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HomeMy WebLinkAbout0129 CHIPPINGSTONE ROAD - Health 129 Chipping Stone R 'Marstons Mills — = 028-088 �iVaG TOWN OF BARNSTABLE lo-o", LOCATION fZ G ����9 �� SEWAGE # VJUAGE /�la'YS �S ��r�/S ASSESSOR'S MAP & LOT �2 S� 01T,F INSTALLER'S NAME&PHONE NO. ,Bff__Z0012 '9�9 SEPTIC TANK CAPACITY /i 000 6:0 L LEACHING FACILITY: (type) 10' o (size) to X/y NO.OF BEDROOMS BUILDER O OWNE PERMTTDATE: $�Z3��� COMPLIANCE DATE: "- ,O Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility �� Feet Private Water Supply Well and Leaching Facility (If any wells exist Feet on site or within 200 feet of leaching facility) S� t' Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching f ci 'ty ,v Feet Furnished by I fib two O 10 No. Fee .. ® ' THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE., MASSACHUSETTS ZippYication for 30igo5ar 6potem Con5tructiou Permit Application is hereby made for a Permit to Construct( )or Repair(V<n On-site Sewage Disposal System at: Location Address or Lot No. �Z/) qp ,&f9 Owner's Name,Address and Tel.No. Assessor's Map/Parcel ��� ��5 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 7 7i f3A? Type of Building: Dwelling No.of Bedrooms Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow /4� gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title ,. Description of Soil She. a Nature of Repairs or Alterations(Answer when applicable) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued Signed Date l ZC Application Approved b Date ze_ ✓—g� Application Disapproved for the following reasons Permit'No. Date Issued e_" ——————————————————————————————————————— vVir No. .- Fee Q / THE COMMONWEALTH OF MASSACHUSETTS r PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS 4. Zipplication for -Migooal *r5tent Construction Permit !' Application is hereby made for a Permit to Construct( )or Repair(fan On-site Sewage Disposal System at: Location Address or Lot No. 1 Z 100,f Owner's Name,Address and Tel.No. Assessor's Map/Parcel ew C� a Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. B0�7`pLdl�"� G'0�157`• 1 771- 9.39 Y Type of Building: Dwelling No.of Bedrooms Garbage Grinder(-to Other Type of Building 'P�/ �14-!-F' No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 330 gallons. Plan.Date IV /f x Number of sheets Revision Date Title i Description of Soil S,a '4%1 Nature of Repairs or Alterations(Answer when applicable) Date last inspected: ,Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system j in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been issued thi1 .oar _of Health. Signed Date ` f� Application Approved by _ Date .*7 S a Application Disapproved for the following reasons ' Permit No. 9 L40, 7 - Date Issued I' �✓ `� 1 i ----------------- --------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Dispos System installed( or repaired/replaced( on by Installer ,[�O/,Y`?ZrI Al �di>S�✓!