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HomeMy WebLinkAbout0030 EARLE'S COURT - Health 3o Carlo CW4_ 114roU LOCATION SEWAGE PERMIT NO. 4 0 T C ©y2 7- VILLAGE INSTALLER'S NAME&ADDRESS N BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED L"/g c� c� � I ...� 0 � � � � L No..... Fss � THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALTI-1 J v CJ/1/ ..........O F.............. /.�1�...� ...................... �l I Appiiration for wiipoiittl Works Tomitrurtivit Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: Qo y/ '47 L�I'g2ation•Add��s OVA 0. � ! or Lot N� 6. ..._.... N._`�L :... �`�.Ct ...e..� W -... �2''e Owner/ /Ee'� �............ ...f^ .......y� .�. �_��3... Add�ess��a .....:_d... �/l�f ................ ............ Installer Address d Type of Building Size Lot--2-6.&&.Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .................... W Design Flow.........17P...........................gallons per person er day. Total daily flow....:igs...0........................gallons . 1:; Septic Tank—Llquid capacit/ gallons Length :_ .. Width._4...yA& Diameter................ Depth....=. W x Disposal Trench—No ....._...... Width....../-*...... Total Length........ ......... Total leaching area..... sq. ft. Seepage Pit No---------------------- Diameter.................... Depth below inlet.................... Total leaching area. _sq. ft. z Other Distribution box ( ) Dosing Vie. ) Percolation Test Results Performed by.. I........s4��� Date......... ...��.V-a--1� aTest Pit No. 1................minutes per inch Depth of Test Pit..........:......._. Depth to ground water........................ fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ...:-.----- ... .................... y ----------4 O Description of Soil.........d.-''..... f.�_..z=•----•. = �`� /��//J ���..1 _ U • ---------- ---------------------------•-------------------------•-•-•----•----•-•--•-•-------------------------••--------•--------•-----•------------------••-----------••-.._..--•--•------•--••-•. U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ................... -----•----------••---•.......................................•-••......-••-•--•-•••-•--•-----•------------•--•-•-•---...._..-•------••----•--------•---•------••................. Agreen nt: he i dersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with t provi ons of TIT o the Stqjq Sanitary Code— The un ned further agrees not to place the system in pera n un a e t C nceDd. �s d by the bYrI �h h. rg, .:Q _ Date A plic do pproved By.._..-----•• -••-•-. --•-• •--- �G 1 Date p ication Disapproved for the f o110 reasons:............................................................................................................... . ..............•---.......----------.............-•---------...----•--•--...................-•----....-------•--•------•-•--------•------••----..........-------------- •-----•----•......---•-••---••. Date PermitNo......................................................... Issued........................................................ Date No................. --� FEs..................... ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1� ............OF...........�%�9t. r�C��r:� r^ ... ,e........-.. Applirati4n for Phipoiial Works Tontitrur#ion rumit Application is hereby. made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at " J. :.d�. ----------------- ....................... -----.._.. .............................----------.... cation ess -Y C7 . _......-.......•••- -'--•- -- - O.._*-, •••• _ caner / _ /q .... .......... :__..Address / . .