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HomeMy WebLinkAbout0363 STRAIGHTWAY - Health _ � _ �_ _ ,. ��� .� .. __ _ �� � �"� �� cccx � Ginn rtS .r_� � , .... _ -__ _ = - r= - - - . � � _ , . � o . , � n ' - �� a , . � n ,. � � - '' ,. ' � .. � - .4 .. . - f. .._ r� .. � - , -< - � � ,.. ., ,�, �. ,.. ,; �_ r � � - N ,. � l ,. ... � .. w. �� re '� � � �� _ - .. - s t, i, .. ,. ,., A, , .�, .. .. - - � .... ,. ., �. .. � - .. �: - .- �: .. o H .. .. .. �, - u. ,. I- _ ,� � ,. i �r ��.. �, � r ;r ,� ,,. ^. <, .�' ` �.. o ♦: � � n c � .� .. ,, .. k .. � � .. � ., is .��" �. ,r t ., �� ' 1 0 -Sea ree _ � Hy nnis a .�t A— — 106 c Q , a a w I .''.. 11.os..� FEsVL ::� ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /Dhl..n� ` J . OF...r_r � SLf..............................................�`"`" Appliration f or Mivosal Works Tonstrurtion ramit Application is hereby made for a Permit to Construct X) or Repair ( ) an Individual Sewage Disposal System at: 47—0/,Z0 ------------- cation Address T or Lot o �^ ----------------------------- ------ �� .c�►r�...Q�`... /� Owner Address Installer Address Type of Building Size Lot....... X 33_.Sq. feet U Dwelling—No. of Bedrooms..............••_.____._._____...__._Expansion Attic ( ) Garbage Grinder (Ab) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures _..••••••--•••-••------•-•••- �4&W Design Flow.............. p�r day. Total d"ily.fiow..__._..._, 3-?....._._.__.__.._.__gallons. WSeptic Tank—Liquid capacity./ADOgallons Length_�__w1...__ Width__�� .___. Diameter________________ Depth__:-S_.__.__- x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area----s�_��.......sq. ft. Seepage Pit No......./........... Diameter......ld_`...... Depth below inlet_____,f.._._.__ Total leaching area..................sq. ft. Z Other Distribution box ( YQ Dosing ( ) • ,,'// ///` Percolation Test Results Performed ; ........... Date... { .1.� --------------- Test Pit No. 1...�-,2.__..minutes per inch Depth of Test Pit_....._....... Depth to groun water_,A/_tan►E_.F�._ K. Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ pa = r r �. r.._- t O Description of Soil....Q_---=.a�-..... �-d.. . ...4•--- �d__ ud!.�.....e ..-. /1f�i`� �`r '�- -1---.. .� �a-•-----• x ...........AjeV`... '-A!-''�-------•--•••• •••--.....--•----•••-----------•••-•••••.......•-••••••---•---•-••••-••••• ---••--•-••---•..............••--•-•----------•-•--------•--•-- U 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. ned.. ..................................•---...._........._..-•-..I...__.....-••......_ ..X�ZD Application Approved G .........................--••---•••-•-----•-•---------------- Date Application Disapproved th following reasons________________________________________________________________________________________________________________ ..------•-•-----------------------------------------•••••••-•--...---•----...--••----•-----------_..._._.._....._........._..__._...------•-•-•••-••-•----...--••...••-•---•••••-••••-•-•----......._...: Date PermitNo......................................................... Issued..................................-.................... Date LOCATION SEWAGE PERMIT NO. L-07" 20 rW411 VILLAGE S- �INSTA LL .ER'S NAME i ADDRESS 2o6aler d ©ye, Co Q ap ! 4A�Xf cr-6 A14ems. ® U I L 0 E R OR OWNER DATE PERMIl ISSUED /42 - DATE COMPLIANCE ISSUED n 77 '1 s S A- To cc - 35" 42 27' �- To rA-O t r- r to 06 as — 3� $ - to PLr -- ZS J } FEs`.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH p..h ........-OF........ aPi�!.