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HomeMy WebLinkAbout0000 OLD POST ROAD (CT & MM) - Health Lot t Old Post Road 1 0Atve Marston Mills �v��7(y��,M1+� I A = 042 008 i i r ASSESSORS MAP N0: PARCEL NO.: A E THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T3 pQ � 0F d RA 5%h-hz-E_/d y....... .......................................... Appliratinn for Biiivuaal Workg Cnunitrur#inn 1hrutit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at: -L T �.......®�� Pd 5T /eD �1f1 G�S7-dN5 ./yIILLS ..... • ................. Locat' n-A dress or Lt --•-••--- ---•-- ••-•--•-•-._..__..._ b.,Owner Address a 5----•------------------------- --•••-•--•-•Inst---•-......................................... ............................................. st ••--- Installer Address VType of Building Size Lot....��6. ....Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) P4 Other—Type of Building .....j��......... No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ---- w Design Flow........................:..5.__._......__gallons per person per day. Total daily flow................-�_.30..-..._............gallons. WSeptic Tank—Liquid capacity.l�VO..gallons Length..!2T ... Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width....._�.._..__..... Total Length.................... Total leaching area................•...sq. ft. Seepage Pit No..........I--------- Diameter.......J.Z....... Depth below inlet__3,6e...... Total leaching area._..:. �..sq. ft. Z Other Distribution box (V) Dosing tank k ) Percolation Test Results Performed by.11-------ll � .. .. S...G................. Date.....z.'.Z ...` ...... Test Pit No. 1..... ......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 ....----•------------------------•••--...•-•---.........---•--.....•--•------••......-•-......•.............................................................. 0 Description of Soil-_ '.Z ` TAPS c(}-(S vo�L_ w 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 TITIU 5 of the State anitary Code—.The undersigned further agrees not to place the system in operat' utS ifi of Comp ' e has been issued by the board of health. Signed---- ? ---•-------------------- -----•------ ........ ��•-�_.�6.... QAJ APPli t' n App BY E------- ------ -------------------- ••............................ ...----....fir? Date Application Disapproved for the following i ea,sons:----------•-•---------•-----•-••----......--•---------------•••-•----------...------•-----......---•-•--._...._ --•---------------•--------•--...--------------........-•---------------...---------------•------------•-----------••----...•... Date PermitNo..... ................................................. Issued........................................................ Date No..h............... ,�i ? / Fics..... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..OU-)�1/.......OF........ ` >`% /tf 1, / t 6,. . . .................................... Appliration for Disposal orks Tonstrurtion Frruti# Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: . :1.��_..... .......a�D _ dot`5f leb /,I/3�P��yA5 fyr!G L. _ - - Location -Add re s c3 ......................19'y .5 l3�-.-----•/52-: .L2... f�f:................ _ .... :. .' .....�.. �Lot ��T -' 114 d�G.!" .. Owner.. ...... .._ Address ......................_....._.. Installer Address Type of Building Size Lot.:._�.�r. �...:.......Sq. feet Dwelling No, of Bedrooms.......................:. `� g— f/)� ...................Expansion Attic ( ) �'.Garbage Grinder ( ) Oar Other—Type of Building ..... _____...._.. No. of persons............................ Showers:(" ) — Cafeteria ( ) d Other fixtures . T---------------•----.----------------•-----------------------..------------•--------•.................:.:.`..::--------- ..•---.... .--------... W Design Flow............................................gallons per person per day. Total daily flow........-....---- ...................gallons. WSeptic Tank—Liquid capacity.IKQ_.gallons Length._`:�2... Width................ Diameter..........._.... Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.__....�..__sq. ft. 3 Seepage Pit No.................... Diameter.......J.Z........ Depth below inlet.....=::.�... .G Total leaching area .�.�. 2..sq. ft. Z Other Distribution box (\/) Dosing tank ( � _ Percolation Test Results Performed by.il:_ :-lVf\I- -i�(CK `_% G `Date_..... ....1-.�.__.�u a . _:._... Test Pit No. 1................minutes per inch Depth of Test Pit._ I ._:......... Depth to ground water...... ."...... ......... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ t4 ....-------•-----------------------•---••--••-•...-•--------••-•----•--••---•--•----•---•---._................................... .............. c Description of Soil...::..._...=....... ' `. F- �- L / - /"' Z ------•-••.............. - ------•--•--•------••------•-•--•-------•--•-------•--•-•-•------•------------•.--... v --------------------• ....._..__......1..:'......: _`..---•••••--.................... ...•---------••-----•---•------•-..........-. ..........--••-•-••-••-•-----••-.........-----•--... W 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 TITLE 5 of the State nitary Code—.The undersigned further agrees not to place the system in operati until a Ce 'fi of Comp ' has been issued by the board of health. Signed--../�^'' `-•-------------•------•-•-•---•-•-•--•.......•--• ••-----��, f - at Applic ti n App ed By----------C-1-�---�-••----- .... ------• ...-•----...... _ ?• �... Date Application Disapproved for the following r masons:............................................•---........____.....---•--.......------•-----...._.........---- ........••---•••-•------••----------------------------------••-------•••--•------...----.....-----•...•-------•-•-----••-•--•-------.......-•--------•-----------------.............---....-•-------••- Date Permit No...... 1 l ....... Issued Issue&..................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............7('0"Y.........OF..........15�.9.R�..�57..'.'.�6 ........................... Tprfif irat a of Toutp1taurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (V/) or Repaired ( ) Y ..............•-•••--------...........----•• ...... -----•-•..........-----•----••--•--..._..........................--••-•-•---...... ._._.._ Installer at.....!=��.— ..........�--�: i /` t ................................................. has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code.,as de�,c;ibed�in the application for Disposal Works Construction Permit No----(�__"_l_�.`� .......... dated-------f.��__-.........._ ,�.._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.............•...-•-----•--........-•-•--......-----••-•-•---------...._........ - Inspector................. t 7 / L) Jr THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (l..1�. ....... ............... �..t W.A'......OF........f�� 'R�: .: i -............................. l�lo. Fn........................ Disposal Marks Tons#rtudion rrrutit Permission is hereby granted.......... ... ~~ to Construct ( Le or Repair ( ) �an Individual Sewage Disposal System at No......L-07----------�----•-L_63------? �'�7�:�" '`l G/�.'