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HomeMy WebLinkAbout0076 SMITH STREET - Health 7� smah SF•, niP V7Wit. LOCATION SEWAGE PERMIT NO 107 VILLAGE lwNSTA LLER'S NAME m ADDRESS ® U I L D E R OR OWNER DATE PERMIT ISSUED 8y DATE COMPLIANCE ISSUED r LA , \ t r �Q R •a.SI-µ.y%�l FEE..... v............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................OF.......................................................................................... ,� lirtttilan for j3iipu,ial Works Tonotrnrtinn Vrrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: <� ._. `- r7Lt ...... ...... '''?v.... ... Locatio Address or Lot .....--•....................... ...... ........................ O nez -I Address rj ........... In ller Address dType of Building Size Lot__1 1!®0....__.Sq. feet Dwelling—No. of Bedrooms .`...................................Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ............................ Design Flow..______............................gallons per person per day. Total ( flow.._...._ . 1:4 Septic Tank—Liquid capacityl4d!?.gallons Length...•D`...... Width................ Diameter_______________* Depth.. Disposal Trench—No. .....l............. Width___:._.......... Total Length..__3.0...---- Total leaching area_2._________._..sq. ft. Seepage Pit No...................... Diameter.................... Depth below inlet...... ............. Total leaching arm.___._.______.___sq. ft. Z Other Distribution box ( � Dosin Percolation Test Results Performed by. 1�'i.. .. ...••. �i '------- Date_-.'�6'�........... r 1 Test Pit No. 1_ _ .____minutes per inch Depth of Test Pit-_.__. _P______. Depth to ground water_.•._._ .____.--. f� Test Pit No. 2____ __________minutes per inch Depth of Test Pit...... _......... Depth to ground water.......___._............ ........... --- ---------- Descriptionof Soil....D---� ,,t�...... ................................................................. --•--•-••--•----•,. or - x x Charles }D. :� i� U Nature of Repairs or Alterations—Answer when applicable • •-_:_tn_:........_.. 2 Sr�Gy?raR 1 � .........-i - - - ......---- o -p No. 7468 JQ! Agreement: J `�e e,`'�'< The undersigned agrees to install the aforedescribed Individual Sewage-Disposa 'O � i ce with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees ste - in operation until a Certificate of Compliance has been issued by the board of health. Signed..... ...•••••••............(. ... ........ ':....... Date Application Approved BY .�... !` •-•-•--•...............•-------•--------• ��-..Z - k.-Y................ Date Application Disapproved for the following reasons:---•-----------------------•----•-••--••------------._...--•----•----------...-•----------=-••-•---••-........_ ---•-•--•----•------------•------•--•-----•------•-•----•-----------------•------•------........----•-•-----•-•-••-••-•..._...---•-----•-•--•---•---------...--•--------•-.---------•----•--••-......__. Date PermitNo......................................................... Issued....................................................... Date � No.lt'-c ,n..._..•••-• _ Fms...., ' ............... PHE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...._..............OF............................I.............---.......................................... Appliratiun for Eliupuuttl Workii Ton.itrnrtion ami# Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at Location, Address 1.1 ' or Lot .r.