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HomeMy WebLinkAbout0062 WEST WIND CIRCLE - Health � z / ��// --�o� .� � - L TION SE �GE PER '�IT k0. VILLAGE M INSTA LL 'S � ►�PE S ADDRESS S 'D 9 MILDER DR OWNER Theo DATE PERMIT ISSYED Lc?, A / l DATE COMPLIANCE ISSUED S ® t3® �N f/Fizs...... Y No..; .......5��...1 .1.�................. THE k;OKiv1wNWEALTM OF MASSACHUSETTS BOAR® OF HEALTH ....................................--....O F.-...-..--.-..............._.-....._...----------------•---...-----••---•--...._......._. Appliration for Disposal Works Tonstrurtinn frrutit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: /, 1 4+ 1 IKI&-•Z - - --_�" ........�'�.� '� ......... --------•............................... • . .. Locat' n-Address,: �f oro Lot No. .... .................................................... Owner Address W Installer Address PQ U Type of Building Size Lot___ /. r4.._..Sq. feet Dwelling—No. of Bedrooms_______________ _ ________________________Expansion Attic ( ) Garbage Grinder ( ) Other—T e a Other—Type of Buildin g ____________________________ No. of persons...------- ______.._______ Showers ( ) Cafeteria ( ) dOther fixtures ----- - -•---------.---••---•----------••-------•--------------•-----.-.-•-------------...--•••-•------------------ Desi n Flow_________________ gallons per person peredap Total daily flow............3 0-. WSeptic Tank—Liquid capacityl-:#.Mallons Length._/-Q___j___ Width_..-.r.____ Diameter________________ Depth....4__3. x Disposal Trench—No._____ .......... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area___f''Z_V.sq. ft. Z Other Distribution box (!�/1�LPi Dosing tank ( )1­4 p Percolation Test Results Performed by....A.Y.Eee...r/Y6'_4j1,'-WY_ Date.......* '_.r_"�-L!___V Test Pit No. 1..........._....minutes per inch Depth of Test Pit.................... Depth to ground water----____. fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.____ -.__ x •-••------°• :� Description of Soil••-••�-A-V 4h ----E- _4:------ U ...................................�.y.-_-_c 0------•-- •-••-------- 4 .............................:••---•••----•-•-•-•-----•------••-------•....•--------•-•-------------- U .•----------------------------------t0°___.P.-.---01_t_-•--•- M. U Nature of Repairs or Alterations—Answer wh applicable_______________________________________________________________________________________________ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITL L 5 of the State Sanitary Code— The and signed further agrees not to place the system in operation until a Certificate of Compliance has Rbeen • ued by th oard f health. Signed ... •----- -..._Application Approved By___________________ _ ,� / D Date Application Disapproved for the following reasons:- -•--•------••••••--•---------••----•-•-----•------•••--------•------------••----------------•••---........_ --•-•---•-----------••--•---------------------------••--•-••-------•-----..._..-----•------•---._....------.._.._....__...•------•----------•-----••••-•--------•----••-•-----•• ...................... Date Permit No.......... -� ..... Issued. Date ------------- .- -- - - - -_...,►d�k - _ �_—__�- -------- - Y� �W'S3` 5� N®..------•-••---_....i Fizz.............................. ° THE,COM6 QNWEALTH OF MASSACHUSETTS . BOARD OF HEALTH _---•------------ --- -- .......... OF.....................-.................___................ _.. ...................... Applira#ion for '�Utsp i al Works Toniitrurlinn Fermi Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal ... ` .. ..... ( - ---- - - .... Loca on-Addres' e • -•... ............ .... 