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Home My WebLink About0062 BAYBERRY LANE - Health /a Z. 8644 -t3ayl-J ' La.tisL LO AT10 SEWAGE PERMIT NO. LN - L- VILLAGE 1 ST L R'S N ME & ADDRESS 0. 0 `3UILDER OR OWNER IL Oo \ k lN. DATE PERMIT ISSUED 4 DATE COMPLIANCE ISSUED l 1 �� i ', ��'' j ` ,I � f-� e ��f 'ter a �� , .�� ± r �� --�_. r�q..� �. 1- ti � t ! l No.....:.......... . F�$..��.._............ _ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH '.. .............OF............�>,#wu sr ......... Applirativaa for Dispati ai Workii Tamitrurtivaa Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: at ....-- L li i�C --------------••-•---•-..... -•-•...---......_._... 1 ....................................................................... n ocati dress r or Lot No. •---.....� � ! -•-`.. _�1!\... _.�A f-c•---•-- ..................... -'��-... •••...................................................... Owner Address w �J. . . .�. -- -- --------------------•--------- -•-....•-•---------_O.c . ...-----.......................-----------.............-•--•---- ,a � Installer Address d Type of Building Size Lot____=?Zk_ .Sq. feet U Dwelling No. of Bedrooms_________,., g— ______________________________Expansion Attic (�`o Garb ge Grinder (�VJ(➢ Pk Other—Type of Building __ �____.______ No. of persons_____ __________________ Showers (� — Cafeteria Otherfixtures ...................................................-....-•-------------------------------------------------------------------- ---•--•--------- W Design Flow............ ...___________________gallons per person per day. Total daily flow.......,73 .......................gallons. WSeptic Tank—Liquid capa ity_r19D.gallons Length...../_0..... Width....(_........ Diameter,._._....__._ Depth................ x Disposal Trench—No. _..f`!-� �rWidth____________________ Total Length.................... Total leaching area----J4y,®..4q, ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing a t nk ( i v Percolation Test Results Performed by.....WALk1....19SS......................... Date...... Test Pit No. 1.....':A...minutes per inch Depth of Test 1 it-----/A........ Depth to ground water_____._��J®��_. f14 Test Pit No. 2.._..!'._)_. ..minutes per inch Depth of Test Pit...._j.r_�._....... Depth to ground water....... Vg..... ax ------------------------------- �t----------------------: .._._.._..----- ------ ----...... _...___ -----yy---- = O Description of Soil______0_."�_1___._To{,.__,f...S� _.� �_ e C O� �. x I 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 TITiZ 5 of the State Sanitary Code—The undersigned further agrees not to place the system in p p g issued by the board of health.operation until a Certificate of Compliance has been Issu- � ��'�� i ned -•- + 1 -----------------------•-----•-- -- -2-......._ ApplicationApproved By------ ---------•- •-•-•-•-•----------------------------------•--•_. _....._..-- ------�-�. -------d-------- Date Application Disapproved f r t e following reasons:------•--------------•-------------------------------•----•---............................................... ....................•----.....---...-----.....--.-•----------•---...--•----------•----------------._.......--------------=------------__.----•-•-------•-----------•----•--...----...---------•---------- Date PermitNo......................................................... Issued....................................................... Date "t No.... :. .J/.