HomeMy WebLinkAbout0065 EISENHOWER DRIVE - Health 65 EISENHOWER DRIVE
COTU IT
039 - 094 \
I
L C 10N S E E PERMIT NO.
VILLAGE
Tu f�-
INSTA LLER'S NAME i ADDRESS
I U I L D E R z
OWN ER
Q
<) DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED 21,
All
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r
IT-
No -••••-` Fm$..............................
M
THE COMMONWEALTH OF MASSACHUS`�-.TTS
f BOAR® F H EALT
is'--nr...................OF..... .... � / ... ..�1`i J...................................
Appliratinn for Dispaiial Works Tontrnrtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at: ��
Address t
...��..�...7..... ! -�/ ----•--•------ --s------.... , .� _ t N� !
� r
dress r
-- --- --
Installer Address
U Type of Building Size Lot._ , ..Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder (/'•10
a'4 Other—T e of Building No. of ersons____________________________ Showers
YP g ---------------------------- P ( ) — Cafeteria ( )
Otherfixtures ..--••••--------•-----------•---•------•------•---...----------------------------•-•--------------•-
Design Flow_________________..��_______ _ Ions per person per day. Total daily flow---------___ ___�.�__.___.____gallons.
�- -------
Septic Tank—Liquid capacity/_,� ons Length................ Width................ Diameter................ Depth----------------
xDisposal Trench—. o..................... Width......... Total Length.................... Total leaching area_____.______________so_ ft.
Seepage Pit No_______f____________ Diameter....../.�_____ Depth below inlet.................... Total leaching area, _5__sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
`"' Percolation Test Results Performed by.... Vat
a / --
Test Pit No. 1________________minutes per inch Depth of Test Pit...... _ ..._.. Depth to ground _.__ ------------
44 Test Pit No. 2._n ,Z __minutes per inch Depth of Test Pit____ .__. Depth to ground water----
Rr' .................. .....................................•-•-._....----•----_......-----.....-----••----
Descriptionof S Q..__.. _>-L,-----------•----------------------•----------------------•-•---------._.....:
x
..........------------------
...
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 iITi.E 5 of the State Sanitary Code— The un ersigned further agrees not to place the system in
operation until a Certificate of Compliance has be Vud th o r of health.
.c .igned --•-•� •-•---
_..
Application Approve __ �y `
-•-----------••-••-•___...----•-------------------- -�-- - l'--• ----- ............
Date
Application Disapprov, or t following reasons----------------•------------------•---------•------------------------•---------------------....---._...---••-•--
....................... .................•------•---------...----------•-•--------...-•-----....---....---•-------------------••-•--- ----------------------------------------------------------------
Date
Permit No------------- ......................................... Issued-......................
Date
Fu$.........................
THE COMMONWEALTH OF MASSACHU+ETTS
BOARD OF HEALTH
Appliration for Disposal Works Tonstratrtiun Famit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
--�... ...... �.... ►:..t :1.� .... .... .........:....•---...... i= Ira/'.��% ..................................................1'`'
Address r1 t No. {
--�.....--�....1- ! - ....L_1_l...................................................... (. r.... / ........ -- ........ ''�°•• '/ tom
w H 1 ��-h �v J °w �_v/ i fir/ j- ///��� dre s.........��. .I ......
Installer Address —;�-
Type of Building 1 Size Lot.—_2f,_ _ 7...Sq. feet
a Dwelling—No. of Bedrooms...............a____.__._________.____.__.Expansion Attic,("/ j Garbage Grinder (.-Iel
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
� Other fixtures -------------------------------• . •--•-- ----•--••••--•-----•--•--••----••--•--=
...
W Design Flow.................. f----- �llons per person per day. Total daily flow---- � •----••. Ions.
WSeptic Tank—Liquid capacity. �_c Ions Length................ Width................ Diameter................ Depth...._...........
x Disposal Trench—I�To.................... Width........T.......... Total Length.................... Total.leaching area.................... ft.
3 Seepage Pit No......./__------------ Diameter--___, ...... Depth below inlet.................... Total leaching area! _j...sq. ft.
Z Other Distribution box ( ) Dosing tank
Percolation Test Results Performed P.:--=_.r ...
