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HomeMy WebLinkAbout0031 ROBBINS STREET - Health 1 �-�-� � �� - __ - -- - ._--- _____ _ _ _-- --- f � � D No................. --�-----�_.. . ' ate....-:3......�...... THE COMMONWEALTH QF MASSACHUSETTS BOAR® OF HEALTH .............. ............OF......1 ,........... ------........................................... I� 6b(° Appliratinn for Bi_qvniia1 Works Tnnitrnrtinn Prrutit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: _ 4,117.2w. Locati Address n t No. Owner Ad Installer Address U Type of Building Size Lot... 7_. ._._Sq. feet Dwelling—No. of Bedrooms-__-•-_-•_.�-----_----------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons............................ Showers — Cafeteria Pa Other fixtures -------------------------------• - W Design Flow...... ............................gallons per person per day. Total daily flow............Sap...................gallons. WSeptic Tank—Liquid capacity...d��.gallons Length.__ ____.___ Width.....y....... Diameter________________ Depth............ x Disposal Trench—No................... Width.......---------- Total Length------=:-......... Total leaching area-----_r ..........sq. ft. Seepage Pit No.........'_.._.------ Diameter.._.. Depth below inlet......4?_.......... Total leaching area..:.-2.49.,�7..sq. ft. Other Distribution box (k) Dosin tank ) Percolation Test Results Performed by--------.......... __ ____ ___ e � � Date....25.)'``" .- 9 77 ,a] Test Pit No. 1.._.e -___minutes per inch Depth of Test Pit------_2._...... Depth to ground water_-__---------'`-­---. i, Test Pit No. 2...:�. ..._minutes per inch Depth of Test Pit------1 Z-------- Depth to ground water..--'*'--- 'ti a •--•-•••••---------------------•••-•----•--••...-••-•-•-•-•--••-••................ ....•.. ° -•-•-- De i tion of oil.... ...............e.... ............................................................................... 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 ITI.1'^ : 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. r Signed % 1' z---------- -----�_0-- ?� Y Date' Application Approved By...... 1 _-: '.------ Application Disapproved for the following reasons-------------•------------•---------------------------------------------------------------------•.....*-------•-- --•----•-•--.....---•-•----------••-•----•-----------------------•-------•-----..._..........-----------------------------------•-----------------------------------------------...-•------•---••------- Date �0 ..... ISSUed b- ..........•....... 11D Permit 0...-•--------•------------------------------------- ate '°• Of No........................ FEE.. ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEALTH ................ ....._OF...... .............................................................. Appliratiou for Uhipoiial Works Tom3trurtivit Vrrmit Application is hereby made for a Permit to Qonsttuct or Repair an Individual Sewage Disposal Syslem at: ................................................................................................. ...............;........J.. ......................................................... Location-Address Lot N re'a­au or CLZ� ................................ ......................�................... .......................... "'e we r,, ...... ............... '� ; Installer ------- ----------------------------------------------Address--------------------------------------------------- OP -- ------------- Type of Building Size Lot____,./ ...Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic Garbage Grinder ( ) P4 Other—Type of Building ............................. No. of persons............................ Showers Cafeteria ( ) Other-fi,xtures ----------------------------------------------------------------------------------------------------------------------------------------------------- Design Flow....... ...............................gallons per person per day. Total dail), flow............ ......._........._gallons. W Septic Tank—Liquid capacity............gallons Length----9�....... Width..... I....... Diameter---------------- Depth... ...... Disposal Trench—No- ............-------- Width................... Total Length------=......... Total leaching area------=..........sq. f t. Seepage Pit No---------I---------- Diameter........ ........ Depth below inlet._.... __......__. Total leaching area... -:5.......sq. f t. Z Other Disqibution box ( YQ Dosing prik 4 ,bp, M '?7 Percolation Test Results Performed by.J�---------- -------------------------- Date_._.....-2........4....................... Test Pit No. I..... ....minutes per inch Depth of Test Pit........ ...... Depth to ground water------------------------ Test Pit No. 2....<.� __._minutes per inch Depth of Test Pit--- Depth to ground water........................ - ------------ ....................................................................... ..............Z�...........­........ ...... 0 Description of Soil......... .................. <5 ................................... ------------------------------------ 17 U ---------------**------I.. .. . ..... ........................................................---------------------------------- 7......................................................................................................................................................................................... U Nature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------- ........................ ........................................................................ ............................................................................. .............................................. N Agreement: if't The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T.L T.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 issued by the board of health. Sid... ............... ................................ ....................... ............ ... .......... I Date ................................. ...... Application Approved By------- _,4 ­ ------- 7 - V Date Application Disapproved for the following reasons:........................................................................... ...................................... ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------............................. Date PermitNo........ ,Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ............OF..................................................................................... T rt-f- tr pf Tout Hatta y ....... -- THIS IS 'rO-)6ER TIF Y, T' 'I.ha the 6'�Vidual , e Di constructed or Repaired.. . .... .... ............................ .. -------:7 . .... . rsea l fl e r t ..........................................................at,.... ....... .................vj ........................ .......... .................. .. ..... has been installed in accordance with the provisions of T 5 of T4e State Sanitary Code as described in the application for Disposal Works Construction Permit NO. ....... dated------- ----- --71 .... THE ISSUANCE­OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM, WILVFUNCTI9N SATISFACTORY. DATE... ..........---------- ..... .......................................................... inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD r%m HEALTH L71) . .............. .................OF.....................`............................................................ _N FEE........................ Permission jahereby granted--------- � . . .. ............... ....... ......... ............... to ConstTlSt Repair ut 1.Sew g spo G ` at ........... .. ...W.'eIN., ......................... ............. ............................................ No.J Street 7�. as shown on the application for Dispos4'"V rks Construction P Al..,: ated.......................................... Per c . .......... .....1.--Z' .. ............... ------------------------- l3oard of Health DATE---- ...�7- ........................................................... FORM 1255 HOBB S & WARREN, INC., PUBLISHERS --r� 1 7 c - j- r, �o • oc TYPICAL SYSTEM PROFILE I AREA PLAN L),Tl#�L RuH N S JT. L ( U r J. �. FINISH GRADE=�� NOT TO SCALE '' ------- FD N TOP �— ..__ - - c•� FINISH SCALE : I 3`, /VOT / t,1 T f--�k- FLO0-0 /--1- A ���' FINISH GRADE OVER TANK= -���� OVER GRADE P I T VF _ f PVC OR O O ° • • • • o 0 `.,�C. 1. TEES !F,7 - • Y ti�j'� ^•� i '�EX i.5� --- .5/. 00 � SC?•J(.J K..o.� .: :o-� `e.-.•. .� • ` a.:. v • e o • • • e • Lt� r;,�/ BSMT W�.C�(J DODO * FLR` L. 4 .