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HomeMy WebLinkAbout0009 NOBADEER ROAD - Health �j I�C,�cAee- fa2)ad No.d.. .-:.l�-l . � -L• - Fss..... .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ------------ t.?...........OF........r.� 1.10�64�le . ApplirFatiun for Uispuual Works Tonstrurtivaa Vanfit Application is hereby made for a Permit to,_Construct (✓S or Repair ( ) an Individual Sewage Disposal System at: / ..........: ... ...... G'ecriv� j�. �zr/'� Y" l'� l�ll_�i:...... Location Address or Lot o. .--.... �rfQor.----•-•-•-.---- ... own, Address ......rs...,r i� -=------------------------------------- Installer Address U Type of Building Size Lot------ZZ 5Z,1 ----�---••---- Dwelling—No. of Bedrooms___..........3............................Expansion Attic ( ) Garbage Gri e aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafe e a Q Other fixtures W Design Flow.................. .................gallons per person per dly. Total daily flow................O.JO_................gallons. WSeptic Tank—Liquid capacity.11OY�allons Length Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------I----------- Diameter-__ Depth below inlet... ::.. Total leaching area.X®S�..'6_tsq. ft. Z Other Distribution box (v-1 Dosing tank ( ) '-' Percolation Test Results Performed by._ .tvl .. .�1!Ili!!�iC�i/ � 4)Date__.... . ............ /'/1'4 'Test Pit No. 1_.._<T....minutes per inch Depth of Test Pit----__,14.'..... Depth to ground water.... ,C21? .._.- (-1, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Op ..............................................................-- -- .............................•-•---�••...----•--• ....---- Description of Soil ! r----- "� � ---�`Q'. --------------- x w ----------------------------------------------------------------•----------------•-----------------------------------------------------------------------------------------.._..--------------•••-.._. 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 TlTU 5 of the State Sanitary Code— The dersigned further agrees not to place the system in operation until a Certificate of Compliance has i sue by e -d of health. t iga- --- ----- ApplicationApproved By----•- � .. ... -----••----•...........................••------•--.....--------.......... ..... ..... .. ..................... Date Application Disapproved f t e following reasons-----------------------------•-------•-------------------------•------------------------------------------•- ...--•-•-••----------•--....-•------•-------------•---------------------......--•---------•--------.......----------•------------------------------------------------------------•......--------------•- Date PermitNo......................................................... Issued........................................................ Date I No.d..�.✓y FEs.......00..........._. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH J�'I...............0F......./3 .......................................... Aji;ifirat#ilan. for Disposal Works Tonfitrnrtion ramit Application is hereby made for a Permit to Construct (✓j or Repair ( ) an Individual Sewage Disposal System at: 1 ...1rL1.�t......... ............. _.. Location cation-Address r Lot N . ......................_ �s .r�- . ......_.... ... ...__ �,� ._ _...� ........ Owner / 47> Address / zvG ...G� Y7}SP :...................... ul ? '!1'j/5.....Z44..I_:........................................... Installer Address Type of Building Size Lot... Z._�`_�3•_..Sq. feet U Dwelling—No. of Bedrooms.............. ...........__ .._..Expansion Attic ( ) Garbage Grinder ( ) a'14 Other—Type of Building No. of persons............................ Showers yP g ------------------•--------- P ( ) — Cafeteria ( ) dOther fixtures .------•-----------------------------------••----------•-•-••-------------•---•-----------------•-•--...------•------------••-•------•••............. W Design Flow................. ...................gallons per person per day. Total daily flow.............. ..................gallons. 1:4 Septic Tank—Liquid capacity./44N�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. Z Other Distribution box (14 Dosing tank ( ) Percolation Test Results Performed by_ Date......5 �/e3.............. ./3_�'uG�.-f��1����r��f�s5v�� 10/f*-6' Test Pit No. 1.... -.z-_..minutes per inch Depth of Test Pit--- ....... Depth to ground water----1;1?/Z.,V—.__. (s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ........................................................ .....................•--•------------•----........•----.....---- - .----•.................. %� , at z ` lL ODescription of Soil-----....•----®•"-_2.__.. x U ---•••-•---•••--•-•----•--------------•--...-•------------•._......-•-•-•••--------••--•.......-----••-•......•-----••-••-•--••-•-•---•-----•---•••••--••----------------------•....._..---.._..._..--•- w ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ 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 TiT11E 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. Sid...................................................................................... •--• -• . .............. ApplicationApproved By...... ---.. ----------------•-------------•--•----•--.........................