4• — ---.._.. ..: ?. ... g Lo No. ............... ........ ..... • o t W Owner Address ; ................................................................................................. .._._.....------.......................... ....._ ... .---•-------.. . Installer Add 3 GQ �r d Type of Building Size Lot._ .:_-Sq. feet _ Dwelling—No, of Bedrooms............. � xpansionttic ( ) Garbage Grinder ( ) p, Other—Type of Building ----------__________ _____ No. of persons_________ _ .......... Showers ( ) Cafeteria ( ) Other fixtures - --•-••.• --------•_... ...---- y --------- ---•- W Design FlowY____ -•--.-••••J ______gallons per person per, day,. Total daily flow_..____ ______._____gallons. G; Septic Tarik—Liquid ca.pacityt g Ogallons ' Length_/16___�.___ Width__ . Diameter...._..........___ Depth.__ Disposal Trench—No. ........ Width... ____ Total Length.................... Total leaching area..... Sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.. _sq. ft. � . z Other Distribution box ___Dosing tank ) " a Percolation Test Results- Performed by_ _PZ_;�'".._l *'�I� 1;+'_f /_ ,_. Date.......4....... 9-_."""__ a Test Pit No 1 ____ minutes per inch Depth of Test Pit____________________ Depth to ground water fZ4 Test Pit No 2 .. minutes per inch Depth of Test Pit __ Depth to ground water. .� ...................................................1 O Description.of Soil.... ' _ __A'_ ......... c�. 3' ............................a A ---- ----------------------- U Nature of Repairs or Alterations—Answer w n applicable_____________________ __ Agreement: 1 The undersigned agrees to install the ,aforedescribed Individual Sewage Disposal System in accordance with the provisio>is of=PI.E 5 oNf the State Sanitary Code=The and rsigned further agrees not to place the system in OP until a Certificate Hof.Compliance has'been sued b t oardjof health. I Signed..• _... ------•---- _---•( ��f ! Dat Application Approved BY--- •-•'- •'•__::_-• .... ....... .% ...................... ' Date Application Disapproved for the following reasons _.__e.__..__. /J --------------•'--------. _ .... ............................ ...................................................... .................. Date Permit No:................. - Issued-......................... a Date..................... ate - - . - THE COMMONWEALTH OF,MASSACHUSETTS BOARD OF HEALTH ..........OF. .. .. ............................... T ifiratr oaf ompliFanr T IS IS TQ�4��;vidual Sewage Disposal Systen constructed ) or Repaired.---• ' ......... ..... ................................... x has been installed in accordance with the provisions of TII'LW� '� f a to Sanitary Code as described in.', e • application for Disposal Works Construction,Permit �To:_�_.................................... dated.......................................... _::_: THE ISSUANCE OF THIS CERTIFICATE'SH ALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM -WILL. FU CTI N SATISFACTORY. a t DATE.............. _........ . � 8'� ...��---•-••-----•--................ Inspector..... -- ..-- .........._.. ..... ..--•---••-------- r THE COMMONWEALTH,OF MASSACHUSETTS BOAR ®F H A 7 .........OF : ,. y. t VJ ' ,.. FEE....:................... . t nsaal nr, � n rn i �ernta Permission s hereby granted • ---- '� ----- to Construct or nRe it ri I rvi ual S wage o�yst A :, ' ..... g 'y3't No: f 1 _ r k d y r Street z shown on the application for Disposal Works.Construction Per , . o......._ +_ atM...... ..._:_... : . . E ................ G. o B rd of Health s ''• DATE-•- ------ -•- •-_••- .....-•--•-•-- .. FORM 1255 A. M. SULKIN, INC., BOSTON �R i GENERA 4, NO TES O" EtCV.