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HomeMy WebLinkAbout0010 SHARON CIRCLE - Health�k l4 s ,s �y LOCATl�OId SEWAGE. P[ 11141T NO. VILLAGE ��1 •l-f-t� 4 M i S _ .� ��_ INSTA LLER'S NAME ' V ADDRESS �e-K 0UILDEIII OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 1S � 6-a� /171;4 ............. THE COMMONWEALTH OF MASSACAUSETTS I BOAR® OF HEALTH ---------®w r.............OF..........�✓�rer ..: XV.PhrFafton for Disposal Works Tnnstrnrtiun ramit Application is hereby made for a Permit to Construct (✓jor Repair ( ) an Individual Sewage Disposal System at: ......... :�.................................................�� 8 4il ocation-,AdAress 1 / /or Lot No. .5fK:i///. ................ Owner [ �1 Address L>a /G C?._. s I..ri fG 7�iosJ © fX_ .. rl rJ/5. a`d 5• ............. / .. Z.+._... gyp........_....__.. ra Installer Address Type of Building Size Lot..-_ L.1.7.__._.....Sq. feet U Dwelling—No. of Bedrooms..............�.........................Expansion Attic ( ) Garbage Grinder ( ) �+ '4 Other—,Type of Building No. of persons............................ Showers — Cafeteria Q' -Other fixtures .................................. WDesign Flow....................... .............gallons per person per d y. Total daily flow....:.............�,�.Q-...............gallons. WSeptic Tank—Liquid*capacity/QO®.gallons Length...,�� _ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. � Seepage Pit No __ ameter-__ GDepth below inlet..... Total leachingarea ;9•- !�.aAq. ft. Z Other Distribution_b_ox--.( ei Dosing tank ~' Percolation Test Results Performed by.A.�� X...cr Date...... ................ ,a1 Test Pit No. 1__.!,,--_...minutes per inch Depth of Test Pit__._-/-4: _".__ Depth to ground water...A-4on&...__. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------------------------- ---•--•--•------- ` 4 = ....................O Description of Soil--------------- �®%- --� W ---------------- -------------------------------------------------------------------------------------------------------------------- .......................................................... VNature of Repairs or Alterations—Answer when applicable............................................................................................... ------------------------------------------------------------------------------------------------------------------------------------•------•---------------------------------------------•------•••----- Agreement The undersigned agrees to install the aforedescrib d Individual Sewage Disposal System in accordance with the provisions of TTTI;�. 5 of the State Sanitary Code Th ders n d rther agree of to place the system in operation until a Certificate of Compliance has bee ued t e bo rd 17) Signed ._ . Date Application Approved BY ' '.....:/ .._.... ••-•�Z` Z —G�Z� ---- - -------- Date Application Disapproved for the following reasons---------------••------------------------------------------------------------------------•---•------------....._ -•-----•--------------------•--------•--...-•----•-----------------------•---------•-•--------------...----------....._...........-----------------------------•---------------------------------•--•... Date PermitNo......................................................... Issued........................................................ Date N......8 : �6d �` Fxs.......'l'?...._.. - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ac.,J.*�...---.....OF........... lirrl5 b/ ................................... Appliration for Uispwi al Works Tom5trurtiurt Vrrmit Application is hereby made for a Permit to Construct (✓f or Repair ( ) an Individual Sewage Disposal System at: d5�crc,.�f/� /������i�s ��rr�,s����....l�G�s ocation-Address or Lot No. ----Q ��u�/%. �i -GI ._ 'c/ Ti r�� ...GG � '� -.ors,/ou�S.