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HomeMy WebLinkAbout0029 NOBADEER ROAD - Health (2) aq �ba&tk i c 1 No.P..)�o---- Y ' . Fss....... ' ............... THE COMMONWEALTH OF MASSACHUSETTS --��---- BOAR® Off` HEALTH, A;1;1.,91...... .......OF.......�✓.. T X/� ApplirFa#iun for UiipuuFai Works T=34rurtiun ramit Application is hereby made for a Permit to Construct (V�'or Repair ( ) an Individual Sewage Disposal System at: , Location �yddress Lot No f' - ................ :..T.I'�✓ T......... --------•---•-- ..... ...... .. Owner Address w, . ..._ r��� �--------------------------- y l �. ..:...------------..... ---------- Installer Address Q Type of Building Size Lot.Z®a f?1!_ _.. q, t V Dwelling—No. of Bedrooms................ .........................Expansion Attic ( ) Garbage Grin eri ) Other—Type of Building ............... No. of persons............................ Showers a g P ( ) — Cafeteri Otherfixtures --- -------------•-----------------------••--•--.------------- W per d y. Total daily flow.................��4?...............gallons. WSeptic Tank—Liquid opacity-/-�galloo ss p Length n�T _ Width................ Diameter--- ............ Depth................ x Disposal Trench—No..................•.. Width.................... Total Length.................... Total leaching area.....................sq. ft. Seepage Pit No.......1------------ Diameter....l®::�.". Depth below inlet__. 6* 0".. Total leaching area 45�43 sq. ft. Z Other Distribution box (.v'� Dosing tank ( ) ® Percolation Test Results Performed Date.......J`" 3 �3 /0/74&Test Pit No. 1....'�2----minutes per inch Depth of Test Pit......-fL...._.._ Depth to ground water.-W _-- 0-4 GZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Pa' ------------------------------•.. ---. . ....... v o E-- r ---...-- ........... Description of Soil---•-------------------- z ....1��p..a.su� r1 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 iITIE 5 of the State Sanitary Code— The iAlersigned further agrees not to place the system in operation until a Certificate of Compliance has be issue y t bo of health. igne _• ----------------•-----•................ ..... --- ----------- Application Approved B .............................. Date Application Disapproved for a ollowing reasons-------------------------------•----•-------------------..----•----------------------•------••-•-----------=---- ---------------------------------------•----•--•--....-----------••--••••----------------------•--------•...-•-------•-•------•••-----•---------•--•-------•-••------•--. ............................... Date PermitNo--------------------------------------------------------- Issued_....................................................... Date Dlry..... +--�- No • FHB......:° ..........._ THE COMMONWEALTH OF MASSACHUSETTS .. BOARD OF HEALTH .... .................OF...................... ;•-r- .�/, Applira#ion for Disposal Works Tonotrn.rtion 11jermit Application is hereby made for a Permit to Construct (r/) or Repair ( ) an Individual Sewage Disposal System at: ... / ✓'f 9/flQ . U � EZ.../`�/a.rw ���' ski:i rh/,� ...... ......... ................A >_..._ ! .Location-Address � of Lot N� �../{f'/�/•i........ .,. / t Owner .! Address - Y. j.. ...... •--- = = � s /1 ice% .� / Installer / Address _ U Type of Building Size Lot._ 1r-.-7:�%'....._ q. t Dwelling—No. of Bedrooms.............:...................__._...Expansion Attic ( ) Garbage in er ) .-a Other—Type of Building ............................. No. of persons............................. Showers ( ) — Cafeter Otherfixtures ------------•------------------•----•--'-- ••-----•-.......