�-�I,aiCf'............................... Apliliration for Bhipmal Workii Tonstrurtion Prrmit Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at 1` LO? — ".24T I(A" /! w f} ry t �1 .......................•-•-•-••--•------••-• •-•-• ••- �..... .".... ---....---•----•---........ Lo lion-Address or It No. --------------------- ..ess...7' Owner i`''� Addr _ .............. .................................................... ..................... •• ••• .•••--•- .....-----••............................... Installer Address Q Type of Building Size Lot... 3...Sq. feet U Dwelling—No. of Bedrooms...._.......................................Expansion Attic ( ) Garbage Grinder (NG) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QOther fixtures ..._..... ---------------------------------------------------•---------...........-••-••-.•---- W Design Flow........j_/.._C!...........................gallons per day. Total daily flow............~33.Q.................gallons. 1:4 Septic Tank—Liquid capacity._.9-P.Q.gallons Length.1.1...... Width._ _)Q". Diamet ............. e h...,- W I 11...... Disposal Trench—No. .................... Width.................... Total Length.................... Totgeaching r --sq. ft. Seepage Pit No......../----------- Diameter._. (,�_:�_.___. Depth below inlet_.._ t � q-,77� � tal?leael ng ar ,sq. ft. . z Other Distribution box ( ) Dosing t ' Z Percolation Test Results Performed by.....�1l-� 1 ........ .A5? ... ... Date....�(t/1 74................ a Test Pit No. 1..../. •_...minutes per inch Depth of Test Pit...../-2........ Depth to ground water.N0-rf............ �14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.;....................... Rir ' --•••-•--- O Description of Soil FQ. �- _ S1-L- d: . _.� �s�G?�1. ?^f Q._.� .. xF ...........•-•-------•---•----•-....-••---------------•-_. ................._.. U 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance hasbeen issued by the board of Health. ffined.. ...............•-----------...---..............------------•-----..._..---•--.... ! r - D --- Application Approved .. .... ...... .: _`-At. !'` -_- Date Application Disapproved t following reasons-----------------------•----....-----•-------•----------------....--------------••-•-----._. ..•--•--....._..._ -•-•--•--------------•------------••--------•------•-•-•-•--------••-•--------.......-----------------------•-------------------------------------------------•--......... t Date PermitNo......................................................... Issued-....................................................... Date 1)10 + { THE COMMONWEALTH OF MASSACHUSETTS � BOARD OF HEALTH it . . ..........................................OF..................................................................................... Trrtif iratr of (�ontpliattrit Tr, &�S TO CERTIFY, That the Individual Sewage Disposal System constructed ( paired ( ) by--- ........... -•--•-•-----•-----------•......... ........................•--••------•--•-•----.....--•-----...-----......------..... ---•--- "—_'----- Installer at.---- -- --- -- :?0............. -•-- • ----------------- -------------•-•••-----......-•---•--...._..........•-•.............----••_...:'. ......_......_ has been installed in accordan with th rovisions of T 59 e-State Sanitary Code aside,, din the application for Disposal Wor Construction Permit No.. "^1 ..._....... dated-.1..... ... Y°.�.................... TH IS�UA THIS CERTIFICATE SHALT. NOT BE CONSTRUE®AS A GUARANTEE THAT THE SY! WiLL' C1f[ON SATISFACTORY. DATE.............................................�2 �,� 1�.. .......... Inspector......., ............--------------------•---•-------....