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HomeMy WebLinkAbout0036 DELTA STREET - Health 3co ��1�-a �' . �s ,,. �, �, ___ �21�1-,rG 10 7-j `�� .5/ '� -14 LOCA � SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDRESS 8 U I L D E R 0R OWNER\ DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED tz No.,? -!.--.3( •• ._ y -_' '• Fin. . ............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .................. ........................0 F..................................._...------.------......---•----------------------._---• Allp iratinn for Dinpnna1 Works Tnnitrnr#inn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: - ,(or i -•----------------------------- -- ........- Location-Address or Lot No. Owner Address Installer Address UType of Building Size Lot---4rAla.QQ---------Sq. feet Dwelling—No. of Bedrooms_........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................. Showers ( ) — Cafeteria ( ) P4 Other fixtures __-•---------------------------- .�� W Design Flow...............�40......................gallons per °per day. Total daily flow-- �v-------------------------------gallons. WSeptic Tank—Liquid capacity_JD_0e._gallons Length$`_(o...... Width_!#_11Ao11:___ Diameter________________ Depth_5.�:1_ _. x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..........l--------_. Diameter-----l_I�..___.._. Depth below inlet-----la_.......... Total leaching area__2_6_'I__....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by..G:�_ jkj.l1G __ ____________ Date___Alle-116-Z............... Test Pit No. 1,42.__...minutes per inch Depth of Test Pit___! ....... Depth to ground water________________________ (14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -----------------------------------------••.................................................................................................................. 0 Description of Soil__4-!8_:_`__. -0! �`%- ---7`"�PSC2f.�..�_18 ��`� /"1C2-._3rNQ_f____ND__-/!Za�_l_z.`. x W UNature of Repairs or Alterations—Answer when applicable_______________________________________________________________________________________________ --------•-------------------------------------------------------------------------------------------•--••••-...--••-•----•--••------••••---•----•--•-•••••••---•-•••••--•-•----•---------........_-----• Agreemer,t: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLI- 5 of the State Sanitary Code—The undersigned further agrees not to place tjsstein operation until a Certificate of Compliance has been issuedi b the board of he the . = __. ApplicationApproved By----------- -•••---•-•--------••---••--••-••------•---•-••-•••••••••••••-•••-••--•-••- Date Application Disapproved for t of wing reasons_______________________________________________________________________________________ ..............•----------.....---•--•-------•---------------•---------------------------•-------------•---••••••--•-••--------•-------••----•------•••••••••---••••-----••--------•-----••--•••--......_ Date PermitNo......................................................... Issued-....................................................... Date / t Nr.� f.:.. A Fps.45.............--•-••--•-•- .a y, THE COMMONWEALTH OF MASSACHUSETTS' BOARD OF HEALTH ..........................................OF.......................................--------------------............................... Appliratinn for Disposal Works Tonstrnrtiun Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: s--------------------------------•------•------ .............................. c-T i-------- Location-Address or Lot No. 1..._..................... ..it............. .............................................. •••----•--•••------•-------••------......--••---•-•-------•-••-------•-......------............--- Owner Address a ----••-••---••--•-•..................•-------••--•---.........----•------•........................ .......•---•------•--•--..._.....-•---•--...•----•---••-•-•-•-------.............................. � Installer Address U Type of Building Size .........Sq. feet Dwelling—No. of Bedrooms... .......................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures -----•------------------------ ------------------ WDesign Flow............................................gallons per. day. Total daily flow.._,� 'v...............................gallons. WSeptic Tank—Liquid capacity_C.6?U__gallons Length Width.l.Z/ :.--_ Diameter________________ Depth-_`- %_.._.. x Disposal Trench—No.-._--•-•-••-__.----• Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------- Diameter.....!t:_:....... Depth below inlet..... ..•..•.. Total leaching area....... tl�....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `-' Percolation Test Results Performed by. fr�.t=�!_ ._.,- :t!r!n; :ht_c=! %............. Date___ ,1.%,........................ aTest Pit No. L.-4-2 -__-_minutes per inch Depth of Test Pit--/_ _= ..._..._Depth to ground water....:::::............... (s Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------___...____---____. -------------------------------------------•--...-..---..............