HomeMy WebLinkAbout0078 ABLE WAY - Health 78 Able Way L046-121 Marstons Mills
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LO>C T ION "S® � SEWAGE PERMIT NO.
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VILLAGE
INSTALLER'S ' NAME & ADDRESS
B U I'L D If OR QW-N-E
DATE PERMIT ISSUED
DATE. COMPLIANCE ISSUED C -,Jd ' 77
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THE COMMONWEALTH OF MASSACHUSETTS
BOA R HEA TH
...... 4— _.. __.._..OF.................... -t. 4,• ....- .........
...... ....
j Applira#ton -fox t,ipAiittl orkii TouB#rurtton Vrrutil
�1 Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
A�f / System t• V f, �
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ation-Address 9 r t No.
..... .. . ---• ...................................... ........ ----- ...... ............ 4 .........
I- 'Li _ AddT._. _a r��'/M ._ ----------------------------------------- ------------- -- - ►..--------------------------------
Ins ller Address
Q Type of Building Size Lot_2®t 0 Q-T---------------Sq. feet
V DwellingNo. of Bedrooms-------- --------------Expansion Attic-016) Garbage Grinder
aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
a' Other fixtures ---------------------------------
W Design Flow_-_____--__SJ'��..........................gallons per person per day. Total daily flow--------------------------------------------gallons.
USeptic Tank—Liquid capacity./60_®gallons Length_------------- Width................ Diameter................ Depth......_--._-_.
xDisposal Trench MNo.___ - Width-------------------- Total Length.................... Total leaching area--------------------sq. ft.
Seepage Pit No......� __:P -,
Depth below inlet _.___.. .......Total Leaching area------------------sq. ft.
z Other Distribution box ( ) Dosing tank (4Trest
Percolation Test Results Performed by..._—.- ..-.-. d.................................. Date_-__-_----------_--__._-_-.--__---------
�-1Test Pit No. 1________________minutesperinch Depth _....__...........__ Depth to ground water...----------.-.--------
�14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-_.---_---_-----___----.
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er Ly r /..
it ODp f S --
�Z�w J��/
------------ ------------ -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b en issued by e rd of health.
Sign . -`----. - - ._-•--------•-•--- --�/��_�7
Date
Application Approved By._........ ./ --��2 -------------- ......... -- �0., 7--7
Date
Application Disapproved for the following reasons:-..---_------------------- ---------------------------------....---------------------------•--•-.
.. . --•---------------------------------------------------------------•------•-•-•--------•----••--....•-----------------------•-----••---------•-•--- -----------------------------------------------
Date
PermitNo......................................................... Issued.---..
Date
I
No......................... ..................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD-g HE LT...
..... ...........----.OF......... ... ........ ..
Apphration -for lh�vviial Workii Tonstrurtion Pumit
Application is 7 at hereby made for a Permit to Construct or Repair an Individual Sewage,..Disposal
�Syst 1P--------- ...... .......
---- ------------
anon-
--- ---------------------------------------- --------- ......
------------------- -__ ---
Address
Owner dr
-----------------------------------------
CA.4
......... ... . ....... . ...........
In aller Address
Type of Building Size Lot_UIPP.3.........Sq. feet
Dwelling—No. of Bedrooms.__-_--ho?...............................Expansion Attick% Garbage Grinder
04 Other—Type of Building ............................ No. of persons_--.___.._........._........ Showers Cafeteria
04 Other fixtures------------------------------------------------------------------------------------------------------------------------------------------------------
W Design Flow..................... . ..gallons per person per day. Total daily flow.................. ..........................gallons.
9 Septic Tank—Liquid capacitygallons Length---------------- Width................ Diameter__----_--._-__ Depth___--.._--_ ---
x Disposal Trench No ",.Width_----------------- Total Length_....._...._____._.. Total leaching area------------ -------sq. f t.
Seepage Pit NoJ _16A-�;;1)a_M_e_ter.................... De4pthh)belo inlet _..J.otal leaching Lrea------------------sq' f t.
'o in
Z Other Distribution box Dosing tank
Percolation Test Results Performed by--—----- .................................... Date------------_-__-_-__.---_--__---__.....
------ - - --
, f '1 7 Test Pit No. 1----------------minutes per inch Depth of Tes Pit--------_---------- Depth to ground water------------------------
44 ,test Pit No. 2................minutes per inch Depth of Test Pit......_......______. Depth to ground water-..-.-_____-__--____---
.................. ------ -I--------------------ww........r ..........
