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Home My WebLink About0105 NOBADEER ROAD - Health (2)F _ i` ' No....... Fims....... ............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........... ;T 2,W�..............OF.........!04;;�s.7' +. It ...... Appliration for Biipnaal Workii Tnnuilrnrtion 11amit Application is hereby made for a Permit to Construct (✓f or Repair ( ) an Indivi ual Sew g Disposal , yste�at: LLocationn--Add ress/ ...... l` .. ......(Y/.C .CP ..,E�. r Lot I;I% : �.�! /�G�O 1 Address - / Owner ,-� .-. nstaller - ........................•---•--.... Address Type of Building Size Lot--- .....Sq. feet Dwelling—No. of Bedrooms.............-:F.........................Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — a Other—Type g ---------------------------- P (---)----...Cafeteria ( ) Otherfixtures ..---•------------------•----------------------....----------------------------------------------•---•------. -•--------- W Design Flow...................:5' ................. per person per Jay. Total daily flow--_----___----,3.3.4J ...................gallons. WSeptic Tank—Liquid capacity./M.0—.gallons Length... _.. Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width..................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------I---------- Diameter......./0....... Depth below inlet..........rr-'......... Total leaching area.ZO1_gZ.sq. ft. Z Other Distribution box (vj Dosing tank ( ) W Percolation Test Results Performed by.-40luce_f4:�lW,�A 0-tl ff �� Date....... 44`.�............... Test Pit No. 1___.<2. -..minutes per inch Depth of Test pit------- Depth to ground water----AZL_0_c.... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ o , _:- ..•J-- L . .8'..leuG�c L/'SG-SGee-rope. � Description of ... Description dsm� - W ------------------------- ---------------------------- U Nature of Repairs or Alterations—Answer when applicable._--__ 1 .. ----------------------------------------•-----------------------------------------------------.-......•------------------------------------------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of JI'I LL 5 of the State Sanitary Code— . e undersigned further agrees not to place the system in operation until a Certificate of Compliance has b su y e board of health. gned. -- ---- - - ---------------------- Application Approved By---- ------ -- ------ -•--------------------...................-----• ......! '. .. ...------. Date Application Disapproved r t following reasons----------------------------------------------------------------------------------------------------------------- .....-------•-•--•.................•---------------•-------------------•--•--•-----------•---.............. ......-•-------- Date PermitNo......................................................... Issued....................................................... Date - -- — — -- VNo.._.A.J-.2 Fizz...... '.............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........L��'. '.°!..............OF........ �7/-n ;c?Z/ ApptirFatiou for Dispaiial Works Tonotrurfiurt Vrrmit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: ..... :.`. _.. ✓ . .../!Ji.�c�c% --= .�• ... '.. _i��'� l/fI✓-=...1 C=......%...._T/f///......... 5.... ocation-Address ` or Lot d ... Owner � Address /Instal;er Address Type of Building Size Lot..Z `�� ......Sq. feet Dwelling—No. of Bedrooms............. ..........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures -----------------------------•---- Design Flow...........................................gallons per person per day. Total daily flow............... ..................gallons. WSeptic Tank—Liquid'capacityA�__-`c'_.gallons Length.✓?`_. Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area•___...-------------sq. ft. Seepage Pit No ........... Diameter......Al ..... Depth below inlet.......:`._..._... Total leaching area-ZsZs=--.sq. ft. Z Other Distribution box (✓) Dosing tank ( ) '-' Percolation Test Results Performed a r� t_.G- " Date...... ` f '............... ! Test Pit No. I....�.2--...minutes per inch Depth of Test Pit....... Z........ Depth to ground water.._ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ................ .... ....... J ;................... ....•--...------•- 7 /............------.......__... - J / G� /L✓/I �Gl�j<G// ! —/� /L /, f_G�l rJ� S<.:t c r� �.rica � i Description of Soil �2'4 ,1�.... .. x = u -------- -------•-------•--••-•................•--------------------••-------•-----•--------------------------•--------.............----...-----•---- ---------------------•------------------------------------------------------------•-------------------------...-•----•------•-•---•... ................. U Nature of Repairs or Alterations—Answer when applicable_.__��_. � G. '..of --------------------------------------------------•------------•----------------------..............----...-•-------•••--••••--------•--•-----------------•---.......--•--••----•-•.........