� r
a ..._. Depth to ground water.__-. __ --
Test Pit No. 1................mmutes per mch Depth of Test Pit.____1.�-�� p gr �-___.__...�
(s, Test Pit No. 2_.,,"'.�_' ...minutes per inch Depth of Test Pit...Ez......... Depth to ground water___04 �.��� .._.._
-- -------------------------------------•--_--------•--------•------........-•-•-----•--------------------------
.......------
._...---------
-............
i1•
Description of S •---fir lJ.. -�......ll !y" - '
W / ------------------------
----------------------
l = trr ,------- --- 1 �. ....• J�' '�� �'/� oY ' -' / 1
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 TITIE 5 of the State Sanitary Code— The un ersigned further agrees not to place the system in
operation until a Certificate of Compliance has be s��th / of health.
" .- 1i
l� Signed_-----..-.G_ .. /� ............................... ..., � !'�� _
A lication Approve'd ........ � ' d /
.. .._ w
.�.
Application Disapprover t e following reasons--------------------------------------------------------------------••---••----•---•-•---•---Date.....--_.._._
.------•--••------••--------•-•-•--•-------•-----•-•-••-••-•-•-•----•--------------•--•-•-------••--
Date
PermitNo......................................................... Issued.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.....................................OF.....................................................................................
Tatif iratr of Toutpliaurr
TiHIS IS �%U ,G'ERTIFY, That the Individual Sewage Disposal System constructed ) or Repaired ( )
by-• .ter... .._.. :2 ---•......... ----- --- ••---••---•-------------------••----••••-•--•--•--••-.....----------._....-•----------•-•--•--••---•-••-•-•----•---
---
has / J f Installer
a ----- ------i-�-- - /r -
been insta`Iled in accordance with the provisions of T T�. P;he State Sanitary Code as described in the
application for Disposal Works Construction Permit No...................�_..__....._........ dated-...............................................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SA FA TORY.
DATE..........................................
Inspector4k/ .......................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
y r'
l�rCf ....................OF.
. ............-.. .-................... ,� .
FEE::..•�...............
�is�rr��l- rk - �an�trttrtirrn rrntit
yg . ,�
Permiss>on„js ereb Repair ( a f = ' ---•--.
tom''" r ted___ __,.:
to Construe ( ) or=Repair �n�•ndi�aduai ea age Disposal System
Street
as shown on the application for Disposal Works Construction Permit o Dated..........................................
,• . ,/•
DATE. �� Board of Health
FORM 1255 A. M. SULKIN, INC., BOSTON
Permit Number: Date:
s� Completed by .
HIGH GROUND-WATER LEVEL COMPUTATION
Site Location• Lot No.
Owner: Address:
Contractor: Address:
Notes:
STEP 1 Measure depth to water table
to nearest 1/10 ft. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ag �D
date
STEP 2 Using Water-Level Range Zone '
and Index Well Map locate
site and determine:
A) Appropriate index well . . . . . . . . . . . .
B) Water-level. range zone . . . . . . . . . . . .
STEP 3 Using monthly report"Current
Water Resources Conditions" F
determine current depth to '�/�
water level for index well
mo.y r
STEP 4 Using Table of Water-level
Adjustments for index we] 1
STEP 2A , current d&pth to
water level for index well
(STEP 3), and water-level
zone (STEP 2B) determine
water-level adjustment . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . .. . . . . . . . . . . . . . . . . . . . . . . . .
STEP 5 Estinate depth to high water
by subtracting the water- 14
level adjustment (STEP 4)
from measured depth to water S
level at site (STEP l) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SITE PLAN SHEET I.OF,?
SCALE; / -. 40.
T,
14
�\ •- p � � / f" rp � N
EL
14
Q5/OC..JG1pCl: m N m 1..
12-
�TO. .o.6EG,C3T CO.t/C.
3/A
rY CoRp
.,5.E 3-/097
DE Ngsf� �,
WIL IAM M.
