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HomeMy WebLinkAbout0071 THANKFUL LANE - Health 71.*Thankful Lane A 039 030,:. .., r Ii A�o TOWN OF DARNSTAYtE IiJCATN / // SEWAGE # VILLAGE ASSESSOR'S MAP & LOTO 3��030 INSTALLER'S NAME, fa PHONE NO. SEPTIC TANK CAPACITY 0 C) . LEACHING FACILITY:(type) _(size) NO. OF BEDROOMS PRIVAT E WELL OR BLI�CWA�TER " H'ER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No ��'� � .s�-, � + .�-:� � '� © �� � ������ � --� .� LO! 6- ATTN � 6�3/IASEWAGE PERMIT NO. 7 �kco � (e- -e je Al VILLAGE -� Oa�(l I t _ INST LLER'S NA III E I ADDRESS P 60 IL R U I L 0 E R OR OWNER asl DA T E PERMIT ISSUED i DAT E COMPLIANCE ISSUED �IV s i1 No........... Fimz _..ya... _ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH 1 lrpfiration for.Diovoaaf Work, To'niarnrtion Prrmit Application is hereby made for a Permit to Construct ( K,) or Repair ( ) ary In 'yidual Sewage Disposal System at: 0"V Y• Aye-.rw: 9 __ ...... .... - ... ... ........ .....----- -------------------------------------------- ��' ovation-Addr, s or Lot No. Owner 0 .. Address a - . C'1T�11._ ..s..... 1 7`� Z` ��..�?v . ---•----••--------•---- `� s Installer Address d Type of Building 2,- Size Lot............................Sq. feet U Dwelling—No. of Bedrooms.............................. .. .....Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ........ No. of persons............................ Showers — Cafeteria Other fixtures ....................................................... --------------------•----------:-- ------.-----•----- ............. -------------------- w Design Flow............................................gallons per person per day. Total daily flow.___--_-- :-z` _...._.___......._...gallons. WSeptic Tank—Liquid capacity O gallons' Length................ Width................ Diameter................ Depth....._.•......-- x Disposal Trench—.No..................... Width.................... TotalLength.................... Total leaching area....................sq. ft. Seepage Pit No....... ./......... Diameter.................... Depth below inlet...... ..._....... Total leaching area..................sq. ft. Z Other Distribution box (/C ) Dosing tank ( ) '~ Percolation Test Results Performed by-............................I j .•. .............. Date........................................ / a Test Pit No. 1.................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water._._................_.._ a -•-•••............... ---- •-•-•----------- ....._.....-----••-•--.......-•-----•------ S'T ��ens ei- Description of Soil _.. .. .. ------------------------ �., -- ••- w 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'J I"U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beeern,issu�ed�b/�y I.t. board of health Si ned_:!`��`�f��` ZG 0 �••'•` g ` ...._ Application Approved By......... ..------../ -D3`-�d Date Application Disapproved for the following reasons:........................................................................................................ --•--•-•---•--••-•......................•-•--•-•--...-------•-•-•-••••••-•-----•-•--- Date Permit No...... .................................. -. Issued----....-- ! /� -------- ate....... Date No.........!.: FEic ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.......................................................................................... Appliration for R-4posal Workii Tonstrudion "prrmit Application is hereby,made for a Permit to Construct or Repair an Individual Sewage Disposal System at 7 ... ....................................................K0e.......................................... Location-Address or Lot y. ................ .......................................... .............................................. ............. ........ r. Owner Address .................................................................................................. .................................................................................................. Installer Address Type of.Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.............................................Expansion Attic Garbage Grinder P4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria P4Other fixtures ....................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 1:4 Septic Tank—Liquid'capacity............gallons' Length................ Width._.............. Diameter................ Depth........-_--.-_. W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area.._............. S q. ft. Seepage Pit No......—.1........ Diameter.................... Depth below inlet.................... Total leaching area.................1q. ft. Z Other Distribution box (,<) Dosing tank ( ) F..ercolation Test Results Performed by.............................. ......... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit._..._.....-_........Depth to ground water.:...................__. 44 t. Nest Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...................._.__ ............................................................................................................................................................ O Description of Soil.. ............................................. ............................ .............. 4---i. .............................I...... U .4meft'. ................. ..........a Ae�­ . ............................... .......................................... .................................................................................................. .................................. U Nature of Repairs or Alteratiohs—Answer when applicable.............................................................................................. ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage,Disposal System tem in accordance with the provisions of'T'a 5 of the State Sanitary Code— The undersigned further agrees not to place the system in 'L­ operation until a Certificate of Compliance has been issued by the board of health. Signed...................................................................................... .......................... Application Approved By..............). & .. . - /,/ Date *............................................................................. ........................................ " Date Application Disapproved for the following reasons--,;-......................................................................................................... ................................................................................................ ....................................................................I................................... Date xr I PermitNo.--.....2..1.......................................... Issued................ . -) ............................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................................................................................... Vt Trrtifiratr of Toutpliatta TO T hat the Individual Sewage Disposal System constructed ( <) or Repaired ,�F 4jlr by...........r,�J,4k.t.2.. 'VA.. ............................................................................................................................................ atInstaller 7"......................... .....n, .......................... ..... ............................................................................................................................... has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----- .............................. dated---.::----------------­-------- ............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM W(I L FUNCTION SATISFACTORY. ............................ ............ ..................?4 /P C111 TE...... .............. Inspector.........f.. --7 Inspector......•._ - THE COMMONWEALTH 0FeMASSACHUSETTSI:. BOARD OF HEALTH No.......... 0 F-.'j, ......................................... ...................................................... ..................... ............... FEE..-;..................... Maps ar gI t ion " A- Permission is hereby granted.... ....... =... ............................................................................. to Construct ( X) or Repair ( ) an Individual Sewage Disposal System atNo.....�n..................................................................I........4, - -, ./ ............................................................................................................. Street as shown on the application for Disposal Works Construction,Permit No...n................ Dated.......................................... ........ .. ....... Board of Health ....................................... DATE..... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS F. 0 . .CO TYPICAL . SYSTEM PROFILE C AREA PLAN FINISH GRADE= LQ 0-_ NOT TO SCALE FDN TOP i FIN SCALE: I 44' O .oar Milt FINISH GRADE OVER TANK= 101,00 GRADEISOVER PIT=1C1�.0O LOT * 7 CHECKER BERRY LANE 1, .