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HomeMy WebLinkAbout0064 OAK STREET - Health 64,.Oak St s, ` COtUlt k A 0IS O40=002 L Ai 10N SEWAGE PERN' T 3111. V LLAGL CoTuT LINS7 A► LLER'S NAME b A 0 D R E S S OR OWN ER a ,a I 1 E FE N; IT ISSUED y. DATE CUMPLIAMCE ISSUEQ i �i 00 F-EL- a' Z)o No......`� ..��.... ............... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 1'✓�k' P Parma Y- Q Tt7�l.M... OF....� 1�ISTJ4@�LE... .....U,� b� O6� + ApplirFatinn for Rspoii al Works Tontitrnr##iun Vanfit ApplicaA(A)StrU4 on iseby ade for a Permit to Construct (✓f or Repair ( ) an Individual Sewage Disposal System at: 1S .....L.U T.. .ZZH OAK MT: C_ T U I MA ............... --.. .. --•................................... ...............................4......... ......-•--.._.....-•----•- Location-Address T�1TZS; E t)\V I N O�aRA EN 2 7 QED R �S�;N�- G©TLC IT 1�A , _ . Owner --------------------------------Address Installer Address ��OOO d Type of Building Size Lot....___.___�.............-.Sq. feet U Dwelling—No. of Bedrooms------------------�.........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of BuildingNo. of persons............................ Showers — Cafeteria Otherfixtures ----------------•--------------- .................................---------•-- -----------•---............••---......_..........---•--.......------ W Design Flow__................ .S......._.._.___..gallons per person per da7. Total daily flow........... 3O......................gallons. WSeptic Tank—Liquid capacity.0 .gallons Length-___8�_�_ Width-_�ti 10 q Diameter________________ Depth.--5''Y.I/ x� Disposal Trench Width Totalinlet leaching sq. ft. Seepage e Pit No _I_______- DiametO .. . De t below .....A....._._Totalleaachin area..�S_D•... - Gw1DNG Z Other Distribution box („/) Dosing tank aPercolation Test Results Performed by._..L, N_ 2Y__A:S.So ...acTES_____ Date_..... ►_.�.Zo...$ti:...._.. Test Pit No. 1-___---Vz__minutes per inch Depth of Test Pit...._..N. .___._. Depth to ground water....N._g_t______-- (i, Test Pit No. 2......Y2__minutesper inch Depth of Test Pit........1Z_,.... Depth to ground water-----NA.:._.._ P4 •---•--•--------------------------------••------............-----------......_.. ---.---•---._.._.............---.......-•------------•--•----.••---- 0 Description of Soil......... .............FOREST DECA%-< - vAcN DY 5V2:)SO I.L. U -------• -�I-EDIUNI__.TD-_GOf'cRSE•SP�R1I)--------------------- W h 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 TITI-E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by the of health. Signed........ ------------------------------- ------ ...................... ate _ Application Approved BY •-- - ----- ��_ r _= ............. . --- tV Date Application Disapproved for the following reasons---------------••-------•---••-•-----•-----------....---•------------------------------..._...--•••-------....._ --------------------------------- •---------------- •------------------ .--------------------------------------------- •------------------------------------------------ Date PermitNo.......................................................- Issued....................................................... Date r ri '.. ..� F .. _ THE COMMONWEALTH OF MASSACHUSETTS $ ._....'.. BOARD OF HEALTH .............'"t�.N.---.--.OF...-.-....--T �Z1y STfi� L ............. .... Appliration for Disposal Works Tonitrnrtion Errant Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: -.... / f.............................................t. . ...1=.................... ........!..._ ...--•---•----------..__......... . Location I Address or Lot No. • 5. 1? ..�.. „1. . cam,�;ti.r _rti ...f 171 C7 k i --- '� i----..� � ! =..---. ---' ----•-•!;" Tj_1 i_1 •.jV11 . Owner Address •� Installer Address ' Type of Building Size Lot.._2Z: D0Qr t,_Sq. feet Dwelling—No. of Bedrooms...............^�........................Expansion Attic ( ) Garbage Grinder ( ) Q, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) W Other fixtures ..................................................----------------------•--------------------------- ----------------------------------- •------------ W Design Flow................._151*,..................gallons per person per day. Total daily flow-----------�_r)..._..._..._..........gallons. WSeptic Tank—Liquid capacityl,0. ?--gallons Length._..?.'!_." Width.e:t1'l n.'_+ Diameter................ Depth____`' x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------- Diameter.....J0.`....... Depth below inlet.....6?_!......... Total leaching area_6�SL..__.sq._ft. G!?LL01�6, Z Other Distribution box O Dosing tank ( ) aPercolation Test Results Performed by.... 3y_j.�==. . '.