HomeMy WebLinkAbout0062 LAURIES LANE - Health r
62 Lauries Lane
Marstons Mills
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ASSESSOR'S MAP NO. ?9�-" A R C E L
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LOCATION (��i , '►' r SEWAGE PERMIT NO.
V I L L A G
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I N S T A LLEIt's NAME A ADDRESS
ACC F�0" gs
""'R U I L D E R OR OWNER
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`DATE PERMIT ISSUED ,g
DATE COMPLIANCE IS-SUED
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ter.
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No. q3 Fps................... ......._
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
I.DU1Li�l.............OF.... A-RaL �.- 1. E...--.................-----
4(��' Appliration for lliivnsttl Workii Tonotrnrtinn Prrutit
Application is hereby made for a Permit to Construct (Vor Repair ( ) an Individual Sewage Disposal
...St TLB_LAU RI.�S..LA_NE..._..MARS:�-�.►�5..�1.�..�.�.S...-- :._. .. ..........
f�l�lS_T � t'` ' `== 1_l�[C� .Y...�N_ .:.__COQ..VV:-_MA.LN.1S.�° > ET --.N"Y" N.N i3
a �D b_ER .:-CQ u � ..n Q....UNC....................... . .R [-%E�RAs ....6ARW_.i M
Installer Address ��y
d Type of Building Size Lot.23 t�0.Sq. feet
U Dwelling—No. of Bedroom, .Expansion Attic ( ) Garbage Grinder ( )
F--� -•- - ------------------ -
pa, Other—Type of Building _____ ,___.._..___ No. of persons____________________________ Showers ( ) Cafeteria ( )
Q' Other fixtures ................................. .
W Design Flow........... ......................gallons per person day. Totall - aily flow____-_--...._............_.... Ions.
WSeptic Tank—Liquid capacity��allons Length__ _s4.... Width _.-,5. Diameter................ Depth....-__........
x Disposal Trench—NoI. ................. Width_. ............... Total Length......... ------_--- Total leaching area.........____.__ sq. ft.
3 Seepage Pit No...l _1l�1. .._. Diameter......�....... Depth below inlet.....4......... Total leaching area.aZ& .sq. ft.
Z Other Distribution box (1,4 Dosing ank (
~" Percolation Test Results Performed by Q .� _.�lill,,l,.1 �......................... Date. 4..................
Test Pit No. 1.......Q----minutes per inch Depth of Test Pit.................... Depth to ground water._WQ,41,�
(� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ----•----------------------------------------------------------•--.....-•------•--------•--------•--.........................................................
0 Description of Soil ......... . -• ...........................
::::::::::::::::::::::......::::::::::: � __. _ ._ ' . s.............................................................................................
UNature 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 TITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been ssued e board of
Signed ............................................................ ��/
Application Approved BY - .....................•------••-•-••-•---••-••----
Date
Application Disapproved for the following reasons:----•-----------------••-------•----------------------------••---------------------..........................
.......---•---••-------•-•-------•-----•----•-----------------------------•------------------...--------••-•-••-•........-•••-•--•••-------••---•-••--•-••----•-•-------•------•------••------•--------.
Date
Permit No......... -----_------- Issued.--------•---....._
Date
t r
No. ?: 7 Fps .�....._
THE COMMONWEALTH OF MASSACHUSETTS
BOARD( OF HEALTH
................ .. ------ .......... ...........................
ApplirFa#inn for BhipasFal Works Tontrnrtion rrrmit
Application is hereby made for a Permit to Construct Oxor Repair ( ) an Individual Sewage Disposal
System at: 1 \ 1 .
=� 1==� _.1c,..N_l.k. l - F1r\I .... f{l�.S� .�f `t ...tv.1 �.�--�.:f.�............................
............ ................-
t Location Address t ( _
r; ��\?\` ! r��_Jf,__�_ I-{( I/1I�!�.�1 � ....�:�v� �-1 �/.�t��. �!�a {U � I�1�--f-j ...�^� � �€yN �J
....... ------.. Owner, .......---f-.... ...... . _ ! }r Address ...... ............1 .. .•
• .--- =
Installer Address
Type of Building - Size Lot.2_..�,..'_�C�_O..Sq. feet
-
Dwelling—No. of Bedrooms ..._....`: .........................Expansion Attic ( ) Garbage Grinder ( )
'4 Other—T e of Buildin «� ...._..... No. of persons............................ Showers
a YP g _ P ( • ) — Cafeteria ( )
Otherfixtures ------------------------------------------------------.----------•------------------------------ �;.,.��
WDesign Flow............... .......................gallons per person per day. Total daily flow.......="z -_��_: ....................gallons.
WSeptic Tank—Liquid capacity000—gallons Length._`...4.._.. Width`--_:-----I_ Diameter________________ Depth.... ........
x Disposal Trench—No..................... Width.................... Total Length.................... Total,leaching area...............,....sq. ft.
