The URL can be used to link to this page

Home My WebLink About0026 BOB WHITE CIRCLE - Health � I a{ Oste vh le Circle White Ci A= 143 -021 0 r LO CATION '4L(P SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDRESS d U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED �90 �� e �� 1 � �� `,� o _ �-�- � Q ;.`r No ............ ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (� .._�v. ...10.....-.....OF..............L3.. ..lz. ..S.'f. `' ............... Appliratiou for Elhipasal Workri Toustrurtiou rautit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: ...................... ....... A- Location-Address or Lot No. � gi1L �l-�1. L17. ��.._._.. AIlz �. --- = a ..........-•- �`� "' a"• �+`.'• ... :.. /C--�.C'.l.l le�G)Owner Address, R Installer Address dType of Building Size Lot... 51. ------Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ...J.Z ......__.... No. of persons,............................. Showers ( ) -- Cafeteria ( ) a' Other fixtures ... ......................................................... W Design Flow..............57.?�.-•......................gallons per person per day. Total daily flow------- ........................gallons. WSeptic Tank—Liquid capacity..�P._Uogallons Length.�..t?.:.__ Width................ Diameter-_._---_-__---_ Depth................ x Disposal Trench—No..................... Width..................... Total Length.................... Total leaching area----------_.........sq. ft. Seepage Pit No.........I---------- Diameter....i:?:.......... Depth below inlet.....7............ Total leaching area.�1..01_l°.1-.sq. ft. Z Other Distribution box (✓) Dosing tank ( ) ~' Percolation Test Results Performed by...s1.0.AJ4... .?..................................... Date.......iF-Ao.:.03........... aFZAdfvTest Pit No. 1.......Z...minutes per inch Depth of Test Pit....i. ........... Depth to ground water.Ji t ..._- G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-----..........._...... P4 •••............. ...................................................................................................................................... O Description of Soil.-----------........................ T o. . x 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 iIliU 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b i ue t oard of health. Q'`� Signed.. . . . . .......................................................................•... 0----3 .:�./._Application Approved By--••---••-•••-•-• --- •---•--••............................ ---- Da---------------- Date Application Disapproved for the following reasons-...............................................-------•----.................................................... ------••-----------•--••-•-••••••--•--••--•--••-.....-•-•••..._...----••------•---••-•-•....-••-•-------.._.........••--••--••-•-••----••-•-•••-•----•--•--------•-•...__......-•----•-•.........-•...... Date PermitNo......................................................... Issued-....................................................... �\ Date 1V0................ f.... y Fzs............................_ THE COMMONWEALTH OF MASSACHUSETTS n BOARD OF HEALTH L..�.. ti/_.1J...........OF..............i? ../A...K_.l�l .............................................. N6 8 ApVtirFation for Uhipoii al 19orkii Tnnitrnrtion rranit Application is hereby made for a Permit to Construct ( ✓) or Repair ( ) an Individual Sewage Disposal System at: --• `� -..J..._`�:.�J..Ana.!:I_►., I tz t Le, v I L C,_ '/A i2 ?.!. .��L " �-M A- - •- ---... Location-Address _ or Lot No. I12I�u �. �� :. H.�l�\ Nt\i1`7E M•7k - .............. ...................---------------• -----.._...--.... Owner Address W Installer Address Type of Building Size Lot___ Si��"?`'._._Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____ %............. No. of persons............................ ( ) ( )_.________ Showers — Cafeteria a' Other fixtures ...................................................... W Design Flow.........................................gallons per person per day. Total daily flow........ �� ..........................gallons. WSeptic Tank—Liquid capacity...!'egallons Length.%- .—_- Width---------------- Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No----------I---------- Diameter.....(.----------- Depth below inlet..... ........... Total leaching area. .1...`�2sq. ft. Z Other Distribution box ( ✓) Dosing tank ( ) Percolation Test Results Performed by..... �_ '_ 1- -- !-it• .................................... Date....... :. ..: _ .......... a ,� f72�- IG�Test Pit No. 1____--_-�'___minutespermch Depth of Test Pit----- Depth to ground water_._��_N_E 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_--_____-•.-___----_---- C4 ......................................-•----•---------------------••------------------•-----•--••----•.......----------•----••-----------...........---•----- D Description of Soil-------•---- . ---- -- v r% � 'C1�h Z) '-L' 2 � N E LG At ph Gj E P J A NJ-P- - - ._____.t.._. I , - U ................................................................•--.._...__.................................--------._........_..............._._.._._....................................... M. ........................................................................................................................................................................................................ 