'�= 4�� %` �, A?s q.ZS REQ'D SEPTIC TANK SIZE l000 / -2.ES O LEACH FACILITY ( SIDE WAA:� mod" -�15 BOTTOM G/D. T® l�pL +�c.�u�-+r.�neE. c� TOTAL "N \ f USE: pia= LEACHING \ ��i 3Q1 E.F r=•.LCr+l G9<H� �L1c/ CFI%,W�D�M k0."J EFw ��TI�/ WATERENCOUNTERED NOTES (UNLESS OTHERWISE NOTED) 1. DATUM(MSL)+TAKEN FROM USES_t_l.r�oC�,arc�tilfUADRANGLE MAP �� C� t� aF ry/A �•., 2.MUNICIPAL WATER------...........«-..._...............AVAILABLE 3.PIPE PITCH:44"PER FOOTARN /c1'•�✓ 4.DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO- -44 r• APNE H.5.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. ( .' OJALA o OJA'A DISTANCE AS CERTIFIED 6.PIPE JOINTS SHALL BE MADE WATER TIGHT ; ) CIVIL to c_., #26348 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. Na.STATE ENVIRONMENTAL CODE TITLE 5 N30722 SITE PLAN 9r �f.,lS?fp�OO� E pQ LOCUS: ~€- TLl@JVl4�✓cs •2S Fes.ET ot= �—�C.`..P f�r^4l ra/Zee r�`�� i,�c-1 �•-�M ) �„_ --- --=-- GOaaYL' REG.PRO E55 ( L ENGINEER U REF: WOW/1 cane engineering _ PREPARED FOR: CIVIL ENGINEERS LAND SURVEYORS ------------ BOARD OF HEALTH REG.LAND SURVEYOR SCALE CONTOURS (EXISTING)------------- �� _ (PROPOSED)—O-0—D-0— APPROVED DATE_ MA Y> �.YA Lf'1�A0?f DATE. �'"T ��