V WARWICK vim+
ca to
No. 19771 �
s
l ST ER
RE6/STEREO LAND SURVEYOR ' FOR
Gar /e ,e3,e%4,2 P,gTcN ,e -Qo
-C .
j
ZONE-
PLAN REF. DATE 1920K/L /B, /974-
14
BENCH MARK DATUM. /922 i»3L . O•�Tl�n'1 WM. M. WARWICK 8 ASSOC., INC.
5 DOMESTIC WATER SOURCE-.—T w^/ wAZ'1�� 80X 80/ - NORTH FAL iVOUTH
FLOOD ZON .G. MASS. 02556 - (6/7) 563 -2638
�f ,.,;LEACHING 3ASIN SECT/ON Ivor To SCALE 2 o�z
24C./.MH COVE,4
EARTH F/L'L bR%CK AND MORTAR COURSES AS REO'D• r0 BRING
q„ �.. COVER TO GRADE
_1B FLOW LINE /
INLET _ _ _ :. :� ,.: 2 - r0 WASHED PEASTONE FREE OF IRONS,
PIPE FINS AND OUST IN PLACE
r '4" TO /%p WASHED CRUSHED STONE FREE OF
OPENING. WITH 4%B 'OUTER DIAMETER IRONS, FINES AND O(/ST /N PLACE
%
.4 NO /3/q„INS/DE
DIAMETER I. CONCRETE TO BE 4000 PSI 28 DAYS
'� • 2. REINFORCED WITH 6"x 6" NO. 6 GA. W.W.M.
3. 2'AND 4' SECTIONS ARE AVAILABLE FOR
. GREATER DEPTH REQUIREMENTS
,o.. �-- 2 -60" -I-- 2 —� 4. NUMBER OF PITS REQUIRED /
MIN. 14 `EFFECTIVE DIAMETER NOTE: EXCAVATE. TO ELEVATION /2•o OR
'
(NOT To EXCEED 3 r1mes EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL
- - WArER raeLE---,El.¢.o LOAM AND CLAY BENEATH PIT. REPLACE
EXCAVATED MATERIAL WITH CLEAN
TYPICAL PROF/LE GRAVEL TO DESIGNED GRADE. •.
18"STD LT. WGT. C.I.MR COVER
25.5 �.• 25.0 _ ZSo aS.S
4"C.LP/PE ; 4"BIT.FIBER PIPE OUTLET LEVEL
DWELCINS FLOW LINE T/GN7 JOINT TO f/IPST JOINT
z2.2o I4" 2/.78 O O 1 1 0 1 0;
C.I. TEE 2/.43 I (0 I 0 1 1
1 11000 00 01 11 c
21.190 .'STD, PRECAST CONC. 21,60 0/ST. BOX TO BE ' 1 1 O 0 0 06 1 1 1 1
IGAL.SEPTIC TAN /NSTA LED ON LEVEL, I o 00 O 0 0 1 ;
STABLE BASE 1 '1 100 00 0'l
NSEPT/D TANK•TO Of . 11000 00 1 1 '
INS T L 'LEVEL 1 10O I o 0 1 1.'
STABLE BASE. i 1 1 0 0
1 110010 0
LEACHING BASIN : lie 0 0 0 0 1 ,
BASE To BE L EVEL
50/4 AND PERC. DATA
PERC. RATE ?. MIN. /IN. O
TEST PIT NO. I TEST PIT N0. 2
.l.Ocr» s 7"m�o da,! 0 oor�
TEST BY cJa61 E//is amai-ecl ,Eo } 1.4.0 mod.onpan.c.sa.7c/
WITNESSED, BY: doA'iiI /3i$H 3 �m•.��ocrca�,/
TEST PIT GR. EL. 2
DATE:
No Grnd c� ar
EL./3.o
DESIGN DATA GENERAL NOTES
BEDROOMS 3 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM.
DISPOSAL Nonce SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD
EST. TOTAL DAILY EFFL. 3o GPD. PRECAST REINFORCED CONCRETE UNITS.
oa ALL SYSTEM.COMPONENTS SHALL B
SEPTIC TANK 16 E INSTALLED IN ACCORDANCE
GAL. TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE,
SIDEWALL AREA GAL./SQ:FT. . MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF
BOTTOM:AREA 6-5 GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY I , 1977.