/G'�`�©H at ,-�1 1 S fG' V Ol /Lf 5 sGl/ has been constructed in accordance with the pro pNons oftifle 5 and the for Disposal System Construc "n`fe it No. dated�� Date ��� t .tom Inspect Y 2 THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE T ; T THE SYS- TEM WILL FUNCTION SATISFACTORY. No. a ` D Z —�D 4�Fee THE COMMONWEALTH OF MASSACHUSETTS i PUBLIC HEALTH DIVISION . BARNSTABLE, MASSACHUSETTS Migogar bpgtem �tCon!5truction ,Permit Permission is hereby grant edo �D/-tole , / to construct( )repair( Sewage System located at No.# f Z 9 G % 611� rl+9 y street and as described in the above Application for Disposal System Construction Permit. VS No. Date The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. All construction must be completed within three years of the date below. �Date: !J �' t- PP b .re y /�G�,- cam`Approved •. Board 'Health p j 'c Vl .. � �isN y`���• �l ROA,QZ JAI U ftft. DD / l lk3l K N 9 ' � I Sao ��_ • . _ i�rn �s- ,- L 4/0 TOP OF FOUNDATION � • - CONCRETE COVER CONCRETE COVERS 4"CAST IRON 2 MAX. I „ •; OR SCHEDULE 4d 12"MA—X. ' P.V.C. PIPE 4 SCHEDULE 40 P.V.C.(ONLY) ° PITCH_1/4"PER.FT. PIPE- MIN: LEACH PITCH 1/4"PER.FT. PIT PRECAST •' INVERT /o / j LEACHING `•• EL,3d�5!.... ` PIT OR SEPTIC TANK INVERT DIST. INVERT !� w � % EQUIV. ° . EL.,��x�. . .. BOX ELZ9XF... > � INVERT EL...3or` .. • V'. M...... GAL. INVERT ~ ' EL:iP�'� INVERT a WW 3/4"TO IV: •, EL:2kxl.. :.• u.a `8 WASHED U. • / w STONE k- � � S-D 9 • 3 ---►�•--s'DIA. {_ •'� /z ' DIA y • PROR LE OF WOGROUND WATER TABLE SEWAGE. DISPOSAL SYSTEM NO SCALE jo- .SSo� L LOG / WITNESSED BY DATE .i�/�f�?..... TIME.. .. .... ,h.��t� . . . . . . . . BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ,T TRD/S i; , , , , , ENGINEER ELV..3�.X�. ELEV. .... . . . .. . . . o/ a . . . DESIGN DATA NUMBER OF BEDROOMS . . .3 . . . . . . . . . . . . TOTAL ESTIMATED FLOW 3 . . . . GALLONS/DAY A U BOTTOM LEACHING AREA /!3. . . . SQ.FT. /PIT . SIDE LEACHING AREA . . . �S�o . . . SO.FT./ PIT GARBAGE DISPOSAL . . . (50% AREA INCREASE) TOTAL LEACHING AREA . A.6. . . . . SQ.FT 6-L- �� R/� E� PERCOLATION RATE -��S.S . A, .L . . . . MIN/INCH ,f✓.�.WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE .. . . ... SQ.FT. . NUMBER OF LEACHING PITS 10414 . . . . . . . . . . APPROVED . .. . . . . . . . . BOARD OF HEALTH I[J•SFC!�= 113aPP .7�.77 gl/.:. �<4 dWq eR (�I�V Qn; 1 DATE. . . . . . . . . . /4C7pcd� y�tPe�2 v°d• /7�Pra�+!rf< Fo,Q AGENT OR INSPECTOR l0 or ./,V 4.4A ,01,Q ere-AP910 • ro r'•t 1 J'XG . � ��pViN OF Mq txc,v✓)9Tr ro ar,< /GXy 1 08 , • To ✓AkiFv colt .y�/,3E'LO� — ✓ '` . •r PETITIONER CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION t'EIt511-1- (M-1.11OUT DESIGNED PLANS) h ereby certify that the application for disposal works. _ . .. construction permit signed by me dated $�Z Z19,01 , concerning the property located at /2 ��1% /h 5�� / S meats all of the following criteria: V Thcre arc no ivcllands within 300 feet of the proposed septic system �Tlic i r ,r n rivatc wells within 1 t0 tee!of the ro sed septic system }c c� c op p po observed groimdwnter tibie ;s i e feet or greater below the bottom of the leaching facility V nere is no increase in now and/or chanee n use proposed /1' here are no variant`s rquested or needed. SIGNED : DATE: -/zZ, LICENSED SEPTIC S STL•M INSTALLER IN THE TOWN OF BARNSTABLE NUMBER 1Allach a sketch plan of the proposed system. Also if the licensed installer posesses a certified plot plan, this plan should be submilledl. x �.. ¢�" ..::g ♦ �.,-., ka lts....ti sp��, . :i:,i ti :- ..ti,: ,. .:-,, 1 ^y: c. i - �.;�•. •ice..