-•--- Application Disapproved r e following reasons-----------------------•-----•-••----•---------•---------------------------..................................... ----------------•------•------------....--------------•-.......---------•-•-•-•-•---••--••--•••---------.._.....-•••--••----•---•-----•-----•-•-•---•------•...-•--•-----••-•---••-----••------•....----- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........I..............................OF..................................................................................... QTrr#if iratr of TompfiFanrr Ti IS 0 CERTIFY, That the Individual Sewage Disposal System constructed (, or Repaired ( ) by..----. Installer at ------•-- ----------------------------------------•------•--•-•-------------•---- ..... --------- has been installed in accordance with the provisi ns of TI T L:: 5 of The State Sanitary Cod as scribed in the application for Disposal Works Construction Permit No.. :', ................ dated__ ; _ fir _-___---•--------_--- THE ISSUI NCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUTAD AS A GUARANTEE THAT THE SYSTEM %Yl4k FU CTION SATISFACTORY. .. DATE._..__. .az.7....�,1__--...---•-----------------•-•------=........._..... Inspector--. .-•-•------------•----•----•--------------._.........--•------.....---••-- THE COMMONWEALTH OF MASSACHUSETTS --BOARD OF HEALTH � . OF..................................................................................... Nc .. FEE 041................. 13111pnlial k11 wnntrainn Pirrutit Permission is hereb ranted....... . -------------------------------------....................................... e e is to Construct r al System ...._.... at No............. street as shown on the appli tion for Disposal Works Construction Permit No............. ated......................................... -•........ ----- --- _ . oard of Health DATE----� -- - -��._..---••.......................................... • ����.,.,,,<--: FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS - ' ,Sl T.E. PL A N YPICAL PRC:OIL E SCALE — ! " = ��, NOT TO SCALE_ /8"STD. LT. wc T. C.t. MH COVER fo4, •%' !��•� �y7j, rJ' 4"C.1. PPE 4"Bt T. FIBER PIPE TIGHT JOINTS FLOW LINE w - OUTLET LEVEL _ - -- - O FIRST O/N �- OWL�LLING © --� ` O TO FIR J _ T -,-4., C.t TEE C.I. TEE o � f STANDARD PRECAST ,¢ ;LL CONCRETE ICE GALLON - SEPTIC TANK ` S TRIeU rION sox TO BE INS TAL L EO ON LEVEL , STABLE BASE. SEPTIC TANK f f F (0)4�- ( � ) � TO ®£ INSTALLED ON I { T' LEVEL , STABLE BASE f 2 ,18 TO l/2"` WASHED PEASTONF LEACHING PIT ALL AROUND FREE OF IRONS, FINES BASE TO BE L EVFL AND DUST /N PL ACE z 4> BRICK B MORTA.R COURES m , / 314" TO 1-112" WASHED CRUSHED A S REOU/RF_D TO BRING STONE ALL AROUND FREE OF COVE." TO GRADE 24"C.I. MH COVER �A NO FRAME IRONS, FINES AND DUST IN PLACE _ `aT'G• I^GZ fcGA�`{ -.-----...._._._._.._.__..._._._.._.._._..__._._ ,, ._.._._._. _... o , 6. kJ4. t_E AC- f0?A�1)..1 4" LEEACHING PI T SECTION— . 1GG�c=� �,G L �ate/ � � ..:. .w...._ _ e T, !INLEP B' FLOW LINE -- \ l i PIPE - — `" - i. CONCRETE TO BE 4000 PSI 28 DAYS 2. REINFORCED WITH 6" x 6 N0. 6 GA W.W M. 2 'F! ¢1= 3 2 AND 4' SECTIONS ARE AVAILABLE FOR GREATER F gal DEPTH REQUIREMENTS. h°i' .. �= = -` OPENING WITH 4-118" 4. NUMBER OF PITS REOUIREC C ��, OUTER 0/AME TER B mop c 1i�t Lv 'T 34' ' ¢ NOTE EXCAVATE TO ELEVATION `'' ✓-.OR LOWER AS 0 >`� by�L �Iq _ f ! I-3/4 INS/DE DIAMETER 3„ REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH ;. `' , - PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN } L r,>T 3 .L GRAVEL TO DESIGNED GRADE . 1 Sir' 1�'i�Cc► ,�. ; l� ^> P 1-,4 C> -z - C> 6'- 6 O ll s �.. , da ► p 2 u.l A L k y T• MIN. EFFECT/VE DIAMETER 0 ' a E (NOT Tp EXCEED 3 T/MES EFFECT/VE DEPTH) WATER TABLE t' S 17 SDI .AIVD PERK' DATA GENERAL NOTES ---- PERG. RATE G MIN. /IN . NO HEAVY EQUIPMENT TO RUN OVER SYSTEM i TEST BY: �` UG1; L1rGLV (u1M.KJAt2Wtcl� SEPTIC TANK DISTRIBUTION BOX , LEACHING PITS TO BE STANDARD G t„ , PRECAST REINFORCED CONCRETE UNITS. WITNESSED BY: J . J A G O 0;1 (1', ram, u• ) ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE. TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL C,A)E , TEST, PIT GR.EL.: 6i2. O DATE' �a/ ''/ate MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF i TEST PIT NO.1 p 1�45� TEST PIT NO. 2 SANITARY SEWAGE EFFECTIVE I JULY 1977. Z,1 ►v C�f�U eyholL. 0�. — ANY CHANGES TO THIS PLAN MUST BE APPROVED 8Y THE. BOARD OF HEALTH. 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. IQ P Aj A T E.V- DE SIGN DATA --- BEDROOMS DISPOSAL EST. TOTAL DAILY EFF. 3 3O GALS. L EGEND "+ SEPTIC TANK 'o UL' GAL. SIDEWALL AREA Z• 2 GAL./S0. FT BOTTOM AREA 1• d GAL./SO. FT. ,-. , Ox00 EXISTING GRADE LEACHING REQUIRED '02'2� -SO-FT. .SEWAGE DISPOSAL SYSTEM ZONE' FINISHED GRADE AREA SOFT.( ACTUAL LEACHING AR Zo5•�v3 FOR C � o� :� G. -•-�- _ ..._ .T v �.t./ til �` A 7 r< t�. O• ao INVERT ELEVATION fl1N�� `' 6q4= . DOMESTIC WATER SOURCE f__ _� .__ G.,d -T 3� A-j v p, 4� ---- PROPERTY _,NE }�4�.tr , v�OF�fy L19 UIQ9v!L.L& 1 !pA RQ h /l. 13L.C. , ►A A,Lr4, - PLAN REFERENCE ___ 1- L h t �s0 �4,,�,M SCALE AS INDICATED DATE -_ -7 L`b� MEAN H'GH, W.ATEP ,r BENCH MARK DATUM 'j AP to 4- ±� y wAlt 7c7. MARSH WIl? :M. WARWICK & ASSOCIATES �G,srt�4�' BOX 80/ - NORTH AL MOUTH ``s MASSA CHU.S'E T TS 02 5 56