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 TITIZ 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. ed -------------------------------- N, Date Application Approved By.. .. ----------------- - Date Application Disapproved for the following reasons-----------------------------------------------------------------------------------------------------------•-•--- ••-----••-----••--•---•------•••---------------------•----...--•------------------...--------------•-•--------------------------------------•--------------------------------------------------------- Date PermitNo......................................................... Issued_........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................................OF..................................................................................... CnrrtgfirFa#r of Tomphaurr THI O CERTIFY e /id Sewage Disposal System constructed ( ) or Repairedby.:.... -•. .. _..•••• ............................•---._...--•-•-----.....----------....._.........-----•---•- Installer 6y at......................................................................-•-----------•---- has been installed in accordance with the provisions of TIT" 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----------------------------------------- dated................................................ THE ISSUA CE F THIS CERTIFICATE SHALL NOT BE CONSTR AS A GUARANTEE THAT THE SYSTEM VEIL U 1 N SATISFACTORY. 7 � - DATE.....�. ........................•--------•------•-----•-•--•--------- Inspector- ------ -----•-----......................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................................._OF......................I..........................I—............_........._......... No......................... FEE........................ i �rrrraa,,For Cann #rnrirrn Trani Permissignis hereby granted........... ............................................... .............................................................. to Constri�if (-'-)3> Repair jean In ivid��age Disposal System Street as shown on the application for Disposal Works Construction Permit No--------------------- Dated.......................................... 1� -2. 2,. �,� -'--- ------------------------------------------------------------------------=---- Board of Health DATE......................................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS TT PL A 4' T YPICAL PRORL E NOT TO .SCALE SCALE 185W. LT WGT C.I. MH COVER y 3 4'C I. P/PE _ _ 4 BIT. FIBER PIPE TIGHT JOIN TS FLOW LINE_ OUTLET LEVEL —-j- - _ _ _ p TO FIRST JOINT �— ----J DbYEL LING �� j ;� /a r 3� p p { r._-- C.I. TEE C.I. TEE 3 Z j_J_ 17 STANDARD PRECAST I CONCRE TE1 POP GAL LON SEPTIC ANK -- ---- 0IS'T R/BUTION BOX 8 TO BE INSTAL L ED ON LEVEL , STABLE BASE lvoo Gr a �- �i�E�TI�TA^►K SEPTIC TANK ' TO BE INS TA L L EC ON E i LEVEL , STABLE BASE 2 - ,18' TC //2 WASHED PEASTONf L EA HING Pi ' ALL :SRO;'/,YD f:rf E r'f /EONS, F/;"lE -9.4 Sf TO BE L EVi -- v FIE fM A NO Ot I S T IN PLACE ^t . KICK B VOR7AR L'DURES REDU/A£D TO BRING -- -- 3/4 TO I-I/2" WASHED CRUSHE_'� STONE ALL AROUND FREE OF ':'OVER TO i"P40E 24"C.I. MH COVER , IRONS, FINES AND DUST /N PL4Cf AND FRAME-� �__ -- ----- ---- a : 4 LEACHING PIT SEC TION— N LIv 39 5 Q i/ `LET --- ..._.__, B' FLOW LINE — 7- - A- --- --- r la' Q WIPE r -� j I CONCRETE TO BE 4000 PSI 28 DAYS f t I 2. REINFORCED WITH 6" x 6" NO 6 GA W.W M 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS. OPENING WITH 4-118" ! 4. NUMBER OF PITS REQUIRED !� OUTER DIAMETER Q NOTE: EXCAVATE TO ELEVATION Zr7. 00R LOWER AS It'j g tl,� \f " 13/4 INSIDE DIAMETER ` 3i REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH rmG� �4PI) ` `a PIT. REPLACE. EXCAVATED MATERIAL WITH CLEAN m GRAVEL TO DESIGNED GRADE T Co 9 o,�-- 4 3 EFFECTIVE DIAMETER I Z O (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) I FIL c i-lw I;�v ' VV A WATER TABS fu ( NAvNJIt A� EL. Zt>•O � SOIL AND PEHC. DAT,4 GENERAL NOTES PERC. RATE : U MIN /IN , NO HEAVY EQUIPMENT TO RUN OVER SYSTEM •-j o N �.! LL i 7 SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TO BE STANDARD TE.�T BY, _ _ PRECAST REINFORCED CONCRETE UNITS. WITNESSED BY _. D IkK-I J A ! e!s Fj, N ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , TE�J PIT GR. EL. 5 d DATE :,�1' 110 ' MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL CF ! EST PIT NC. r Gpl[o TEST PIT NO, 2 SANITARY SEWAGE EFFECTIVE I JULY 1977, 1 Of"] -----� ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE 3 - BOARD OF HEALTH. Is AT COMPLE PION OF CONSTRUCTION , PRIOR TO BACKFILLING, THE �1tvGOMF'��fG17 BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. �ND PITCH ALL SEWER LINES 1/4` / FT. UNLESS INDICATED OTHERWISE. DESIGN DATA BE0130OMS DISPOSAL .N O ti E _ EST. TOTAL DAILY EFF --GALS. L EGEND -' SEP"IC TANK ..-I Gc GAL SIDEWALL AREA 7 -_ GAL /50. FT BOT'"OM AREA i O GAL ISO. FT. 0x0o EXISTING GRADE LEACHING REQUIRED Imo' � � SO.FT. 5r✓vr G� L/15100SA . J Y. TE11114 ZONE __ �'t'_ .__ O oc FINISHED GRADE ACTUAL LEACHING AREA 3_"1 r?.°d—SQ.FT. FUR DOMESTIC WATER SOURCE Tv U..j rJ k,/ Iz - 001. INVERT ELEVATION -o- t ---- T-r,- PROPERTY LINE ' f. - vhtVJZyIL1,45� , o.ik- 2ta �iTAm, PLAN REFERENCE , -.-..-----.-. � MEAN HIGH WATER i' j/. SCALE: AS INDICATED DATE BENCH MARK C%ATUP1i ------- ! �"`'---- -a- - -----.__ A-1 Al 7r- MaRSH �„ WM. M. iNA,5WICK 8 ASSOC/AYES BOX 80/ - NORTH FAL NOW H I14ASSALHUSE7"TS 02556