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HomeMy WebLinkAbout0018 NOBADEER ROAD - Health a � 13q V i S M E A D No.2-153CR UPC 17734 amoad.com • Made In USA *cYQ p i� OIFMI 1 LOCATION W SEWAGE ;PERRQIT NO. 60/ VILLAGE V INSTA LLER'S NAME & ADDR ks ® UILDER OR OWNER �AIi DATE PERMIT ISSUED71 DAT E COMPLIANCE ISSUED ;' Cn �� �l �� �/ No. ... 1._.. y Cy Fps....��:................ THE. COMMONWEALTH OF MASSACHUSETTS ��• BOAR® OF HEALTH -.....:...1--....OF..............O4 tvl.. .5- ....................................... Application is hereby made for a Permit to Construct ( ✓) or Repair ( ) n In i 'dual -ewa a Disposal System.at: '....�4................ e !✓__i l(. t:71 1�v1 s Cam . cation-A dress Lot F� - own - �y /� � Address Installer Adddr ... ess UType of Building Size Lot__ZJj.A_).•rt✓___-•Sq. feet' Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther=Type of Building ............... ........... No. of persons............................ Showers ( ) Cafeteria ( ) Q' Other fixtures ......................•......--• . ------------------------------------ ------------------------------ 11 W Design Flow____________ .......................gallons per person per day. Total daily flow_-__-._��J .__.-•_...............gallons. WSeptic Tank—Liquid capacity!Ol_'dgallons Length-G-J•. •••• Width................ Diameter____________..._ Depth.............. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching afea.______--_-__-_____sq. ft. Seepage Pit No..........I.......... Diameter__td'_A4.._.... Depth below inlet._, e_ Total leaching area?�>S_I_ -Sq. ft. Z Other Distribution box (✓) Dosing tank ( ) - y V, �� 4-e U�IA1 a1 �a� Date..----� ij a Percolation Test Results Performed b ... ............................................ ....... ......... `[_'.._._..._.......... N49Y Test Pit No. I...An?<minutes per inch Depth of Test Pit.... Depth to ground water•--_ _......._ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_-___-__________••___-_- tx / ii ............... O Description of Soil---._rJ_�_ -i._.. t2.�?,C S. t1.. . ...... � �.__f�'4i��j V ---•-•--•------•-•-•--------•........................••......--•••• � ............... -------------------------------------------------------.......................1------------ .....................................................•......,............................... V Nature of Repairs or Alterations—Answer when applicable._-_----__--•------------------•---.-•-•___-________--_:--__--__-•---•___________-••_•-•-_-•-__. •-------------------------------•--•------------•-------------•---------------------...•...........---------•---------------------•------------------------------------•-----------•--••---•-------•••. Agreement: The undersigned agrees to insta the of cribed Individual Sewage Disposal System in accordance with the provisions of TITLL 5 of the St ary Code—The undersigned further agrees not to place the system in operation until a Certificate of Complianc been issued by the board of health. igned.. ----- -------------------- DatA Application ApprovedX'h ........ ........... _ .____ -------------- Date Application Disap te following reasons- --------------------------------------------•-------•---------...------------•:.-•--•---•••-•------•-••---•-• ...........-•-•------------------•-•---------------•--------•----•------------........_..----••••••••-•-----••-••••--••-•-•---••--•...•-•-•-•---•-•••••••---------------•-•••-•---••-••---•-----•----••- Date PermitNo........................................................ Issued........................................................ Date No.. •............ a FE$.............................. ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -............._OF.............. � r= Appliratiun for %gpoiial Works Tontitrurtiun anvil Application is hereby made for a Permit to Construct ( � or Repair ( ) an Individual Sewage Disposal System at: �.��. .- e � v a ( f Ma-e..............om................G -•• _----____ _••-•-_-.__:���Y�_� ..--••.--•��� -- ••••• -------- catGioCn. dress 'Lot N. J ✓ 6t_ i Owne} a ._! . i� .��_ r: .©..._._ �7. _�S<.1:?..19.1 Sddressh f� ...... Installer Address U Type of Building Size Lot...ZJ A.9_9�_.Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ................................................................................................ Design Flow............. .......................gallons per person per day. Total daily flow-.._._._ _� ___._....._.....__...gallons. WSeptic Tank—Liquid capacity_`ie(--' Rons Length._GJ"_-. Width•_______________ Diameter---------------- Depth................ x Disposal Trench—No......... .......... Width.................... Total Length.................... Total leaching area............______._sq. ft. Seepage Pit No.-__•-_---t......... Diameter-_ �'. _L�.... Depth below inlet.... --- Total leaching area�:5.i__SZSq. ft. z Other Distribution box Dosin tank ( ) ( _ '-' Percolation Test Results Performed by.-_ v7_ {5_u �:f C_( _� ��j'�'� V +'� S�G•� Date....•.!_'•y " �� A 1> Test Pit No. 1___t:vminutes per inch Depth of Test Pit____' _'-__ . Depth to ground water_.._N ------------- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---•----------------•--•-------------......------•---•-----•------•-----•------.....---------...--•-•-•----•••••••--•---........................................................ D Descri tion of Soil__.._ ��- Z_-__-��:�?.�.C. +_�2 _ya_ �_. t- l i,-<• ,c- �� d C- r�i r v P f w x -------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable.-_--------------------------------------------•-_--•___-_---_---___-_____-____-••----.- ----------------------------------------------------------------------- Agreement: The undersigned agrees to install t r edescribed Individual Sewage Disposal System gym=accordancewiththe provisions of TITL: 5 of the Sta eSa'tf4 ary Code— The undersigned further agrees not to place the-system in operation until a Certificate of Comph rrcw­k s beenlissued by the board-of health. },! Signed- •••---•-•-••-•.--•-•----•-••--•••-•-•-•-•-•••-•---•--•-•--------••-•---•-••••••• = .r.._...------ Application Approved B ...._ ----_ - j at Date Application Disapp, ove f or the following reasons---------------•--------------------•--••.----------•--•-•--------•... .......................................... --------•------------------------------------..-----•--------•---------------•-------••••-••-----------••--•--•------•_.. Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ............................OF....................................................... (9rdifira tr of Bout heat}} �/ �✓ THIS ZOI , That the- :victual 0-wage Disposal System constructed or Repaired � , P ( ) ( ) Y----•------- - - -- ---- -- b rr - - - -------------- has been installed in accordance with the provisions of TI P,5— la State Sanitary 05 `ry6ed in the application for Disposal Works Construction Permit No----------------------------------------- dated_.--------------------------------:.............. THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector...........................................................................__.....-- THE COMMONWEALTH OF MASSACHUSETTS f. BOARD OF HEALTH O No......................... -- .,.�-a,_ FEE......................... to uu utra ion rrmit to ConstPerruct on ts. Y _- ° ° f - --•----•-•-----------•------•--._.•.•--•--•----•----_-_-___ .. ( ) ear'( ) anxfdivid> 1 e , g k7i System -� atNo....................................