- .. �-r,� (��-r...v-mot!,.�Yf..7. { Gia; ;�i� ..... Owner + Address a �� :. ::-...... - -=...:............ Installer Addresf ' i d Type of Building 7 Size ot...._._..(0-®---..Sq. feet Dwelling—No. of Bedrooms._ ..:'........�^ :................Expansion Attic ( ) Garbage trinder ( ) 04 Other—Type of Building ............................ No. of persons............................ Sh wers ( ) ., ` Cafeteria ( ) 04 Other fixtures , p-^ '•- --------- -------------------------------------------------------------*---------• . Design Flow........... ...............•..__ gallons per person per day. Total dail flow..._._...�...�. a........._.._....._gal ns. 1 Septic Tank—Liquid capacity.,*r:_'�!'_gallons Length... G.�...... Width__.......�.._.. Diametet:............... De th_..- W x Disposal Trench—No. .....t.............. f Vidth_--.__._6........ Total Length.....10....... Total hing area. .__....._sq. Seepage Pit No__________ ______ Diameter.................... Depth below inlet.................... Total leaching area,..................sq. it. Z Other Distribution box ( �)"' Dosin tank ) s� �- �%►u Percolation Test Results Performed b � ^.. a ..r" .........................' - �. .rr`-�y.. - --........�...... .._ ..••---• Date----- Test Pit No. 1_K.2 minutes per inch Depth of Test Pit...... :.......... Depth to ground water......f:. ........... Pit No. 2._�.a._.._niinutes per inch Depth of Test Pit.......(?_........., Depth to ground water.......6__ ......... :.. -Test..>.. ....-• ............... ................ •••-- .............. Description of Soil•-•--Q�- ....---•--•-- . Ec F=.- �tr W L�dka°"L o CIsle� •••••---- V Nature,of Repairs or Alterations—Answer when app icable..._.. I . __.. ?L;l ' ----r_...r......... A . Agreement: s T E The undersigned agrees to install the aforedescribed Individual Sewage Disposal ��f.,si*rtc4, 'nce with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees n —n Xsern inoperation until a Certificate of Compliance has been issued by the board of health. / Signed-...•-•--'�'----'r--"-----------------=�...............-..._..---•�=------------ ` '14 Date "Application Approved BY � � , j ---------------------------------------• ..�-. '•_X y-•--•------_.... Date Application Disapproved for the following reasons:----_--•------•••-----•---------------------•-•-----_---------•--------------------------- ••---------....._._ ---•-----------------•------•----•-_------•-----....--------•----.._._.....-----------------•----------- ••--•-•-•----•-- Date PermitNo......................................................... Issued_.............. - ----•----------•----•----------- C ''Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....................................OF............................ ............. Tatif iratr of Toutplianrr THIS I CER;That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by................. ............................ --__;____ --- -•---- ----•---- •-----•----- -•-----------------_-_-_-___---------•------•--•--•------_-_------- / Install at................................................. --•-•----•------•--------•-••- ----•----- ••-•--------=------•---••-•._...---••--•-•••-----------...