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Home My WebLink About0191 OLDHAM ROAD - Health� q Oldham �d , LOCATION � 1qi . i S WAGE PERMIT NO. VILLAGE .000 INSTA LLER'S NA E i ADDRESS v Cahs7' BUILDER OR OWNER H r4 Pi 1 Ak DATE PERMIT _ ISSYED DATE C 0 M P L I A N C E ISSUED r v,� �b � � Q `�9 79e LOCATION . SEWAGE PERMIT' NO. , VILLAGE L2 L ram 2�) CPS'/~ ��s INSTA LLER'S- j_ .NAME & ADDRESS 3 SC-2- 4. 0 U I L D E R OR OWNER DATE PERMIT ISSUED 3 DEATE COMPLIANCE ISSUED ��J1 LP, Re-AR OR house 0 A L I� _ ' J • J THE_COMMONWEALTH>OF MASSACHUSETTS BOARD OF HEALTH ...................................±.......0 F........................................................................................... Appliration for Eli"oiial Workii Tonstrurtiun rrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: . - Location-Add r s .:-�'L—�71. . ---/,� l�Qf Owneerr Address 60 Installer Address Type of Building Size Lot....f .Q ......Sq. feet Dwelling—No. of Bedrooms..._3....................................Expansion Attic ( ) Garbage Grinder a aOther—Type of Building _WOOD............. No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ............... ......•--------------------••-•-----..-----•-•••------------------•-•----------- W Design Flow...._�55--__-------------------------gallons per person per day. Total daily flow........,��...........................gallons. WSeptic Tank—Liquid capacityJ04'6.gallons Length................ Width................ Diameter-----------:---- Depth................ x Disposal Trench—No..................... Width.....-.............. Total Length............-....... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter......��.j_...._ Depth below inlet._:_��._._..... Total leaching area....�...2...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date------------. ...i................... Test Pit No._11�.rL......minutes per inch Depth of Test Pit------a- ...... Depth to ground water.�...d------------- <.z GL, Test Pit No. 2._ -..minutes per inch Depth of Test Pit-----K?_-...... Depth to ground water. j d-....._._. --------------------------------------------------••-----------......-------------••-------------••.......................................................... 0 Description of Soil.........C-.—..2..-----LOA&I... 3va�o --------- x 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 iIT,LE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' sued b the board of health. 4 Signed.... .. ------------•-...•------•----•-- Date ApplicationApproved By.................................................................................................. Date Application Disapproved for the following reasons-------------------------------------•--•----•---•-------------------------- -----------------•,•----••-•---•-- .............................•----------.......----------•-•••-------------••-•--..._....-•----....•------•••-----•---•-•----------•------••--------------•-•------------••---------••--------•---•----- Date PermitNo......................................................... Issued....................................................... av THE COMMONWEALTH OF MASSACHUSETTS BARD OF HEALTH --- OF...-... ;:.,.::................................................................... Appliration for Disposal Works Tonstrnrtion VrrrAit Application is hereby-made for a Permit to Construct ( ) nr Repair ( } an Individual Sewage Disposal . System at ...-.lq/..:_. ?.. ........---. ..:: ....:. -....................................... Locate n-Addr ss r Igto � b' r .:�1Mr ... �� j J�(,�(, yQwner Address TIG'L41_iw)'...W...................... -------------------------------------------- .-------- ........................... - Installer Address � Q hype of Building Size Lot...........................Sq. feet U Dwelling—No. of Bedrooms.............:.:.... ._ .....Expansion Attic ( ) Garbage Grinder p, Other Type of Building...W.001J:............ No. of persons........................... Showers ( ) — Cafeteria ( ) Q' Other fixtures :. WDesign Flow..... -----•---------- ------•__gallons per person per day. Total daily flow._.__.. gallons G; Septic Tank—Liquid capacity,)aVd.gallons Length................ Width................ Diameter................ Depth '. Disposal_Trench N,9 ............... Width.................... Total Length............. Total leaching areas ft. Seepage Pit No..... : ........... Diameter...... .._..... Depth.below inlet.....+ *.......... Total leaching area._.t�� ..sq. ft. z Other Distribution box. ( ) Dosing tank a- Percolation Test Results Performed-by...................................... ............................ Date......................................... Test Pit No. 14 .....minutes per inch Depth of Test Pit .1 .3 Depth to ground water r --- Test Pit No. 2..