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Home My WebLink About0005 BRIAR PATCH ROAD - Health 5 Briar Patch Road ! Osterville - A 144 039 ° v ° _ v , c r o a ° v i ' f o " a E LOCATION54� &4WAG PERMI NO. YIILAGE lfqS7- w INSTA LLER'S NAME i ADDRESS e Ki- 1 R U I L D E R OR OWNER DL S ��.tj�S Q)DATE PERMIT ISSUED k 1 DATE COMPLIANCE ISSUED 1u No... � l � `1�" � Fps...................._........ 9 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ................OF....... �� .�z1�1. T-A��p C. Appliration for BiiposFal Works Tomitrairtinaa ramit Application.11 hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: SQ-9*.5 &t A Q �)ATcJ4 ......... ... lz i .C?..P._ T .. _. .,D st f U �-# ....z! M P Location-Address or Lot No �E�_� _..�L-��--••---�o!J.S.......... --•---....A. gip°I..�p�-��'�h`tN��t'''•��-- .... - -- w � / r— Addres Installer Address d Type of Building Size Lot.:16i r57Z'.1-___-__--Sq. feet 4 Dwelling—No. of Bedrooms.._._....�J................................Expansion Attic ( ) Garbage Grinder ( ) p`4 Other—Type of Building .... ........ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures _________________________________ . Total tx DSeptic Tank—Liquid apacitA4�0!6'_galloo ss P L person gth G�.."r/7 yWidth_._�ily ... Diameter.. Depth-__dons. ' w Disposal Trench—No..................... Width................_... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----------I------/. Diameter-----17t........... Depth below inlet.....3!_._..... Total leaching area.226!19sq. ft. Z Other Distribution box (✓ ) Dosing tank ( ) a Percolation Test Results Performed by--------- J�_. f�l.....%.IVI. ....................... Date......�7 ......... � i a f 4��j°f Test Pit No. 1________G________minutes per inch Depth of Test Pit------4�........ Depth to ground water... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground a Soil - water---___-__-_.--_-------_. -----------------------------•----------------------------------•-............-••----•••--•-......----•-•----...-----......--------••----------...---...._. ODescription of .-------••------ I 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 iITLE4 5 of the State Sanitary Code—The u ersigned further agrees not to place the system in operation until a Certificate of Compliance has bee ue by t e bo of health. Signed---- --------------- / . --.......... Date ApplicationApproved By.................................................................................................. -------------------------- -- Date Application Disapproved for the following reasons---------------------------------------------•----------•---------------------------------------------........... ------------------------------------------------••-•---------------------...----•--------------•-------...------------------------------------------------------•-------- ............................... Date PermitNo......................................................... Issued._..---...----•------------------•-----------•-----•... Date No......:...`f co/7. Fms............._............ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..-_---j..1,.11t-1.J----- .....OF....... ��: ..rz..l`�.`�..�.. �l --------------------------- Applirtttittn for Diijnmttl Workii Tnnitrurtinn 1hrutit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: �_ GM 1�16- 1ZP , / '�r_G �IILI • .._..... '��= 1?...P_.....1.. -f -••. .......... ...• -�.. ............... ..... .. ..... ....� .i..... Location-Address or Lot No. ....................� 1 1 `- =L 27_ E•---.._.�� _q :<t tit...............f.,vt Owner Address W _ -r 4� Installer Address Type of Building _ Size Lot__A�_1 _l.__.....Sq. feet Dwelling—No. of Bedrooms......................................_-----Expansion Attic ( ) Garbage Grinder ( ) `_4 Other—Type T e of Building No. of ersons_______________ 04 yp g � �= P Showers ( ) — Cafeteria ( ) a' Other fixtures _______________________________ __ W Design Flow........... .........................gallons per person per day. Total daily flow........� ......................gallons. WSeptic Tank—Liquid capacity(.'././!�_gallons Length__ _!:1-_.'__ Width_-------------- Diameter---------------- Depth................ x Disposal Trench—No_ ____________________ Width......-------------- Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...._.___...i------_JJ_ Diameter.....1� _______ Depth below inlet__._.__......... Total leaching area_?ZG:`9-sq. ft. Z Other Distribution box (✓) Dosing tank ( ) Percolation Test Results Performed by..........J_ ...... _____________________ Date_____ ......... e))Test Pit No. 1....... .z'_minutes per inch Depth of Test Pit.......I_;-........ Depth to ground water_--'`_�. ----------- Test � Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---------------------------------------------------------------------------------------------------------------------------••-t--------------- ._ ......... -- Description of Soil..................- l -...---lt=j- mac' t`��= IL- f v '_._. xr ------------ 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 has been issued by the board of health. Signed....................................................................................... ................................. Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons----------------•----------------------------------------------•------------------------------------------------- ---------------------------------•-•----...--•--•-••---------------------------------------------------------------------••--------------------------------------------------------------------.._._.._. Date PermitNo......................................................... Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.......... ......................................................................... . �rr�ifirtt�r ,af f�nrut�rlittn�r THIS IS. TO C '�TIF�' That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by--------•--------••--• --•-� .. all- at--••----------------------- -t..1.,?✓ � -------------•----•-•---------------------•------------•---------•-------.._..---------------- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No____.9. __.-� ........... dated_.----------------------------_................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT.THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................... ._ Inspector................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......................................OF.......----------...----........_._......._...__..._.__...............___.._......_.. No....... ,- .:"`.... FEE........................ Elilipmal Workii Tunutrur#iun pamit Permission is hereby granted........ YL .....1't't_1C.K_Ak:'�__-•----•---------------------------------------------------------------------------- to Construct ( Repair ( ) an Individual Sewage Disposal System atNo... k4'T ` 3p- t F------...AV 4.......--.---------------------------•-••------•----•------------------------------------................ Street as shown on the application for Disposal Works.,Cdnstpuction Permit No..................... Dated........................................... 71 f.. Board of Flealth DATE------..... .+' J/[jJ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS N RA .m. f± .5: �'_.-. .yl'r s.. ,. 'f,.sy,. .;e•="yak.. �a ,! .. _ `,n:. s .,', r.:r; `4 '�`s g., ,_. .•. .. •. .. .1 Ki: •��1SSB ?� T:ek,j7=� Y'a.s."w . _ r Sl TE PLAN T YPICAL !LWOF IL ,E- NO T 70 SCA L F SCALE 18"S TD. L T W G T C.1. MH 0 VE. 4 C.I. PIPE _ -A 4' H/T. FIBER P/PE T/GH T JC�IN T5 - - __. I OUTLET LEVEL I --� FLOW L INEOT ==� �---�- p t0 FIRST JOIwT ___- DI�YFLLING IO� Ia' 3z LJ � _j j C./. TEE SrANDARD PRECAST C___._ �- ..' CONCRETE Ll �GALLON _ SEPTIC ;ANK DISTRIBUTION BOX I O BE /FVS TAB L ED ON LEVEL , S TABLE BASE_ i SEPTIC TANK TO BE INS TA L L EC ON } 4 LEVEL , STABLE BASE 1 2"- //8` TO //�' WASHED PEAS TONF L EACHI NG PI T ALL AROUND FREE OF IRONS, FINES BASE TO SE LEVEL AND DUS r !N PLACE BR/('K B MQRTAR COURES ; ----___�.._,.._.-----_----- 3/4" TO /-I/2" WASHED CRUSHED AS REQUIRED l? PRIOJ E- STONE ALL AROUND FREE OF COVER TO GRADE 24"C.I. MH COVER IRONS, FINES AND DUST /N PLACE ANO FRAME __- - - ---_---� __ T � ; _ _ �. _ LEACHING PIT SECTION-- IINL ET --- ---- 9 FLOW L I,VE------ - - -.-- -- ! PIPE ( 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 GREATS 00 1 ^'��, - 3z STD. 1'CZrzLA 'ST %DNy• ! DEPTH REQUIREMENTS. h 10006oAL, 5EP" ,& TA1A0, OPENING W/rH 4-l/B ( 4. NUMBER OF PITS REQUIRED AN( OCITER DIAMETER 8 NOTE: EXCAVATE TO ELEVATION �5,.47 OR LOWER AS I \ /-3/4 INS/DE DIA-METER 3„ f REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH �! r) ® ;IV' MiV. PIT REPLACE EXCAVATED MATERIAL WITH CLEAN GRAVEL TO DESIGNED GRADE p v.J L - I 4 0„ -.. �' M/N• I EFFECTIVE DIAMETER ' (NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) WATER TABLE < ! 0 T j 7 12 ( 1,10 i\!G A T F L., Z 5,Q r- SO/'L A ND f_`EFC" DATA - GENERAL NU TES PERC. RATE �- M . .N i IN NO HEAVY EQUIPMENT TO RUN OVER SYSTEM L` 34 SEPTIC TANK DISTRIBUTION BOX LEACHING PITS TO BE STANDARD � TEST B Y: J U N t'�f_k'E!,•L 1 � � � � � S lr PRECAST REINFr RCEP C�� f2=1y,p0 `n`�. - --- -- ---- -----__._.-_ CONCRETE 1Ni � S. 0 WITNESSED BY: Jo N N _,�A�G'>L'1_.___ _ '_'_ _'1 _._ ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , r TEST PIT GR EL.. :a27. 0 DATE '.— .��' _t_' MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF 1! Ff TEST PIT NO. TEST PIT NO, 2 SANITARY SEWAGE EFFECTIVE I JULY 1977. V - 0' p"- --------- ---� ANY CHANGES TO THIS PLAN MUST BE APPROVEC BY THE BOARD OF HEALTH, AT COMPLETION OF CONSTRUCTION PRIOR TO BACKFILLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION, PITCH ALL SEWER LINES I/4" / FT. UNLESS 1NDICATEC, ' l�,p i OTHERWISE DESIGN DATA - BEDROOMS 3? DISPOSAL— EST. TOTAL DAILY EFF. _GALS. LEGEND `- SEPTIC TANK GAL - SIDEWALL AREA .?_ __GAL./SQ. FT BOTTOM AREA ____ 1 ' d GAL./SQ. FT. SE�1/�lGE DI..7 PO SAL S �':a T�: lIN' Oxoc EXISTING GRADE LEACHING REQUIRED l-2.2'ei6 SQ.FT ZONE - _ o FINISHED GRADE ACTUAL LEACHING AREA ?-&2__SQ.FT. FOR DOMESTIC WATER SOURCE �� C70 INVERT ELEVATION. STA s PROPERTY LINE .__.. ------ ._-- PLAN REFERENCE : -- - P� Zhu P� ` �_ SCALE AS INDICATED DATE ---- ---- - MEAN HIGH WATER BENCH MARK DATUM MARSH WM. M W,4RWICK Q A350CIATE> f O X BC)I Nq)RTH FAL-A4011 TH 7/' ,,�1,f�// ,•I l .r, 0