�..T�c�s c ................ O Owner 1 /', Address a t..... TiO� GG ... /�`7 Ce rl/J...5 /1'��r✓..5 .r Installer Address Type of Building Size Lot..Z/_124.....Sq. feet U Dwelling—No. of Bedrooms.............-�_.._..._.._._ .....Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building ............... No. of ersons.........._.........._.._... Showers — Cafeteria a YP g ------------- P ( ) ( ) a Other fixtures ----------------------------•--- . W Design Flow......................5-.~............•..gallons per person per d y. Total daily flow..................33.o................gallons. R: Septic Tank—Liquid capacityl��o.gailons Length.._sf _ Width................ Diameter................ Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No......... Diameter.... _���.... Depth below inlet._ .- .. P --•----7--52----- Total leaching area.:3�!•_5�q. ft. z Other Distribution box ( ✓f Dosing tank ( ) '-' Percolation Test Results Performed by.!�GX�.'" Date__....✓� --............... Test Pit No. I_...��4----minutes per inch Depth of Test Pit..... "_.. Depth to ground water.__A�an�-.._.. Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a -----•-----------------------------------------L--,-------------------------- -•------------------h/...... -........ O Description of Soil.....---- ------.Z 4P U --------•------•-------•--•--------------------•••--•.....................................................................................=............................................................ W -----------------------------------------------------------------------------------------------------------------------------------------------•-----------••-----•-------•......------.......---.•---- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ---------------------------------------------------------------------------•--•--------.......-•....---•----....----------------------------•--•-•------------------•-------------.._...............---• Agreement: The undersigned agrees to install the aforedescribIT d Individual Sewage Disposal System in accordance with i the provisions of of the State Sanitary Code The ders• n d ther agrees of to place the system in operation until a Certificate of Compliance has bee i ued the bo rd h Signed. - - -------- - -- ---------- --••------ ---------•---- - r � 2a ? Date Application Approved ..._....._ .... ........................... - ...� Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ...............................-.......................---------------------•.......................................................................................................................... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trr#if iratr of TuutplitU rr THIS I�OE FY, That the Individual Sewage Disposal System constructed ( ) or Repairedby.....__... ..�......'..............•----•--.....----......---_y....------..........•.----•-------•--------------------------•----.......----------------........ /Installer at........... ---------..:. 1,,? ? 1. ( u,��.�,P.. -------- ------------------------------------------------------•--------------- has been installed in accordance with the provisions of TITLE j qf The State Sanitary Code as described in the application for Disposal Works Construction Permit No----- !�_' ........ dated----............................................ THE ISSIJ NCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM;I F CTION SATISFACTORY. (/ DATE.... l...Dt�------------------------------------------------------- Inspector..... ._ ... ............................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.. 4�:".