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Home My WebLink About0091 ZENO CROCKER ROAD - Health _�; _ 91 Zeno Crocker 17 --140 Centervill l/ll s UPC 17534 No.2-1153`COR HASTINGS.UN I G�'� -�, Sc c�n ��a No................ Fmc ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD Off` HEALTH ..........................................OF.........D..,k ....... ...I..... Appliration for Disposal Works Tonstrurtion Prrmit Application:is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: ....6_10U.-Mr .. ............................................ localion-Ares rt I A ....1.00..... .........................................A 0 %064& ..e�pp.o�.� )/,/................ ........ ild .................................... Installer Address Type of Building Size Lot-I(O.1.1-tot._ :__Sq. feet t Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) Other—Type of Building ............................ No. of persons...._......._.._............ Showers.( Cafeteria ( ) P4Other fixtures ....................................................................................................................................................... Design Flow______... .........................gallons per person per day. Total daily flow................... ..........W ..... ........gallons. ...Septic Tank—Liquid capacity.W -gallons Length..-2._M. ... Width................ Diameter---_____-__._-- Depth................ Disposal Trench—" o--N ....... Width,................. Total Length_.......__..____.... Total leaching area......................sq. f t. f/ I ............. Depth b eaZ6- Seepage Pit No---------I-------- Diameter._._......I. below inlet.....4o'......... Total leaching area 57....sq. ft. Z Other Distribution box. (*,/,) Dosing tank ( ), Percolation Test Results Performed hj.5�. .................. Date......0�?. 4— �-4 - - .... ............ Test Pit No. I..............:.minutes per inch Depth of TJ_ ---- 's Pit-----(..Z....... Depth to ground water-___-......_._.__. Lz, Test Pit No. 2................minutes per inch Depth of Test Pit................._.. Depth to ground water...................__._. .............................. ......................................... --------- - --s;----------------------------- ---------*--------- Description of S�il..................... 0 1 .................... ............ U ... P........ -1- ------*-------- �V I ....................................................................................................................................................................................................... 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 Til� 5 of the State Sanitary — The under*ned further agrees not to place the s stem in b ope of Compliance as en i dby ebo health. 15� Signed.. .... .. ..................... . ..................... DY tee Application Approved By---- .. .. . . .................. ........................ .... . .... .. ----------- the i�nei dd by e bo health.. . . . . . ......... ...... Date Application Disapproved for the fo wing reasons:................................................................................................................. .............................................................. ............................................................................................... ........ ------------------------------- Date PermitNo.......... .................... Issued.............. ............--51 .............. ate 17U -- � �� LOCATION SEWAGE PERMIT NO. . VILLAGE v 7_F&Z C'gGC,cLV- 01 v� (ZQ 1 L1 I N S T A LLER'S NAME ADDRESS L\ 10 1 L D E R OR OWNER ATE PERMIT ISSUED 'q- tj DAT E COMPLIANCE ISSUED 6 .. 