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HomeMy WebLinkAbout0144 WHITEHALL WAY - Health 144 W%kbiall w ' I+ r - � ka rk g tir, ... .. 4 �• , tr �� t t , • a , I : Y • a. r tt .x� � �•,l. C+ ., A'.. +n� a r++ tl r .. .. py, t , , # a IF a '-,• ,r„ r Sr, j -� ,p .f e't r; s „ #t,. u r •I °' .. r ��� :f ia. t ,Y. •'�,Rr• r o p,' 2 `; '� t r - ,�, {, ..#. t d� •' � n� ^x.; 3 �` >:i.. �" .. 'fir 3 �.�•:1 r` d {Y w .rr tsr n.i:: '� x hi ,^t7-"�,aa." ' ti r, �o; .I'.�'�y •�4�.,.. r ,y.r J,. r:7.. .. .� � + ,.r. r. �� ,LT..st t• t hi . .-a" +��• •:.?., 1 It s �,. ;,` ,.. '- . �-c. .. { "..,`a .-.... :.s... r.,+x _ � p,^.yS -ra r !, � eyf �<. tt •. tip.; �' .. ro „na.-. -... t " H fir- r } ,. rar -:. F`I d°r r o :Sd,'�� ,s J; i,7 ^v 1 {r. tt' '>. ., - ,. a-• + � :a 'm , i s 1 •u 2003 - MINUTES L.®f4 OW�OF RNSTABLE• l O Z l LOCATION 3SOUL 6Lit J.S SEWAGE # VILLAGE_ �lfc,1gia o S ASSESSOR'S MAP & LOT � INSTALLER'S NAME & PHONE NO. 71-36(��c� a1I�° 6 SEPTIC TANK CAPACITY LEACHING FACILITY:(type) Le" P, (size) 0® NO. OF BEDROOMS .3 PRIVATE WELL OR PU bI---W BUILDER OR OWNER l.>rc2�A�O r t Cc r" DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �� 1 ;` «• � � � � ��'}- Qy 1 � C3' .. �. QJ � �, @ _ � ~� � ` � .� i i ASSESSORS MAP NO: �7a W_J No_t6' .... ..a Fps.............................. ... ......... THE COMMONWEALTH OF MASSACHUSETTS BOA RD ,,9F HE/kLTH ,JC.d .............OF...... ............................... *`07 Appliration for Di-spogal Worki; Tomitrurtion Vamit Application is hereby made for a Permit to Construct ((,-<or Repair an Individual Sewage Disposal t ....... Sy`� s I �� �`� ,/ 0AZU"Y------ ........7....'O Location- res, r or Lot pI ............ . ....�w V1 ner Address ............................ ............................................................... Installer Address Type of Building Size LotAS;.00Q)....Sq. feet U —No. of Bedrooms............................................Expansion I Attic VZ Garbage Grinder j(40�_& Dwelling �4 P4 Other—Type of Building ............................ No. of persons...._......................_ Showers Cafeteria P4Other fixtures -----------------------------------------------------------------------------------------.......................__................................... Design Flow................. ...............gallons per person per day. Total daily flow............. ................_gallons. 04 Septic Tank—Liquid capacit gallons Length................ Width----_-_-___--__- Diameter..._.._......._. Depth................ Disposal Trench—No. ............... .... Width.._................. Total Length.._..._............. Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter.._......__.._...... Depth below inlet_................... Total leaching area.. ....sq. ft. Other Distribution box Dosin tank Percolation Test Results Performed by. ..e�e2 te......J/Q��TA"' .. Da Test Pit No. 1,/.e,.-.'55._Minutes per inch H h of Test Pit..Y.. Depm o ground water.. Test Pit No-,��_A­glminutes per inch Depth of Test Pit./.I:;.7......... Depth to ground wat A............... ....................................................... . :-------I—...*---------------------------"--------------------*........ ........... 0 Description of Soil. (3 ........in. ..................................................................................... !D -Ir;_I �e C I U .......................................h.......t............................................e ...k,1_ ....5u_nce------------------------------------------------------------------ W - -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------7...... 