�• r _'.W -�� a'�z xr..�;` _ :.� ,:,,... ..,�'=y.. -�•.�•.,,h:.,.�.:�:i. `xtis. Sri: �- � <�:: �i .S,ES OR'S MAP NO; t "+ -PARCEL. —'`Gc3—D L O CATION SEWA E PERMIT NO.. VILLAGE /Y114 s I N S T A LLER'S NAME i ADDRESS' y. d U I L D E R OR OWNER , DATE PERMIT ISSUED DATE COMPLIANCE IjSSUE0 �d � �J, 1 + #1. 4 r. � i yy�� i� �yl d �� �i � �� � N 5; �, o �, � � W' a � ��� �� "� �— � -- __ - I• J. a THE COMMONWEALTH OF MASSACHUSETTS B OA R D OF HEALTH xa4z'l 7'? :�O.i�U�L..............oF..�A .N.5TA5L.-E...............---......---•----�� r Appliration for Uiipnsal Works Tomitrnrtiun ramit Application is hereby made for a Permit to Construct Vr Repair ( ) an Individual Sewage Disposal System at: 1-(1.PP..L.N. i.StCN .. f_L�.s J.!!.`!. �.1. .oc�n......`aY .�.6.11 1.,,�„!. t�......6.DD..!..1.:.�[..7 (3 .....:-•--- �-'-•�-'•- J S wn r ak)EA-r....1.1/�l.✓ r ♦ .-�.aa>oe..-.N. 1iN.1C'I--1 Installer Address d Type of Building Size Lot.._ feet U Dwelling—No. of Bedroo ..........Expansion Attic Garbage Grinder Other—Type of Building . _ S.............. No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other Lxt es -•---------------••----------... .. . d W Design Flow................ ................... gallons per person-ae4... ay. Total daily flow......._ �5 ...........gallons. WSeptic Tank—Liquid capacity"gallons Length•_ Width._ .: Diameter________________ Depth............... x Disposal Trench—No. .................... Width.................... Total Length...._............. Total leaching area....................sq. ft. Seepage Pit No.d/N46....... Diameter......12....... Depth below inlet... -........... Total leachin4ar =24.,&, 5._sq. ft. zOther Distribution box ( ) Dosin t nk ) ` /fin^ _`� Percolation Test Result Performed by. -�. �..d-I-C0.b1........................ Date_. C1.�........ 4 Test Pit No. I••. minutes per inch Depth of Test Pit---------•-•-•-••-.. Depth to ground water. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... a j n/�,{�/ O Description of SoilA a/... ... /0... U17!�!...............................................------ - - -- - x ................................................... W UNature of Repairs or Alterations—Answer when applicable. ....................................... ... .......... ....... Agreement: �°r�1 S r1f� +9t.L�.(� ►O 44<:c( Ge Tt>-JD';F'V546lu7 The undersigned agrees to install the aforedescribed' Individual Sewage Disposal System in accordance with the provisions of TAITI.L 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has een i sued by the boa d o th. Sign . . . •. .... ................................... .......................... Date Application Approved By.......................... . .. ..... _ . .......... ... .... p_��_. .. Date ,::Application Disapproved for the ollow a . ......................... ......