LEACHING REQUIRED 79O7SQ.FT. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
ACTUAL LEACHING AREA OF HEALTH.
z GL Q,FT. AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING* THE
BOARD OF HEALTH SHALL BE NOTIFIED FOR ,INSPECTION.
PITCH ALL SEWER LINES 1/4" / FT. UNLESS INDICATED OTHERWISE.
SL AW DISPOSAL SYSTEM
or MARTIN �G
MORAN n 623417� .L.o1' /G /3riAr �o><cLi ,eoacr'
p� / /
yyo�Fsc/stF�G OStErv� .10a,-r�.57`4,6/e
S`OUAL EN
SCALE AS INO/CATEO DATE.
WX M. WARWICA' 6 ASSOC., INC.
BOA, 601 - NORTH FOOL MOUTH
` AMASS- OZ556 - (617) 56,E-Z658
PROFESSIONAL ENGINEER
1.������'�x�ra
ICU. 101
V1LL11 ,
DATE
FEE
APPLICANT�
�L
on-r®fuat6�11�
ADDRESS
Aw
1:Wci 1 N L k:11 HIO No •
u�,�rL scIlr:.uut, u
p i n$'ag. a igna u
. . • • • • • • • • • • •'• ♦ •air♦ • • • •.• • � •l,� ••�:0+ 1104. p 9 �:lr�,Rs.® e,p4A0AA .N'R�!• • • • 1• • • • e.os9,0..e 0,0 0 f
1 S
SUB .NAME o TIME-DIVISION
EXPANSION-AREA: .YES ooN0 ENGYN>rEfZ ?;
.. .
'1'OWN'WAT :R ✓E'dtIVATE W&LL liOAhU. Ui' �iEALT
EXCAVATOR
SKETCH: (SLrevt njiue',etc, ,4menuion® q 71,Q:�� r�XaCt location of tesL hole: and '
percolation tests.," ao.cate t qtr -in proximity to teLit )►olt:s )
NOTES
t
r
o-r• 1
TEST 1iUl:,k: NO ELEVATION: Tk;5'i' !lc�t.i: No• �:i,r:VATiON
_�..__1 ► ' L N AA ,sA 3
1 L�M ,'�i T. �a 2
G Q�►,r� 4
Cm it 6 flo�
g
t �
10 10
;r �12 "1 a
s .
13 13
4 P
14 14
; d Ts
105
16
su TTABLE FOR SUB-SUR AOF - ��� iE�►CI�ZN(3 FIELD LEACHING. P 1'1'S�'
+ CHUG ,TRENCHES
yT �s3, Yt,uf �'
UNSUITABLE FOR suB?4U, 'A y4204 y` PA 0��:
+f0f'YT"lytT rat, ` +{ x y aiI51'.At t
'c mgTE ENC41NEE1RXN0. 4 S�PNED oN IPERC TEST ANF'LTCA'1'I01J
No.....1 �.. s Fss...... ....................
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH_
04
.iow!Y.........OF........
r��
ApplirFation for Disposal Works Tonotrurtinn Viermit
Application is hereby made for a Permit to Construct ("I'or Repair ( ) an Individual Sewage Disposal
System at:
Z-07—
r
�!
Location-Address or Lot No.
..1C1...1//.9_. ._ `.! �. -:....!�✓ .......................... ........ S C 3 --------.....---.....----------........--
Owner Address
Installer Address
d Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms....................................__..___.Expansion Attic ( ) Garbage Grinder ( )
'4 Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures ----------------------------------••-------------------------------------------------------- ..................................................`�3....................gallons per person per day. Total daily flow____.__._-�3®._._._._..________._.. Ions.
W Design Flow..................... g P P P Y Y
WSeptic Tank—Liquid"capacity./000-gallons Length.8'G_ ... Width. �....._ Diameter________________ Depth..4 ..r
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------- ._._...__.-Diameter....../5?_....... Depth below inlet...... ............ Total leaching area..Z: 77...sq. ft.
Other Distribution box ( ) - Dosing tank ( )
a Percolation Test Results Performed by-----,LAW zp... ... ................... . .... Date_,,V
.
04 Test Pit No. 1...L2-:...minutesper,inch Depth of Test ........ Depth to ground water........................
f14 Test Pit No. 2................minutes per inch Depth of Test Pit.:_............_..... Depth to ground water........................