----•••------__-----•----......._ -has been installed-in accordance with-the provisions of TIT /5Qf,�he State Sanitary Code as described in the j application for Disposal Works Construction Permit No......................................... dated................................................ THE ISSUAIUN&ION CE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A A GUARANTEE THAT THE Y�TEIVI W!PL SATISFACTORY. DATE... . ll' Inspector-----• THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................OF..---........._..................._........._........................................ 5 /1Y No �.,» , FEE. B ..... Miposal Work ontrnr#ion Op"ami# Permission is hereby granted .`---...-�..•-•--•---•.-----••-•-•-----••-•-•----•-----•-•••--•••-----•........--••-••......... to Construct ( ) r Repair (�aIadlvi al Sew Di s osal System atNo................. •• ...................................... J reet as shown on the application for Disposal.)�7orks Construction Permit No...........3d....... Dated--------------- `_____________•-_--.--._.. oard of Health DATE........................................../.. FORM 1255 A. M. SULKIN• INC.. BOSTON Pernit Number: Date: -` Completed^ by HIGH GROUND-WATER LEVEL COMPUTATION a Site Location: of No. Owner: Address: Contractor: Ad ess: Notes: STEP 1 Measure depth to water table _. to nearest 1/10 ft. . . . . . . . ... . . . . . . . . . . . . ... . . . . . . . . date STEP 2 Using Water-Level Range Zone and Index Weli Map locate site and determine: A) Appropriate index well . . . . . . . . . . . . B) Water-l eve j. range zone .Z02,4 1�_. . . . STEP 3 Using monthly report"Current Water Resources Conditions" _ determine current depth to y.. water level for index well . . . . .. mo.yr i STEP 4 Using Table of .Water-level Adjustments for index well STEP 2A , current depth to water level for index well (STEP 3), and water-level zone (STEP 2B) determine _ Q water-level adjustment . . . . . ... ... . .. . .... . . . . . . . . . . . . . . . . . . . . . . . . STEP 5 Estinate depth to high water by subtracting the water- level adjustment (STEP 4) from measured depth to water level at site '(STEP 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ Q 2 SYSTEM PROFILE A R E A P L A N-40 ' FDN GRADE= 1'� NOT TO SCALE JOP kFINISH SCALE : I FINISH GRADE OVER TANK = 2g'± GRADE OVERISH TRENCH25't.OT-* t 111b00± S, F SM1TH 5T: . (Zot,L? R8-' I0 �300 S.F.) �11�1�k�i l� � C� Po���3 T .,. ,c, , SCH 40 PV.C. NOT I N -THE E3�t�-��T" '�� .�. �-- k .00R PL^ 1 � '�SOW F. � I U 0 -5 O� -f k F L 0 OR23150o o -- �_C. 1. TEES pdo�;o Via° °Q ^r TIOV,VtJ " ATEW4 A ► _ IC�O�) 1, 0NO WEL-1� NOS- '� s� GAL. ST. BOX 23. moo' 00 0-0o o o ?END !� F�� REINFORCED D I po WRL.L CONCRETE _ o °o o a1� � _ TO BE INSTALLED ON F�GT N c-, A LEVEL STABLE BASE 0. t 30, ` 1 -ONO1..9't~ /`�"�'� * SE PTIC TANK 22,00' TRENCH LENGTH-1 1 ' J TO BE INSTALLED ON A LEVEL STABLE BASE 5TK. SET+tb-co, s, NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM VVETI..AF•;C�/UPt,AND LINE OF F�1iC-i5 SE"t' � 4' MIN. HEIGHT toe'" %,�j �Y C'o►.�: liEO/ "t"tdN O>rP1c �.��,� SPT. 'e3 LEACHING TRENCH SECTION ABOVE OBSERVED , WATER LEVEL NOT TO SCALE �'� f� ,18 c t s t' SC �• I " = 2.c�c> I = C k5 5E _VC-C�) W A TV-'t.'' T'-T FOR FIN. GRADE SEE SYSTEM PROFILESOIL AND PERCOLATION LOT - T 1 v� ;iv DATA m4i2 :_ti IC�-i12 Min.