__ _ �_ _ A: .S...... Date....-. tcC_j........ Test Pit No. 1...... ✓---.minutes per inch Depth of Test Pit...... _ .!..... Depth to ground water....14I.-A........... 04 Test Pit No. 2......,ytz...minutes per inch Depth of Test Pit.......)_. '_ .... Depth to ground water.....SL.A_........ a -------•----------------------------------------------------------------------------••••------•-•------•..__._......_..-••----•------•-----•-•--•...._..----- D Description of Soil........A-`...:......7.f1 71:..` t 1 `- All_ k�,r I;_ ' }I ; !��a . c 4 A fi-1 j`. .------................... .._....-------------------•-•--. - - ..............................................................�-_ 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 TITU 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.......... . -• ............................... ----- - �Q e Application Approved BY------------.- --- -•-- ----�."-,,�•-__ ��/-�-'-`-=�----•-------------------------- ................ -19S--•-•------ Date Application Disapproved for the following reasons:..........................................;w--------------------------------------------------- ---------------------•••--••-----•-------•-----....-•••-•-------•---•-•-•----------•-•---------•----•---------•-----••-----•----•---•-•----•-••--------------------------------------------------------- Date PermitNo......................................................... Issued_.....---•-------=-=................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t .............T7 A' !\1 N► .:OF..... C ?'� t � _: t; .1., ................ Trdifirate of Tomplianrr THIS IS TO..CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by............ - - __----•---_____-------------------------------------•--•--_____-___---•------------•---------_______----_-_________--__-•----•-- } 2-2� � /O�� `�� _ � Installer at---•-•••---.....-•----•-----•-••--••-••-••-----• �--�:i . t-•--••--•--•----------- ---•-•--- has been installed in accordance with the provisions of TITLE r f The �t�te Sanitary. Cod s sff'7' ib,�d in the application for Disposal Works Construction Permit No........... dated----------C40.1.._.[........................ THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL U tT ION SATISFACTORY. ,1 DATE.............. :.: :.:. -----•---• Inspector................. -...---------------......_...-••-•-------•---------•-•-•--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF, =HEALTH �3 J�:3 Y i'.). t1. ..................OF....... �,�1;'_xa��. �'`t•a l i`�-....................... No......................... FE �t oo"c�p_-orko 'Tontrnrtion antiPermission is hereby granted............. �r fie- ...._......................... -- --•-------- - ---- to Construct ( ) or�,Repair ( ) Is ew�ge Disposal System a�n � C ___._. -1 _ 7__.__. `..........._ Street as shown on the application for Disposal Works Construction Permit No.................... Dated.._. .__�::_........__._..____.__._.... DATE. ....................... -•-• Board of Health -; _-•-�------='�'' ---�-�- �_�� FORM 1255 A. M. SULKIN, INC., BOSTON i DESIGN SINGLE FAMILY DWELL/NG W/ NO_ GARBAGE D L.S P0-_A L ( 2 z O. D / DAILY FLow = !lO x � _ _'KDC3. P. D. t x N SEP'rlc TANK CVOL. 9En'13 LD �T Zl �5A I J - _ z z,n-:n 14 ARFf1 _33D.... G. P. D , x /.5 = __ G A L S. f - t - Cp l-i= GAL . -FANK. - O,-K. = w z ►- ),ri-K. -6C) D IS PO S A L P/ -7" a �� ' C7, N to P05p,`/ A. X OP -f STQ, # z LINE - E FFE CY 1 VB DE PT N CAP T Y : -Tr X ID X L L) x Z_ = // 7 ( --Jr k 5z x /,O = 79 TOTAL C/4 PA C 1 T `( _ ° '-- --_----- _ - _ ---- ...._.z z©;.op- _-_---- --------- ---........ ----� . GALS. , CCHAKLES "-,i, SAVEK r S I TE PL A A/ FIN, FLOOR TE sT Pr 73 r P.ERC TEST 1�� _ COI(ASS UMED) S CA L E : FI N, G R.1=L.''9_7� ! =&;�A _r0POF WAaLL Ex1STlNG GX.EL. LX XX / g��— —� —97,O '��Sp 4.aa,,�__ ��(N OF,y��. K Xx 360. 4��� ALLAra �, _ HAR RY G RISERS A3 N EL-DE D C. 4 ► KINGSo^URY #26 E PVC �JrD SNL7`f 23 �1L ` H .E INV. 91,o INV. �� ioi.0 A INV. 95.75 : GAL. 9._D x amZP.C.COlgc. 95.0 � . oNaLENG� CELLAR FL — 10'MlN. P,GC0 1- y •p +. Avg ��stc EL. 9 1.16 INv D 1 S PO-SA L PI 'r SEPTIC I RATE _ TANK W / ' oP .3/�" 70 I MrD1 ui-i rb SEWAGE DISPOSAL SYSTEM DESIGN 201MIN. WA3NEb S?ONE LOA'Rsi Fo z S�No MAK1t_Y�I C� SCALE ALL AFL �5 OJND W12.'' - C�,_ ' D'l. -72, .-- - - - LAYER PE ASTONE L.Q T U \.T .. .. , VERT. I"= 4' ° LD_T z�8-A..I_:0�1 ----- LCSTU_I_-T"„ MA , —...:. -- _ ... PRDFILE of DISPDSAL SYSTEM ----- - ---_ _ NQTE : DISPOSAL SYSTEM T T O BE G0NsRU T CEm ( N STRICT — L: �4NTERY. ASSOC, !B p' NoH2o rloKzO —.85.0 CaNsuLT. ENG'R E.SAN�. MA . ACCORDANCE OF COMM. OF MASS. ENVIROM. GObE T►rLE45 Ef YESTE�s 11 Z } E:xC,�vn-r��R. F,AS7LF•PACKHt7E:. ❑dTF r' •Z�If�'� DwG528P5,..Z. ` t