*- ..... Installer Address Type of Building Size Lot__ %__. 2 ....Sq. feet U Dwelling— No. of Bedrooms....... .......................-------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers — a ng . ( > Cafeteria-( > Otherfixtures ------------ ----------------------.. • --------•--------•----------------------------........_- W Design Flow........ ...........................gallons per person,per day. Total daily flow............................................gallons. r R: Septic Tank—Liquid capacity6�'.gallons Length.....nZ ... Width-15/--P. Diameter................ Depth__. W Disposal Trench.-No. j_._.____._.. Width_..._. -�._.: . Total Length........ Total leaching area____________ _ sq. ft. x Seepage Pit No------------- ------ Diameter.................... Depth below inlet.................... Total leaching area_. ....sq. ft. z Other Distribution box ( ) Dosing taroc ) _, - a Percolation Test Results Performed by.. _I:_.� . .............. c� __,,_. Date......;`?�� '' t' ,� Test Pit No. l................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----................---. •-----------------------------------•---------•----•--.............•.... .... •• O Description of Soil............................. .......... �^..........---...--f! .�t/%J f- �� V --•------._f'_/�r.^ ``* — !'- G4!�.' c".r3e �%--=L.`- ��r v .Jtt2!/L /� 7- _.----------- W UNature of Repairs or Alterations—Answer when applicable..................:.......................:......................:.:...:...:.......:..... ------------ --•--•---•-•••----•••-•--••-•=-•--•••---••--•-•-••----•------••=•-•-••---•••--•-•••-••••-•----•-----------• ---••--•-•- Agree�p ant /The t dersigned agrees to install the aforedescribed. Individual Sewage Disposal System in accordance with t provi ons of TITT �of the Sta e Sanitary Code— The un ned further agrees not to place the system in pera nun I`a e i c'ate� Co iance,has een sps�aed by the bokr ok-he �' gned� C Tarr :...: �'``"' .. .. Date APplic do pproved By......................• r'--�' = -----. .. ---•------ - Date Ap icaxion Disapproved for the f ollo •tic reasons:. . -------------------•--------------------------------------•--•-----•-•--••----_.... Date PermitNo......................................................... Issued_...................................:.............•-- Date' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH. Trdifiratr of Toutpliatta THIS IS TO CERTIFY, )Phat t}e Indiv}dual� rage Disposal System constructed ( ) or Repaired ._ ( ) b -=`1�.:..----.. 2:.-•(� ------------••• -•-•---------•-•......................................... .•----•• Installer at-------------•----........................................................... ter'. - _.....--•------------------•--...._.......---------...-----...---....----------•- has been installed in accordance with the provisions of TITLE . r of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......... �.d.... dated-----t_q.(, ................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUf JCTION, SATISFACTORY. DATE.................... j z.7 `'1- Inspector ...= THE COMMONWEALTH OF MASSACHUSETTS BOARD F HEALTH No....... ...........q.1;._p FE ......... �........... �io�o��tl r � �un,�trnr#ion rrnti� �r Permission , hereby granted:•••=-•---••• ----• -------�....••-•••-•---•--•--•••--•----••--•--•••-••••---••-...---•-........-••....................• to Construct ( ) or Repair ( ) an ndividual Se. rage Disposal System at No.--•••-•-------•••- ... �'. .2c s ?a C,ez T. Street as shown on the application for Disposal Works Construction Permit No.......:. .......... Da ed.._.._..