�'�� :_� o • o o • • • t o • o e .-. REINFORCED DIST. BOX "` • • • • e `' TO BE INSTALLED ON j CONCRETE 8 e • • ° • • • • • o o ° I 95..Ea A LEVEL STABLE BASE e ° a ° e o • o e �rf S K i — ° e o • • • I • o o ° o ° T =so co r Ass u�+i:�_)j S E P T I C TAN K TO BE INSTALLED ON A ° F'-'' LEVEL STABLE BASE ° o • • • t • o 0 C 2 -I/8 - 1/2 WASHED PEASTONE ALL U,G,07%LI T-1LZ /z' !, AROUND FREE OF IRONS FINES ' ' ° • 0 0 0 °LCC c7T/D/t! �(-! �' ,-` BRICK a MORTAR COURSES AS rvy '�/���'7' L' ,I �'�� ` - REQUIRED TO BRING COVER TO GRADE � AND DUST IN PLACE LEACHING PIT 24 "C.I . MANHOLE COVER a 3/4 " TO 1 -1/2 „WASHED CRUSHED FRAME - SEE DETAIL STONE ALL AROUND FREE OF BASE TO BE LEVEL IRONS, FINES AND DUST IN PLACE ( I f� ':,1i,J.1 1� II FOR FIN. GRADE SEE SYSTEM PROFILE SOIL AND PERCOLATION I� = 14„ ji I DATA — _ - - -8„-- -- - - - - — - PERC. RATE : < ' . MIN.�IN• „ o FOR INV. ELEV SEE ELD�'E c E Eti'G�yr Fkl.� , INLET _ • SYSTEM PROFILE 6„ TAKEN BY . LINE o . - 0 WITNESSED BY:vs+v� ue✓a�,o r Hn.4ti`rs: E BD v� PFPi r vy I ° 0 OPENINGS W/4-1/8 24 J vti E If OUTER DIA. a I -3/4"� DATE ° ° a _ - 0 INSIDE DIA . 0 ° 57. �• 55..;.w~ �,, 7 _ ° TEST PIT-GLAD ELEV. 6 - , ' _ p o TOTAL p 7,, q, 7W 0:L 3' o p AREA o o �. _ cti� ,• �. NG. r: U.�r /Ev4E ° ° 0 0 0 0 5 F' p 0 0 SUES-SG/L. �LAb-50h, OR WA A .. vll - t • - o 0 0 0 0 0 0 0 _ CDH�cS ,q — p >l _ e. � . STAC . SET 0oeoo o 0 0 it -- ----- =-- ' jNrA!J L.OT#92 � 6 6 , DIA . _- 7 • —.. sc� 2/0794fl /0 �, EFFECTIVE DIA. BOT. PERC. HOLE DOWN LEACHING PIT - SECTION r ,`'`� -✓ NO SCALE DESIGN DATA : �.� NOTE' DO NOT RUN HEAVY EQUIPMENT OVER SYSTEM NO. OF BEDROOMS 3 54 �, ��,;. '20 DISPOSAL TP #I LEACHING PIT NOTES: EST. TOTAL DAILY EFFLUENT `�`"' GALS . �3• \ `fa 0�7.15 , l e+ SEPTIC TANK 100 ..� GAL. ,o � ,, s. _ Z33 — 1 � I . C 0 N C. TO B E 4 0 00 P.S.I a 2 8 DAYS . r KNrr �. i �, 3��.aU�. �� 4'` a, '�� �.) 2 . REINF W 6 " x 6 " 0PIC6 GA. W. W. M. V �5•�5 • \' % G'ti v- `'�� P7 3. 2 'AND 4 ' SECTIONS ARE AVAILABLE FOR U � fir,,\.�. .., �.(s��.� � GENERAL NOTES ` 54.,�\s GREATER DEPTH REQUIREMENTS 1 1 . ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN '� --.,��� \ \ '` 0 9� \ R\•� 34 S� . NOTE ' ACCORDANCE WITH TITLE5 OF THE STATE SANITARY CODE EXCAVATE TO ELEV. 4 OR LOWER AS DATED JULY 1,1977 aANY LOCAL RULES APPLICABLE. REQUIRED TO REMOVE ALL LOAM AND CLAY CONTAINING ' ' AA/ � R " / o�"�*�-' `qQ�, �•' \ 1 2. ANY CHANGE TO THIS PLAN MUST BE APPRD. IN JV1 ' `' ' , _ iC", PAE3r \' MATERIAL BENEATH PIT. REPLACE EXCAVATED MATERIAL WRITING BY MR. CHARLES D. SPOHR. '¢ `� ! 3, -- WISH CLEAN,CLAY FREE GRAVEL, MECHANICALLY e- COMPACTED IN PLACE. 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, /i/,e W// L /A�l.' J. h'��� S �t'f ~°f� S 1 , s „� NOTIFY THE ENGINEER AND BONnv OF HE 4LTH FOR INSPECTION. '� ,r ,,., s,� SIDE L`REA = S. F. S. F./GAL GALS 4. FOUNDATION ELEV. MUST BE CHECKED WHEN COMPLETED. �9 k0s 4EEv Vim BOTTOM AREA= S. F. _S. F./GAL S GALS I y'/t�1(�LJTf-!� 1�1�, 02/g ` S�r TOTAL AREA = �`��' S F TOTAL `5 ' GALS 5. THESE ELEVS. MUST NOT BE CHANGED WITHOUT WRITTEN APPROVAL BY CHARLES D. SPOHR. 6. FOUNDATION INSPECTION READ. WHEN EXCAVATED. ` � ��'�\ LEGEND r AREA PLAN : + 50.G , EXIST GROUND ELEV - " I k M1 f-Y-f�,�t, , �00 50.0 FIN Sf GROUND ELEV. UNDERLINED �lMr fin//, //�J �uT1E1�fL1-C ��//�/;a � L�T 92 �D REV DATE DESCRIPTION `.� /� d �••� „ /, /DOG' GAS, /�l�"r'A.;T ;"C.)rilCf?ETE' SEA TI G 4 7 5 0 PIPE LA V E R T. ELEV. /��U�f�/cS �c'''7�� !`,,� sti�•If�C / -= .`€r` /7 �:r I� Tf�Alk \,.SE�: f-',1�'ni-'ILA /vL./4kUS S0A;t4,5Y JA,/C . � - O TEST IT LOCATION SEWAGE DISPOSAL SYSTEM P '<��T COA!G/2E TE Ups�7118UTio�v F O R r.E P TANK MR. WILLIAM J. HAYES Fe,ck T CG=p,'CAjErF 4EHCHIA16 /='Ir- /,eFQD , [] ST R I b I T i O N BOX B. �` T E = sF �4 ��;,;,5 � P,�UFILt �F MASS:; LGT 2_ R C;'B INS STREET C 4 C. i F PE - f �h ��� CST ERV I L L E MASS.(3,4,5 i� OA/ „ CharlQs U. _ -tttt-t-ttt-1— 4 BIT. f=i 8 E PIPE -- TIGHT I G H T JOINTS I N TS � SPOHR � I ' � /e/4�/�fST1r���- L /�C'�I�I-� �d�/�/��i ' r`v''� I�1 ` '. p No. 7468 0; �„ DESIGNED: C•D.SPOHR DATE/ A/OV. 7 DRAWING N0. fJS T F� C��, C G / J•�' t���V• _.% , r'� -- —— — PROPERTY E z i o�C/STE� ��% C;"+ SCALE:ASSHOWN I I I DRAWN: �.. 9 MAP SEC PCL LOT HOUSE MIN. O[ DI . LACE CHECKED: C. D. S .