< .minutes per inch Depth of,;Test Pit. --10.... Depth to ground water....._ ._.. t ��1 i s v O Description of Soil...•••• C:Lin- --- --�- I�, �� ----- � -•-�-- -------- -------- ------- W --------------------------- UNature of Repairs or Alterations—Answer when applicable: .... ....................: Agreement: x The undersigned agrees to install the aforedescribed Individu'4"Sewage Disposal System in accordance with the provisions;of T'T s:�_. 5 of the State Sanitary Code:—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bep issued y the board of health. Signed.s ._.. y�r.... f..... ." ..' ��', ° . .� Date ae Application Approved BY .................................. ----- ---------------- ........................................ Date Application Disapproved for the following reasons:................. Y „---•---_-•---_ - ----------------------------..................... T Date PermitNo....................................--................... Issued_............................... Date �.,. ...... .THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF.................. .......................... .......... .................... Cprrtif iratr of T olianiri THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY----------- - f ..... t. ` ..................... ,t 4rf ' � stlleM"Ii has been installed in accordance with the provisions of TI > f The State Sanitar�,y "Lode as described in the cr! 15' �:p application for Disposal Works Construction Permit No_________ _________________________ Yi.ted__..__-__._______....__......................... THE ISSU C OF THIS CERTIFICATE SHALL. NOT BE CONSTRUE® AS GUARANTEE THAT THE SYSTEM WIL FU CTION SATISFACTORY. DATE............. .--��.................................................. Inspector..---------- ----• ............................................................ THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH ..O F ........... " No ................. FEE........................ Disposal Vorks IOnstrnrtion Vvrrmit Permission is hereby granted.•--•--....AVw1 ....WCA& ••-•---••--•••--•-•-•..._....-•--•••-••-•••••••-•........••-••........................ to Construct ( ) or Repair ( ) an Individual Sewage Dis (sal System at No. -.. }: 'J = f, r 4�i ) Street ..I 0.1�.` ............................................................... as shown on the application for Disposal Works Construction Per-mi No............. D -•-.-•-•----------------------•-.-----.-. ------•---------•-----••---- w Bo ot"Health DATE......................... :.�� -•---•-•-------------••--- FORM 1255 HOBBS & WARREN. INC., PUBLISHERS ZO FT. MIN. KOTF /F E/TNER 7-AIE-5EP7-1C TAN K OR le - E4CNiivG P/T ARE MORE THAN /2"BE40.0'V /O FT. M/N• ,eAOE� /Q 24.p/AMETEK CoNCRET� �OVEJr SJ.►ALL eE BROUGHT TO 4RAO IV EXTRA CONCRETE 40PVC' P/PE h'E.4VY CAS7- /RO/Y Co//E/? Sf/.4LL- QE USFLU CO / . P/TCN N ,> /F/ R/VR WA Y' EL='L5.5 VERS MN�B'QFR FT. _ 24 MiN. C'ONC.eL�TE Ave Cd✓ER CLEAN SANG i- 5ACJCF/LL L/QL//O LEVEL 4. 5 _ - - 2*LAYER a- /RON P00'�':Q'►`t CYA4.M/N.P/TGN o •a o • • o � WA SHFD 57YNE • •p/STV4PER fT SEPT/C TANK o o. • • jl:: e r • •� 314,- �2 e • • o e •EFFECTIVE ° . i • • • • • DEPTH • • e • v WASHED STa�YE �= •�. •.• • • i • • • o o p o PRECAST SEEPAGE 1-A x1.� = 3�� Cam.P. C. ° s. . o • . • e • • • • ao °•r P/7OR ZVVIV. ! INVERT ELEYATIONS i!3. r x t ,o = I ! 3 G P. D a :.• e o • • s • • • e ;mo o E L - I'l /NYERT AT OU/LD/NG I--•5 FT. 6 D/AM• INLET .SEPTK' .TANK '13.3 CRPA�!T ( 490 G.P. D. 12 F . 401A M. CCSEETABUL.4T10N, FT OmTLET SEPTIC TANK �L3 I FT. mm rr D/STR/8UT/ON BOX 22.9 c,7. SECT/ON OF GROVNO TER TiIBLE D�ITLETD/STR/B[!T/ON®QX Z-? •� FT. _ /NLET/.EACN/NG PIT -Lz.S FT. SELVAGE O/SPOSAL SYSTEM. 7A Li4TlON LEACHING P/7' '� FTSCALE : _ /_�. PimevS/ON',A DRS/GN CR/TER/.4 p/>rIENS/oN 8 4 F'r• A IVAfOEM OF BEDROOM5 3 D/HENS/aN C 4- FT. M!Q R GE /SPO,S,•IL UNIT O SO/L. L OG ` SD/L TEST TOTAL EST//rNTEO FLO*V 330 Ga4,1p oY SO 14 TEST At/ SOIL TLESTilt2 NUMBER Of LEACHING PITS_ I fEtEY. 14.1 ELKY, 21 DA rC OF SOIL TEST l.0 4 FT, - -- - R g�ti is S/OEL.EACH/NG PER P/T-- � .S1Q, EoAni � LOkM RESULTS H//TNESSED BY o' 2 60TTOM L6�ICN/NG PER PIT (; "'• 1 sQa PT. & 0 -�' ei REit COLAT/ON RATE jo/ LE55 M//V�II NCH s.,PSQ L Ste,Aso r. TOTAL LEACH/NG AREA - SQ. FT. PJEIeCOLAT/ON RATE j*2 `j MIN.1INCH RESERI�ELEAC'HlN6AREA - ` SQ. FT. �' �'` IL, o 1H Of m! r, 'J: 'jti,\� �� ! LET SB - oL��1A M. � SASS a3/' � Y Or HN tiG aio AIBERT\ c- ,t _ - �A �f�f�I "R-l� 14,4 E HORSE:,; ` E OR GE G/ LEDENNEFR/NG CO /NG• �� 9o�FG/STE ��' EL /1, `� 712 /CIA/N ST. �4 y� Fss/ONALE��® NO GROUND kw4TER ENCOUN74m-' > NYANN13, MASS. GM0LINO WATER AT ELEV .L4-4_ g00SI SHEET_L.OF _ JOB;No. t ! 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