�.......�.._._...,..�..,_...._....._.._,.... � I PVC 0R i O O e • � s ,o r r o CO Tu IT commoQ54 .....,_...,,.,.,�._.... �C. 1. TEES • . . • o `• v o 1 I T • . LOWED 7.0o 96: © w.o �::::o'.:•.o o Q: v • e o • • • e o e FLR 28- IOOQ GAL. 4�� �.. e • v v • o s o o • o REINFORCED DIST. BOX �. .�. TO BE INSTALLED ON ., CONCRETE 8 0 • • e • e • o r A LEVEL STABLE BASE e r 1 • • ,e o 0 o r v e • • • • o o v o v .SEPTIC TANK e r e • • • e • e • r o " TO BE INSTALLEDON A '� • e • e • -• • e l LEVEL STABLE BASE a elf n— �� n e e • r • e • o • • o r Jc 2 1/8- 1/2 WASHED PEASTONE ALL BRICK &..MORTAR COURSES AS AROUND FREE OF IRONS, FINES • e • e' e • • o e o o �: tJ 2;~3"- .11�' - Q" �/4d' 6TK, '5F- REQUIRED TO BRING COVER TO GRADE UST IN PLACE ._ LEACHING PIT ....,..,.._,,,.,,�. � �• .� .�. ...� AND D +�3`).2-At 24 "C.I. MANHOLE COVER 8� 3/4 "TO I_I/2 WASHED CRUSHED G. FRAME - SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL IRONS, FINES AND DUST IN �I8?, PLACE FOR FIN. GRADE SEE SYSTEM PROFILE SOIL AND PERCOLATION nw ems.i i " LET -� 7 - - 4„ DATA i� _ g -- t - - - -- - - - - �— PERC. RATE . �.�.. MIN.�IN 4 FOR INV. ELEV SEE _ ° � , . , o , ° , ° , C. D. SPOHR ® ► INLET ° , SYSTEM PROFILE 6�� _ TAKEN BY t - LINE t�tR„ P .0 I" M L I2 I ,Y I3, B. t-I, WITNESSED BY: OPENINGS W 4`i/ a 8 OUTER DIA. & 1 -3/4 ° NQv', 19`752 i DATE: _. ~ ..: , - 7' �_ 0 a INSIDE DIA. TEST PIT`GND ELEV. 4 100. 78 LOT �6 `"" N LOT 6 TOTAL o C� o 0 0 3 O L_OAtyA op AREA 0°I 0 0 0 2 S. u • • 0 0 0 0 O 0 0 ;° o, o 1~1° A I!N +' e', W ATT. :�. eTh. 5 ET5 A�.ON & ° 0 .0 0 0 °' E 14E. vn,.o -ryo r o 0 6 - 6 DIA. 2-1 ( EFFECTIVE DIA. BOT. PERC. HOLE DOWN A u LEACHING PIT SECTION ` s 15PL IT L F-V NO SCALE DESIGN DATA : RAt-Ic)I NOTE: DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM NO. OF BEDROOMS p DISPOSAL V'C, c,�e~- {00- (;Al. PRECA�TA I+ICl ,T`E SF--TIC LEACHING PIT NOTES: EST. TOTAL DAILY EFFLUENT GALS : C lU1,CtQ` wo _.42. TANK '5 PRO. )L 3� I . CONC. TO BE 4000 P.S.i a 28 DAYS . SEPTIC TANK I00 G AL. ;S 1 ;a�- TOWN WAT'Iv� ` -- AR_CA Fok_ a I P17 2. REINF W 6 x 6 6 GA W. W. M. _pk IcE 1 C` C,C�4�CRr_TT-. D15T -laUTl O1�# 3. 2 SAND 4 � SECTIONS ARE AVAILABLE FOR LINE to ,o Rf. GENERAL NOTES w r -- I✓Q�; --SEE Pkot=)!-E GREATER DEPTH REQUIREMENTS _-- '"`°""" — o T iiF I . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN • T,1-t , _ _ � -zt 'i'i-E-ACHING FAIT -..1 RfEgD, NOTE . O. f ACCORDANCE WITH TITLE5 OF THE STATE SANITARY CODE B• �'J • Ti U+too.7F � o ,a 40 EXCAVATE TO ELEV.�OR LOWER AS DATED JULY 1,1977 & ANY LOCAL RULES APPLICABLE. pQfil 50 p1 ... 1Sz r T4I:t �a PI�.CF-IL•E �� ' � -L. - � REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING ' STK. S �: 1_Jt�{ -D r� � ' '1�'L 2. ANY CHANGE TO THIS PLAN MUST BE APPRD. BY THE ir�q�00 ,� =� v �� MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL BD- OF HEALTH AND CHARLES D. SPOHR. �►- v, lcara,caCa ° ` . WITH CLEAN,CLAY FREE GRAVEL, MECHANICALLY ' izo A 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILUNG, COMPACTED 1 N PL PLACE. ,..+4 w.Wc.,,,Me.,ryxrir..""' .+.... +a y' fin.F•,Y Y I .,..° .-.o.;.,.r SIDE AREA= 1� NOTIFY THE ENGINEER FOR INSPECTION. �., .. DER S.FPS.F./GAL _GALS T CHE `fi_ �,-� w �,� OWNE.R 4 -BU I L V Eta 4. FOUNDATION ELEV:MUST BE CHECKED WHEN COMPLETED. �---� BOTTOM AREA= S. F. I 0 S. F./GAL GALS 5. THESE ELEVS. MUST NOT BE CHANGED WITHOUT WRITTEN "T f�f cN U L"I"�' H��.1€: I�C e TOTAL AREA =�S. F. GALS.,,_...............-----�.'�., TOTAL Box 5 APPROVAL BY CHARLES D. SPOHR., LEGEND 6. FOUNDATION INSPECTION READ. WHEN EXCAVATED. WORTH M A_5 + 50.0' EXIST. GROUND ELEV. 50.0 FINISH GROUND ELEV.2'UNDERLINED" REFERENCE: 47 50` PIPE INVERT. ELEV. REV. DATE D E S C R IPTI ON B. M. NOT E • SUF�,�I�r'I�+lt:�£ o>~ �.r�T 2 • o TEST PIT LOCATION SEWAGE DISPOSAL SYSTEM _ ALL E LEVS . BA.c_--,�ED ON TOP OFPL ANJ 2 �2 S2A A SH)_z T 243 o o SEPTIC TANK FOR C� M�NULTY HOMES INC. Ex rS�`. 5�°I�, � � • s. E , c�pE �.T`� C�r�T. OF T'h�"�, ' =� �.4,78 3 I C.O1�Ia1E _ 1 ❑ DISTRIBUTION BOX �t ~_a.. LOT # 7 CHECKERBERRY RD.A55UM�D �._� 100.00 j 4 „ C. I . PIPE �� COTU IT COMMONS RTE. #28 41 ttttttttl- 4 BIT. FIBER PIPE -TIGHT JOINTS ; ',+ r.�rL �j COTU I Tj MASS. � �^� � 1 ^ r `jP DESIGNED: C.D.SPOHR DATE-3 NOY, �7£3 D R A W I N G N0. — -- — PROPERTY LINE DRAWN: . . SCALE:ASSHOWN MAP SEC PCL LOT MIN. CODE DISTANCE ' ; , ` 3 I CHECKED: C. D. S .