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HomeMy WebLinkAbout0183 RALYN ROAD - Health 183 Ralyn Road E Cotuit A= 022-057 _ -- -- -- -- - - -- -- - ` i I`'r LO CATION a,,S G E PE.RVIT NO. I ar. VILLAGE �,aL I H S T A LLER'S NAME 0 ADDRESS _ 0UILDER OR OWNER DATE PERMIT ISSUED 4fl? DATE C 0 M P L I A N C E ISSUED_ a —� � � �� %� �:a �' �, � 1 ��.. No........ FR$..: .... ... F THE COMMCMWEAO H OF MASSACHUSETTS BOAR® F HEALTH ................._��v....... 0F........ .Lc�L!1 ...................... ApV trttttvn for Uii#x)5al Iturkn Tomitrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individu Sewage Disposal System at: sz . .4,H---•••- ��t .�/ `•......0.2�,[---- ....................................... .. _7�1.'_.L -J L cation Address Lot No. �- ...___ �.(�._.. ._!.. -••---------•...............•----......_._..._ ........�.-- ...15.?CeL�.... � �W 1 ............ Address W ................................ . nstaller Address Q T..;fve of Buildin�j- Size Lot_�.a_o_L ........Sq. fee U Dwelling vNo. of Bedrooms___ _____________ --___Expansion Attic (� Garbage Grinder , Other—Type of Building ........ No. of persons.....;L ................. Showers Z — Cafeteria p' Other fixtures ............................................. Design Flow..................... � __...__.___gallons per person per day. Total daily flow...........A-2d..................gallons. WSeptic Tank i—Liquid capacity gallons Length......i......... Width---------------- Diameter---------------- Depth_--_-__--___.__. x Disposal Trench—N . .................... Width___:.... .._.._._._ Total Length ........ Total leaching area--------------------sq. ft. Seepage Pit No....... _-_--_-__ Diameter____��r.�_. Depth below inlet..... .......... Total leaching area.- 24elela._sq. ft. Z Other Distribution box ( ) Dosing tank( ) Percolation Test Results Performed by...... l4 ................... Date----;2- d-::- -=---------- aTest Pit No. 1_.;-�-____minutes per inch Depth of Test Pit____________________ Depth to ground water_-___-.-_____-____-.-_.. Test Pit No. 2................minutes per inch Depth of Test Pit-_-_____--___-__-_-- Depth'to ground water........................ ---------i xescript f SoilDi � ................ Y ...... 0 � ------••-•-----•---------------------------------•---------------------•-•----------------------------------2---------------------�--�- ...--•••-------•------------------- - 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'TT y g g p y of the State Sanitary Code—The undersigned further agrees not to lace the system in operation until a Certificate of Compliance has b by t oard- f health. Signed �' - Date Application Approved By..... 1 /J ------ --• _ Date Application Disapproved for Ahe following re,sons:. ::__. ' ----�y� �^ Date eTmlt 0....... .......... SSlled.--- _ --..__.._..---•-------•lle a:. j r No.._.............. Fps.....,....................... THE COMMOKYVEAL:TH OF MASSACHUSETTS' BOARD OF HEALTH .................. .-1-..................OF............................. Appfiration for Elhipolial Works Tontitrurtion rnmit Application is hereby made for a Permit to Construct or Repair an Individual Sewa& Disposal System at: ..............tzz.... .7..4.11 ..................... `...1.......... . . .......... ...... ..................... eatlAddre;s t No. /1 4 j &S... 4...........mil .............q ............. Address .......... ... ..............----------------- .............................................................................................. installerAddress Tye of Buildiliz Size Lot A-9-94--------Sq. fF5t U Dwelling No. of Bedrooms...e;.....................................Expansion Attic (V/) Garbage Grinder P4 Other Type of Building ............................ No. of persons_,..-'"_........._...... Showers (*.2,) — Cafeteria Pa Other fixtures - 7-------------------------------------------*........*-------I-------------------------------------------------*............1-111-11............ Design Flow....................Cl..............gallons per person per day. Total daily flow.......... .................gallons. 9 Septic Tank•L Liquid capacity/#W.gallons Length................`.-Width---------------- Diameter---------------- Depth................. Disposal Trench—No. .................... Width Total Lengffl'........ •....... Total leaching area....................sq. f t.' Seepage Pit No_______/----------- Diameter....�-v..f-------- Depth below inlet..... ......... Total leaching area-2./O.�.sq. ft. Z Other Distribution box Dosing tank Percolation Test Results Performed by------- .................. Date......... d................ Test Pit No. I..., .2,....minutes per inch Depth of Test Pit.................... Depth to ground water-.-____---_-_-__---_.-_. �14 Test Pit No. 2...........I......minutes per inch Depth of Test Pit----------------7... Depth to ground water........................ P1 ........7i--- ----------- ..................... -------------- ............ ....... 0 4�-------------- . --.. 7 01......... .............. ..ya7ew; , I . .7 �./.;t ipti ........... ...... ..... .—W Descr* tipp of S ...... . ... ............. ....................................................................................................................................................................... U ------------------------------ -------------------------------------------------------------------------------------------............................................................................. U Nature of Repairs or Alterations—Answer when applicable.___............................................................................................ ...................................................................................................................................I...................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of'TTL- 5 of the State Sanitary Code.— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been-issn by tlie-board of health. Signed .................................. .......... In ..............- Date Application Approved ---------------------- ... Date Appliqa,tiqri.Disapproved for the following reasons:-------------......... ...................................................................................... ...............................................i.................................... -----------.-.--------------------------------------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS P ,BOARD OF HEALTH, ...........OF.......... . ...................... Tntifirati of Tompliana THIS I of Repaired 1�4T CERTIF That pte ..,noL6dual.S�5age Disposal System constructed �rl� b, .. . .. . ........ ---------------- ...�77- - ----------------------------- t a 4�,,r;' .. ............................. Ins y.... at........ .......77"."',- ............. has been installed in accordance with the provisions of 5 of The State Sanitary Code as desqibej in the 0( ated application for Disposal Works Construction Permit No. ... .....1--$?-a. ............. d, ......................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WALL FUNCTION SATISFACTORY. Inspector...... .................. DATE......j. .....3.2.--FO..................................... ........ ---------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF NEALTH 0, ......... ...... ............ ..........OF.......... 4?, J4 No.......... 4...... ... ......................... .............................. Permission is hereby granted....... .. to Construct 1'1/�or Repair Individ age ystern r _WI e w Dis al a .... ................................. . -VCt4 t- -A o 7 Dated.._.__.`__-----.................... as shown on the application 10ri 9 1sposal Works Construction Perm t No. ............................ ...... .... .. Board of Het� DATE.....e. ........................... ........... FORM 1255, HOBBS & WARREN, INC., PUBLISHERS - / 003 �Zd- - V L0CA ljN EWAG PERMIT NO. J26 VILLAGE I N S T A LLER'S NAME L ADDRESS IL - o a r R DATE PERMIT ISSUED DATE COMPLIANCE ISSUED _ 7,_ocd i +P.Dn't lQoo CG.4i � - o ��sT w. c x S/TE PL AN TYPICAL PROF/L E t SCALE — /" = �` �� MOT TO SCALE r c ��. 4 :_.So /B„STD. L T. WGT. C.I. AIH COVER 22 � So srx S O2' 52 ` /4 " w /30. 00` srk '-` 4"C./. PIPE 4„BIT. FIBER P/PE T/GHT ✓DINTS AUTLET LEVEL FLOW L/NE TO _ a OWL�L L IN /O" /4„ 3 .. ? 44 x 8 45 x 9 � C.l. TE£ C./. TEE = 3, y' � Uwz STANDARD PRECAST t4w Qi a rc> f e L ,' . coo CONCRETE L�4GAL LON i I ' ?C� ;�:ir7'." _S�'F'llc:: I,-/icrit. �..�2.i ---- , T- -- - 1 SEPTIC TANK p =:� „ DISTR/BUT/ON BOX B TO BE INSTALLED ON /✓ LEVEL, STABLE BASE. TIC TANK 2,00/e TO BE�NSTALL£D ON LEVEL , STABLE BASE �t 2 — I/B TO 1/2 WASHED PEA STONE LEACHING PI W Uh/ELLlrt/G ALL AROUND FREE OF IRONS FINES BASE TO BE LEVEL 0 7- .G C' AND DUST /N PLACE BRICK 8 MORTAR COURES � 30` 3/4' TO l-//2 WASHED CRUSHED 44 A +, AS REOU/RED TO BRING STONE ALL AROUND FREE OF _ " f COVER TO GRADE. 24"C.I. MH COVER IRONS, FINES AND DUST /N PLACE. 4l1 - , c7 J i AND FRAME o f N4L" _�.a. -i r.�-�,.•.- LEACHING P/T SEC T/ON B' FLOW L/NEq�. -- 1. CONCRETE TO BE 4000 PSI 28 DAYS PIIAF _. ; ' i �\ --T�„ 2. REINFORCED WITH 6" x 6" N0.6 GA. W.W.M. --L 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS. OPEANNG W/TH 4-//8" 4. NUMBER OF PITS REQUIRED 4LVIF QIJTER DIAMETER 8 p ' NOTE: EXCAVATE TO ELEVATION OR LOWER AS 1-3/4 INSIDE bmmr ER „ 5 REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN GRAVEL TO DESIGNED GRADE . o' ti 6'-6•' Sz2 , TO, 4,_0„ ' 019 MIN. (NOT TO EXCE£DC3/VT/MES EFFECTIVE DEPTHI 06 • 3 ,8p. .*_.4_.l WATER TABLE CIO QQ 3cx�� SOIL AND PERC. DATA GENERAL /VOTES PERC. RATE MIN. /IN . NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. ¢� \ SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TO BE STANDARD 1�VM .Ut w.a�ryick � .4.�Svc . TEST I�Y: PRECAST REINFORCED CONCRETE UNITS. l ' l WITNESSED BY: lr4411- /t> ,CRA} " BBN ALL SYSTEM COMPONENTS SHALL BE INSTALLED HV ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , TEST PIT GR. EL.: 4IE DATE-- •=1 20%D MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF TEST PIT NO. ��TEST PIT NO. SANITARY SEWAGE EFFECTIVE I JULY 1977. O 0 ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE io - ` a BOARD OF HEALTH. AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE ,,rA 4J BOARD Of HEALTH SHALL BE NOTIFIED FOR INSPECTION. '„O 07.�.� � r .. /Y/4a '.4�/C7 PITCH ALL SEWER LINES 1/4" /FT. UNLESS INDICATED OTHERWISE. PO itf 1J /44" iVO 4Fsa,0Vt7. W A7-1 W477 ,e E4 . 14. 0 DESIGN DATA BEDROOMS 3 DISPOSAL Na ✓ f REV E3/¢ 8p ,E"firy EST. TOTAL DAILY EFF. 3 �Q GALS. L EGEND — SEPTIC TANK GAL. SIDEWALL AREA 2.6 GAL./SQ. FT +A//� �/ 'j' ` BOTTOM AREA 1-0 GAL./SQ. FT. SEI�YAGE DISPOSAL S/ S/ EM Ox00 EXISTING GRADE LEACHING REQUIRED /d3-B9 SQ.FT. ZONE 2�, c?Cry L oo FINISHED GRADE ACTUAL LEACHING AREA 3W7. 49 SQ.FT. / FOR T- 0 . 0 INVERT ELEVATION DOMESTIC WATER SOURCE : - - PROPERTY LINE PLAN REFERENCE 1_c' %- /J C c� ;:.'f ;•- L;.caG�,y�"�_'y ,���'�'= ''�.-.5 }L�r � �.�r�✓ �'• :'e T �A.�'i��'T�4 /i-9'•4.�5 MEAN HIGH WATER // ,r, ,1 SCALE' AS INDICATED DATE : 2f BENCH MARK DATUM -L -k- --iL MARSH , J �� f� '1 9 WM. M. W4RW/CK B ASSOCIATES t BOX BO/ - NORTH FALMOUTH MASSACHUSE T TS 02556 r