......._��I/� � � Street ` as shown on the application for Disposal Works Construction Permit o ..r��.. .- Dated......._ :_.Z{..:. .�.... ...--• _ ----------IN..-----..... . _ ---•-•-•--.....-••••.................._ DATE. t/ Boa d of Health / . -----....... Form 1255 A. M. SULKIN, INC., BOSTON'=>// `,. } } r SI TL PLAN SHEET l OF 2 SCAL E: /"= LOT tax \ y`� 70, i5 s7 v Ll v { v ��P`t1i OF /;�qJf" • 1 �� WILLIAM. 1 "Z M. O T 1 WARWICK. o No. 19771 �fSTEP��S�``Q r ;'• '�� LAND�:" RE6/STEREO LAND SURVEYOR FOR- e • T PLAN REF M �A tT v� F'GL. DATE BENCH MARK DATUM A�y12yM :p WM. M. WARW/CK B ASSOC., INC. DOMESTIC WATER SOURCE T� ►����� BOX 80/ - NORTH FA L MOUTH FLOOD ZONE. MASS. 02556 - (6/7) 563 -2638 i J LEACHING QASIN SECT/ (9N NOT TO SCALE Shee� 24 C.I.MHCOV£R ). EARTH FILL BRICK AND. MORTAR COURSES AS REO'D• TO BRING 4 4 •-•,-'s= .•y COVER TO GRADE INLET +B FLOW L/NE / 9 P/PE -— -� TO „ WASHED PEASTONE FREE OF IRONS, T L FINES AND -DUST IN PLACE ' OPENING WITH 4%B" '' 4 /2 WASHED CRUSHED STONE FREE OF OUTER DIAMETER IRONS, FINES AND DUST IN PLACE ANO 1314"INSIDE . . DIAMETER `Ae-M6 6xn:v _ •' I, CONCRETE TO BE 4000 PSI 28 DAYS L- P,7` 2. REINFORCED WITH 6°x 6° NO. 6 GA. W.W.M. x 3. 21 AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH REQUIREMENTS MIN" -6 0 IZ, 31--� 4. NUMBER OF PITS REQUIRED ONe I EFFECT/VE D/AMETEK NOTE: EXCAVATE TO ELEVATION OR } (NOT TO EXCEED 3 T/M£S EFFECTIVE DEPTH) LOWER AS REQUIRED_`TO REMOVE ALL -WATER raeLE - LOAM AND CLAY BENEATH PIT. REPLACE TYPICAL PROFILE EXCAVATED MATERIAL WITH CLEAN • lmZ.r GRAVEL TO DESIGNED GRADE. _ lB STO. LT. WGT. C.I.MH COVER 4"C./.PIPE 4"88r FIBER PIPE DWELLING FLOW LINE T/GNT JOINT OUTLET LEVEL p TO FIRST JOINT 5' 14"" vA 00 1 10 00 1 C.I. TEE +f Z.j 1 10 1 O 0 1 1 $TO.GACPRECAST CONC. �C7.�j I I 1 0 0 0 O 0 1 1 I I r O/S7 Box TO BE ,p "FOOD O0 1 1 1 t • .SEPTIC TANK. INSTALLED ON LEVEL, 11 1 000 00 0 1 I I • s: STABLE BASE 1 I 1 100 00 1.1 I I '8 1 11 100 00 1 1 1 SEPTIC TANK TO BE 1 '1 0 0 0 O Q 1 1 I ; INSTALLED ON LEVEL, I I f 1001 0 0 1 1 STABLE BASE. L t1 10 0 0 0 1 1lItooI 000 1 111 O OO BASE TO BEL EVEL i 1 1 1 0 O 11 , 1 e'. SU/L AND PERC. DATA FS'�`0� LEACH/NG BASIN PERC. RATE MIN. /IN. 0 TEST PIT NO. I OIL' TEST PIT NO. 2 � c1 L� !�(�(� fiO 1'S o lc_/5 v 4�S v I TEST BY: _ : : WITNESSED. BY p�vM TEST PIT OR.' EL. 53•� t)ArN17 DATE. 2-Z7-gam 3� eI r r0 wATe DESIGN DATA GENERAL NO TES BEDROOMS NO HEAVY EQUIPMENT TO RUN OVER SYSTEM. DISPOSAL SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD EST. TOTAL DAILY EFFL!�GPD. PRECAST REINFORCED CONCRETE UNITS. SEPTIC TANK 1'4E GAL. ALL .SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE SIDEWALL •AREAZ'SGAL./SQ•FT. TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE, MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF BOTTOM APEA i'� GAL./SQ.FT. SANITARY SEWAGE EFFECTIVE ON JULY I , 1977. LEACHING REQUIREDE�ff SQ.FT, ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD ACTUAL LEACHING ARE OF HEALTH. �Q.FT, .AT -COMPLETION OF CONSTRUCTION, PRIOR TO BACKFI LLING, THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION. PITCH ALL SEWER LINES 1/4" / FT UNLESS INDICATED OTHERWISE. OF SEWAGE DISPOSAL ,SYSTEM ` MARTIN oN�Tt E. U L LD 1 IJ CO v MORAN v~i .p� 123417�) -- Ly-(' O 1�_ 0 CI >y���`� ► _ M H 12-5-ro J M,A /OVAL SCALE AS INDICATED GATE 0 ' WM, M. WARWICK 8 ASSOC., INC. 8OX 801 - NORTH FAL MOUTH . PROFESSIONAL EN61NEER MASS. 02556 - (6/7). 563 -2638