-•-••--•--.........---••................................................................ 0 Description of Soil f: . Ze5-. _. f ! t` T%F' ��_r'...,:.er "-- -/f /-"-`�- ^ffAlr?- -.....'fn--'4.©-j___ x W '••--••-•--••----------------••---••••••-•••---••-•----•----•-•-•----•---•------=---------••-----••----••----------------------....••-••••-•-••••-••••---••-•----•••••-•-••••............•-•--------•--- 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 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. ied•••-••••----------------•--•--•----•--..........--•..................•-----......---. ----- ............. Application Approved B • -------•-------------------------------------------••-••-•••---•••---•--•-. ..... PP PP Y at Application Disapproved for;"e' lowing reasons--------------------------------------------------------•------------------------------•---•-----••••......------ -------•----------------------------------------•----------•-••------------------------------..........--••••----••--•--•••......•--•--------------------•-•------------....----•------------•----•--- Date PermitNo......................................................... Issued-.....................................................- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...... .............................................................................. Trrtif irttte of TuinpliFanrr 0 CERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired ( ) b •---•---•-_441 �� ------------------------------------------------------•---------•-----------•-----•-•••-•---•---.._. /� f Installer e_*,t has been installed in accordance with the provisions of ; r The State Sanitary Code as described in the application for Disposal Works Construction Permit Nip-�. ................. dated------------------------------------------------ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................. .......... ----- Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...... .................................... OF..................................................................................... i ks Cnnn#rnrtinn Pirrmit Permission i ereby rantt -------- --------------- ----------- ••-•--------------------- ........ .----•----- to Construct pair ( ) KAal Se isposal System at No i�`� -----------------------------------------------------------------•- .-------- :.,_. Street f✓ as shown on the application for Disposal Works Construction Perm' ..................... Dated.......................................... 41 ........... . ................................................................................... Board of Health - DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS l �l 20 FT MIN.. TOP OF FOUND. EL 10 FT MIN. _ b �r slvb CONCRETE __ —CLEAN SAND } 0 i COVERS 4 SCH 40 PVC PIPE- MIN. PITCH CONCRETE ALr_li%p' AMA �° = =/I /T — --- 1/8" PER FT COVER LAYER OF— 2" r 4" CAST IRON 2 } I PIPE - MIN. PITCH 12 MAX — ---- 1/8"- 1/2" WASHED I/4 �a J� PER FT STONE W � e �. FLOW LINE \ Is CiR, E L = 92 - MIN. /3 � _ =N EL.= 9 EL.= g2./ -� -- - EL = 91,6 E` - -� I FIST EL = o o n Li > LOCATION MAP BOX �II 3/4" - 1 1/2 --- Jam° WASHED STONE ,v ° " W 0 [, /000 GAL. PRECAST LEACHING `°"` EL= SEPTIC BASIN OR EQUIV. , f�4SF CAL�r-�AL TANK I I GROUND WATER TABLE EL. = PROFILE OF SEWAGE DISPOSAL SYSTEM :J° Tom Of NOT TO SCALE �/�!/� e �t7 flESIGN CALCULATIONS SOILTEST y NUMBER OF BEDROOMS DATE OF SOIL TEST // GARBAGE DISPnSAL UNIT /yo.----.— -r-ACa•3l_ WITNESSED BY • TOTAL ESTIMATED FLOW ( //D GAI /BR /DAY x _ BR ) ��3�. GAL /DAY PERCOLATION RATE 1 2,M IN INCH REQUiIRED SEPTIC TANK CAPACITY . -f5/5 GAL OBSERVATION HOLE I OBSERVATION HOLE 2 ACTUAL SIZE OF SEPTIC TANK. 000 GAL f ELEVATION =93./ —ELEVATION = h '` LEACHING AREA REQUIREMENTS SIDEWALL AREA 2 5` GAL./S.F % BOTTOM AREA / O GAL./S.F. j 2OAM TOPSOIL LEA/�HING CAPACITY ( BOTTOM 4- SIDEWALL) . S'J9 GAL. !' ' 3. XtxSXf/ 0 t 2Zy3./4X5-ALx z,S- . I/5„ RESERVE- LEACHING CAPACITY " �El�CHriT� i j NOTES /I/D /-/ZO e /2 ss /aC�� GRC_�gN�Y. u Ij, f s�J gbh I ALL WORKMANSHIP AND MATERIALS SHALL CONFORM TO D E Q.E TITLE 5 AND THE TOWN OF I/l'ANNIS RULES AND REGULATIONS FOR SUBSURFACE DISPOSAL OF SANITARY SE WAGE 2.COMPLIANCE WITH ZONING REGULATIONS SHALL BE �` f, �"'"� � , ! f "`� RES \ �►� DETERMINED BY BUILDING INSPECTOR OR BUILDING BUILDING SETBACK REGULATIONS PER BUILDING wN y✓�ty�tt I j �•, COMMISSIONER INSPECTOR OR BUILDING COMMISSIONER a 1 y �, . MIN FRONT SETBACK 20 ,µC. �� 3 EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY MIN REAR SETBACK THE SAME MIN SIDE SETBACK APPROVED • BOARD OF HEALTH �OT ! UTG DATE AGENT PROJECT LOCATION I APPLICANT 91 4-2 ,h �a .. .. d4w. SCALE 26 DR BY , DATE; 23 �1/O OD 'b rw EXISTING SPOT ELEVATIONS OQ 0 "• - -- - - - - - x J 0 B NO APPD. BY R Ev.: EX15T(NG CONTOUR 00 - FINAL SPOT ELE VAT 10NS' 000 faevs*a' , _ _: _ ._ R. J. 0 HEARN, INC. DRAWING F I N A� CONTOUR ----��0 0 , [��%� /� I =� `} S01� TEST L OC AT I 0 N " REG L AND SURVEYORS- REG. SANIrAR/ANS N0 SITE PL._f-1� " �,," � ��^ �''�' �� ''X :� �" 1348 ROUTE /34 - P. O. BUX /2S3 : .s ,.. —-- _. SCALE �_. f �' " i• c ,•$ • ��-20 ,,� , UP EAST DENNI S , MASS. O F oi - f