Seepage Pit No..--------......----- Diameter......E..�-....... Depth below inlet.....`............ Total leaching area.::C% ._sq. ft.
Z Other Distribution box ( Dosing tank ( ) r
Percolation Test Results Performed by..._._J :E'�..�J .A..- ...—.—I.......................... Date U-_J......<..._...__
a minutes per inch Depth of Test Pit. Depth to ground water_ �:_11 1
Test Pit No. 1----..`��------ -------------- / -
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...............................
---••--•--•-----•--------------------- -=----=-•---........_.............
-- -
O Description of Soil-------------•-•-........e.-.--• .................................................
............................................... - `�t
V 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has b en issue the boar4 of h h.
Signe ,'� - •.............•--•----••-----. --......---.. (......
....
j� Dte
Application Approved By___:.= `fate
—----------------------------------------
Disapproved for the following reasons:_._.•.......................................................................•--•----------------------.._....--
-------------
------------
-----------------------------------------..................................................................................................................
Date
Permit No....... "'_._�.�f ................. Issued-.................. ................................
Dattee
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
�� ' ...............OF.. r �. :..�
...... ......I ......... ........................................
Tnr#ifirFatt of Tonapliaanrr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( )
by--••---•------_ ------------------- ------........ --------................-•-------......-•-•••-•-•---------••••-.
A .li �°/;_ �a: `l�T+�%:�\14 + .. `t� l_l�1- --._..........._
has been installed in accordance with the provisions of TI r 5 of The State Sanitary C```Qd���e as escribed in the
application for Disposal Works Construction Permit No.-_ �ir_-.".H�..._....... dated__...__~���$� ...................... {'
LATHE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE
SYSTEM WI L FUNCTION SATISFACTORY.
DATE..................... �/�4-.0....................................... Inspector ..--•----------•---•------•--------.........---••-•------•-----•---......--
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF...------------.........
No.........................
FED -• .
Disposal. Works Toniirndinrt rranit
Permissionis hereby granted.............................................................................................................................................
to Construct,( G3' r_ )pin ndiiv�idual Sevcrage Disposal,Systems `�
-------------•----.......
Street
as shown on the application for Disposal Works Construction Permit No Dated__//�_�3 ................
1 �C?C^S Board of Health
DATE.--- ------`--•t-J--.-�.1..�-j-�--------------------------
FORM 1255 A. M. SULKIN. INC., BOSTON
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TOP OF FOUNDATION
CONCRETE COVER
•,• CONCRETE COVERS
4"CAST IRON 12"MAX. �f0/10
OR SCHEDULE 40 12"MAX. •
e P.V.C. PIPE 4 SCHEDULE 40 PV.C.(ONLY)
f• PITCH 1/4"PER.FT PIPE- MIN. LEACH
PITCH 1/4 PER.FT. PIT
°•'° PRECAST
e' IN�YIERT LEACHING
•0 ..XQ. ... a
EL.. INVERT INVERT p . e : PIT OR
e'. SEPTIC TANK DIST. w ' ' EQUIV.
,.e INVERT EL.UXy. . . BOX EL.�S.Yy. ' ; _>_ .•:
EL.�. GAL. ��.
a 0a � .., 3 4"
7�!G IEL. XG. ELY.y.� �� WASHED
.e , ..
a. 0 w STONE
•'� �� 61DIA.
14 a -d4
PROFILE OF AjoGROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
NO SCALE
/S I L LOG , WITNESSED BY :
DATE .�1. l .. TIME. . ��aCl` A?!, , BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 UPPERCAPE ENGINEERING ECE.V. .5�.XD. . . . . ELEV. .0 X4. . . . . . . . . . . P.O. 8CSX 616 . . ENGINEER
5 io lLogr •E.• SANDWICH,-MA . •02537
SAat' 36`-Sgg
DESIGN DATA
_ -1�. . . . . . . . . .
NUMBER OF BEDROOMS
TOTAL ESTIMATED FLOW 3Q . . . . GALLONS/DAY
BOTTOM LEACHING AREA .�/:3. . . . SQ.FT. /PIT
SIDE LEACHING AREA . . ./ �. . • • , SQ.FT./ PIT
GARBAGE DISPOSAL . /v0. . ..(50% AREA INCREASE)
TOTAL LEACHING AREA .aG 3. . . . SQ.FT
PERCOLATION, RATE XE S S. 2 • , . . MIN/INCH
..��O.WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE .. SQ.FT.
NUMBER OF LEACHING PITS
APPROVED 1. .�rJ,r /; , . . BOARD OF HEALTHR 1 3 /�` �'•�O/ :l/3•.'Se ( ,); %n?apt'
2, 7 . . 'l�✓�U�: �SOsf(? . = 375"•GPD = Sri��'
DATE. . . . . �0 Jf)1 _
AGENT OR INSPECTOR w
fIT
JACOB ,
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PETITIONER,: °� --
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