HomeMy WebLinkAbout0000 OLD POST ROAD (CT & MM) - Health Lot t Old Post Road 1 0Atve
Marston
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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'=>// `,.
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} r SI TL PLAN SHEET l OF 2
SCAL E: /"=
LOT
tax
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��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