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HomeMy WebLinkAbout0037 QUISSET ROAD - Health (2) 37 Quissett Road- Cent_erville A= 250 - 150 �ll llll � UPC 12543 No. MpSTIN4'Q uN 3 L O'CVV ON � � SEWAGE PERMIT NO. Y I L C - - I N= ER'S NAME i ADDRESS BUILD R OR OWNER DATE PERMIT ISSUED D DAT E COMPLIANCE ISSUED r��j� L-OT 3$ � Ll 6 iu T�lo E>m$....fr ............... THE COMMONWEALTH OF MASSACHUSicTTS BOAR® OF HEALTH �wr ----------------- . ..h..- .................................. Appliration for Dhipoii a1 Marks Tonotrurtion Prrutit Application is hereby made for a Permit to Construct IZ—) or Repair ( ) an Individual Sewage Disposal System at: �� ..... ---------------�...----- fir.. �.... s -----.....- � .................................. _/iLocation- d r Lo 0 e Owner �— Addres Installer Address d Type of Building Size Lot�.Z�>._f...Sq. feet aDwelling—No. of Bedrooms--------- Attic (/�� Garbage Grinder,(�Q� Q, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) G, Other fixt es .----••-------- ---•--•-------- Design Flow........ ._ -_ - gallons per person per day. Total daily flow....... gallons. W llons. WSeptic Tank—Liquid capacit, l�Dgallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width..................._ Total Length-------------------- Total leaching area....=....�....Sq. ft. Seepage Pit No......1------------- Diameter. ;. /-_-____ Depth below inlet.................... Total leaching areaZIP3°..• . ft. Z Other Distribution box ( ) Dosing �ja'nkk '/ '�' Percolation Test Results Performed by._._..w- ..._ ... '1 v� � —ate.....7_ .................... a - a Test Pit No. 1...15� ___minutes per inch Depth of Test Pit---- t__-- Depth to ground water.... _ (i Test Pit No. 2-----l-. .�.minutes per inch Depth of Test Pit......1.2--___-•_ Depth to ground water. -•---•-. ._._._... O Description o �.� V' .1✓�a Fai`C --------3".17�'..... r_?G........tv P..•....---- v ----...... ..5......7-i ��4' �,�B C-------- _ � G� ry 15d.I.P------------------------- 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 ii '1.i 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. ign ---••••... ......•-••-•-----•-- --••-• ------ . Application Approved By ...... ----•-------•---------------••-•-•--•-------------------............• �,ll ............. Date ApplicationDisapproved f reasons---------------------------------------------------------------•------------------------------------------------- .........-•--•--•••-•---•--•-•-••-----••••-•-•-•--•-•-••-•-••-•---•-•-•----••-••-----•.......••---•.....--••-••-•-•-•--•-•----------------•------••------------•--•--------------. -------............. Date PermitNo......................................................... Issued....................................................... Date t41 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Diipuial Works Tnnitrnrtiun ramit Application is hereby made �for a Permit to Construct .) or Repair ( ) an Individual Sewage Disposal System at: ­77 f I k4,P �•'Loca_lion- -•� r Lotr'T1To -- ......................................... .._...._...... . c Owner _ Address ,Y .............._.( .... = ---------- ------------------------------ Installer Address y Type of Building Size n..........Sq. feet Dwelling—No. of Bedrooms............ _.•............:•--____-___-Expansion Attic VY40 Garbage Grinder t C aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures .-----•----------•.....................