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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 3�! 4 C1 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 S N6z-7- / of Z SN�T� r Z. -� zG 47, p,. Lo7- Al zs' z z z,55F s,p, `--- -t e7o q 0 i 2tr�t711/E � I h I�ieoposE'D W.9r�xz q � D'S ( 00 QC Q Ta�+C rest />2opo.strD D,ejVEwAy 1 o,,r N 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, �oTzi�7�. �9 5 S . . . . "t O PETITIONER V l�//� J- `�aFfo�§T��° , , SINIT �l►