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HomeMy WebLinkAbout0062 LAURIES LANE - Health r 62 Lauries Lane Marstons Mills i i ASSESSOR'S MAP NO. ?9�-" A R C E L f LOCATION (��i , '►' r SEWAGE PERMIT NO. V I L L A G t _ I N S T A LLEIt's NAME A ADDRESS ACC F�0" gs ""'R U I L D E R OR OWNER � r � `DATE PERMIT ISSUED ,g DATE COMPLIANCE IS-SUED r 10 ` . ter. � s � b s, 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 f r 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 , �o T PETITIONER,: °� -- 1 vR(Alu� I /8S•00 � o 772 5b IV E� s --4' tip°� �' • e p� bg3�d � NI Ob50 11u 5 E� ;0 /° yZAAAFz•w 4c i�►T�'S /7i9� s ro,v s f Coe ���6F��•�•� � _ � G/lv t , v�/l�/D K//C fib /�f3�J G etsit `�� r S� - 3o 4 3 �/ gHATAON N i U t /�i✓A�f% �