�-'+�� FEE.... ........... Permissionis h reby granted.. --------- � --------- -----------------------------------------------------------------------------------------•-•••......... to Construc t or ��e,ppair ( an Individual Sewage Disposal S st . .�. _. . ..._.. �.. Street as shown on the application for Disposal Works Construction Permit No..................... DVed.......................................... ............�. _. �_._ •------------------------- / 7 �/- � Boa of Heaith DATEc ---------...---------------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS SITE PL AN T YPICAL PROFIL E SCALE — / = NOT TO SCALE /8"sm. LT. WGT C.I. MH COVER s:o 4 C.I. PIPE 4 B/r FIBER PIPE TIGHT JOINTS FLOW L/NE OUTLET LEVEL _ TO FIRST ✓OdNT - - - - - - -- - DWELLING 14 47, -- o 0 0 _ r i o C.1. TEE Cl. TEE — / \. q� L4 7 a 7 STANDARD PRECAST 4 r-- - �� CONCRETE/�OGALLON L4lo� 0 - -_ SEPTIC TANK 11 0/5 TRIBU TION BOX STD PECq 5T /'E SEc .E ACE `= B TO BE INS TA L ED ON I p Coin• LEACLr 5,'u ;G' �o Et r_ LEVEL , STABLE BASE I g- � � � SEPTIC TANK C o T s TO BE INS TA L L ED ON LEVEL , STABLE BASE pis 7: Box STD. F PE ,�j_Cp Uhl 1 4 L ,EL. 31 2 - l/B TO I/2 WASHED PEA 5TONE ALL AROUND FREE OF IRONS, FINES LEACHING PIT �EPT!� TAB 'K AND DUST /N PLACE BASE TO BE LEVEL yp%� •t , �\ BRICK 8 MORTAR COURES 314" TO I-//2„ WASHED CRUSHED AS REOUIRED TO BRING `�• Sz t. COVER TO GRADE. 24"C.I. MH COVER STONE ALL AROUND FREE OF P�oP 3 �'e P `�' c AND FRAME IRONS, FINES AND DUST /N PLACE r A 4„ 4 O 1 8 FLOW LINE - LEACHING PIT SEC TION— INL ET 7- _5S PIPE T 1. CONCRETE TO BE 4000 PSI 28 DAYS 2. REINFORCED WWITH 6" x 6" NO. 6 GA. W.W.M. --L-' 3. 2' AND 4' SEC1fI0NS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS. I / OPENING WITH 4-I/8 4. NUMBER OF PIITS REQUIRED / OUTER DIAMETER B 35•9 _777— I-314 INSIDE DIAMETER NOTE EXCAVATE: TO ELEVATION OR LOWER AS REQUIRED TO (REMOVE ALL LOAM AND CLAY BENEATH 47 I ^ PIT. REPLACE: EXCAVATED MATERIAL WITH CLEAN GRAVEL TO DESIGNED GRADE . -46 z o 61_ 6 _0 MIN \ ' Va EFFECTIVE DIAMETER L o r S7- q� I (NOT TO EXCEED 3 TIMES, 0/MSS, EFFECT/VE DEPTHI tK 1 \„ \ A - .1- -.�-v WATER TABLE i 'V i 1 SOIL A ND PERC. DA TA - GENERAL NO TES \ i PERC. RATE z MIN. /IN . NO HEAVY EQUIPMENT TO RUIN OVER SYSTEM SEPTIC TANK, CISTRIBUTION BOX , LEACHING PITS TO BE STANDARD ti RQxT e x ti4'� A [ .40 .10uE� E. y a TEST BY: _ f., o �- p,/�3 PRECAST REINFORCEC COr`4CRETE UNITS 0 ( r WITNESSED BY: -_ cU - -�'� ' 1 ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE , 9 h TEST PIT GR. EL.: DATE '- \/-3i 9' MINIMUM REQUIREMENTS FOR THE SUBSUFACE DISPOSAL OF 9,1 TEST PIT NO. I TEST SANITARY SEWAGE EFFECTIVE I JULY 1977. _ TEST PIT N0. 2 0" 0"\ ANT' CHANGES TO THIS PLAN MUST BE APPROVED BY THE.SlJB�L;'L Zy ~ -�------ -� 60ARC OF HEALTH AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING, THE M9D, � AA—f zz /4 " < ��' + �� tu/ BOARC OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. 'J `� PITCH ALL SEWER LINES 1,/4'' / FT. UNLESS INDICATED F n:77-�- -- -�;aveAf T �r f 44� OTHERWISE COc;,Vpk;.4 C. DESIGN DATA BEDROOMS DISPOSAL EST. TOTAL DAILY EFF -"1U GALS. L EGEND — SEPTIC TANK la "' GAL SIDEWALL AREA 2' '� GAL./SQ. FT. BOTTOM AREA -GAL./SO. FT. SEWAGE DISPOSAL SYSTEM O XOO EXISTING GRADE LEACHING REQUIRED �� `� SO.FT ZONE: �C `a o\ FINISHED GRADE ACTUAL LEACHING AREA 3 "� 50 SQ.FT. FOR ' ` � V/ ! L E �EGH T ES O • ooDOMESTIC WATER SOURCE: V4 T INVERT ELEVATION - L o T - 5 A_2 C/,CCc E _ e,?_i 5 T,4 a E _ 4-1 d 5 5 PROPERTY LINE •� OFI,I,f �� A( PLAN REFERENCE: o > 55 0� 7',E,e vie � E NE/� ITS � '; 1 s�'a�.MEAN HIGH WATER SCALE' AS INDICATED DAT E - -- --- /m Robert h. Wilkie BENCH MARK DATUM: 4 SSuM o CiEL D sine VEY At +� - MARSH Cl No 29187 NJ�1 WM. M WARWICK 8 ASSOCIATES BOX 801 - NORTH FALMOUTH 9pF GISTS S 3.A CHUSE T T,- 02556