HomeMy WebLinkAbout0050 SEA VIEW AVENUE - Health �;� �
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/ Sewer Permit No. T®S~
Name
Location
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8- Installer's Name &Address �o� tr'.
Builder's Name &Address
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Date Permit Issued Imo' ` 76/
Date Compliance Issued l /,"
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
7T Z V'tJ------_0F.......8. •.1 " - li
Apli iratiou for Uiip'alitti lUorkg Tomitrurtion Itamit
Application is hereby made for a Permit to Construct ) or Repair ( ) an Tndividual Sewage Disposal
System at:
Z
Emow_.... •....... ...:..... . . --• -----
orLot Noct n r' .... .._... .. :__. ..._..._ ....... ... ....... ........ ..........._._____
n r - Address.
---- -_----____•--------- --------• ----. ----• .......--- ..... '--.-----.
Installer Address
Type of Building C w Size Lot_�alA3 _._Sq. feet
Dwelling—No. of Bedrooms_____.7-.__._ Expansion Attic ( ) Garbage Grinder ( (�
114 Other—Type of Building ___________________________ No. of persons _______ -___ ------- Showers ,( ) Cafeteria ( )
a Other fixtures ----------- - '
W Design Flow...........J_5J__...._..................gallons-per person Per day. Total daily'-flow __-_-15.16-0.......... _____.___ �to
Qi Septic Ta k—Li acitJ5.'00gwllons Length` �____ Width _ Diameter................ D t
t ..__-__
W Disposal o- .__.._�_...___. Width....):0_:.._.._. Total Length___'&_6..�.__.Total leaching area.4re ___.sq. ft.
x
Seepage Pit No._._"- ----- Diameter __..... p g q..___..._ Depth below mlet.__3_a__`Zt__ Total leaching area__________________s ft.
Z Other Distribution box ( ) Dosing tank� �i �p - a
Percolation Test Results Performed by. l.tz,,,re�UV Erb /. ' Date_ :� J_.._..._
,tea Test Pit No. 1______z___.minutes per inch Depth of Test Pit ]�'L� Depth to-ground Ovate _..._ b.All`�
Test Pit No. 2................minutes per inch Depth of Test Prt_.A._ _......... Depth to round water.....
Description of Soil"...Z -Q_1. '_... 1I.....-...a.
.. l _ --•-• T o.22 ---- lv.� Clr
}
W -----------•------------------------------------------------ ----- ---•--•------------- --
UNature of Repairs or Alterations—Answer when applicable.....:. ....... . . ... ..:... '._:._._..........................
Agreement:
The.undersigned agrees to install the aforedescribed Individual Sewage Disposal Syste accordance with
the provisions of TITLE 5 of the State Environmental Code—The under ned ees not Ito place the
r system in operation until a Certificate of Compliance has been iss e boa
l,.
Signed _
9 �. ..., �����s.f./�.� -�- -...
Application Approved By ... .. .... .. .®.... ... � Dare
Application Disapproved for the following rea s: t
------ ------ --------
------
.._
Date
ti Permit No. ./Vj�//� .. ...---..... issued. ------- .. ..............
No................-....... Fim..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
- . c� •ter" a•. � ,
C l„ ----------OF.......
Appliration for Disposal Works Tonstrurtion Vrrmit
Application is hereby made for a Permit to Construct O or Repair ( ) an Individual Sewage Disposal
System at:
ILocation-Address or Lot No.
t ip .
•...............• ........ .............n r ! �G Address
av`• ••..... l� 'L..--•-•-`......................--••--...._ .....-•••••-----•............-••------•--.... ....••••-••-••---••--•............................
' - Installer Address
d t" ~1 2Type of Building Size Lot_�. �__�'; .�__Sq. feet
., Dwelling—No. of Bedrooms.__...5..................................Expansion Attic ( ) Garbage Grinder ( ,
a`4 Other—T e of Building No. of persons ....................... Showers
YP g ---------------------------• P ( ) — Cafeteria ( )
dOther fixtures ------------------------------------------------------...-----------...------------------------------....... ----------•-•--•-•----•..........-•----
w Design Flow.... ..... �J.....m..................gallons� per person - eray. Total daily w.-__-_5-`�_ .....................
gal"lon"w 9 Septic Tank—Li acitv]500gallons Len th _ra_!!°�___ Wi Diameter----------------_D t ..
.._..._.. Width...,l.�_......._ Total Len th__r�e6.! Total leachin area x sq. f t..x Disposal
3 Seepage Pit No....°!"'""`-_..... Diameter..` `.--_-.-• Depth below inlet_...3.__:�r.�Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank („ ) 4 f r •,
.-, � r~~ t r F i n
a Percolation Test Results Performed by. 1 , .J�3 °� f 6._)_p t-Date...-'.�.x�d,�' k � ...