•-••--••-•--.......••----------•-•-=--------•-----._....---..........-•-- ............................................................. ---•---•---••-- •-------........................••.........•----•----•-----.........-•-•---•--•-•----•...-•----...-••-•-------......... Date PermitNo............. ... ..........--• . ...... Issued-----•-•--------------------- ............. Date ------------ jqr THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH AVVlira iun for MiVwiFal Workii Ton rnrtiun frrmft Application is hereby made for a Permit to Construct (L-1/or Repair ( ) an Individual Sewage Disposal System at: oc lion-A dr ss - orl t No .Own 1 1 Q i Installer ���� Address Type of Building Size Lot... Sq. feet U Dwelling—No. of Bedrooms-....__. -----------------------------Expansion Attic (/ & Garbage Grinder .( Other—Type of Building ............... No. of persons-........................... Showers ( ) — Cafeteria ( ) Q' Other fixtures ---------------------------------- W Design Flow.........--� .......................gallons per person per day. Total day, flow..............- d_...................gallons. WSeptic Tank—Liquid capacit}/(Z.0gallons Length....!...1�... Width��__:_.`._... Diameter................ Depth...:........ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.(/.166_..... Diameter...... :....... Depth below inlet...f?q............ Total leaching area.:-:2CG'_.�-S--..sq. ft. Z Other Distribution box ( ) Dosin. tank aPercolation Test Result, Performed by.>._ � 1__..::1_` �. 2�........................ Date--`._.......................... 1.4 Test Pit No. I....':-........minutes per inch Depth of Test Pit.................... Depth to ground water- /(.�..'��_.._. GX, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ......................-- -•----••-•----••••......-----•-----------------•-•••-••---•••---••--.......................................................... O Description of Soil.............. -- /-- -�/ �.� �j//� --•----•-•-------------------------------•---------............-------•---•--------.... U ....._...-• � �e f� � � ? - - --- --------------------------- -- ,. ---------------------------------------------------------•---•---- U Nature of Repairs or Alterations—Answer when applicable. -�14;;/!/tN�-�.__.. !..NP._ ' " ....... •- �L s ......... .•�--':-.C V-.---. ...=.__. Agreement: �' -S m" T►�1-�.1.. f tN ^--" `Cx' W .C: f�NG�: Tt7+ 1bAI The undersigned agrees to install the aforedescribed. Individual Sewage Disposal System in accordance with the provisions of TITL- 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of�hea-th. Sign Date Application Approved By..!................ �^'"""„ 4-`�,, - C Date Application Disapproved forth #ollow n ea . .............................•-••-----••-•.....................•---••--............................................................... ............................................................. --•----------- ....................................................................................................................... Date Permit No.....------ - Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................��:�.��..............OR.4?)�- !' 1 ..e:� T4 ;D*' :.*.=.............................. Trrtif iratr of Tomplittnrr THI(Si�5 TO CERTIFY, That the Individual Sewage Disp I S, stem nst or Repaired ( ) 17 ��at_.. . 1. .. ...L..-(_.. .I�I_... . ?1 1 C= -1•__/ ,j taller f��[ 1 .� P J y ----------- ---- has been installed in accordance with the provisions of TITIF 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.....0 ------- dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISF CTORY. DATE...............................c�' Z_5g b` Inspector...... .... ........................................................................ - THE COMMONWEALTH OF M'ASSACHU`SETT$ �:)F�1QI)A6 T1C771( sc � BOARD OF HEALTH No....... •• FEE..............4......... sm �Y'1C? <ArC*e iu u urk dun rnrtW r A� Permission is hereby granted. -•---------- ----------------`•---------•-.----------------- to Construct.,,( or Rppai ( ) an Individual Se e Disposal Sys atNo........ ......................-/ 1 _.. Cy\_YVk .---•----------------------------------------- .........-- Street �/ as shown on the application for isposal Works Construction Perm' No. Q__.. '��Dated..-. '`-�� .. �1 t.� _. - ,Board of Health DA ............ FORM 1255 A. M. SULKIN, INC., BOSTON - Q �1 fisl3.ifti�. AT R OA v Szf4 yc�L t 7Y/r✓ s: + 113�� ,EDGE Off' PTV✓E�: 00 3 14) ; N O` , 9 zo /T So�z /Y/Y \� TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS 4"CAST IRON 12 M X. OR SCHEDULE 40 12"MAX. P.V.C. PIPE 4��SCHEDULE 40 P.V.C.(ONLY) ° PITCH_1/4"PER.FT. PIPE- MIN: LEACH PITCH 1/4"PER.FT. PIT '• ° PRECAST o,e INVERT /o /. a LEACHING EL, .X,..... �, .. �'• SEPTIC TANK INVERT INVERT • • e•, PIT OR to d.'INVERT EL..�ox�. . .: BOX EL�9A... ; • >_ :;; EQUIV. '9; EL::'3o s • 10m.. .... PAL. INVERT �. c~i a INVERT w a- :�. 3/4 TO I V, EL., SPX`l.. :.• hw `8 WASHED STONE �--. /z PROR LE OF WOGROUNO WATER TABLE SEWAGE. DISPOSAL SYSTEM NO SCALE . /SO I L LOG W ITNESSED BY . DATE ,� •h�?..:.. TIME. .!`�.C�t� . . . BOARD OF HEALTH { TEST HOLE I TEST HOLE 2 T Tg� A1: • ., • , , , ENGINEER ECFV..3�X� ELEV. . o/ o . . . . . . . . . . DESIGN DATA NUMBER OF BEDROOMS 3 TOTAL ESTIMATED FLOW 3A , , , , GALLONS/DAY BOTTOM LEACHING AREA S 40.FT./PIT SIDE LEACHING AREA . . : �S o , . , SO.FT./PIT: GARBAGE DISPOSAL . : . .N� ..(50% AREA INCREASE) TOTAL LEACHING AREA . . 46.3. , . . SO.FT G-A a PERCOLATION RATE lss.. .2 . MIN/INCH LEACHING AREA PER PERCOLATION RATE .. SQ.FT. F�Q.WATER ENCOUNTERED i NUMBER OF LEACHING PITS . 6 . . . . . . ti = 3:TT�. : .3,/y�66) $f �; /' APPROVED // f� aoi/gar:i . • •• • . . . . . . . BOARD OF HEALTH DATE. . . . . . . . . . . . . . .. . � ��o�o' i�Od`�2✓iedc �7�T�'x'IdC FoQ' AGENT OR INSPECTOR• - a /d or i�v. A.��c D/QEGTiod.S• � -- OBIF lol.. . �Z . . . . /TJoT✓Ak�Fy co/° .y. •/.3E.(m� �</ �/ _,, /rPi�iA�6 sTO.t/L- .A60 . . . A �Yo NATA��4+� PETITIONER : . �� •�,. ����. • , . •`• _ �g _�.: TOP OF FOUNDATION CONCRETE COVER :,• CONCRETE COVERS 4"CAST IRON 12� � '1nn"mr F� - 31 3 OR SCHED 4 of ULE 40 12"MAX. • , P.V.C. PIPE SCHEDULE 40 P.V.C.