-----------•-------•------•-----•-----------....-------------••-. ........................ e Street as shown on the application for Disposal Works Construction Permit .......... Dated........................................... .................... ------ X........................................................... Board of Health DATE.....Z(- ......1-•--•-•......•-••-•--•••-•••--•......-•---......... 1Y FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS n Til S/TE PL A N T YP1(,1'"'AL PROFIL E SCALE — 1 = 3� �t,r ��- . �•�� 7 NOT TO SCA L E F _ _ /8"S70. L T WGT C I. M.H COVER a 4"C.1. F'PE 71 4 B/T FIBER PIPE TIGHT �1011 N T s FLOW LINE OUTLE%--- __ ____- ---� - - - - O O O TO 5'T gyp_ _rN - w uVIELLING aol4Z� 1/D /4" r. C.I. TEE la�•�'� C.I. TEE i C_ 8� STANpARO PRECAST (ova D 4 5(o.O CONCRETE Vliz GALLON SEPTIC TANK DI5TRreUTION 3OX i B TO BE INSTALLED ON LEVEL , STABLE BASE. SEPTIC TANK ! i I TO BE INS TA L L EC ON LEVEL , STABLE BASF 2 - I/B r, TO 1/2" WA SHED PEA STONE LEACHING PIT ALL AROUND FREE OF IRONS, FINES BASE TO BE LEVEL AND DUS T /N PLACE _ BRICK 9 MORTAR COURES 3/4" TO /-I/2" WASHED CRUSHED w S I I� ' Z z2 l _ AS RE.OUIRED TO BRING STONE ALL AROUNC FREE OF COVER TO GRADE. 24"C. I. MH COVER - _ 77, 1,7 ' AND FRAME IRONS, FINES AND DUST /N PL4CE L 0,A Ik1 tvvv Ua�. 5�t'TIL 7A�JK - _ L EACHING Pl T SEC RON- INL ET 8' FLOW LINE - __ __ PIPF - I CONCRETE TO BE 4000 PSI 28 DAYS 2. REINFORCED WITH 6" x 6" NO. 6 GA. W.W.M. 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS. i�� -o , ;� OPENING WITH 4-//8" 4. NUMBER OF PITS REQUIRED OUTER DIAMETER R NOTE: EXCAVATE TO ELEVATION 51 ' OR LOWER AS /-3/4' INS/DE DIAMETER • 22 Got REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH PIT REPLACE EXCAVATED MATERIAL WITH CLEAN L' pr'L 64��i GRAVEL TO DESIGNED GRADE F . , 6'- 6 -� L PT MIN. T EFFECTIVE DIAMETER ` (NO T TO EXCEED 3 T/MES fFFEC TI VE DEPTH) 1 WATER TABLE---___ ------ ------- ------ *l� (�t'L o U+L,!(�tt/A T� t2- �O v ►�� � / 6 501 AND f"EA?C. DATA -- GENERAL NOTES � � _.__-- t " �'> � ' 31•op' PERC. RATE z MIN. /IN . NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. r4 4 11 17"ly'oo w SEPTIC TANK, CISTRIBUTION BOX , LEACHING PITS TO BE STANDARD 1 TEST BY: C��uGE H�LV ( AIM•W A Rut ILK; e. ,aoG. PRECAST REINFnRCEC CONCRETE UNITS WITNESSED BY: Ij J p (.O 2, ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , �J AQ (? TEST PIT GR. EL.: �Z' S DATE ' �'' 4 a —_. MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF !? E TEST PIT NO. f7 t4)q•3 TEST PIT NO. 2 SANITARY SEWAGE EFFECTIVE I JULY 1977 oil- - O"_ ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE `iv P ,� 5✓ t3vlt_ BOARD OF HEALTH. GOb i� 5e D� I AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING, THE _ BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES 1/4" / FT. UNLESS INDICATED M.Et A>J17 IZI •; 5 OTHERWISE. P�� — a �)ESIGN DATA a BEDROOMS _ �, DISPOSAL U LJ 1' EST. TOTAL DAILY EFF. '� �� _GALS. L EGEVD — SEPTIC TANK M GAL. SIDEWALL AREA Z �Z GAL./SO FT BOTTOO xoo EXISTING GRADE LEACHING AREA �t �� ��./SQ. FT SEWAGE DISPOSAL Y T M +, LEACHING REQUIRED -SO,FT S S ZONE' �d'" ACTUAL LEACHING AREA ZSI •5y SO FT. FOR FINISHED GRADE DOMESTIC WATER SOURCE T v '`-� ELEVATION INVERT 4-7 Ile, /_� p E t�- v AJ _ . .- PROPERTY LINE �c cPS-= EIZVtL� ,�jAIzNSLp�L .1 M /a,sti. PLAIN REFERENCE _ � L 4 " G' � �' _ oa ����. SCALE AS INDICATED - - MEAN HIGH WAIF ./� WILLIAM M ~, `� o WARWICK U h G. `� T o P o ' 1NM. Al. WAS WICK 9 A SSOCIATE" BENCH MARK DATUM: _ _ -- MARSH " ►�, lsnt •*• " o SOX 8CI - NJRTH FALMOUTH QO rJ" Z!� t�.� = N G IC J - Ll G\ A�t t� " G "IS' �� \�a SURVEj�`� ...,• s ACHU3Err, 02556