�� FxB.... . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ....... ..W................OF.............!<.).tl `E` ; '................................. Allpfiratiun for Miyoti al Vorkg C omtrnr#ion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: -• -•- t4 "f'• - .......... AJV..�.:.................•-•------- . L............................................................. ocati dress ---- _. .. ....................._..... o. Lot No. Address Owner Installer Address Type of Building Size Lot.... - .Sq. feet 0-4 Dwelling—No. of Bedrooms....... ...................Expansion Attic 4/6 Garb�ge Grinder (jiff Pk Other—Type of Building (�)........... No. of persons______ _____________________ Showers — Cafeteria P-4 Other fixtures .----••------------•-----------•-•-•-•--------•-------•------------- ---------------------•----•-------••---- W Design Flow............. ..: ....................gallons per person per day. Total daily flow------- .......................gallons. WSeptic Tank—Liquid capasitvi gallons Length.....1.0..... Width.... ........_ Diameter_---41....... Depth................ x Disposal Trench—No. ....._._.,l�..._._ Width.................... Total Length.................... Total leaching area..... /�,Qrsq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing t nk Percolation Test Results Performed b _ )b.5..................................... Date_..... ..._. Test Pit No. 1_. ` '____minutes per inch Depth of Test Pit..___JA....___. Depth to ground water-J__-_- .. fs, Test Pit No. 2.....-...2-:.._minutes per inch Depth of Test Pit....ZX........ Depth to ground water-.____ Description of Soil..... �......2._.... c' t3.i..........., .............. `I'.-------1 ' -...... !. �-�--.. .... x 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 TITLE 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 Application Approved By....... ._.... �= Application Disapproved . tote following reasons.------•-------------------------•---------------------•----•-----------------`---------------•---:............. ---------•-----------•---------------------------------------------------•-----------.......---------------•------------------------------------------------------------------------• --••------------ Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH L � . ....... r.... V'rrtifiratr of TompliFana . THIS JS TO CERTIFY, T at the IndividualIgeZage Disposal System constructed or Repaired ( ) by.... c. :a ,..�_..... =' ------------------•-------..........---•--------------.............---------•-•---...-----••-- at v` 1 #j ! w . has been installed in accordance with thprovision f TITLE 5 of The State Sanitary Code s d cribed in the application for Disposal Works Construction Permit No. -„_... f_______________ da.ted� �ii _.___-------.-------. THE ISSUANCE OF THIS CERTIFICATE SHALL NO CONSTRUED K G�AI(t`AliTEE THAT THE SYSTEM Wl�.L F NCTION SATISFACTORY. DATE__A./.' p................•---..............------...---......--- Inspector .------------------•---=------------.............._.........._-•---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............... " ...........OF.......X:. :1.0. A 4 FED Di�pou t Works Tonutr ion rr '�� Permission is hereby granted---- - -------- -J --------=------•---.......--------......_._................ to Const ( or Rep 'r ( an Individual Sewage Disposal System at No '"" ------------------ .. ' "' s=+ Street as shown on the plicat' n for Disposal Arks Construction Permit No.....................gated.......................................... B4rad•=ot'1$fialth DATE-- ". FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS G ' - SCA L k;. ear i i lop r r l(} 4 4+ 34K4 Ilk" i �t �y�f,�� cavG..70�D: G�v.�: , •,,.-%'� `�,xf t�ri a5 ! ;j WL Nit 39 4f I �* � ,,:•.. •_:,.,� �, � ,,\. - TPA.. -� g \ ;J a 4 J� 4 4 4AAE Coo , a. b ,x4 1 k. y ,3 7,1 C J' is�3t n Er e r�r L EGEVO . EXISTING GRADE `r ZONE FINISHED GRADE DOMESTIC. WATER "SOURCE ' �+�/dr►%`ioU,�t ' W,,—LL �� . ��c� `. INVERT ELEVATION �oT PROPERTY LINE PLAN ,REFERENCE / .- MEAN H'G!' WATER 9F BENGH MARK ( A711M 122, L w TYPICAL NOT TO' SCALE 37. 5 • — IB"STD. L T. WGT C.1. MH COVER :: z 36,0 { `4 "C I PIPE 4 BIT FIBER PIPE TIGHT 101NTS k OUTLET LEVEL -1 FLOW LINE- ----�_ - -- -- - --- o rU F1M.5 ✓DINT DWE-L LING � 4:3 ! _ O fi ' L 3 u JO 14" 33,B3 3. C.I. TEE —— 3 53 4 + STANDARD PRECAST 33 704 ' a 2S.0 CONCRE 7E/�GAL L ON ' SEPTIC TANK B 01 S TRIBU TION °BOX TO BE. INSTALL ED, ON `{ as _—, LEVEL , STABLE BASE: SE P TIC TA NK TO BE IN57ALLED ON LEVEL , STABLE BASE . 3 } 2 — 1/8 TO //2'" WASHED PEA STONE ffil L EA P/T ALL AROUND FREE OF IRONS FINS " SASE TO BE LEVEL AND DUS T IN P_L ACE BRICK 6 MORTAR COURES p " WA ' 3/4 " TO l-l/2 SHED CRUSHED � � AS REQUIRED TO BRING STONE ALL AROUND .FREE OF COVER TO GRADE. 24""C.I. MH COVER IRONS, FIVES Q,ND DUST IN PLACE. •` _ A ND FRA ME a� \ S K `LIL}+V-Af Q — _ LEACH/NG Pl T' SEC T/O%V -�., I f "INLET-- .__ ._._. B" FLOW LINE — _ _ — PIPE ` { 1. CONCRETE TO BE 4000 PSI 28 DAYS I �r I — —- 2. REINFORCED WITH 6" x 6" NO. 6 GA. W.W,M 6 3. 2' AND 4'. SECTIONS ARE AVAILABLE FOR GREATE`R < t ( DEPTH REQUIREMENTS. =a }� OPENING WITH 4-1/8" 4 NUMBER ;OF PITS REQUIRED ' OUTER DIAMETER B " �� Vy NOTE:' EXCAVATE T0. ELEVATION �3 OR LOWE; I-3/4 INSIDE DIAMETER REQUIRED TO REMOVE ALL LOAM ANQ. CLAYr81i pIT, "REPLACES EXCAVATED MATERI,dt7WITM C t I •GRAVEL•.= TO,r €SIGNED GRADE` ' - , 6 6 EFFECTIVE- DIAMETER I (NO7' TO EXCEED 3 TIMES EFFECTIVE DEPTH) { j WATER TABLE SOIL. AND c.ERC. DATA GFN.ERAL ' ° r " F'N�TE.S "'�+� PERG. RATE z MIN. /IN . NO HEAVY EQUIPMENT `70 RUN OVER SYSTEM. _tF :tra SEPTIC TANK,' DISTRIBUTION BOX , LEACHING PITS TO BE; STANQA r's` T �;Y: tV.n�_h/�.'�2H/ic^ PRECAST REINFORCED CONCRETE UNITS. ° I — n. NESSED BY ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORpANCi TO REVISED TITLE 5 OF, THE STATE ENVIRONMENTAL COOED TEST PIT GR. EL.:_ 3`S Z DATE ' e �z�Bo MINIMUM REQUIREMENTS' fOR THE SUBSUFACE: 01SPOSAI. QF SANITARY SEWAGE EFFECTIVE I JULY 1977 TEST PIT NO. i -LEST PIT N0. 2 0" - — O' — ANY CHANGES PTO THIS PLAN MUST BE APPROVED BY., THE;h Too �vi3�c„� BOARD OF :HEALTH. AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILOI`j 'T AIM-v. 3Nir�� BOARD OF HEALT.N SNAIL . 8E NOTIFIED FOR •INSPECTIAN �y"'T .�H v� PITCH ALL SEWER . LINES I/4' / FT. UNLESS INDICATED r� OTHERWISE. DESIGN DATA -- -- BEDROOMS —_ _____ DISPOSAL EST. TOTAL DAiLY EFF. — �?�__ _GALS. SEPTIC TANK_—Lo�'o GAL . SIDEWALL AREA ____��S___GAL./S0. FT BOTTOM AREA ____!_G GAL./SO. FT. 4rk LEACHING REQUIRED—��$. al SO,FT SEWAGE DISPOSAL _ SYST $/I ACTUAL LEACHING AREA -22:1"oG, SO.FT. /_ F/O�R/� ' j /�•. s ..'�;.f/ 'L. � !� it '{� �L.!'., !� 'F �.I��t�/�/7. ��''/�I7 .. : t, Kj��x z� G c T 12 ,L3�9Y/3 9.E?. _Z! A,v E '. Cp Z t T F3.pe.V.3 7A SCALE AS INDICATED DATE _s �,� ', F y�rk' +NM. M(W,41 W1CK .q 4 A 55CC1TE l?X C.11, °l` .4.; fir / ITH ♦.,°r