(ONLY) ' PI.TCH_1/4"PER.FT PIPE- MIN: LEACH PITCH 1/4"PER.FT. PIT PRECAST o•' INVERT, /D /. -� LEACHING `•c EL3o rY INVERT INVERT. •' SEPTIC TANK DIST.. ' e•t PIT OR . e •INVERT EL.�,�x�. . .: •Z9 > ::; EQUIV. . /Q :.... GAL. BOX EL XQ:... i EL:. : INVERT •' �o EL61Fir". INVERT a w w � :�: 3/4"TO IV; ELr�`S'X3.. :.' ii',•� � WASHED o.' w •.;: STONE DI PROFILE OF A/OGROUND. WATER TABLE SEWAGE. DISPOSAL . SYSTEM NO SCALE . �- ITV 0;k /SOIL LOG C / WITNESSED BY DATE ,� TIME. .!y. .�t �: . . BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ,T• Tg�ph • . , ELFV..31,X,Q: ELEV. ..... . • • • • ENGINEER DESIGN DATA NUMBER OF BEDROOMS 3 i TOTAL ESTIMATED FLOW 3.� , , . , GALLONS/DAY �(l BOTTOM LEACHING .AREA �!3. , , SO.FT./PIT ' SIDE LEACHING AREA . . : �S • , . SO.FT./PIT. GARBAGE DISPOSAL . . . .ND ..(50% AREA INCREASE) TOTAL LEACHING AREA • . �.6• . . . . SQ.FT PERCOLATION RATE 4,`S.,S MIN/INCH ��.WATER 'ENCOUNTERED LEACHING AREA PER PERCOLATION RATE .. . . ... SQ.FT. _... NUMBER OF LEACHING PITS 6e4— Z APPROVED . . . . . . • , BOARD OF HEALTH -q�• 3'!y�36� ; //3 AFC ► 113 2:779H. <4dW+�.=.I; sfC,�:.s�.=31�600 G/�v DATE. 1 �` 14t�roJf� �.tPd�Q✓io�/s I7gr*-zi4C ,cog' AGENT- OR INSPECTOR a /o or oxA 01Qtcrivd3. `�%OF M'4,fr9c°�i�+ I o oOB IoT. . 1.'� . To ✓AR�FV colt y.. .,/�E lam — ;! . V j ���rPP/A/6 STOOL-' . .��, , . •DiT. � � � +: .i1/4p475, . . o JA PETITIONER : . �� / opo� _,``:• Upper Cape Engineering P.O. BOX 616, EAST SANDWICH, MASSACHUSETTS 02537 (617) 362-6281 mZ 7; 8�6 J Jut �/ ,4'o't. TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS 4"CAST IRON 12"MAX.OR SCHEDULE 40 12"MAX. P.V,C, PIPE 4 SCHEDULE 40 P.V.C.(ONLY) PITCH 1/4"PER.FT. PIPE- MIN. LEACH PITCH 1/4"PERYT. PIT PRECAST INVERT /o / e -� LEACHING `•� EL.�g C5!• ••• INVERT INVERT e . Q.� PIT OR o'• SEPTIC TANK DIST. w r EQUIV. ,a INVERTBOX ELZ 9�?�... ' : >_ + �Q .... GAL. INVERT EL iY'� INVERT nj ww :�; 3/4"TO II/; ELA7.X.4 1-Cal WASHED STONE �:o �-- /z • DIA y PROFILE OF WoGROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE • � - SSo� /.� DAT L/ � OIL LOG / WITNESSED BY : E ✓ . . TIME.. BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ELEV..31X0. . . . ELEV : THcO/5.�: . . . . . . . . . . ENGINEER . .. .. . . . . . . o 0 oft DESIGN DATA : NUMBER OF BEDROOMS 3 1 i TOTAL ESTIMATED FLOW J,� , , , GALLONS/DAY �(/ BOTTOM LEACHING AREA ���J. , SQ.FT. /PIT SIDE LEACHING AREA . . . � /, , • ; , SQ.FT/ PIT GARBAGE DISPOSAL . . (50% AREA INCREASE) TOTAL LEACHING AREA . J:/f , SQ.FT �wV All) E� 1 J PERCOLATION RATE ��5$ . .a , , , , . MIN/INCH LEACHING AREA PER PERCOLATION RATE .. . . SQ.FT. !✓Q.WATER ENCOUNTERED NUMBER OF LEACHING PITS(644— APPROVED . .. . . . . . . BOARD OF HEALTH TTZ: • 113 i DATE. /3/,Sf 62.-fJ.'3tZ AeQ AGENT OR INSPECTOR * T`�/��� �"`�s n����•?C Fob L 17/QE"GT S• � aft% Uf Mgsf °4+4 // &76,9VATe TO OB l: . . . To ✓AeiFv tole y /,3E low a `� �% =i !co ' A PETITIONER"' �� 41V TA?9\=' o TOP OF FOUNDATION ' CONCRETE COVER CONCRETE COVERS 4"CAST IRON "�. "'" .OR SCHEDULE 402 MAX• 12"MAX. • ' P.V.C. PIPE 4"SCHEDULE 40 P.V.C.(ONLY) � PITCH 1/4"PER.FT PIPE- MIN. LEACH ?'e PITCH 1/4"PER.FT. PIT \—INVERT io PRECAST • -� LEACHING ' ' EL'�° S!