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Home My WebLink About0012 SHARON CIRCLE - Health 1 Z. 5h�. C��cl-e. f x No.----•81-262:- a Fizic...2.0................. THE COMMONWEALTH OF MASSACHUSETTS EOA,RD `CF -HEALTH c� �? ..-OF........./ n : ..................................... -Appliratinn for Dispntial Works Tnnutrnrtion ramit Application is hereby made for a Permit to Construct (__�or Repair ( ) an Individual Sewage Disposal System at: /—" ...............�....----..._...... ._._... -c ................ Location l . - - !Add1res or Lot No.... ........... � s. �? r Address ----•-•--------- - o< ---- --•- •--- ---------------- •-•--•-•--• --•-- ...... Installer Address Type of Building Size Lot..Z ,-2 ?=.Sq. feet U Dwelling—No. of Bedrooms.................. .. Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures --------•---•------------------• --- ........................••... W Design Flow...................., ...............gallons per person per day. Total daily flow............... <? ®...............gallons. WSeptic Tank—Liquid capacity. allons Length---6�_._:. Width................ Diameter................ Depth................ x Disposal Trench—No........... ..... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No----------/---.,Diameter... '. ._� Depth below inlet.._ ®_._. Total leaching area__./7-.:j sq. ft. ' Z Other Distribution box ( Dosing tank ( ) Percolation Test Results Performed ------- ,aa Test Pit No. 1.....4.2-...minutes per inch Depth of Test Pit---- "__. Depth to ground water...AT�®n<:t G%, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water____-_----_-_-...._--. a ---------------------------------------------------- ® Description of Soil..................... `.2 d".. ��! — ` x w •--••--•--_..... UNature of Repairs or Alterations—Answer when applicable----------------------------------------------------------------------- .----:.-.__--. ----------------------------•--•---••--------------••-------------•-•---------------.......-------------•-•---•----------------------------------------------......-•----------------•-•--•--•-•----••-• Agreement: The undersigned agrees to install the aforedescribe Individual Sewage Disposal System in accordance with the provisions of TiT1-2'1 5 of,the State Sanitary Code The er g ed rther agre not to place the system in operation until a Certificate of Compliance has bee" ued by r Signed.. -- ...................... ........•-• .......--•...... ....� ._� Date Application Approved,By......... ........................................ -•-_ _6 L_... Date Application Disapproved for the following reasons----- -------------=----•-------•------------------- ............................................................ -----------------•----••------------•--------•---•-••----•---...---------------------------•---------------•------------.._..----••----------•-------------------------------••--•-------------•-•.-•-•- Date PermitNo...................----•-....--•-----•---••--•---...... Issued......................:............................... Date 8 7 G z •- No................_....... .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH e .............OF....... r-1/"/J�s¢Ce / Allp iratinn for Dispao al Works Tnnitrnrtinn ranfit Application is hereby made for a Permit to Construct (V� or Repair ( ) an Individual Sewage Disposal System at: Go S'� �5 �?�"o� C i i-c le.... :5i crv�Xle �� _ s sus o,�� s ................_ ......._. .._._.....__._._. .....-•_. .._.._.._.�_•- S? - 1, r - .............Wit..._ Loc�aS ion- A dd Lot No. / % u � I A ................. i67 ...-------•-------------••-• _......•• �.� - -•-....--------....----•••••••••.........._._..