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Home My WebLink About0006 SEAGATE LANE - Health Ean", e�S -k y� {Tx � e i i N0.711......7- 7... Fnw.f .................. THE-COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. ........................OF......................................................................................... AC EL XPOrat.ipan for Uhipwial Workii Tonotrurtion tir"r, mit Application is hereby made for a Permit to Construct (ij"o-r Ri pair ),;an Individual ,Sewage Disposal.. System,at: n............................L................................. .......... ........... .....................................P........d.......................................-._..-.....r....l..m...............a......t............t.........b....................."...............A............ .................... L ' Address rI� Z .. I .............. .. .... .1, Ad ss n r I .... Address Type of Building Size Lot.h.,---------------------Sq. feet U -- Dwelling—No. of Bedrooms____________ 7..........................Expansion Attic Garbage Grinder Other—Type of Building ............................ No. of persons._.___.__.__-______._-._---- Showers Cafeteria Otherfixtures ...................................................... ................................................................................. Design Flow..........C --9--/ 5- - ------_____________________gallons ----*---------------gallons per person per day. Total daily flow----------32.0....................gallons. 04 4-Septic Tank Liquid capacity_' -gallons Length........:....... Width_-:__._.._._.__. Diameter-------.----_.-- Depth---------------- Disposal Trench/-No.......9......... Width..................... Total Length..-_-.___-______._._ Total leaching area_-.-Y7 sq. ft. Seepage Pit No--------------------- Diameter_-------_--------- Depth below inlet_____-___....._.___. Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date--_-______.______________..-________.--. aTest Pit No. I................minutesperinch Depth of Test Pit-------____-__-_--_- Depth to ground water..---.----...._...--.... Test Pit No. 2................minutes per inch Depth of Test Pit-_.-....____________ Depth to ground water...-_--.--.___._-__..... .............................................................................................................................................................. 0 Description of Soil-----------............................................................................................................................................................ x U ....................................................................................................................................................................................................... ....................... ................................................................................................................................................................................ 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 TL N!L4 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance h een issued by the boa I 001ealth. Sign ---- . . ........... .. ............. ...... ............... te Application Approved By.--.. ... .. ..... ........................... ... ............. ..... -2........... Date Application Disapproved r e following reasons:................................................................................................................ ........................................................................................................................................................................................................ Date PermitNo......................................................... IssuedL....................................................... Date No.77 3 ............ ...... FEE............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD -OF HEALTH .......................................----...--OF F...........................1.11........................................................... Appl4ativu for Dhipviial Works Tonatrurtijan "trutit V Application is hereby made for a Permit to Construct (tw<o"r Repair an Individual Sewage Disposal System at: ,VA.p.,A ......... QZ.........<a................................ .................................................................................................. .p y.. L ..i7jAdtess - % 42. C 11 -P;4 io�.... ..................... ............... ........ Addrs A............................. Installer Address Type of Building Size Lot...1 0..........Sq. feet Dwelling—No. of Bedrooms.............. ---_-----------------Expansion Attic Garbage Grinder Other—Type of Building ........................... No. of Persons________________._._____:.__ Showers Cafeteria Other fixtures ........................................................ Design Flow___... .4/1-5 .1 ....gallons per person per day. Total daily flow______._...31 4k...................gallons. ---------- --------- 9 Septic Tank 4_Liquid capcity.1010.gallons Length________________ Width.____._._______. Diameter................ De tl ; ................ 