01 Descri f .... ...
10 ......A.. .......... . .......................e,,.
Aon o *iL--------------0_:�.ir ..... ------ni
4 4 ------------------
U
---------------------------------------------
U Nature of Repairs or Alterations—Answer when applicable------------------------------------------------------------------------------------------------
................................................................................................. -----------------------------------
..................................................................
Agreement.'
The undersigned
ridersigned agrees to install' the aforedescribed Individual Sewage Disposal System in accordance with
the pr�o"Visions of Article XI of the State Sanitary Code— The undersigried further agrees not to place the system in
operation until a Certificate of Compliance has ben issued byqfneM rd of health.
Sigf ....... . ....... ............. - ----------
........... .4p%.a.. .27
Date
Application Approved By----- -
at
Application Disapproved for the following reasons:-----------------_--------- .............................................................................
.........................................................................................................................................................................................................
Pate
PermitNo.......................................................... �,r Issued.......................................................
Date
THE COMMONWEALTH OF MASACHUSETTS
BOARD OF HEALTH
..........OF. ...........................................
I &
Tertifiratr Lf IntIffiatIrr
ZX,S/is T EPTIFY, That the Individual Sewage Disposal System constructed �) or Repaired
--------------- ------------_-_- ..... . ... .........................................
Instoller
...... .. . .................at
� . . .. ......JVW--- ......4. -------------------------"--------
•
has een instal 'd in accordance:with the provisions of e XI of The State Sanitary Code as described in the
application for Disposal Works C6nstruction Permit Ne .................... dated-..... .............
THE. ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED ASA GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATA........................................................I.......................... Inspector.----------•.......................................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD Of HEALTH
07
......... ......OF.........4w-- .4,k .............
SLY......
N ........................ FEE./e..............
R.tiVV12 .ark V CIT 11mitrurtion Prrutit
P hereby granted...... �0
Permissiop e ... ....... .......................................................................... ... ...........
R ey ivi p tic) Constru� o Repair I S Xdivi ual Sewa y t
t. .............. ........... ---- ............... ---
at Nor' ...... ..
Street ,±
as shown on the a ion erratt-� 0. g4__ Dated....00-y -
,pplication for Disposal Works Construction P i )q .. .... 7.7..........
.......... I..............
Board of Health
DATE.............--------------------------------------- -----------------------------
FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS
L. I00.00
TOP OF FOUNDATION
CONCRETE COVER
CONCRETE COVERS .
n o 4'�CAST IRON 10"MAX. ° 10"MAX. '
PI PE ('OR. 4��ORANGEBURG(OR EQUIV.) `
° EQUIV.)— MIN. PIPE- MIN. LEACH
° PITCH 1/4"PER. PITCH 1/4"PER.FT PIT PRECAST
° LEACHING
o' INVERT a
`'o EL..`/(, ... INVERT INVERTS ° . , PIT OR
c INVERT SEPTIC TANK EL. Y3 I� . . BOSX' EL�ti ' : >_ q�; EQUIV.
GAL. INVERT v oa o: :.1, 3/4"TO IIli'
o; EL.9. ....... rsg�. INVERT w w
EL .._. u. a
o EL WASHED
�7,.1, . w
w
� ' STONE
�P'.
IA
PROFI LE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
NO SCALE
SO L LOG WITNESSED BY :
DATE 2 TIME. . . .. . . . . . . P !L . C. A 21'2hV. . • . .BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 iC�x4 ENGINEER
ELEV. . . . . . . . . . . ELEV. .. .. . . . . . .
s 6'' DESIGN DATA :
�mR NUMBER OF BEDROOMS 3 . . . . . . . . . . . .
TOTAL ESTIMATED FLOW 33o GALLONS/DAY
0
BOTTOM LEACHING. AREA. �8✓0. . SQ.FT. /PIT
SIDE LEACHING AREA . . ��BSo SQ.FT./ PIT
4 GARBAGE DISPOSAL �'^��. . .(50% AREA INCREASE)
!� TOTAL LEACHING AREA . .'267 O. SQ.FT
PERCOLATION RATE 40s. MIN/INCH
LEACHING AREA PER PERCOLATION RATE .. . . ... SQ.FT.
N.R .WATER ENCOUNTERED
NUMBER OF LEACHING PITS . . . . X . . . . . . . . . .
APPROVED . . . . . . . . . . . . BOARD OF HEALTH
! DATE. . . . . . . .
AGENT OR INSPECTOR
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