HomeMy WebLinkAbout0018 CESARS WAY - Health 18 Cesaes w , 6�
LOCATION SEW GE PERMIT NO.
V I L LA G E
a2t i zz
I N S T A LLER'S NAME A ADDRESS
sU IL,DER OR OWNER
.a
d
DATE PERMIT ISSUED
DATE COMPLIANCE IS'S^UED
� no "boo,
e 006
i
7
+�y n
No.....��---�: f;1 Fes$....Eaw
.......
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Appliratiou for Disposal,Vorkfi Tonstratiou Permit
Applicati , is here%made for a Permit to Construct (V ) or Repair ( Individual Sewage Disposal
System at:
O 'f� �-I e Lai 1
........ _......_............... .......... .......... c ........._... .......... ` .. ...._...
c tion-Address t N
-----• ---- ................................ ... .............._....
_( , Addes
Installer Address
Type of Building Size Lot............................Sq. feet
U Dwellirig—No. of Bedrooms.•............ .. . ...............Expansion Attic ( ) Garbage Grinder ( )
p, Other—Type of Building ............................ No. of persons............................. Showers ( ) — Cafeteria ( )
a' Other fixtures
W Design Flow....:.............11....................gallons per person per day. Total daily flow.............�•�___�-a_.a...............gallons.
W Septic Tank—Liquid capacity./aA6gallons Length................ Width................. Diameter................ Depth................
x Disposal Trench—No..................... Width.................... Total Length.....................Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter........:n .:---. Depth below inlet................ Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing: ) /�7 /��l
'� Percolation Test Results Performed by....... .:._d. I I& _ _.. Date.....---•••.!_--.......................
aTest Pit No. 1. .. minutes per inch Depth of Test Pit.......A% ....... Depth to ground water.........................
fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water............--..........
.`
0 Description of Soil...... � •A-•-•..-1 S So�.l...... !ram Y-rK----4.".b
1 ----- .
V -----------------
--------------------------------------------------------------------------
---------------------------------------
•--------.----
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 iITLi: 5 of the State Sanitary Cod The unde4ined furyagr.e...not to place the system in
operation until a Certificate of Compliance has been is ed the boof heal
Signed-•-•........... . .. •. •• ---• .........- ...--•-•- -• ---------------•--•---- ..
Date
Application Approved BY -......-�-=�`------------ ---------------•------------------•--•---•--- _
Date
Application Disapproved for the following reasons:----•-•••--•---•--••-•••f--•--•-•-•-•--•-•-•••---•...................•••••-•--•-•-•-•••---••-----••--•••----••
------------------------------------------------•----------------------------------------..............--•••••••-•---•----•••-•--•-•------•-•••••-•-•---••-•-•---•-•-•---•-----------•---...._..........
Date
PermitNo......................................................... Issued.......................................................
(( Date
I► '
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............OF.....�s..� .�`�l�/��% Lam_/-..........................
Allp irFation for 11ispaii ai Works Tonstrarctinn ramit f t ,
Application is hereby made for a Permit to Construct ( or Repairs ( `'flan Individual Sewage Disposal }
System at: .y
ocation- ddress `' ZZ •ram}°t No.
a ._ ..... __.�l E�rf ..._.... Ow ._�:1•eP ...................... .............. niaJIt"NS �9
'Installer rA3dress
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms.............. _.............._..........Expansion Attic ( ) Garbage Grinder ( )
a Other—T e of Building No, of persons____________________________ Showers — Cafeteria
Q, Other fixtures -------------•• ••----••-----•-
w Design Flow...............11.69_..................gallons per person per day. Total daily flow........... _�--�___30________.___gallons.
WSeptic Tank—Liquid capacity__lVggallons Length................ Width................ Diameter................ .............gallons.
x 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 b `%f' : � �� _______________________..__ Date_._._..... ��
a Y -------_...
mmu Test Pit No. 1�_______ tes per Inch Depth of Test Pit-----.,1�...... Depth to ground water________________________
(s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water----------_.............
a •-••-•----•---------•--•-----•• ................... _
D Description of Soil---...--4dkt�1-----------�-(-_.._ -- �r 6SQI •--•• =---- - •---��T --
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 TITIsj, 5 of the State Sanitary Cod — The undersig ed fur her agr s not to place the system in
operation until a Certificate of Compliance has been is ed y the bo of heal
Signed............... - ..................... ......................:,-•----•••••-•_•-
_ ._ Date
Application Approved By________ _ ____ f'i_:_`11:..rY �`r ! ._.
................................................. _.._....__._. _F_
v7C, . ;6ate'
Application Disapproved for the following reasons:..............................................................................................................
-
-•-------•---------•-•-----••••-••-••-•-.....--•......-•-----------------•••••...........................-•-•••••----••-•••••••••-•-
Date
PermitNo........................................................ Issued.......................................................
