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Home My WebLink About0039 OXFORD DRIVE - HealthP,Z i \ LOCATION SEWAGE PERMIT NO. VILLAGE _ ,v INSTALLER'S NAME A ADDRESS\ y, B U I L D E R OR OWNER 2%c—""rcs� y� C[L" -t>e S�v.�.t 13 L,(CL 0--o- 1 DATE PERMIT ISSUED fZ - 7- F oDATE COMPLIANCE ISSUED �� #. �` � a c � c 'h 0 _ '� � � � w 0 V �� 1 N6.r3:142 `" .; F>$.. .....�`............._ THE COMMONWEALTH OF MASSACHUSETTS BOAR® Qf HEALTH //0, .� ,� Appliration for Uiipntial Works Zomitrnrtinn ramit Application is hereby made for a Permit to Construct ( VKor Repair ( ) an Individual Sewage Disposal tpf at: sysaP... .1�. ......... ............ ...� ................ ................. Lo aeon-AQdrg ss or Lo o. ...... Owner Address al Installer Address Type of Building Size Lotlgi__ ._._0.Sq. feet Dwelling—No. of Bedrooms............5.....:..................Expansion Attic ( ) Garbage Grinder (,,V4p Other—Type of Building No. of persons............................ Showers — Cafeteria Other fixtures ,M.....--•-••-•----------•--•••--....... WDesign Flow................IC. gallons.per erida�y. Total daily 9w............7.7_:---..............�r�sti WSeptic Tank—Liquid capacity_f.____.___gallons Length..A?.A6... Width.. .__:_-__.. Diameter________________ Depth...-:__...__._-. x Disposal Trench—Nj..................... Width.................... Total Length..__............. Total leaching area....................sq. ft. Seepage Pit No......... .._._..._ Diameter......../40.... Depth below inlet...... Total leaching area.2-46. ...sq. ft. z Other Distribution box (� Dosin t '-' Percolation Test Resu Performed b .. __ __ _ ..!"`GGd Date.-- �j � rr a � Y 1 � J Test Pit No. /................minutes per inch Depth of Test Pit... y_ Depth to ground water.___..r'_7'_f Y)_. Test Pit No. 2................minutes per inch Depth of Test Pit__/ .._...... Depth to ground water__7.../...�...... .. yy .............................................. �. .. .. .i-----•••- pp---...... --- -- --- - - - - -- O Description of Soil �`v......"...Ge... =- �.�5`..rC �'�.---�St� v S ''.P--------- G -T�------f ® � -- -------------- 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 TIME 5.of the State Sanitary Code The u signe urther agrees not to place the system in operation until a Certificate of Compliance has bee is d b th bo d of alth._ y igned-•....._ --••--. rfS►.••-•-•-••---•• .... ......- Dat ApplicationApprove Y... -- ••• ......-•-••---•-•-•----•.............•--•-••-----------•••••.....................--- ........ . ... ........ ........ Date Application Disapprove or t e following reasons----------------•----•--•--------------------•-•--------•----•-•------------------------------------------------ ................................................•-••--••--•-....•-----....------•-••----•---------...............••........._._...... ..................-----•......-------•----... ............. Date PermitNo......................................................... Issued........................................................ Date No.K. :-.r` 0— Fes$.. p.............. THE COMMONWEALTH OF MASSACHUSETTS �--� BOARD C F-i E A LT H ApplirFa#iou for Diopos al Workii Cfoustrurtiou ramit Application is hereby made for a Permit to Construct ( �or Repair ( ) an Individual Sewage Disposal Systt at r ......__................. .. ...................................... -----•---...... ._..Q------............ ...---- --- --- - Location-Afldress �- r No. ..1LcA& .........../fow.6. o ......... 3 Adre -iN ---- � a✓z. . ......... � .......Installer Address �. Q Type of Building Size Lott;.: �� __Sq. feet V Dwelling—No. of ..._ Expansion Attic ( ) Garbage Grinder (iv(j Other—T e of Building No. of persons............................ Showers — Cafeteria Pa Other fix ures .................................. WDesign Flow............................................gallons per peXmrt-per,day. Total daily flqw............ice'_.-Yv...............gallons., WSeptic Tank—Liquid'capacity./_..____..gallons Length..c Width._-z`_'_--____-_._ Diameter________________ Depth._!; ._ ... x Disposal Trench—No. ................... Width.................... Total Length................ Total leaching area....................sq. ft. Seepage Pit No..........1..........Diameter......../.0.... Depth below inlet............... Total leaching area.2,-7...s q. ft. Z Other Distribution box (V, Dosing tt ( ) Percolation Test Results Performed by._N �.'. ..... ............... Date_._V?.v{_/- _.... Test Pit No. 1 __ ____minutes per inch Depth of Test Pit...l_V Depth to ground water-----�_f_=----_. fi Test Pit No. 2................minutes per inch Depth of Test Pit._ ._u-/y. Depth to ground water_. ................ ------------------- O Description of Soill" '�..._�a�5'. r •lam . 5!O �� rt� ' a BSc%'• // ••------•------------•--•--------------•-•---•-•-•-----•---•--•-------------•----••--•---------.........------......-•----••---....---•--••---•--•-•-•-----•----•-••----•---•--•---•-----------•---..... 