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 TL 11 TI L1, 5 ol the State Sanitary Code— The undersigned further agrees not to place the sys em in operation until a Certificate of Compliance has fbDe issued by the,4ard,of healt- z� .....9 Signed.. ....... ... ..................... . . .......... .... ... ............................. W Application Approved By................................. .................................... ....................... ...............q .-!4h- _6 Date OnS................................ Application Disapproved for the following ons:............................................................................................................... •-•---•--•---•---•-•------•••••--•--•---•---•----•------••---••--••-••--•-------•-••----•••.................••••-•-•••-•••••----- > ---•--. Permit No......................................................... Issue(L Date No................_....... FRic........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD Off` HE LT --------.OF..... :..,.�... -... �.. .................................. Appliratiun for Disposal Works Tonstrurtion Prrmit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal S st �,�' r&Jr�a j...... yq_11.0.,42e 1_3........ ........ Location ddress or Lot R`..t ........................... .0........ za _t!f. ..... �• Owrer Address Installer Address Type of Building Size Lot_ . .----Sq. feet Dwelling—No. of Bedrooms___. .3.............................Expansion Attic , vj) Garbage Grinder 4 aOther—Type of Building -____-____•-_•-__-____-_-- No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ---------------------------------------•------------..•-•••-••---------•-•-••-•--••-•------•---•---•••••----------------••--•....-------•--------•--- W Design Flow.................SCjS_....._----------gallons per person per day. Total daily flow.......... 2D..................gallons. G: Septic Tank—Liquid capacit25 .gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—NTo..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area_._._-__-------•-sq. ft. Z Other Distribution box ( ) Dosin tank '-' Percolation Test Results Performed b �' � r - ��"• _. / �• a Date...._ : _ Test Pit No. i �' ___minutes per inch th of Test Pit ._r"._.._ Dei to ground water.._,_��ff_ fs, Test Pit No. .. minutes per inch Depth of Test Pit/C_")......_... Depth to ground water_,.f. . D Description of Soil f x U ---•----••••----•-•. --•••-......--••. .......................b. -------------------•------------•-------------.......------------•- 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 1 i of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beei%issued by the,board of health,,/ .� Signed. __ _ .....----••........... te Application Approved BY :_. �---__.:_ Z _ �� !Date Application Disapproved for the following reas ns:•-••••••--•---••---••-••••••••••-•-••••...•-•--••---•-------•-•••--•---------------•--•••- •-••--------------•. ------------------ f' Date PermitNo....................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O .F HEALT. .........OF.-. .. -p."""�.., R.4.Y ....- `.4...............•-- M. rrtifiratr of Tomplianrr �I,.r,4S IS T© &.ERTIFY, That he Individual Sewage Disposal System constructed •( or Repaired ( } at._ ---'ass- ----- _ .:-- - --' '"'- ------ InS-C - -- --- ,_- !s -_�`_�_1. F-------------------------------------------------- has been installed in accordance with the provisions of Till 1 EJ 5'oi UState Sanitary Code as described in the application for Disposal Works Construction Permit No.......... 3__ .... dated--------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANT E ThIAT "fHE SYSTEM WILL FUNCTION SATISFACTORY. DATE........................... ............................ Inspector........... ----------- �---------------........----•-•-----••-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH J� F'EE.... Disposal Wor Tonstr,, ion tirrmit Permission is hereby granted..