--------•--•-•-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... FEE /.... ................ Dino orkii Tonstrnrtion amit Permissionis ted.. r:_ .... -- ---••------------4----------------------------•-------..._...................------.......----................---- to Construct ( n n I lr]Ttal--S a Disposal System atNo........ ----•--•--•••---•- --•-•--- ....... --...... ....: :.•..SY as shown on the application for Disposal �t r s Construc Perm, ............... Dated.......................................... q 3 .....•••. •..... .. --•--•--------------•----•----------•--•----------••------------•--...----•---••- DATE. Y Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON �7_ 65.9 . iN r 1 . 0� o L07 2D- f� i8 3 9.? s0 rT �i'✓G . qiT':v✓/>. ,mod; .\ ./ . . ylo , 00 -,G44.Sejo. c BOX r / J /.pp'�SET139CrC E/a3� N7 ©Ri:.r� ,.CERi IFIED PLOT PLAN CO CA T 10 N 1xi✓i✓i. -1✓! � 4 ' g 1 n A,06 &LNV477&Ais SCALE `-30' DATE �tr uiv wssu!sc'x> `DV, P:!#A N R F E R E/N CAE nay��`t1!�l�J�rrp�2aId .,r ��I�N T�C.lt/9rt ��F!/YC.Gi 4��LSL 5 Y .'A * T"OF R q k i.y Lr�n/ 'BtXS! 3�i lP1a� SF ' ED- R awe �' /( Q Y a LLEY' ^ Y ( 'CERTIFY w No:2 �' ,y S H 0 W N 0 :THIS P l`A°N CIS ICO CA T DO:N 6100 N TH E;G P-Ok1N:D AS'SHOW.N, HE,'REO.NSTE : THAT ,1.T CONEORMS� Zia THE SET B4GK �R'EflUIRf MENT.Sr_OF T -1f RTOW�N : tTF' r _ t � ,x - s f', �.• '" !Y'HEN CONSTrRUCTE , � �.• ..T PET I T ION.E,.R ,�; kl�. t OAT�E ,. 'r, -+ °''� F .: ; . f ' J.0 HN. L^!'A 1 4r 3:.,_...- _. .. s.,.... _ ,�. ,_ /. n _.A . �--c s...a.., %b�..�,.�_5'�.�... .a C- .- ., .. ..ti.... •� z� .�. _a....�.., �� . -..e'1r�de..Si_. L_�'�...._..`.e_.._.. �- .. • - �E�EET•� �_QF 2 Sf�ExTS TOP OF FOUNDATION CONCRETE COVER .,� CONCRETE ..COVERS, .` CAST IRON.' 12°MAX. 12 MAX PI PE (OR 4�rORANGEl1RG(OR EOUIV.)' EQUIV.)— MIN. _ PIPE-.MIN . a LEAC.tt PITCH I/4 ° PITCH i/,4"PER. a z "PER FT. PIT: ,PRECAST �I N VER a a LEACH I N G o PIT OR: EL.y!� 6- INVERT A DIST. INVERT °° ,W, s, � SEPTIC :'TANK EQUIV. EL g/9�J. EL91 /*: .ro INVERT ' BOX GAL. INELV,ERl�T ,, ��• 4EL. LNVERT wW ' 3 . TO I've/2 WASHED- • w . STONE c i. DIA o.° ,° a PROFILE'` �OF �,GfiOUND WATER TABLE SEWAGE DISPOSAL; SYSTEM •':. J, NO.. SCALE i SOIL LOG »;' WITNESSED`. BY . M µ DATE . 1 /c93 TIMf �. 3QR�?. .1 J BCDB%� �Ak' ��W BOARD OF EALTH /l1.6 , TEST MOLE I TEST=HOLE 2' .STE�S`t>i✓ /WLL ENGINEER - ELE°V. .93./.. . . .:: ELEV r r £ _ DESIGN =DATA .a NUMBER OF BEDROOMS � ati3 t f e '` TOTAL ESTIMATED FLOW .,3.30 GALLONS/DAY; • .�DA��" { � �a �' �w"tfi A t r �r k t w .;,� t - � t.� ,' � " BOTTOM' LEACHING AREA 7 :3 ESQ FT /PIT ' 8� '3S:is ,: '-µ � ,ST.DE I:EACHIN.G AREA / fSC FT. .:K: r �n 2 ; a* ^ -GARBAGE DISPOSAL (-50%' AREA INCREASE) i �r�i✓a' "' ` * S= TOTAL�LEACHING AREA' ,3i is PERCOLATION` =RATE- r 2 MIN/#NCHx t vL`LEACMIN(i'AREA PER PERCOLATION RATEse�99 /✓.WATER ENCOUNTERED { LEACHI G s `•` •, r4 .. a x '� + reSr F r ..}_/ PC }'�� ^` S Y C"F �� '-e K Y -y. s ',tN i _. r t Y.l S`�•,�r K �� �� �. Y�Y ��{.. d f bJ� s s $ + X'� a ra i •yk APPROVED ✓ ..�ti n:, A`+�,Y� `'x' ,a` '."++ t>n +,, ri y a'4 a.. .. ?a -e`` F, 9 'r r:,4 e#-y F tt �ti ^ �{,f,E AGENT.',QR INSPECTOR �� f r �r s ;. �r1�. .,+- ti t•'a ,{ F 4;la.�'�wti}+tk.m 4s�""t .i-'g'tl 2 -:.� �' g: F i .ia3 d f ;'a.•.` # "t�,r '�,.`. {' -:;>k -,�{ ,�µypa �%�,���g7�'i� -�3i.�y...d4"aey �` �rW �f,�*� `g:3� ,r i h_��cd� T? �"�`e` ,+ ew° ,g°�S f��,/Ff"♦- >'� �' .:` � y. � -a @"� � .`�...� � br�o '' %',yak,cif � *Y ��� ,t4�� ��F` � r� t`..� a .�ii;x Z �iJ"�; '� �sA���{ L&•� Y rye. �O F' -q �f. 4 ,_ "r � � 't'•< e,,rr3^ <U��t '^+. ♦ x� ,.�-r o� t..�p ?�• •;: s�r•o. 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