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 Co. The rsi n d further agrees not to place the system in operation until a Certificate of Compliance has be�ri s ed y t e ar of health. r` igned " = g-� . Dat ApplicationApprove " Y... -•-4--. ------•.-••.........................•...-•---••-•--•--------...........--••------•- �,, Date Application Disapprove or t e following reasons:-------•---------------•-------------------------------------------------------••-•-••-•-- ---•--•.........._ ................................................ ---•-•------------•-------------------•----------•--••-••--••--•----------•----•-•----•---•-----•-••-•••--•••-•------•--------•------•-•-•--------•--- Date PermitNo......................................................... Issued-........................•-•--•----•--..-----_---------- Date THE COMMONWEALTH OF MASSACHUSETTS L� BOARD OF HEALTH ....................I.....................OF..................................................................................... Trrtif iratr of TompliFaurr THI;,S TO, ERTIFY, That the Individual Sewage Disposal ystem constructed or Repaired ( ) b --•- ... ..._ --•- ..................................................... Y = ¢� staller - at. - .... -- - .................................................... _..._.. has been insta in accordance with the provisio ' of TI 5 of Th State Sanitary Code as described in the application for Disposal Works Construction Pe it No.__ _.._- --rt1�------------- dated................................................ THE ISSUAN E OF THIS CERTIFICATE SHALL NOT BE CONSTRU S A GUARANTEE THAT THE SYSTEM WIL NCTION SATISFACTORY. DATE.... .�..� .................•--...-••---------------•---•-.------ Inspector.... .. ......--•----•------------------------------.........---•----------•--•... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ✓� .......... ............................OF..................................................................................... �r" N .............: .I...._. FEE..•---• •--........-- �to�aro kg Toaao#rion rrmit Permission i ereb antedZ f --------••------•--•----------••---------------•---•---------------•---•---•-•-•--..------------••--------- Y gr �. xto Construct ) or Repair ( ) `a /Indivi vage Disposal System at No............................................. ---•-•-•---------••------------..-----•------------.----••-------_-----------•----•-------•---------------------------•-•---_--------- Street as shown on the application for Disposal Works Construction Per . .................. Dated......................................... ........ •.•-----................................................................................. / /� +/DATE................. ----��-----��--,-...................... Board of Health 4F///J FORM 1255 A. M. SULKIN, INC., BOSTON T 0 P OF FOUND --------- --------------------- ------------ 20 FT MIN. EL, 01 i 10 FT MIN { 5e r CONCRETE 4" SCH. 40 PVC —CLEAN SAND COVERS PIPE- MIN. PITCH „ CONCRETE I/8 PER FT. COVER 4 CAST IRON ! — ---_ LAYER OF 12 MAX. ___-�`_ 1/8"- 1/2" WASHED PIPE - MIN. PITCH j 1/4" PER FT _ STONE J U O _,) FLOW LINE E L = - _Y 10 --- MIN. EL EL DIST EL= _ w LOCATION MAP BOX arya n n — _ 3/4"- 1 1/2 WASHED STONE u- w a o T t I 0 0 � p b v -�, I "'?," � PRECAST LEACHING w p °o"° ---- GAL. _ _ EL _ BASIN OR EQUIV. .. _ SEPTICTANK 1D(; \ A GROUND WATER TABLE EL. _ '•� '�`.` r PROFILE OF ��• SEWAGE DISPOSAL SYSTEM ' NOT TO SCALE � "`4 7 � :32. 7, 90 _5, r r t� DESIGN CALCULATIONS SOIL TEST ; , NUMBER OF BEDROOMS .. GARBAGE DISPOSAL UNIT.. DATE OF SOIL TEST TOTAL ES TIMATED FLOW WITNESSED BY ✓' ___ _— j GAt /BR./DAY x ___ BR ) . . ' GAL /DAY PERCOLAT ION RATE MIN./INCH REQUIRED SEPTIC TANK CAPACITY �? GAL OBSERVATION HOLE I OBSERVATION HOLE 2 v ACTUAL S!ZE OF SEPTIC TANK .. / "'''�'S'� GAL. r/�- ELEVATION = /c'>U• -ELEVATION = �C�`'�• � LEACHING AREA REQUIREMENTS T (6/ SIDEWALL AREA GAL./S.F. � �___ �o�� Lc�r ' � BOTTOM AREA GAL./S.F. a� LEACHING CAPACITY ( BOTTOM + SIDEWALL). may ' ' f GAL. zy 7y . , loci �l X 1 /,T z GFSERVE. LEACHING CAPACITYGAL. `I µv�� L NOTES 80 I ALL WORKMANSHIP AND MATERIALS SHALL CONFORM # -- TC D.E C E TITLE 5 AND THE TOWN OF RULES AND REGULATIONS FOR SUBSURFACE DISPOSAL OF SANITARY SE WAGE `' \\ 2.COMPLIANCE WITH ZONING REGULATIONS SHALL BE b-�. _ DETERMINED BY BUILDING INSPECTOR OR BUILDING BUILDING SETBACK REGULATIONS PER BUILDING COMMISSIONER INSPECTOR OR BUILDING COMMISSIONER 3 EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY MIN. FRONT SETBACK THE SAME MIN. REAR SETBACK MIN. SIDE SETBACK ,t yam, APPROVED BOARD OF HEALTH DATE AGENT V, +� PROJECT LOCATION j? APPLICANT : fl 4f) �' E L GEND SCALE:f,,/ �i DR. BY DATE' EXISTING SPOT ELEVATIONS 00 0 JOB NO k> _ APPO. BY REV.- : EXISTING CONTOUR - - - - - - 00 - - - - FINAL SPOT ELEVATIONS 00._ FINAL CONTOUR --�00r--- R J. O HEARN, INC DRAWING SITE PLAN SOIL TEST L OC AT 10 N REG. L AND SURVEYORS- REG. SAN/TAR/ALAS N O. 1348 ROUTE 134 - P. O. BOX IR63 SCALE EAST DENNIS , MASS. 0F _