-,3. �'°Y. ._5._ _ .3_= _.... -------------------------------•--.......--••--..................._._: to Constructat r Reppair�( ) In ndividual Sew ge Disposal System Street tt , as shown on the application for Disposal Works Cons ction Permit No. _I _._'u_:_t Dated........rt_. ;._; .......... -.... .Pr Board of Health DATE.............. - - �. •--•---- ....... .1_. = ---••- f FORM"1255 HOBBS & WARREN, INC., PUBLISHERS - - ,�— ZO►�IE.�C-1.. -,v-ASsOMED L �13, 560 F r i AT s, —fiqlo-rec-rEb uNt R 125' FRoNTAGa 30'FRONT SETBACK k Is I S IOEyAROS ° _ IS' 1ZL-A2 SETBACK . k W W T F IAA L L Aso' w�oE P9 047E. PV,4 P S0' VJ �IXIZ _. aesERJe (1 1 D»i. r- .n k 31 SaOr 1 . L 0'T 3 LOT 3 C°a I SEM raN a goo ��. .-...`- o . �nvlo P `f: 'o N O u CI'1IL sN , i V , Q� Plo.311 15 , p W N LOB'3,s- CO 14 W LOrZ� 4p`(%korMq,J, PAUL A. LEVY NO. 10617 y X I LEGEND . u `7 EXISTING SPOT ELEVATION Ox0 EXISTING CONTOUR --- 0 --- CERTIF06 P.,OT. PLAN FINISHED SPOT ELE�,:,,TION FINISHED CONTOUR - ® (�T35 �11, _ NOTE: The location of any existing underground sewerage, 'N wells, or other utilities shown on this plan is upprox- imate only as determined from records and/or verbal ,�iN�S°Ti¢t`3L � (#yF}NNts) NA information. The contractor is responsible for the verification of the existing locations in the field. gCAL.Es �N"'�p� DATE {C1L3 LEVY & ELDREDGE ASSOCIATES, INC. CLIENT<GESS ! IE '1 CERTIFY THAT THE PROPOSED ENGINEERS- LANDSCAPE ARCHITECTS 5 JOB NO. .1d:V BUILDING." SHOWN ON . THIS PLAN DR.BY A ,M -C.ONFOR-�l_5:...T0 THE ZONING LAWS. PLANNERS-LAND SURVEYORS _ - ' WT -7E MA S P89 W..M�41N ST,qEEi CH. BYE ccNiv���c N/pS.S. SHEET_L 0F 2 LAND SURVEYOR N071F /F 77IYeR Ts•IE SEf'T!C TANK OR 20 FT M/N. i��CHING P/T A RE /YORE TNA.wl /2 BELO!•V /D i?. M/N. JRAOAF, Ai 24"O/AMETEK C'piyCRIETE COliER 4'PYC P/Pd SWALL BE BROUGHT TO GR.4 DE.�4,v EXTRA O GONCRE7•E MIN. P/TCN /146'4 v y C-1 S T /.VON COVER S//A L L OE USED coYER.S ► w !F/N ,17R/VEN/A y '• �B PE.Q FT. 2 O C E• N TE� R A •. p o ✓EQ c , G .4oE I- CLEAN SANG , XF L L! U/D LEVEL 4ti .4.«CAST �,- 2'4AYER , .�.�: /RON.PIPE. . v oo f . oe OF I�8'_-�/B -d MJN.PlTc�l, GAL: 1 1 • . . . • • - > •ee / e'R/T DlST, o WASHFO S7t�NE� / P T/ /V • . . . • • 4 P TA K E C 1 b • 1 , BMX 1 1 • f v • M. v .. • • ' 1 f e 1 1 .� 1 2 T V 4 1 EfFEC / L � f • 1 • 1• OFPT!/ ' 1 1 • o WASlfED STONE X Q. 5= 277.✓`^OHO • v • • • • *set • o , r: n • • O n /*x /.p = 3.,0 G Pp i r, • 1 • • • • • c,• o p P'RECA5T SEEPAGE OR, QL//V:Ty P/7!N%�T '7 CAEYAT/ pTCAgy oSGpD a 1,VYER7- AT Q!!/LD/NG S(o,00 C. 6 FT D/AM. li1/LET SB'AT/C Ti4NK S•B p T /2 FT. O/A!►!. C �,TA8UL-ATJpN -F . OUTLET SEPTIC TA NK f I /IVLET DISTR/oavom BOX 5S .q0 FT. GROUND WATER TABLE .SECT/O O F OdTLETD/STR/BUTTON BOX-SS• ZO FT N r SE AG 1� E 0/STr,4SA L SY37-E/W N1.E E.4 N N oiT S.C G 0 T �—F . 'TAevLAT�oTv 4EACH11V !3/T DE$/6X CRI7*EF R!A $CAL.E : %s" _ /= o" DIMENSION A S. FT. N1lMSFR OF BED•�aOMS . D/MENSTGN C _FT. j G,+P6AGEVI5P0s.4L t/A,/r Non/E SO/L. LOG TOTAL EST1A%.4TEo FLOrtl­�K3 0 G,44.10AY SOIL TEST *1 SOIL 7,6:'S7-#2 S011- TEST NUMBER OF LE.aCHINa P/r.5_ l fFL j! .S'9. b �--�LFY• � PATE OF SO/L TEST SIDB 4--ACHING PeR.P/7- /S/ S4) f-;r RESULTS h/1TNESSED BY 7oM MG�E/lst/ BOTTOM LEAN/NG PER P/T 113 SQ. FT. TOPSoiL E PERCOCr4T/O/V RATE j L MIN,//NGN � TOTAL LEACH/!YG AREA 24,4 SQ. FT. StJgSplL F'FRCOL.4T/O,iV RATE, 2 MlN.�lNCN RESE9VE LEACHIi1YG A,4EA 264 SQ. FT. acn4 Sail TsT T�- `a s inED. DAVID P. q�'� SfSi(.1 D � �ls O H�. LOT ,�5_ W4ITEf LL NIARIAN No.3111 LEVY & ELDREDGE ASSOCIATES, INC. EL 7 71Z MAIN Sr , f/YA.VN/S, MgSS, An�'NO GRO[IIvo yY/i4TER s-Ncou1vTEREp G'L/ENT:G 'E�nlP,er DRTE 1123/e(o Q G.QOuN0 yvATE.P AT JOB /v0.' I d SHEET Z OF 'L