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 tank Percolation Test Results Performed by.......................................................................... Date.................... �4 .----------------- Test Pit No. I................minutes per inch Depth of Test Pit.____________.______ Depth to ground water__.____________________. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.____._____._______. Depth to ground water._._______.._________.._ 9, ......-------------------------------------------------------------------------------------------"----------------------------*----------*--------------- 0 Description of Soil........................................................................................................................................................................ U ..........................................................................................................................................................................................*------- ---------------------------------------------------------------------------------------------------------------------------------------*--------------------*----------------------------------........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 Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance ha een issued by the boaiV of alth. igneJV . ... .. .... .. . .. .... . ............. .. ............... Application Approved By...'.'-- .... . . .... .......................r.. ... ............ ................ ........ .... ..................... Date Application Disapproved f t following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 'OF.......... ..................................................................................................... k-pWrtifiratr of Tout pliatta THI V4S, 0.C. TIFY, That the Individual Sewage Disposal System constructed or Repaired by-.-- - ... . ..... ............. ----------- --------------------------------------------------------------------------------------------------------- Installer ... ......•............. ..................................................................................................... at..... V........ .... --------------- has been instilled in actor n with the provisions of TIT Z11. aof The State Sanitary Co "��d in the applicati6n for Disposal s Construction Permit No..... 72--, ................................... dated_.-_)�� _ef!7�................. THE ISSUANCE 9# THIS CERTIFICATE SHALL NOT BE CONSTRUED SAG dA_R...AN,---TEE THAT THE SYSTEM 7W/ILL UNI.1.]ION SATISFACTORY. DATE..... . .. .. . ...... .............................................. Inspector...----. ....... . .............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 2 ..........................................OF.............................................................. .........27 ..........No... . FEE........................ Permissionis reby grantell.. --- ........... ...... .. ........ ............................................................................................. - - ------------- to Construct r epair an Ind' dual -We Disposal System J-44 atNo.. ......................I -- --------- Street ,as shown on the application foo posal Works Construction Permit No-----.............. te........... . .......................... ......................................... . ...... ........... . ................................. oar of Health, DATE......................................ffl/s/hn? ......................................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS . a Soft NO 1 . SITE PLAN T. 0 _ 9 _ s 1 . 4 _ 'S. - •R'` A "'°.. .. t3'Y' iR) .d$. , s. 53.k i. !;? kl...f��w d rt _ \ \ 5 TOP OF FOUNDATION EL.. • to gsl, sw B s r EE• I N,E l. _ 10 0 °n• IN.E�. 2 ' COVER 1/8- 3/8 WASHED STONE 12r `as IN.EL. a IN.EL. •._ Qapa ` ro0 el oo N rt 13 4' LIQUID LEVEL s D/B W/ 6 SUMP a c �aQ o , o „ , a - 3/4 - 1 112 WASHED STONE. fj T ° 14 - ---- ae 6 42 �C e � p © p 0. be mp';*b ,`I G'EFF. DEPTH o 15 to©ba PERC TEST RESULTS PRECAST SEPTIC TANK WITH ©°so a a a ° PRECAST LEACHING PITS PERC RATE: CAST IN PLACE INLET AND - °p s 6 a -µ WHITNESSED BY:- OUTLET T'S PER TITLE Y- E L. " .�"` c � N 0.: �_.:. SIZE:Z E: �� 1- _____-�. � ��-� DIA . 'aRna�=� tL BOARD OF HEALTH SIZE : 100o -� .: o :�� I i DATE: . 5 f w^ IL D I A. 'i--Q.zlriT -�s tz- PROFILE OF PROPOSED SEWAGE SYSTEM 11, 100 � SYSTEM DESIGNED BY THE TOWN OFF REGULATIONS AND STATE TITLE IL' FOR SUBSURFACE DISPOSAL OF SEWAGE . SCALE : 1/4"--- 1' D" ► i 2 0 i 'TANK N .B . 1. ALL PIPES SHALL BE SCHEDULE 40 R.V.C. SEWER PIPE 2. ALL PIPES SHALL BE SLOPED 1/4" � PER FOOT EXCEPT FOR oar. 114 -PgLzF_ k�3 ' I t �M" � I 35,,3 THE FIRST 2 FEET OUT OF THE D /$ WHICH SHALL BE LEVEL 6&1 : i:,� �__,� L�7 3. DESIGN FLOW 3 BEDROOMS AT 110 GALDAY PER BR. 3O GAL/DAY j2 ► --- SEPTIC TANK SIZE 33u X ,,s = S ` S 'TL= I JA��E 'f'�*j �� ,� �� GAL. - �-____.__----_�__ __ _...�_._ t;.! r�o� �.�r �vs ��r��'. � USE �_ GAL. W/ .. t GARBAGE DISPOSAL LEACHING SYSTEM: USE i Lp 11D Tea '* 'w,� W Ag a(, EFFECTIVE AREA: SIDE �-ji`� BOTTOM LOT TOTAL FLOWS z E A G, "C _ ` !✓J ,y�} � TOTAL REQ'O FLOW 3 o X 1 = �o W/Uyl GARBAGE DISPOSAL RESERVE FLOW rzA- GAL/DAY