----•-••• ...................- .. // Owner Address ! a .. icK�. /°pa r.... �IG >`h.. 4 t�iJci�S Installer Address Q Type of Building Size Lot...��- :_.��?`�?-Sq. feet aDwelling—No. of Bedrooms.................... _....................Expansion Attic ( ) Garbage Grinder ( ) a, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures -------------------------------- - WDesign Flow..................... .. .................gallons per person per day. Total daily flow................ , _ ...............gallons. 04 Septic Tank—Liquid capacity./420q. allons Length.__,�14.._.: Width................ Diameter................ Depth................ Disposal Trench—No............................. Width.................... Total Length.................... Total leaching area....................sq. ft. SeepagePit No__________ _ ______ Diameter �' Depth below inlet___7 ' _ Total leachin area__!7_sue' /- P • ---- -- g sq. ft. Other Distribution box( Dosing tank '~ Percolation Test Results Performed by..Ag.--- 1:_.441-12 4'1-/'...... 4ate....._..3ih�A�.............. aTest Pit No. 1.....<_z ..minutes per inch Depth of Test Pit....).15-A...... Depth to ground water.___!LIc?n f_L, Test Pit No. 2................minutes pet inch Depth of Test Pit.................... Depth to ground water........................ ......... .. ... D Description of Soil............................... 4-- 1u/�_''� 'f ,:_.._:.'4=' �=/4�r .. = W U --•-••---•--••-••-•-•---•------•-----•------------------••••--•-------------------••••.......--•--•----------------•••----------------••---•-----•---•---------------....----------•---•--•-•----_..__. ------------•----•------------------•--•-----------------•---....-•------•-•------------------------•-•-----------------•-•----------------•--•------------------------------ ------------------------ 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 I provisions of ITT'p 5 of the State Sanitary Code— he undersi ed further agrees not to place the system in been operation until a Certificate of Compliance has iss by t o d 1 - -- - -- ... ....s........ . .............'t ..*-d' Date ..— ApplicationApproved By................................................................................................• ........................................ =<. Date ` Application Disapproved for the following reasons_________________________________________________________________________________________________________________ ----------------------------------------------•.....------------....---------------------•------.._....--------------.....-----------------------..------------------------------------------.....--•-- Date PermitNo.... ----•-•------•-•----.._..... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............................I—,......OF.................................................................................... Trrfifiratr of TompliFanrr THI "- RTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by---------- ti- ------ .---........OtA......................................................................................... Installer at............................................................................................... ------------------------...--------------------------------..._.....---••-----•- has been installed in accordance with the provisions of L i `�o�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 UN TION SATISFACTORY. DATE------- / ` 3.................................................. Inspector.-• ---- - ---------------------------------------------•-•----------•---•------ i THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH {,,+ ...........................................O F..