----.--............_._..._........ S ar of Health DATE' C ... (_� L...�........................... FORM]12'5,5 A. M. SULKIN, INC., BOSTON <S ou , J f s + S 14 •07'0o'.'vd _ _ Z NoTI: W T. tier /,v 0,1A o r985 Mlit )Do. p t, . O C i ,.r 99.2 , v'J J f$lG�k-.rS N 12 w Cf/• 3vo K- ,o m \ SO 1 L T . 'O T x (^� 8 �G�• 'Z'j� 'Y 40 y I_ 1 o 10 } $ pia{�"�'' * + F. � r •j,,.. ff -1`/�� �QS /O.0 p Ks t w J , rov .53 30' of F�oBF cyG /oa •9p 4j65 Cov2 " : .R7• K, 3 ELDROGE: �� $O' p/L f fl A T/� v./ Y 1936.7 l_�,�"a' a `"-� '� 0572—G r ti ��sRfC1STE�� Qr P` OF 1' E - ., ALE3[RT G A. L GEND MORSE `EXISTINIV. SPOT ELEVATION Ox0 9� IT I CERTIFIED Ql.n?' P�.�`N .. a� c' df��iSTIN®"�CONTOUR p _..__ `'s��•oN * INiSPIED ,SPOT ELEVATI OPI ', ' �/�C�"� 8 .6WR4475 0-0UR. , W� RINISHED ' CONTOUR 0 r m NQTB' The `location of any"'existing unndergyWnd sewerage, ' £x xw`ells; orother:autilities •.shown on this plan is approx- 1N �mimateor�lyxas ermned from records and/or•verbal SA �\, ��' �� ��is� �. i'nformatxon "The' contractor a`s. responsible for the ii vsxif cation of :the `existing locations <inkthe field. SCALES - o DATE Z S :DREDGE"ENGONEERON@.CO:IN � ivsr ow& C1.IF.N.T..1Le���lGc,� I CERTIFY THAT THE PROPOSED 1EB1l�T, 5 0 BUILDING , SHOWN ON THIS PLAN REGIJTlRED `, JQp NO.B �..,� 7 K AN, "' CIVI6, `°.L`AND '` CONFORMS TO THE ZONING LAWS � q R DR,SY� 9 OF. BARNSTA9L.E , MASS. 7.12 MAIN STREET; CH.-BY t: 4a=;' :M:YANNtS M'A9S .. �r *" SHEET-4 OFZ ATE REG. LAND SURVEYOR K f{;t Y r .n r. .�„.r a-aslTP'!'@LOP�n•Cea'+v ...... ........ .,... .. .. .. w. .. + /1lOT€ •` /F c°/TN�R THE S�PT/G TANK OR 20 FT. MIN• _EAC.v11vG P/T ARE MORE 7-HA,V /2"BE40-l'V /D FT MAN .. 1,RAOE, f� 24'D/AMETEK G'OiyCR.ET.E CO�cER', SHA L L 8F B RO UGH T To 4,TA L>.E.6-;,V Est T.R.w CGNGRrTE r M/Al lo//7' f HEAVY CAST /�PQN COVER Sf�.4LL_ DE USE[? Z'_L, tO z COVERS IB DER FT. ?F//V ,DR/VEW14 y G).4 COVER CL EAN SANL' J'A BACXF'/LL L19411D LEVEL 4•' # CAST 2 LAYER ' a o b` MIA.P/TCN G14L. ' a I • �♦ • e • ♦ 0 0 � 04 SEPT/C TA/VEC D 1 sT, o o b i • . . • e t WA SHED 57'0NE :::,.a BOX o • e •) $ c • • ♦ • � . ,•• . a,: e • • • e � •EFFECT/VE � ' . m� 3I4�- / 1/2� • • r • • DEPT!/ • • • o • WASHED STONE 0 • PRECAS 7'SEEPAG£, -- U � L n `.. ff s • • • • ♦ . goo P/7 OR EQUIV. 1 AlVZA�'T EL EYAT/GN 5 Ri r /��? !?`l 4 � f' o a /NYERT AT B/1/LD/NG 9 S GT. 3 6 D/AM. !NL ET SEOT/� Ti9 NK Cr G /Z FT APIA . C SEE TABUL ATION, OUTLET SEPTIC TANtC . iIVLET DlSTR140V7*/ON BOX_.9 .6 FT. SECT/Q/V O� GROUND WATER TABLE 0U7LET AD/STR/BUT/ON MX_ 7-4 = SEWAGE ®IeSBQaS�1. S3�d57�/s'1 /1VLET L.E.4Coma O/T _AFT. 7"AdtJLA VON � L EACH/N!s jC/T' scAt_E :.�4p ' o- DimElvsI®N -A 3 Xr DRflGN CR/TER/A4 O/••9E/tls/®N $- -FT. EN. NVH'SER OF BEORO-oms 3 D/HENS/dN C- FT B G�Rea�.�-ois�osA+t [/wlT NuirG SO/L LOG TOTAL E3T1Nt�rELa FLOH/_33 J 0.4L.1DAY. SOIL TEST ! SO/1- TEST*2 S®/L TEST / NUMBER 0' L,EACI!!NG S/DE P/r.Y`_ ELEY . ` 0ATE OF SOIL TEST _S / RJ3 E5.LEACHLNG RESULTS i:?TNESSE BOTTOM 1_✓< �/' L'Z4CH1IVCi_PER P/T L 13 $Q, fT. L J,4--!i( � f'CRCCLATIO/N RATE 1*/ MJMIJINCH TOTAL LEACH/IVG AREA 4 JTQ, FT. 5��3.s® <G v3 � �.L �RC0L14T/ONRA7,FA2 M/N�/ N ,a.ESFRVE GEr4C't!1/YG ARE,^_7 50 F T. OF M .. Gt�As!c S P,gPCGL q 8"' 'E54 rc'LE .� _COJ7' c \ ROBF_FZT yGs •c J '� ALI3ERT. '�\ '. � `•ll/v1� ` .SA e.DR pGL rY R'SF 1 �IC� ®GCE. G/lV. �I1FlCa C,0,h ✓G. Pla 19367= ® �°kc� No.".1U351 nJ � ` 4 EISTEF�q��as` 7 �; 7/2 J►��iIN ST., /� t^�lFl�rT a ND G . OUM[7 y✓,4TEf� ENCOUNTER. ®, '9 2 PQ Cai@ D UNA N/A 7"1=R AT EL Ed — ? JOB I4/D' - ' .�^• t ..,:: t . �..�,, h 4. .z ,a - t;�.,, ,"` .e ._ -•. r _ a+. rt -s k � i scw# _