•••• INVERTx.� INVERT n . Q�; PIT OR e' SEPTIC TANK DIST. w EQUIV. 'a INVERT EL.IP . . .. BOX EL•YA.. >_ /QM. .... GAL. INVERT EL.. 3P'�. INVERT 3/4"TO 11/: EL EL.,UX. u-a � WASHED W $TONjF f , 3f--►�j-WDIA. PROFI LE OF = �, �y A OGROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE . O1 L LOG C WITNESSED BY : DATE ,� � . ... TIME.. ... . . .. .. 17, BOARD OF HEALTH }, TEST HOLE 1 TEST HOLE 2 ENGINEER ELEV .. .. . . . . , . _ o O oft DESIGN DATA : NUMBER OF BEDROOMS i TOTAL ESTIMATED FLOW J,� . . . . GALLONS/DAY ,(4 y 5( BOTTOM LEACHING AREA ��3. . . . SO.FT. /PIT . SIDE LEACHING AREA . . . .� /. , . SOFT/ PIT GARBAGE DISPOSAL' . . . .(50% AREA INCREASE) TOTAL LEACHING AREA . �`7�y . SQ.FT PERCOLATION RATE . .4 S . a . . . . . . . . MIN/INCH LEACHING AREA PER PERCOLATION RATE .. . . ... SQ.FT. .,N�v.WATER ENCOUNTERED NUMBER OF LEACHING PITS • • . . . v ARD O /i3 SfAPPROVED BO F HEALTH } 1 %o!/'l►; n DATE. . . . . �.T71QN, . . . � ��o�� ��rpe�Q✓gods n�r��z��< Fog. AGENT OR INSPECTOR I, /o Fr .4,AA 01Qtcriod3 . OF rxc,5d�9 rr ro c--1, /G X y 0B 107: . $l.2 . . To ✓rlkiFv coin y /��lam `� � • A /. oft p, /STEM PETITIONER'; g�'D,VgNATAO`��� �767r�d L. 3. Xo .. . N '. TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS e 4"CAST IRON 12"MAX, .OR SCHEDULE 40 12"MAX. • P.V,C. PIPE 4"SCHEDULE 40 PV.C.(ONLY) �' ' PITCH 1/4"PER.FT. PIPE MIN. LEACH PITCH 1/4"PER.FT. PIT PRECAST INVERT LEACHING '� EL'�O S'• • SEPTIC TANK INVERT INVERT e . ;. PIT OR DI ST. �.e INVERT EL.-�P.x�. . .. BOX EL�9i!�... ' : �� >_ ?;; EQUIV. ;a: EL...3oX5�., GAL. INVERT INVERT ~~ 3/4��TO II i EL:�PK . `� w w /: ' ELA7.X.o. :.' �� �Y .;. WASHED '" > w STON/F • N DIA.--►� y PROFILE OF WOGROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE . ///SOIL LOG WITNESSED BY : DATE 10 i . .... TIME.. . . . . .. BOARD OF HEALTH }, TEST HOLE I TEST HOLE 2 ENGINEER ELE�V. .3�X�. . . . ELEV. .. .. . . . . . . DESIGN DATA : NUMBER OF BEDROOMS -3 ! 7 . . i TOTAL ESTIMATED FLOW .5L , , , GALLONS/DAY /-� L-1/f �(/ BOTTOM LEACHING AREA �! . . . . SO.FT. /PIT . SIDE LEACHING AREA , SOFT./PIT GARBAGE DISPOSAL . . . .vq ..(50% AREA INCREASE) TOTAL LEACHING AREA . . ayY . . . SQ.FT PERCOLATION RATE . . . . . . .a . . . , , MIN/INCH LEACHING AREA PER PERCOLATION RATE .. . . SO,FT. .!✓.Q.WATER ENCOUNTERED NUMBER OF LEACHING PITS�6&/ APPROVED . .. . . . . . . , . BOARD OF HEALTH Z: 3"! C 6) - /� Sf` ') iDATE �779H, AGENT OR INSPECTOR ,] O�`� '�oa�Q✓i,ds /7ATt�t l�?C FoiQ ` /o Fr iw. A�c�c 01xec- /mdJs txcq✓,�T� ro c--�. ,Gxy goo OB l��l: . �� . To ✓ k Y /�c�.Co sg sit, PETITIONER': 10— �o NATAS'•�'', ✓i rKAI - I O� o r CHIPPINGST01AIZ- ��� D t E, ,�r� F 98�r✓ sz14 yc i/V 3(o %(p OZ 'S Gc/— — '- 31 — — — — — — EDGE O< PA✓EcIE C/T iz 00 - - - _ I /.S T/.1/C � K Y I Q d' V o0 0 t O d .� ,5•Z Y9� `7cc� - 3(- A, OZ E fL3i.11Yr 3/ _ — � ,rcf asca / v`z8.1�vG 9 \/jO 7°o Y i e - v PLAN. 0 F �.0T.S .SL9 y CHI?P/NGSToNZ �v )C� R A1,5TA8Lr, MA . PEE r PA RED Z y UP,�,ER G ti rE- ENG�NEL--R/wG P0. SOX 4 S ANp w/C N /yA. 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