Test Pit No. ]...............minutes per inch, Depth of Test Pit---- ._.____•- 13epth to ground water!--.-'►�.Z..A,'"f
fz, Test Pit No. 2................minutes per inch Depth of Test Pit ° A./' .. De th to round water Q.N
aJ..'/' r✓ t �-- . Fr. G.AaP ��' (i fI '..I P /
D Description of Soil '` -t = 21 . ... ..
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 Environmental 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
J - .........:..............:....----- ........
Application Approved BY ...... .V..._, .. ...j ? -/ �'..- 1.�.... % `. ; e.....
W 1 s. .. -----
� Dare
Application Disapproved for the following reasons: ............................................................
,t
................................................. r............F_.....:...........;........ ........................--............... .. -
' 1 � / Dare
Permit No. ............. ....`.... ��-/�
............... ... Igsued ....................... �---.-----... --.
t ✓ Dire P
- THE COMMONWEALTH OF MASSACHUSETTS
BOARD/OF HE/A/UTH,.
........'.....(.� ;/�l i� J �f.`--�------------------
1.- .. OF -------- ;..:
(fErttftxrxt.e vrt Cfomplianc.e
THIS S TO CE TIFY That the Individual Sewage Disposal System constructed Y") or Repaired.� � g P Y ( ( )
b ... ` .-...-. ............. ll-.r.-- n/..... 7--.........
............._ - ....
at .................. '......./(...)....... 6..0t !I 1 I)l ........1`� Yt ✓. ��Y.. .. '�......�,�.L� ...--............. .....
Y / 1
has been installed in accordance with the provisions of T4TLE 5 of The State Environmental Code as described in
the application for Disposal Works Construction Permit No. .... 1..4,- . ,r�.-.`..2... dated .......................V. ..
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BEICONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. ��
DATE........... —... � ........... Inspectodl.-.. . '
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH f
:� � ' J ►.� 1 ! �( I . /OF..........
f �\
/ i / -! .l^ , r/ ............... I
l u o
No......................... FEE........................
Disposal,]Forks Tonotrurtion3 "rrmit
Permission is hereby granted............%. ...f.......................'....... :___ f+.............1
to Construct ( �);or Repair (� ),an Individual Sewage Disposal-System f
at NO t�'ef , % � a ' f l v� n r ! / 1C'_ ,,, �—'
...........1- ;_._•..............•.............................. "e•----=-•-••......-..........--•' ......t---•
as shown on the —_t I Street Cj l� ?
e application for Disposal Works Construction Permit No.___�............... Dated..........................................
........--•-•............•-••••--••-••-------•-----------------•---•-•------•--•-••-•••••-•-••--•••...._
Board of Health
DATE.................•-.............................................................
Form 1255 ,. H&W HOBBS&WARREN rM Publishers
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GENERAL NOTES' SOIL TES PT RA M
1. THIS PLAN IS FOR THE DESIGN AND INYERT ELEIYA TIOUS T.P. -1 T.P. 2
CONSTRUCTION OF THE SEWAGE 0157°OSAL L *6?•00 GRND. ELEV. 2 5' GRND. QEV. 2 0, 3 0
FACILITY avYr _ INVERT AT BUILDING s •00 S.Y. ELEV. — S.N. ELEV. -.
2. ALL CONSTRUCTION METHODS AND MATERIALS INVERT IN AT SEPTIC TANK n
FOR THE SEPTIC SYSTEM SHALL CONFORM 26rCIO 'f0?0)L f-1L L
�O MASS. D.E.O.Er TITLE 5 AND LOCAL
INVERT OUT AT SEPTIC TANK `2 �a - ACCESS COVERS MUST BEr!✓ITNIN 12 OF FINISH GRADE.
'BOAPAO OF HEAL TH R£GULA TIONS. INVERT IN AT DIST. BOX 7-3-L4 1 INDICATES z' $u '012
3. ALL SEPTIC SYSTEM COMPONENTS SUBJECT TO INVERT OUT AT DIST. BOX Z3.2 g �'y�� PERC. TEST ,
Z .� N1�o, 5 �vL
YF.YME LOADING (I.E. UNDER DRIVEWAYS, ETC.) INVERT IN AT GDt L 1. �S 22. O MIN, 2" OF �'o PSd I
SHALL BE DESIGNED TO WITHSTAND N 20 LOADING. G l .z 1 2�• D 1/B'-!/2' DIA. 5A� Y
BOTTOM OF G A L L�-<S --�---. 4 MIN. 5 u g SotiL
4. ALL SERER PIPE SHALL BE SCHEOLLE 40 OR r � � LIOUID WASHErI STONE INDICATES
OdSeA,/ED 6AOUNOJdA TEA e,� 23.55' OBSERVED
APP9f�YED EQUAL. ADJUSTcD 6A17UND,i/A TEA 10 L r, DEPTH DIST, N 3 &7GUNGWA TEA u1�LS7.