P4 -------------------------------------------•--•------------•---......---------....--••••......----••.........................................................P.
0 Description of Soil.... ,._'36" _4e P`�..... yam-Sai c,------------............................". , ' o...-vZs
U ..........
,5�- ilk
-------------------•--------------------•-----------------......---•--•-----...----•----
-------------------- -------------------------------------------------------------•-•--------------------------......-_=......----------------•---------•----------------------------------.---...
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 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 b the board of health.
r y e
Signed. , 1!1e. - - '-----------••-- ................................
Date
Application Approved By.............. .. _. ..... ........................ G L - te
, � V
Da
Application Disapproved for the following reasons:..............................................................................................................
-
.......................•••••----.........------------------......•-----.....-•--------•---•------•---------•----------------------•---......--•--------•---••-----------------------•--•--•-------.....
Date
PermitNo....................................................... Issued.......................................................
Date
No.----S-1: + Flms......5..................
THE COMMONWEALTH OF MASSACHUSETTS
�-� BOARD Off' HEALTH ,
1.r�.W.N---.......OF......� nlSf/�} L.•.• ...
Appliration for Diopoottl Worka Tonotrnrtion ramit
Application is hereby'made for a Permit to Construct (� or Repair ( ) an Individual Sewage Disposal
System at:
.....�ZI .1.)14..
....------ .c i7 ... ....................
_ Location-Address _ or Lot No.
. 1..�1.61 t✓_ ?=,r-: �=ZL&-•..................... ►'c/�.r
t. . ..............................................
Owner Address
W
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
dOther fixtures --------------------------------------------•-------...-------------------------------------------•-------------------------.._..--------..........---
W
Design Flow..............45....o................•......gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacity-69P.Q..gallons Length Widthf'4-"4.".'__. Diameter..........:..... Depth.4..e .
x Disposal Trench—No. .................... Width.................... Total Length.................... Total,leaching area....................sq. ft.
Seepage Pit No......../---------- Diameter-----.ln_f-_-_- Depth below inlet.-_.G............. Total leaching area. G. ......sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
aPercolation Test Results Performed by....L nN ..-A_:-:. .............
1.4 Test Pit No. 1. 4.2 ___.minutes per inch Depth of Test Pit.1.5V._ ...... Depth to ground water................................
.............
rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
G4 •-------•----------------•--------••---...........--------------•--•-----•-•---••--•--•-•--•------•..........................................................
D Description of Soil... 36..... -----------36•"— � � G'o ?�s
U -Crra�i T" ..........................-------------
W
VNature 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.
Signed...................................................................................... ------••........
Date
Application Approved By................ - to L t/B y
Date
Application Disapproved for the following reasons-------------------------------------------•------------------•-•-•--•-•----••-•-•--•--•-•- •-••------••. ---
•-•--•••........••--••---.......•----•••••••--•-.....-----•---------••--•----•-•------•----•-•-----••--•-••-•--------•-•----••••-----••••-••----•-•-•---••--•---•••-----••----------------•-•---------•-
Date
PermitNo......................................................... Issued-----------------------................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............... 5.;W. .........OF.....CJ 2 /S".T : G '...............................
Trrtifiratr of TompliFanre
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repairedby ( )
- --------------•a:•---------- -.- ---------- -------------------------------------•---------•-------•------•-----•----•-----------------------
,..� Inst ler
application for Disposal Works Construction Permit No_______________ f The State Sanitary Code as described in the
has been installed in accordance with the provisions of TITLE of SFy� dated...........................................he
PP P
• m _..........
THE ISSUA CE THIS CERTIFICATE SHALL NOT BE CONSTRUE® S A GUARANTEE THAT THE
SYSTEM 1dllll L F ION SATISFACTORY.
1 f/
DATE.. Lr...x.-�
. -•--•--•--.....---•--------------------------- Inspector.---• -- -•---•-------------------•--.....-•-•-------------------------........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
T1Nn/ OF.... +° 72st/57�"' :? /�-e..:................................... �. u
.S FEE..........?............