••••--•--_-• Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTT:id. 5 of the State Sanitary Code— e undersigned further agrees not to place the system in operation until a Certificate of Compliance has beet 'ssue &e board of health. Application Approved By... tJ" t 7 Date Application Disapprove orl ie following reasons----------------------------•----------------------------------................................................ -•-------------------------------------------------------------------------------------------------------•-----............---••-•------••----•--•---•-•-•-------------------•---•--------------------" Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................................OF...................................................................._................ f �" T ,C RTIFY, Tha t Individual Sewage isposal System constructed ( .)•-"or Repaired ( ) by...._ ..... I at......... ......... .......!/"�......Anx. A -- -.. .: has been installed in accordance with the provisions ofT "' 5 oi� e,State Sanitary Code s d- efibed in the 4 Glc�� application for Disposal Works Construction Permit No.......................................... dated. f_/��_--_�•-•_-----_-•---. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A 1 @l ANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............•---................-----•----•-----...------......•--•........... Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF No........- FEE....��.............••••- �a��tt i1r-k'� �aaa��ainrn rraYtt� Permission is h-ruby granted_..__., .. . to Construct (,v o 12'e it ( �dan laPdivl a Se age isposal System at No......: �-:'`....�- ` •. `r=' � t ---------------------------•----------- ................'�� •----•-- - r Street �i as shown on the�ppli tion for Disposal Works Construction Permit No.. -' __ Dated.-'-'=- �.. t � I Board of Health DATE....,../�---- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ' .- „' '•: ,.. :S- .bt+'_ .'Q• ' " ;. y�"s�'"`�. ,. 0, MOO tt�'!'':, - a am _10 Sl TE PL AN TYPICAL PROFIL NOT TO SCALE SCALE /B"STD, LT, WGT C. MH COVER �,•' ,.°�� ' '� � /off (� -1 � ,�-- O '} , 4"CI, PIPE 4 HIT FIBER PIPE TIGHT JU/NTS __ OUrLET LEVEL FL OW L/NE --.r TO FIRST JOINT - - I :_ -_-- - 14 J� ' �� I C.I. TEE C.L TEE �� c,r7 moo, -� STANDARD PRECAST 4 �✓ ; ► e CONCRETE I✓� GALLON ==L` SEPTIC TANK ` DISTRIBUTION BOX 9 TO BE INSTAL L ED ON LEVEL , STABLE BASE, SEPTIC TANK TO BE INS TA L L ED ON LEVEL , STABLE BASE ' r . cv , gTp, t�Rc��a�T co�JC. l voo 4 A L, h E F''T t 4, TA KA v, 64 P-L"l z 2"- I/B" TO I/2"" WASHED PEA STONE LEACHING- PIT ALL AROUND FREE OF IRONS, FINES BASE TO BE L F. VE L 1 AND DUST IN PLACE I 41 „ r t Z BRICK B MORTAR COURES 3/4" TO WASHED CRUSHED AS REQUIRED TO BRING STONE ALL AROUND FREE OF ^- -'- COVER TO GRADE. 24"C.I. MH COVER IRONS FINES AND DUST IN PLACE Ir GLE Ntj IJUT ?1P' DI A• AND FRAME ' ---- 1 VJ -501TACiI_E mATERIAL 1 ' > �.E A C:a �,.� �., 4„ 4 LEACHING PIT SEC TION- 9 lNL E r 8' FLOW L I NE - 1 _ p/pE I. CONCRETE TO BE 4000 PSI 28 DAYS R sp. a zo -+ r+ ,�� R�u` �„ 2. REINFORCED WITH 6" x 6" N0. 6 GA. W.W M. � 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER rL �� h (,4 DEPTH REQUIREMENTS •.M r OPENING WITH 4-//8 " 4. NUMBER OF PITS REQUIRED 7�E OUTER DIAMETER 8 NOTE: EXCAVATE TO ELEVATION '*2-_OR LOWER AS I-3/4" INSIDE DIAMETER 3" REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN 12 r r . GRAVEL TO DESIGNED GRADE . I4- L D T t 3 I I ---- o MIN. EFFECT/VE DIAMETER (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) cc, ----- --- -� i t WATER TABLE �4 No wAT �(2- A*7 �L. So 5 j W ` 64 ® h I�l7q- I SOIL A ND PERC. OA TA -- GENERAL NO TES �I EL 4,4 a PERC. RATE Z MIN. /IN . NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. l � I SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TO BE STANDARD 1 TEST BY: i2';JLr-- 4.4eLR tk�jM.L<jAw_WILt4 AhSOL. PRECAST REINFORCED CONCRETE UNITS. r 1 WITNESSED BY: ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE 10)'14 (oZ.cj TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , TEST PIT GR EL.: I�� '� DATE '-5- �3 S9/ I MINIMUM REQUIREMENTS FOR THE S'JBSUFACE DISPOSAL OF TEST PIT NO. P 145 74 TEST PIT NO I") `JS SANITARY SEWAGE EFFECTIVE I JULY 1977. M, _ 0' 0"- - - -- ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE t L ?5 TOp/GtA-( `iUB. TOP/SJe7vfL BOARD OF HEALTH. AAIE AT COMPLETION OF CONSTRUCTION , PRIOR TO BACK FILLING, THE 4"o Goc,ibLrr,45 G' BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. vF, S MEN S A �p �' PITCH ALL SEWER LINES 1/4" / FT. UNLESS INDICATED L4-/; p� J � � 12 50� h A � OTHERWISE. l2' t trio VJAIP� o wA.Tw¢ DESIGN DA TA BEDROOMS 3 DISPOSAL N D EST. TOTAL DAILY EFF _GALS. LEGEND SEPTIC TANK _LQ�o GAL : •µ `<- _ SIDEWALL AREA ,Z. _GAL./SQ. FT O X oo EXISTING GRADE BOTTOM AREA D $� G AL./SQ. T, SEWAGE[� DISPOSAL SYSTEM LEACHING REQUIRED SO FT. ZONE. �.'_�— o. oo� FINISHED GRADE ACTUAL LEACHING AREA ZSI' `/7' SQ.FT. l FOR U�,U N V�.J AT � � ,- On on INVERT ELEVATION �•, _, _� �i.'.c-, • i'� '� ' ': � � � -- DOMESTIC WATER SOURCE - -- PROPERTY LINE PLAN REFERENCE t.- L 4v �i�2- _ -- MEAN HIGH WATER � SCALE' AS INDICATED DATE : . ; BENCH MARX DATUM A)_ .�`� h0 MARSH vVM M. WARWICK Q ASSOCIATE S ' BOX 80/ - NORTH FALMOUTH L.O®tom ► (j 0i..! - NAzAl2D G M,455ACHUSE T TS 02556