---••----------••--------•-----------•-----•--•--•--•-•---••......._........_----'-'-___... W Design Flow................. ...........................gallons per person per day. Total daily flow................. "?................gallons. 04 W Septic Tank—Liquid capacity f���".gallons Length__: * : ._ Width................ Diameter_..________._... Depth....-_•......... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......_............ Diameter.._f�?. .n'"..�.. Depth below inlet._.=3.�:'7.::._. Total leaching area :� _sq. ft. Z Other Distribution box (✓) Dosing tank '—' Percolation Test Results Performed by._/2�- _/,�::<:_....... ........ '!!Z...'�...- `_.... `... Date................./�'3 10 74C, Test Pit No. I................minutes per inch Depth of Test Pit------..---..-...... Depth to ground water..?'Z 4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G4 .......--•••-•------•-- ••-• ...•----.....-•--•-•------•....................••-------•--••--•-----'-••-•----.._............•• �--.----•------ Description of Soil ---.--•------------- • -............._.=:......e'_,-c: f.:.....:1� U -••...-•--••--••••••---•'•-•-•--••--........-••----------•'-•-------•-•:-••••-•--••-•--•-•...-•-•--....••••-••-----------••--••---•-------------'-'--•-••-••...•••---.....-•'......---''•.------------- 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 T i Li, p 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. igne ......•-•-•'-••••-•••••-•.......................•••-'......•••.....:_ a a -------------- ApplicationApproved By-• = •-•-•-....--••-•-•--•.....•----•-••---......•••................... ............... Date Application Disapproved for 'h f ollowing reasons:.................. -•---------•-•----•-------•-•--------------•......-----•-••'••......--•• -•••-•-•--••....... ---.•.........._•••-•'••••--'-•'•'•'-_....••'••••-'•'•--••••'-'..............•••-........__•--•...•---'•--••-•-••-•"••••'••''••••-'•-••--•••--••••••••-----•--••••••-••---••••-•---• .-•-• Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.... ............................................................................ Tntif irate of Tomplianre THIS IS TO C I Y, 'hat the Individual Sewage Disposal System constructed �or Repaired ( ) by.. --•-• ..............•• .... ••••.........--•-•-.......--•-•.............._......_..........._..........._•-----..._......'- -• --- Installer at... . has been installed in accordance with the provisions of TI`i'I ` of The State Sanitary Co . a escribed in the application for Disposal Works Construction Permit No.�';�'.� ____---•---_---•--. dated_ __ _: z________________________ THE ISSUANCfi OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL Fj1N9YION SATISFACTORY. , DATE... �e --•----•--•-------•-•--------•-----•-----•---- Inspector.........THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....................O F... �} FEE.-yydl................ is n Is Tonstrnr#inn ermit Permission is�ereby ranted••,, •. •-•-••-•••---••.--••••---••.•••/telm •-••-...•-••..._....•••••-•••-••........................................ to Construct ( ) or R air.( a In ' a Seer ge Dispo S atNo................... ` > --•---- --- . ------ stre t as shown on t e pli on for Disposal Works Construction Permit No................ ... ated.......................................... ........................................ -•--........................................................ and of Health DATE.._•........ .....•......--•-----•------•-•-•--•-..............._......