•--------------•••----------------•--••......-•--.------••... :--.... - y- W Design Flow___......___________________ gallons per person per day. Total daily flow......... �� _ . ............._._._gallons. WSeptic Tank—Liquid capacity/��..gallons Length................ Width................ Diameter................ Depth--_------------ x Disposal Trench—No..................... Width_-_�___-____..... Total Length.................... Total leaching area-__,�----- � ft. Seepage Pit No________------------ Diameter...rj._-,f __ __ Depth below inlet.._................ Total leaching area...-_...:�_:._.s . ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results_ Performed bY--•-------•---••---••••--------------•-•-•---••.../---•-----•---------- Date........................................W Test Pit'No. l.._155�.4:-_-minutes per inch Depth of Test Pit __. Depth to ground water.._._. _ r l � P P � .� ,�---• P gT ���- 0= Test Pit No. 2..... per inch Depth of Test Pit......!•---•:-_.... Depth to ground water........................ -----...--••••-•••••.............................•••••-................__...-----•----•-.........---•••.........-•---•-••---•-•---•••.......... O Descri lion oTi .. f'✓ j e�r ,�: -` �1 P �= --------------------- y U - ------•-------•--------------------------••--•---••••••-- W rxj 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 T I:L 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. Ithfollowing igne `.-•••••••-•-----••••-••-•------•••••-•-•-••------•-••••--...••---•.......--•••...... .......• .--Application Approved By -.---•.......... ..•------- •--•. '� ''------.--•-•- Date Application Disapproved f reasons:..........'---•••..............•-••.........•--•-•••-•-•--•----••---••---•••••••••------•--.....-••••--••-•••--•- ----------------------------••-•---•---•--•-•------...-•----••----•-•-•----------......-•----•-----........--------------------•---------------------------------------------------•-•--•---•--•••-•----- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ..........................................OF.....................................I.......I...................................... Qlatifiratr of Tnntplianrr TH.ISi'1S' T CERTIFY, That the Individual Sewage Disposal System constructed ( r Repaired ( ) F nstaller at........................ ----- has been installed in accordance with the provisions of TI` 5 o e State Sanitary od as cribed in the application for Disposal Works Construction Permit No...... �_ ........... dated_._ _.- ` ..................... THE ISSIJ N OF THIS CERTIFICATE SHALL NOT BE C7AS A GBJARANTEE THAT TIME SYSTEIA 1dlll F CTION SATISFACTORY. DATI? .. P ..�.1-------••-•---••--•---------------------------•------- Inspector...-• ----------•---•------------------•----•--..............-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.. ..........................................OF..................................................................................... FEE.._., ' `........... Dislinomf nrkii Q16,11nolrnrtiatt anti Permission is hey granted...... ✓ ________________ -------------- ----- .............. to Construct j Re it ( ,r} an Ind s C' ge sposal System �j ,+'/ ,ATE'► ,� I� . F f street as shown on the applicaqgn for Disposal Works Construction Permit No..................... c- ......./........ ................_.._...