Disposal Works Tunnotrurtion prrmit
Permissionis hereby granted.................................................. -•-•--•-------•---•---••.........._....•-•--•••-•-•.......----•-•.....---•.............._..
to Construct (4�-for Re air ( ) an,Individual vSewage Disposal System
atNo.................... *�--•---......r _...... ...........................................................
Street
as shown on the application for Disposal Works Construction Permit No.................... a ed..........................................
•'. `'' --- -------
k...
oard of Health" --------•--------
DATE................................................................................
FORM 1255 A. M. SULKIN, INC., BOSTON
r
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47, p,.
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h I�ieoposE'D W.9r�xz
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Ta�+C rest
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Al ti ZG f v 'V
Lo7-"05C
/�/o TC - �ZG-"V�J7vNs BA5 E7j U�
LOCATION
SCALE . .!. , . 30. . . bATE
I"OF PLAN kEFERENCE . ...LoT f'. .�S .. . . . . . .
o ED R gG SI�70W� ON Zl"9- /d> Co✓27-
ELLEY -�
/7L�9?v. c. . . . . . . . . . . . . . . . .
'� No.26100 v,
'21STS
4#8SuF10 . . . . . . . . . . . . . . . . . . . . . . . .
I CERTIFY THAT THE . .. ..... . . .... .. ....... ........
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
AS SHOWN HEREON AND THAT IT CONFORMS TO THE
SETBACK REQUIREMENTS 'OF THE TOWN OF
WHEN CON9TRUCTED.
DATE : . . . . . . . . . . . .
1// V/4ni f�` I.+/6ZCN- /��77T/�•�r�7Z.s REGISTERED LAND SURVEYOR
r
SN�Z7' L of Z SNE21T5
A
TOP OF FOUNDATION
]— CONCRETE COVER
1 CONCRETE COVERS
CAST IRON 2 MAX. 12"MAX. • ��►
OR SCHEDULE 48 4"SCHEDULE 40 P.V.C.(ONLY)
P.V.C. PIPE PIPE - MIN. LEACH
PITCH I/4"PER.FT PITCH 1/4•PER.FT PIT
PRECAST
INVERT . a LEACHING
e EL..'�3r7.S. INVERT INVERT P w PIT OR
SEPTIC TANK 3 g DIST. .,r�3,�- EQUIV.
e INVERT EL.4.. . . 7. . BOX EL......... >s ��:
GAL. IN
INVERT ' ' 6� v Q O. :;i, 3/4"TO I I/2
� EL93,z w w
WASHED
w S70NE
�G 7
/Z'--- —6'DIA.
PROFI LE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
NO SCALE
SOIL LOG WITNESSED BY :
DATE/-W,9!4 TIME. /Fevv GGo.�fl� le,5; BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 't-r. , ZGey.
'gBP. . . . ENGINEER
ELEV. .
ELEV. .. .�. . . . . . .
Wa z,G60, r j
9 DESIGN DATA
Sue-So.c,
8 3
3C" NUMBER OF BEDROOMS
o
46" TOTAL ESTIMATED FLOW 33c? : GALLONS/DAY
BOTTOM LEACHING AREA 7B: . SO.FT. /PIT/C.P,D,
C07-017- SIDE LEACHING AREA � , . . . SQ.FT./ PIT/¢7/C.OD.
S,q,yl>
GARBAGE DISPOSAL . /Vo!'/Gs.(50% AREA INCREASE)
TOTAL LEACHING AREA SQ.FT
EL.3Z.Bv PERCOLATION RATE l-�3S 0?-! TW.o. MIN/INCH
LEACHING AREA PER PERCOLATION RATE . . . SQ.FT/epp_
No WATER ENCOUNTERED oti�
NUMBER OF LEACHING PITS . . . .
APPROVED . . . . . . BOARD OF HEALTH 7WQ. /Z--a,? ' of Om f)GC. .51D&-.s7
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
DATE . . . . . . . .
AGENT OR INSPECTOR
Of�Ass9
LoT' Z S— ��° ED' a ° w
E: LL
G/S7VffDWE:� D/Z/I�ccs �cpa ELLEY
No.25100 v,
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PETITIONER V l�//� J- `�aFfo�§T��° , , SINIT �l►