-•'-•-'-- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 71 SI TE PL A N T YPICAL �-RO IL E_ SCALE NO T TO 5CA L F_ 18"STD• LT, WGr C.1- MH COVi f ? '4 C.1. PIPE 4"BIT FIBER PIPE TIGHT JOINTS FLOW L 1 NE OUTLET LEVEL FL _ TO FIRST JOIN O DDWELLING �, �0" O C.I. TEE �_.,—J C.I. TEE STANDARD PRECAST CONCRETEtvTANKLLONTI 5� O i 01 S TR/BU T/ON BOX TO BE INSTALLED ON LEVEL , STABLE BASE SEP TIC TANK -.. s' TO BE INST.A L L ED ON , LEVEL , STABLE BASE 6 2 t/B"' TO 1/2 WASHED PE,45TONF. LEACHING PIT •" L © T- ALL AROUND FREE OF IRONS, FINES BASE 7`O BE L EVE': AND DUST IN PLACE BRICK B MORTAR COURES 314 TO J-Jf2" WASNEO L'RUSHE% AS REQUIRED TO BRING STONE ALL AROUND FREE OF c'' [- � �; COVER TO GRADE 24 C.1. MH COVER IRONS, TrN£.S Al'D OUST /N PLACF. U 0 a - - ----- � AND FAA ME ; .�7 ! 4" 1-4 LE ACHING PIT S'C C T:ION--- INL E 'rL JW LINE - } -r , t �, a.- �: o PIPE I• CONCRETE TO BE 4000 PSI 28 DAYS 2. REINFORCED WITH b Y £;" IvU. 6 0 W.W.M 3. 2' AND 4` SECTIONS ARE :AVAILABLE FOR GREATER i DEPTH REQUIREMENTS OPENING 1*'17'1-1 4-1 8" 4 NUMBER OF PITS REQUIRED s OUTER 01AVFTFP B ,� N �}c?,, gTG> FizecA4T GVAJC. ` ./ ;t� d i 1 INSIDE 'A METER .. TF EX,A A"T TO ELEVATION _OR LOWER AS, 3/4„ IG G.A4, daCi'Tt�- TAtiJK plhr hT D. �'1 GA `( „ 'c: I - �' 3 ®REUUIREDVTOEREMOVE ALL LOAM AND CLAY BENEATH -- _ . � PIT. REPLACE EXCAVATED TE D MATEPIAL WITH GLz AIIi RA7EGRAVELTDESIGNED iol �.' - _ LLB-i ??�- 4'_O 6 s " - ---------- n ti+l/N' EFFECTIVE DIAMETER I 4 ZUr~ 5 I (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) C, ....v. WATER TABLE -^ -^ a' n\-a O N E rc 1,J G 4>t)�J T M IZ a*i7 NA 01L ANDD PERC. DATA « NERAL NOTES --�--�- „-c"ell PERCr,. RATE :: MIN. /IN NO HEAVY EQUIPMENT TO RUN OVER SYSTEM SEPTIC TANK, DISTRIBUTION BOX _LEACHING PIPS TO BE STAN0"R^ 'ti?✓ (whA; VJ.d r�r '-:� AS�s7G, 1r lG. TEST BY: ' �x --}---- PRECAST REINFORCED CONCRETE UNITS. ' .� . f G l?� { p�, --1 ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN AC<`.OR€3At, WITNESSED BY . w_ ''' -- TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, L TEST Plfi rR.EL. DATE= ..� MINIMUM REQUIREMENTS FOR THE SUBSUFAIC E DiSPOI. OF 'TEST PIT NO. "�-;a?4-id TEST PIT NO. SANITARY SEWAGE EFFECTIVE I vUL.' 10?- \AJ Q `�' Q" 0" ANY CHANGES TO THIS PLAN MUST BE APPROVED By IHE Ti9F°/.5 P?�toe2tL. BOARD OF HEALTH. AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILI.IMG, TME 5 6 i> BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTICIN. A�.JO 44 rzA V C_L. PITCH ALL SEWER LINES 1/4" / Fi. UNLESSINi31CATE')IZ IELj,0 OTHERWISE IJ o SAT V Y.Z, t DESIGN DATA BEDROOMS __ �_3 DISPOSAL y EST. TOTAL DAILY EFF. ;, 72.a —GALS. L E `EI fO --- SEPTIC TANK 'i ©a" GAL. SIDEWALL AREA � ' `' GAL./SO, FT. BOTTOM AREA _ p SEWAGE DISPOSAL S�`"STE��f' GAL./SO. FT. rr 4x00 EXISTING GRADE LEACHING REQUIRED IQ'3' ` ' SQ.FT. ZONE: P I i t7. ate FINISHED GRADE ACTUAL LEACHING AREA -�a5•Co'a SQ.FT. FOR G, t y t�,1 �.� /� ;"e �. 0. 00 ' INVERT ELEVATION ILCf�i�i'� �-�..� l-U 'T 34 tlJv GAl. .� L� L� �� k2 r�DA• !J - ; DOMESTIC WATER SOURCE _ T �' � _ � + PLAN L G �^�' '7 -- ------ PROPERTY LINE , " �, `� ���OF-A fs�� L rc►JT P_ 12_V 1 � i t� L rn� tZ).. h j 1� #';�E. 4� NN A. 6`s L_NN REFE.RE N CE. , ► s p-' rl M- SCALE: AS INDICATED DATE ' ' _ MEAN HIGH WATER '` +r.,�4 BENCH MARK DATUMS MARSH _., wn4. M wARwiCx a ASSOCJarx ,. Q V �J 1-1 6" z �' [Z- L 1 f 11 r 'L •k BOX 80/ - NORTH FALMOMTH MASSACHUSETTS 02556 ; ' a e. y a ..:,. . .., ... - 1:, rY•'.'.N. r r „ _. yh � r .. .. , .. -_ ,:. .. rya '�. . . ... .. c,. .I :•d.> .>. yv •'�?,. t� �� �..f.,.mK,�,�,. ..r .D�, ..... _ eJ� .. r #.r-. ,� -.. ..._ .. 'w�. ... .. .. .::-. ... ,.. ♦ - >Nr' .?t, .f'. �t.i^M-:Y.. s34'.. 9.,v.. �/c 14'. �7� � c .. i�'.3.... i.c_.T y -:',�,- F" ( ''it �k- . J. .-.... 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