� I� _ I� P E R C. RATE : M I N I n t �' — t7 13 E„oo._5.F M i n. 2 - 8 2 �, / N. . � t q 4 Dia. Pipe —' 1 C .,. J. y S �_ Washed Stone TAKEN BY ! ELDR�7GE EA1C*it�1EERIt�1C= / ,lGH1A .JAC OL-31 5. 15. r _ 3 `—Natural Soil � � � Min. Effective I I / .epth WITNESSED BY: 40�M:iE.To Yv6Tk hNV f -- 3 I DATE: 2� APt� iL 19e3 LCT-#I +I , /4 `I /2 TEST PIT-GND ELEV. + 11,(Oo±S.F. � , 9 Washed Stone �._..l.L i r-xi5 H i �, ar�M 0 T 5 ` . �, ,� Excavation Sidewall � I�. I�1� �t1�TC3� pRc�rPa > � TowAJ WAI G�c�v EU) G _ .__ Lli�1C H +factive Width EIJ ( u1tA SO OF HEA0" No QSiMT, 2d r----; a 1000 GAL.. Pkii.0 +«3'r � SA Na NO. IDLE 1 .0.'4` C®IUC.QItT*_5wPrAIz- Au 3 ��ofjlx._ ' NUMBER OF TRENCHES I Mec^wr cqwwcA ksL'rr C-Oco FRD T Slew G(A0#rjt a 3H�►1J•G�1�1 0�. ,CH Cw,n.�E I Vae-v, 3ovt.olKSI TOTAL-Akiu -..,....,.-- I .......... (Q.:.�0�QU.Wv ib WA a zz s.R 2n ..IF _ 80,co 3 3C .Vt /Ig' � S. F. SIDEWALL AREA @LJGALS✓S. F. gi3 GALS.C,F , 2�' e. Fr.��. DESIGN DATA : 24 IL'I I -T H (.T'c_��r� ��} ,,.,' T R F 7 11= S. F. BOTTOM AREA @ 1 ,.-,-' GALS./S. F. I F-3a GALS. N0. OF BEDROOMS AREA. PLAN: B. M. NOTE ., DISPOSAL �c EST. TOTAL DAILY EFFLUENT GALS. Ak�_- A PLAN PktE.PARED VROM ALL EL_F_\/ATIOtQb ARI= BASE() ON TVJE S. F. TOTAL AREA TOTAL3k>0GALS. SEPTIC TANKI` , _GAL. 5 U 43 a I v 1V 0 N P L A N Cam' k...A ),,I I..) R M 13 E LE\/AT I n N3 l N H`rAPI N 1 P Q# T'J E3�F2 N�T'AE3t_t~ UN THE 5A1,05Tiqt�4_Er F-LC_"�f a 1 N5 DF k#9kW,E,: MA.1, SCIAILE' 11' = 40' J.'kW. 19-70 i6o\TEF MAP 'PANV-= --_`t 2500n 1 —C�Ol5A GENERAL NOTES AINJO OW- SITE SURYL ' 12, SEP- 18!5 I. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN SA[ ► :a" t- �U �t Y CC*1.SUL.T^,K1'T5 YEPT► CA.L Y)#,-r0M :�Ic'}�'f �'� t� T'0 NOTE: 16�pp' ACCORDANCE WITH TITLE 5 OF THE STATE SANITARY CODE 6� �� 5�"i E F '1t'ti'I.:. 5"� ,� r - p �� `, EXCAVATE To ELEV..-- OR LOWER AS DATED JULY I, 1977 8 ANY LOCAL RULES APPLICABLE. REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING 2. ANY CHANGE TO THIS PLAN MUST BE APPR'D. BY THE MATERIAL BENEATH THE LEACHING AREA. REPLACE EXCAVATED BD. OF HEALTH. MATERIAL WITH CLEAN, CLAY FREE GRAVEL, MECHANICALLY 3 WHEN CONSTRUCTION IS COMPLETED PRIOR TO BACKFILLING COMPACTED IN PLACE. NOTIFY BD. OF HEALTH FOR INSPECTION.. PLAN REF- CUNSERVAT ION NOTE • 4. FOUNDATION ELEV, MUST BECHECKEDWHEN COMPLETED. A 34(.�.' PAG a= 41% 5. THESE ELEVS. MUST NOT BE C 5 E L.,�`,- T j- 1_ L 1 M e 1 NCv A M D TH I tit W 1 M(t AN T„� OF HEALTH APPROVAL. HANGED WITHOUT BOARD E3R2_NeTA5LJE C 15 RF �t�F.�T'�- FY k 5T` I NCr LY&H W I IL. LEGEND 6. BOARD OF HEALTH INSPECTION RE©D. WHEN EXCAVATED. J'A N► . l t' + 5 0.0' EXIST. GROUND ELEV. OWNER � « � THEUPt4 `�t15►G'�It 50.0 ' FINISH GROUND ELEV ' UNDERLINED" vVYIV , + „�„ 47 50 PIPE INVERT ELEV. AT POINT SHOWN REV DATE DES CR I PT ION w ITN �.P�t,��,�:^�r.A I,., t.,,>; T>�� �O�'�.:aT�k. ���:�� � T.P O TEST PIT LOCATION SEWAGE DISPOSAL SYSTEM MAI-E)L4. -3 MA. 0`41 ' FOR 11- 1 BOARD OF HEALTH NOTE" O O SEPTIC TANK MR. JOHN D. HAVENS 4 YAf ,1Atu �qt c , ,t, (] DISTRIBUTION Box _� ��A\ LET mil, SMITH STREET 1.. AClri Ir.1C, Tt "I" �-- 4 C. I OR SCH 40 PV C. PIPE S I MMONS POND -}}}H Il l i l- 4" BIT FIBER PIPE-TIGHT JOINTS arlaa `• v: HY.AN N I SPORT, MA. 02647 A 0 NO. 7?08 � %�. ! DESIGNED C D. SPOHR DATES SWT, 'R3 DRAWING NO. 746 ----- PROPERTY LINE � iSTE?`tr�►` 7 MIN. CODE DISTANCE DRAWN C.S. SCALE:AS SHOWN :3 9 MAP P':I AWV--:A LOT HOUSE CHECKED C_ D. S. �,