2� �� a 1? � �� o �� /// � f �� 3� � �b � �. No................_....... Fps....... ._....•:�:.--.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................. .....OF.........t.. ...:Jt "- ----------- ApplirFatiun for Disposal Works Tousttartiun Vrrmit Application is hereby made for a Permit to Construct ( �or Repair ( ) an Individual Sewage Disposal System at: . c� �.1. . - :......:.... .14. .... Lam. �? ..I" ��-'` .. ......-•--•-•......--•------••-•----- 1 Location Ad ress Omay'- re ............................. •--......._^........................ ................ ---• ... .. Add�-- .. ................................... a l 4 Installer PQ Address (� U Type of Building .yam Size Lot..B e-p..?.. A.-s,. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a`4 Other—Type of Building No. of persons............................ Showers g. •-•--•---•---•-•---•-•------ -•- ..............................................................( ) — Cafeteria ( ) Other fixtures -------------------------------------------- _ W Design Flow..........r��.........................gallons per person per day. Total daily flow._......_....7�_. `"�__...........gallons. W Septic Tank—Liquid capacity.lU��gallons Length..`? . Width................ Diameter...... Depth................ x Disposal Trench—N Width/,v ---..t------ ---- Total Length............ Total leaching area....................sq. ft. ..... Seepage Pit 1 o.......... .......... Di......ameter.....-....._.__..._. Depth below inlet......6a......... Total leaching areaZ,.6.:--�_._sq. ft. Z Other Distribution box ( ✓S Dosing tank ( ) Percolation Test Results Performed by.!-� :�'. _ .__.__._:!`�� :�-.............. ._`�_�. ' _�. a ..... Date. .. 14 Test Pit No. I................minutes per inch Depth of Test Pit...... . ....... Depth to ground water........--....___....... 4q Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ W ....................................................... ---------............ ® Description of Soil---------------- -- 4�L_ �- _ 4 '5^�f -- . . _------------ ---- -- ---------- 1 ----•----------•-----• -•-.. . W 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 TIT' 5 of the State Sanitary � e— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been isAgpd by e boa Fcj o;fdhealth. ' / A Signed..... \� ,1;::. `�. �, , . / x ._...... --.....- Application Approved By............... #44-1 D ........... Date Application Disapproved for the f olio ving reasons:................................................................................................................ ----•................... ...••--••-•---•--------•-•--------•------•• ................................ Date Permit No.......... ice.:.. _st -------------------- Issued............ �.... ............... s ate THE COMMONWEALTH OF MASSACHUSETTS BOARD/JOF HEALTH . .................OF..... . .. fJ � : f- �' ¢ -.�. .....�. �rr#ifirtt�.e ,af (�uni�rli�anre . THIS IS T CERTIFY That the IndividugL,5g fe Disposal System constructed ( or Repaired ( ) ,_: Installer n �/ has been installed in accordance with the provisions of TITLE; 5 of The State Sanitary Code s de ribed in the application for Disposal Works Construction Permit No--- : ............. dated___.____4. _..}'. --T;, ....._..._.... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CO STRIDE® AS A GUA AN E THAT THE SYSTEM WII/L. FIJ CTION SATISFACTORY. DATE........... VS.. ............................................... Inspector.......... _.. .. . -•- - ---•---- ................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD/OF HEALTH �?:.f•`` � ............OF...... ' o......................... FEE........................ Disposal j0ork.9- Tviptrudion rrrwit Permission is Vreby granted--•• _ + ._ � C l ' '::% M ,....... to Construct '� or Repair: ( ) an Individual Sewage Disposal System ,r v ............................ ........... Street as shown on the application for Disposal Works Construction Permit No..VS-.`! Dated---------------'! --�' , _•-••••• oar Health DATE............................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r. r SITE PLAN SHEET /.OF 2 SCALE: I Iv� 7� ' loon e,�-�.. N �rGhtr.�vrs Y,,i✓r ., L o.cA, T bih'(� �vX i� �� {opov O 1. 0 J . ��`N OF AAgss9� WILLIAMCl yG� .WAR WICK y NO. 19771STi �® FOR L— , f3 r-1 L. -^ !!5�L--l._.l c� REGISTERED LAND SURVEYOR ZONE C`.C' G�cN'c'��/et�l. n� A.��i• PLAN REF. DATE BENCH. MARK DATUM �I V'P `� � � WM. M. WARWICK B ASSOC., INC. DOMESTIC WATER SOURCE -ram 4 \J a"- V5% BOX 80I - NORTH FA MOUTH FLOOD ZONE. t-) ' A`�-''h '� G'I MASS. 02556 (617) 563-26 38 =• LEACHING BASIN SECT/ON Nor i0 SCALE Shcc� 2 of 2 t 24"C.LMHCoVER .} i EARTH F/LL BRICK AND MORTAR COURSES AS READ. TO BRING ` COVER TO GRADE B'FLOW L/NE 2'= WASHED PEA STONE FREE Of IRONS, IX ET _l__ _ _s;,,; ,_ PIPE '' T f/NES AND DUST/N PLACE 3/q" TO I%"WASHED CRUSHED STONE FREE OF OPENING WITH 4%6"OUTER DIAMETER IRONS FINES AND OUST /N PLACE s 7 :. AND 13/q,. INS/OE ' DIAMETER I. CONCRETE TO BE 4000 PSI 28 DAYS ' 2. REINFORCED WITH 6"x 6" NO. 6 GA. W.W.M. ( x ` 3. 2'AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS q,D.. �— 2'--- ----sb" Z --� 4. NUMBER OF PITS REQUIRED aN E NOTE: EXCAVATE TO ELEVATIOND Z_OR EFFECTIVE DIAMETER (NOT TO EXCEED 3 TIMES EFFECT/VE DEPTH) LOWER AS .REQUIRED TO REMOVE ALL wArER rAel£ - LOAM AND CLAY BENEATH PIT. REPLACE TYPICAL PROF/LE EXCAVATED MATERIAL WITH CLEAN GRAVEL TO DESIGNED GRADE. • �y-� /8 STO. LT: WGT. C./.MH COVER i z. 4 C./.P/PE 4 B/T.f/BER PIPE / TIGHT JOINT' OUTLET LEVEL DWELL1NG y rFLOW LINE TO FIRST ✓0/NT J1.6 � /4" 51 Iq- 00 1 10�0 0 of ` 1 10 C I. 100 1 1 OQQ If 00 Q 00 1 1 1 1 STD, PRECAST CONC. 5�.v2 D/ST. BOX TO BE 7 1 0 O 0 1UU 1 1 1 LGAL.SEPTIC TA N INS ALLED ON LEVEL, 11 0. STABLE BASE I '1 000 0 0 13 I i - ---�--8 It too 00 1 1 1 AP IC TANK TO BE It 100 00 1 of I /H LL D LEVEL, I f 1001 O 4'1 1 ! STABLE BASE. i 1 1 f 0 0 0 0 1 1 111000011 „ � LEACH/NG BASIN , i 1 a D 1 , , BASE TO BE L EVEL ill 8O O 0 0 ' SOIL AND PERC. DATA 44•7 PERC. RATE � MIN. /IN TEST PIT NO. P 375, TEST PIT NO. 2 . � , O d, P J o � Z �7 f3�j lL TEST BYr<uL� �-r7 salmi �, 4 D i✓,�YEL WITNESSED. BY: Ia MAD- "Kip TEST PIT OR. EL. GLEAN �1N�c. BAN DATE: • IZ DESIGN DATA GENERAL NOTES BEDROOMS 3 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. -- DISPOSAL fJd SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD_ EST.:TOTAL DAILY EFFl. 3�GP0 PRECAST REINFORCED CONCRETE UNITS. `4 SEPTIC .TANK 1 ovb GAL, ALL .SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, SlOEWALL AREA?1.GALJSQ.FT. MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF BOTTOM AREA. ,_GAL./SQ,FT, SANITARY. SEWAGE EFFECTIVE ON JULY I , Igm LEACHING REQUIREDI SQ.FT... .' ANY. CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ACTUAL LEACHING AREA OF HEALTH. Z Q.,FT, .r,:AT -COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES 1/4" / FT, UNLESS INDICATED OTHERWISE. ' of` 5 /god MARTIN cyN�� E I1 Vi. Q/SP.034 4 SYS TEM • '� E. � FOR.' L��L- -r7 G'I�L oVc.7 a13 MORAN H ,o .p f 3417 (v2?j Z C10 G(z�Gk•cam- IZO A.p 4A ----.. `�► ��` SCALE AS INO/CATEO DATE- '`A"lz /4;1�, 1SWA/, AI. I4WARWICK 8 ASSOC., INC. BOX 80/ - NORTH fA4 AI+01lTN PROFESSIONAL EN61NEER A(ASS. 02-556 - (¢/7) 563-26J8