___ oar of Health DATE••-- -------------- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS r s SI TE PL A N T YPICAL PROFIL E SCALE — l " = i ' � �L «, L, NOT TO SCALE 4 IB"STO. L T. WGT C.I. MH COVER , 4"C.I. PIPE 4"BIT FIBER PIPE TIGHT JOINTS FLOW LINE OUTLET LEVEL -- - --- - ____ O O O TO.FIRST JOINT DWEL L/NG c�l /4 - -` C.I. TEE �- --- ��,Z4 �-� C.I. TEE �� 4 -- . �- STANDARD PRECAST 4 5�, o —_ - -_ CONCRETE !�?��GALLON 3 SEPTIC TANK DISTRIBUTION BOX TO BE INS TAL L ED ON LEVEL , STABLE BASE. t� SEPTIC TANK ` I E TO BE INSTALLED ON LEVEL , STABLE BASE I 2 - //8" TO l/2 WASHED PEA STONE C 13 ALL AROONO FREE OF IRONS, FINES LEACHING P/t r V AND DUST IN PLACE BASE TO BE LEVEL BRICKS MORTAR COURES 3/4" TO 1-//2" WASHED CRUSHED h r'rl �c A `' G"`` o AS REQUIRED TO BRING c- i•.4 J` hr � - 61 - L a COVER TO GRADE 24"C.I. MH COVER t STONE ALL AROUND FREE OF ---_--_ ��,o,y;' L t.ti..>4 . � IRONS, FINES AND DUST /N PLACE. A•, J Jam. AND FRAME �--- - �. r 1/ r s� T $ �" � _ ,F -- _ -- LEACHING PIT SEC TION-- IOC r ` aA, \gxJ/ 1NL ET -- B LOW L.INE r - - ! PIPE , I. CONCRETE TO BE 4000 PSI 28 DAYS t `' . / !� -+r^„ 2. REINFORCED WITH 6" x 6" NO. 6 GA. W.W.M. ti 1 1' i ! ' ;: Y 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS. OPENING WITH 4 //B' I 4. NUMBER OF PITS REQUIRED ` . I OUTER DIAMETER 8 ���� NOTE. EXCAVATE TO ELEVATION 74,0 !-3/4" INSIDE D/AMET£R OR LOWER AS 3� REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH T �l ti ✓,rz a�, J PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN GRAVEL TO DESIGNED GRADE IQ E.I_ .�•� V 6'-6" / - .-_._ Al 'J f Y MIN. + EFFECTIVE DIAMETER N J { (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) , WATER TABLE . j S p /NLV. , rchrr.T• � �-' SOIL AND PERC. DATA GENERAL NOTES -,— _+ 61 PERC. RATE : MIN. /IN . NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. 4 -' SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TO BE STANDARD - TEST BY: _ I�' I<" �� -t- :; ;. G� j yrM. wc• k' �1.4 J s A,i6oC, INC.) _ — PRECAST REINFORCED CONCRETE UNITS. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCt WITNESSED BY: _ - ✓ �( ^-� .1 A G c: +3 TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, �EST PIT GR EL.: rOw- __ DATE ' S i `�'3 MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF TEST PIT N0. I P- 10>>7 TEST PIT NO. 2 p- J � f(o SANITARY SEWAGE EFFECTIVE I JULY 1977. 0 — �}"--- ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE t ,P'/`yc en, L_ ��t°- /�urt�SoiL BOARD OF HEALTH, evf.�t2h>r tA&JD Gvfal2hG 6e. iUp AT COMPLETION OF CONSTRUCTION PRIOR TO BACKFILLING THE T�Az e 6"czAvEL BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. I LOLAf3Lir5 PITCH ALL SEWER LINES I/4" / FT. UNLESS INDICATED OTHERWISE o u /. r, cz- L ti4,o ry v w ,a T IG 0, DESIGN DA TA - BEDROOMS DISPOSAL �= EST. TOTAL DAILY EFF. '' 5" GALS. L EGENO SEPTIC TANK I GAL SIDEWALL AREA __?`� GAL./SO. FT BOTTOM AREA ______ ' ,GAL./SQ. FT. SEWAGE DISPOSAL SYSTEM OXOD EXISTING GRADE LEACHING REQUIRED- u _�' '`3`--- SQ.FT e` ZONE: ER I �� �© FINISHED GRADE ACTUAL LEACHING AREA 40`, c: SQ.FT. FOR a �J �� �i h '* r� 0. 00-� INVERT ELEVATION /. 'J '''• /���G'-4T f'_.!{.1.�tdt _ �i �� :' "� DOMESTIC WAT EFL SOURCE L -- - -- :° s•: ,ten � L o 7 7 � �� h � -� PROPERTY LINE � �4, Y ' t�� e kj-r F tz ,� �_ � _ F, P, J } p 13� e PLAN REFERENCE ____ __-_-___ ` .� r j- SCALE: AS INDICATED DATE : �/7 MEAN HIGH WATER ( �� ��+, - BENCH MARK DATUM r= rz �, n�. �, `r o t� y MARSH WM. M. WARWICK 8 ASSOCIATES BOX 80/ NORTH FA44fOUTH i MASSACNUSE T TS 02556 Am a•.. - - , F - - k