/4'-1 1/2' DIA.
5, BEFORE STARTING CONSTRUCTION CALL DI6 SAFE loin, � d GAL, BOX M t� WASHED STONE - D
1-800 322-4B44 FOR LOCATION OF SEPTIC TANK H-2 0 1 .7. INDICATES
owERoRDUND UTILITIES., 0 TEST PIT
6. DATLW IS NGYP i 3'
J: IT .ShG4LL REMAIN THE CLIQVT'S RESPONSIBILITY
TO 08TAIN ALL PERMITS ' SPECIAL PERM rTS, k � � 6 ♦ N o W Nr"( �G h1�r••t'�•�
VARIANCES, ETC. FOR1fHIS PROJECT.
t OATE:
B. IT "LL REMAIN THE CLIENT'S RESPONSIBILITY
� a P pJ✓EL�,IN6 OUNAATI'A+�ll
,�cp
,�c,S ED�Q A T Ft7p THC' STING GARDE' �a C 1 1.L 0. wr HYr- 'F PvG ld ma's• C,
AACD SOrc CONarUOM A7" .TML 4vca rrOk OF MEL EGfiNZ
PROPQSED DWELLING.( niLgF9. FoupvF '1o►,► W/ 3` S'ro Lie WITNESSED BY.• �".. ffX
IS L04A%r-e p I � A� eX I S`n -J a V:VLLW "" 50 = EXISTING CONTOUR
Ac vt eA ON ` -W& LOX ) � _ PERC,
'E-} -2 C� RATE 2 MIN./ IN. )*--i f'^ ST> S flv+-c y
50 - PROPOSED CONTOUR
q � TN`�S 51"i'iC. t s Lo�'.D.�~��D �►-� -r»-E ,, — -� — - _ �''- 82 3
A'P' PRO-t 0 N 50 = PROPOSED SPOT GRADE
a v� .t.c-►� w tisYR�GY. LIF'SIGN CRITERIA:
.,,�'�►= DIRECTION OF STORWA TER
RUNOFF DESIGN FLOW.'
BEDROOM omaL ING gp 110 GAL/DA Y PER BEDROOM
OF 1
EQUALS s�✓ GALS. PER DAY.
ROGER SEPTIC TAMK REQUIRED.'
naicHr"viwiCz � �•�' D GPD X 150,r +� f SAL.
No.30420
V V p1 R�i'. 1� . t W'►�i.6T C I V L Q p
^' �F �L SEPTIC TANK PROVIDED.• •� GAL.
SIZE OF LEACHING FACILITY RE4'UIRED
4_ PR ESSIDN' DESIGN PERC. R A TE
ENGINEER
2- MINUTES/INCH
r
XASHINGTC V A VENUE `
r'.../
Z�xs 2
SIZE OF 4EA01-ING FACILITY PROVIDED.•
DA rE S NE
r ti y WITH 2.50
LOT BDOM L � S.F. X 1 .Q „ 6 (j Epp
. _
0433f S.F. TOTALS �rct S.F. GPD
_-_—G ...
BREAKOUT CALCULA rIOA(.T
v,. SLOPE t�/ 'L2 X 150
� y,;°y!-fit �•;-I ; ,�;
o d• Rr "VISIONS-
i ?.f r.
NO, DATE REVISION
z � ) PROFESSIONAL' LAND P71711,TY01?
SSPT%C "�'AW�Y-
TV Q v�J
l DA7F
L.
oop AoKe.A
.. ) �.
w «... ;ry
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PLAN S/OYING THE DESIGN OF A PROPOSED
_ SUBSUr�F�CE SEPTC DISPOSAL SYSE
L OT A B # 50 SEA � VENUE BARIVSTABLE MAB.M. - Top OF CONCRETE BOUND 2?X?6 M E''�"�' w, 23X28 'IE,W
L 27.23 (NO2 SEA Y'IEW AVENUE
SCALE .1 = 40 ' DUNE 2, 1994
3
o Y EAGL E SURVEYING e ENGINEERING INC.
5- t�rya P s •� L S 44.f ROUTE 1361 SANDWICH MA
PROJECT A'".,MBER 94-055
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