---•--•----._..._.......................--•---..................................... No......................... FEE........................ Disposaln kV �nnstrnr#inn rrntit Permission i ereby granted............ to Construct o Repair ( ) an Individual Swage Disposal Sy tern atNo.... -- - ...... ....... ..-•-----„<----G.."--•.---------••-••-•-----------••••----•-•••------••......----`.................. Street as shown on the application for Disposal Works Construction Permit No.................. Dated.......................................... ................. .................................... Board of Health Y DATE.__�-�..-�•-------------•---------- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS 4 /� L.O CAI ION S I W A G E PERMIT N0. Ise"r— VILLAGE I N S 1 A L.LER'S NAME i ADDRESS K- A14 I SUILDER OR OWNER E-S DATE / ERMIT ISSUED I OATS C014PLIANCE ISSUED z � i LOT, 1 � Z 3s � a I S6 gZ -2 6 Z f 1� 9 LO CAT MN SEwACE PERMIT NO. VILLAGE INS ! A LLER'S NAME ADDRESS BUILD[ R OR OWNER DATE pIRMIT ISSYED DATE C 0 M P L I A N C E ISSUED_ Y Lo tt 5 L4 s6 sZ ? 6 Z A E, _)'PICAL 8 /4 80F SITE PLAN j N -.rO SCALE Or 4 X-4. SCALE �0 n L WG C.L.-MH COVER,— �18 V. Cf e-1 IC4:PIZ #6, 7 D 4"8/r.FIBER Plpe, r1oHr IoIN rs 4"C,t. PIPF OUTLET L 0 E VEL X' FLOW LINE' -L7 r0F1RSrJ01NT( eC A:5 7' 4 4.z1a e., 67 PRFCASr- S NDA RD 4 �rANK �Box , EPTic ON dwA4 6,eP D/s rROU r/ INS rA 1.LO 0*� LEVEL, SrASL , BASE. SEP r1C TAW'-� OF INSTALLED, N 0 LEVEL , ABLE, BASE WASHED PEASMN L'EA CH11vG TO BE L E VEL 56: ALL�.AROVNO -IROAIS, FINES, PL A CE AN0 ,D41S T IN -t5Z WASHD 'CRUSHD -BR1CK.9'AW0RrAR..COVRjFS TO STON AL L :AROUND FREt� OF:- .�AS RE-OVIRED :to smo fRONS -DUST M�i COVER FINE$AND IN PL4CLI� C'O VER rO '0RA DE_ 4"C I 4, 4" LEAC 4 ING PIT SECTION 8' FLOW LINE, INLE? 1, NCRETE TO BE PSI 28 - DAYS Alpt, CO 4000 NO.6 GA. W.WM. REINFORCED WITH 6" x 6' 3. 2_' AND 4"ISECTIONS ARE AVAILABLE FOR GREATER : DEPTH- REQUIREMENTS. 4 NUMBER OF 'PITS RE OPEING, W(rH 4-'11 QUI ED ' 8#' R 4 LOWER AS NOTE; ' EXCAVATE. TO ELEVATIO 011rER DIAME TER 8 01A ME TER OR 4 � REQUIRED TO REMOVE ALL 'LOAM'AND CLAY BENEATH 0 K - REPLACE EXCAVATED MATERIAL PIT. -WITH CLEAN GRAVEL TO DESIGNED GRADE. 44� 61 -610 10 4 mm. EFFEC TI VE DiAMETER fNOr TO EXCED 3 r1mrs ErFEC TI VE D EP TH I W A TER rA8LE SO/L A ND PERC. DA U GENERAL'PERCo 70 RUN :OVER SYSTEM. NO HEAVY EQUIPMENT., RATE WN. AN SEPTIC TANK DISTRIBUTION' BOX , LEACHING PITS T U,YC- -IAI-AAJ �JOtJE�_l By., Z3,A L JEST REINFORCED CONCRETE UNITS. 'WITNESSED BY: ALL S YST EM COMPONENTS' SHALL BE INSTALLEDAN ACCORDANCE ENVIRO TO REVISED 'JITLE 5, "0 F THE, STATE NMENTAL.CODE, DATE 'SUBSUFACE DISPOSAL OF TEST. PIT GR EL.: MINIMUM REQUIREMENTS FOR THE TEST PIT NO.I TEST PIT NO 2 SANITARY SEWAGE EFFECTIVE I )JULY 1977, .-ANY CHANGES TO THIS PLAN MUST N 0 BE APPROVED BY THE BOARD OF HEALTH. BACKFILLIN AT COMPLETION OF CONSTRUCTION PRIOR TO G THE li4 45 I'd A4 E BOARD OF, 14EALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH S W8R LINES - 1/4"'./FT. UNLESS INDICATED .4 A�ID ALL OTHERWISE. 144 OkO A14 7 DESIGN DA M 'BEDROOMS DISPOSAL EST. TOTAL,DAILY EFF. —GALS. SEPTIC TANK GAL, VV � A GALISO. FT 136TTOM AREA GAL /SO FT, 'SO.FT, -GRADE 5 Y5 64A DIS Oe XOO EXISTING LEACHING REQUIRED EWAGE P TE114 ... ........... .5 7,��,O FOR ACTUAL LEACHING AREA SO.FT.wl F1141SHED RADE ON -5 7,6! tl Z_L_ f U" 'A 7-o5 A� !INVERT ELEVATION -�.41 A Z OAJ ST I c Al -R-7SOU IRCt -A A3 z. 4C5 A ,eA.-Y:5 7, A �IPOOPERTY LINE 7.5 _4,j _�e FERE 7, DATE AN _Rt �P 1, NC _ AS INDICATED�M AN' HIGH .WATER SCALE //,#0, 7 S A SSOCIA TES -W CH, AT.0 Im le v MAO 4 A� ARWIC -8 ox4ol, :NoRrH FA L MOU rH CHOSET7