Date
r ,
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.....................................OF.................................................................................
Currtifiratr-of TompfiFanrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
b .......... c �.. _a ---•-••.......--•••-••..........•-------•---•----•--•-_._•••••-•--••--------•---•--•••-_..-----•---•-------------------------•••-•....__...•••••......._......._
A
Install e
at_ lmr)_?_ L.'Za.. Y ` r r
! ___________________________________________________________________________________________
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._-;_- _. '___ ________________ dated_-._ `'_._ ......
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTI N SATISFACTORY.
F/ e
DATE........................... Inspector . =
r
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_•••• FEE. �.......
�i��ar�aal �rk� �.aan�tra�rtinn �ermit
Permission is hereby granted__.._.__..�a:?r.c_n__ ________________
to Construct or Repair ( ) an Individual Sewage Disposal System
at No :_..._..�::_.._
Street
as shown on the application for Dispo's l Works Construction Permit No ............. Dated....__.__ _-___.._____....__..._.___......
1��� Board of,,Health '}_ 4;,,..-•-
DATE
FORM 1255 HoeBS & WARREN. INC., PUBLISHES
i
J L'° r I
N Zo,?335F,
ZOO �
5
W A W ko
-
s
v it
J.-
2�
1 o
3g
• Z7
a 4 T HE F0UNEDATION
SHOWN DOES NOT VIOLATE ANY
EXISTING ZONING REGULATION OF:'
THE TOWN OF BAP,K35 !'+8 Lr-,
`>�� �!
S
c.232m ,f ` �; �A�i� ST/\g LE
v� DA -'ra
IN .-�tq
� ►21JSTA'F3 LE MASS
� N :4Z W "
i. bESIGIV � �7
SINGLE FAMILY DWELL/NG w/3 BEDlZDDMS� _ `� `
Vv E \ p
D� GA RBA GE D 1S PO 5A L ' RCS R -S� ? ul
DAILY FLOW // O x � - 330 �. . � �- 1-
S E P-r 1_c TA Nx C VO L. 9,Eq /) ) �- d-eC �°- �� Lq
G.P. O x /.5 = �9� ul
G A L S. Q`� S a��o \ I'° o�
It-6—DO GA L . TA N K. - O.-K. Q `n
Q �
D 13 PO S A L P I 7
tn
USE D/A. X �6 ��QP. -f / .S-raNE j - _� � v`�: ¢ a. iI .
E FFE C71 VE JD,E PT N = 6..0
CAP'TY : Ir X I x X 2S = ,t7I 1
Tj
TOTAL CAPACITY ALS. � � ��Q
J - . :
� Fj �E a� '� r-i
FI N. FLOG/ S l 7 PL AA/
TEST P, ?s e PERc TEST
t'ASSUMED� SCALE:
IX
-rOP OF WALL FIN.GK.EL. 9 EX ISTl NG GK.EL 98•QO Lt1i OF y.�s Qi�w AL rJ
L.�3n _ $� GR�1L�E
_ _ � �,� ,
x x x - 98 -
I �� HARRY -S��L�V ��' K/NGS c �
Xx LOAM i�L35G lL R ` '� #Z61
4"PVC RISE.I2S AS NEEDED 9G.�?—
C V, lo.� .� G1sTE SUiiV_t"
�►`I
S�aNAL EN
INV.°�Z 'GAL. I ' - 1 �( r'��'Ifi"P. C.Gor:C. AvC.PEec �?
CELLAR FL0a2 — IO�MIm PC.CoNG 0 Q = Ley ` 'l' �`
EL. LZ�" 5EPCIC INJ• �-- D ISPOSA L PIT Z M tN 1 rr-1 )
TANK �} � � of .3/�" -ro 1 % 'r SEWAGE DISP05AL. SYSTEM OESIGN
N1Er��urn
2D�MIN. i; oR
W AS N E b S-f0 N E •.S<;r..i.�
SCALE L ALL AROUND W/2 r' IDD V/, KA i N E T_:__ ---
LAYE R PE AS TD NE J
•HORZ. I�� = 10' EL, o,pt t-L���:r_ l\/1 , 1✓ir� _C ;- (r0.(_.- _
VERT. t"= ,4, �d �° oN TOP,
oN
LOT I
T�:F?_V I L L N'I
--- --- -
PROFILE of OISPDSAL SYSTEM + _ _ ---- - =---
f*'10TE : ❑ ISPOSAL SYSTEM TO BE G0NS7RU . — LANTEPY ASSDC.
R — .
Li
ACCORDANCE OF CDMM . OF V\ASS., ENv1RpM, G0bE-T1rLE -05. TESTED: 17 //9'1 CONSULT, ENG'R E•SANt3;, MA ,
. r1 r'�'• i��_ L �= PATE , <f 17 PIE
4+ `? J
.y ,