- L -T- P.C,AN V/EI-Y /. 41-4 El-EVATIONS S110PYN ARE ,SE,a T -5VE4- BhS`O U N P.P 05 S G C CGL97Z).,W C.0 EAN OUT f /NSPEC T/ON C�OYER 7 le, P/7-CH AI 1,/NES ,4 M/IV/MUiY1 OF A UNLESS OTHERWISE SPE•CIF/EP. 3. A,4,1, PIPES TO ANO /N THF_ SYSTEM SHA4,4, BE CAST IRON OR SCHEZ-VI,E 40 PVC17 4 441- SEPTIC T4NA'�5, DISTRIBUTION BXES O , BE OES/GNEP - - - N-20 WI-IEE-,G 4 0,4PING S INh1EN :T1 _ _ ( 8'O" SIOE VIEW UN©E,'4 P,4V/NG o ,t - FONT'- Vle w --_--� - T S ,RE1t�fOVE A�,/, UNSU/TABS E ti1ATER/Ak f - s - -�-- r r BENEATf� THE INVE/QT 64,EI/AT/ON,5 ,Z'"-"� " -�- .. -- �- .E t L �1 9 -�--{'(30)Z KS%z OPEN/NGS OF THE O/FFUSORS FOR A D/STANCE OF" .Z SA N/TARY TEE ► ., K,"NOC,YOUTS FOR • _a ; ,„ z- 9 3/e 'S.COTS BEO/NSTAC(AT/ON %'� ANC BACKFI�C �C, !N/WITH C� A y FREE 3" % +1 8" d" 2%z S,4NV 9 4NP GRAVE< />'AV/,NG A PERCO�C AT/ON %A�, P15TR15d 7'ION BOX �' O ---- o- R,4 TE OF .� MINUTES "'ER INCH OR LESS. ------ -------- -------- --------" - .. _ �".. .: - o0 "o o. - 6. Tf-/E 6FrE��cISTA,aCEBOARO OF HEAL TN MUST i`. NOT r0 SCA c E -- - - ¢" 6, NOTE �215TR/BLITION BOX AiA, t% /O�GA�._ z =' 4 3"' y -4" ' SECT/ON B-B BE NOT/F/EO W1-1Z TXIE SYSTEM/S NEAR OB SERV,4 T/ON PITS RE/NFORCE� SEP"'-C .'ANK B _S_ECT/ON AA /I�'1440 N'I-INE COS I`4' ET/ON ANO PRIOR TO BACf�C-11,L/NG PERC04ATi0"ti RATE = 2 Ni + +�/k4C,0 TYPICAZ / �<JG,41,. SEPTIC TANK PRECAST LEACHING CHAMBER 7 UNZESS OTHERW/SE NOTEP1 ,44 , 5Y,5TZ-R Art4ER/CAN PRECAST CrP EQtIA�c. wOT TO ''C.4�C.E (C OMPONENTS SHAD,,(, BE INST,4�, -EPJ IN OBSEFr'YAT/ONS B Y . .� ! .i�!Gl`' ; - ; - FO -¢x8- O F�.OINO/FFUSER ACCORo4NCE YY/TN T/T�,E Jz" OF THE STATE �a�_T�: . �7EniT NOTE TANKS RE/NF0�4CE0 7-,YROUGHOUT NOT TO 15"IIE ,NG1N, ,t��3C�'BOAO OF HEALTH N�/TH ELECTRIC kYEL.2EO /'Y/RE rY/TH .Z,4 %z"" SANITARY COPE ANO ANY I-OCAI- RU4,ES ENG/VEER ARROW ENGINEER/NG /NC E.NBEDOEO STEE.C, RC.�S IN TOPS BOTTO.�f. INH/CH 104Y APPLY b(QCONC,9ET-E IS �,ODO 'PS/" TES T -ram: MA1,4i oLcs 76 SEPTA C L)p TCO I ,:uC DELrw M N I SF-1 C2 F/N/SH GRADE Oi'ER P,EACN/NG ESL EV, _ .��"�-_� k, AREA E,L EV= �.�- . a x� �--F/N/SH GRA!>E -F/N1,5 H GRAPE I OVER 741VK F/WISH G,PAPE PRECAST LEACH/NG CHAMBERS > ESL EV= 16 -EK= �Y7)11 (F/ OILY p/FFUSE�S� S OVEi"P "O- BOX �- --1 E.�EJV = 1Y PEAS TONE d,o - r 0 0 0 0 Yr F,CO�YL/NE �g 04, INK- , / >�J / y_ GA,I," N ` f_ REINFORCED TO BE,L CVZ7Z ' '� /%2 SHEl3 /NV. _ 110 L 6'�3/4 x 1/2 N'ASNEp ( E) 15 rONE�4 S ONE I' V -►_ I-4 +cE3 tics c.� ,c �.r.jyF' " SE)Pt/C'TANK. ? _ + pCaiM uA,�u�n s�aru� - (TO BE C.Ef�E4 c S`rxws- 0-, T f T YPICA,. SEW,4GE SYSTEM PROF14E qtT NOT , '0 SCA,„E r✓ rta 41 St t N P ADDRESS ~ '� �4H 3 3 ` .ZONING O/S TRICT Fl-OOP H,4,ZARP .ZONE ti.__t.. - -- ---------- - a PEjl6N C,41,rE9/A 4EGENo tia<<N �F ��s�;��. " PROPOSED OCAT/ON OF PWEI,ZING IvaWBER OF aEPROOMS EX/sr. con/rauR -- --- - Rod s SEXA64E I�/SPOS.4,G cSYSTE/Lf 1--E/450,'YS PER BEPROU,M _ PROPOSED' CONTOUR - E.RAYMOND GAd,LONS PER Pe<''SON PER A " '`� EXIST. SPOT E,C,EV,4T-/ON 6*0 No.zzs83 VIE � ✓���.I� � /,C�''�, � 1,EACNING "'EQUIREP ',GfiPO.<'OSEO SPOT ECkEVATION 8f0 �cI Q'�` `a D ✓ �!' /,[_�'., � y����i' `!..!' J �'s�/4`�So LEACHING Pp PERC04AT/O1v TEST m LAO y r NO O/SPOSA,- OBSERVATION P/T � ,,;� f ,QP PZ1C,4N, E.,`VG INEER t ��f°7 Es" r�-iE0 CG.V S i' :J�TIO QRROIN ENG//YEEf�;'NG /e' G 5�G,P':;4 7- f"rive:; Lk/416 60 E. F,4Z1H0dTH HWY. � �� ,r.4,rc , , OCi T' ,� E .Fi4L N©LI TI-1,AU.02536 / 6 + :Z 41 141 t i 44 t:PD "a7MOND M BOTTOM = �+��" trL V I r i92 r,. i7 0 .� SGAd.E oATE / p4 5 NO T EG :CT� -7 TO TA C P O F�:�,w i .�f s� i:' 4✓f'/k` e y CRCCAIEP BY APi'O 8 Y: pl,4,N A10 ,�� T4 ,