HomeMy WebLinkAbout0341 OLDE HOMESTEAD DRIVE - Health 341 'O1ckH0'
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Marstons Mills
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ASSESSOR'S MA"P. u:' 4-� PARCEL I
ier % r� y f SEWAGE PERMIT NO.
VILLAGE '
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ALL ER'S NAME A ADDRESS
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B U I L D E R OR OWNER
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DATE PERMIT ISSUED loll
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DAT E COMPLIANCE ISSUED `� /2 `
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH Q NY 009
............... w / ..-----....OF..........��.4,e!, , T�9��44.............................. 0 0 l
ApplirFation for Disposal Works Tons rurtinn ramit
Application is hereby made for a Permit to Construct (VIfor Repair ( ) an Individual Sewage Disposal
System at:
L�oT" 5/ oho /-ra ►? .5.7'! Ao....l�•e�.Y !?f� S..?..Q!�1 �4..4,. ........._
Location-Address or Lot No.
-------------- - -l�-� y/.L.t?.C�u�'a � _:. Pe. QaC._�5....cAge! ..E k!.G.L.r'....N.�A.......
Ownera Address...............:.. ............�.�..4�.GSA.��.--------------•------------- ------------................................ --------...--------------------------....._
Installer Address
UType of Building Size Lot....2O,.z??.--.-Sq. feet
.., Dwelling—No. of Bedrooms..............3...........................Expansion Attic. ( ) Garbage Grinder ( )
Other—T e of Building No. of persons
YP g -------------•-•--...----... p �-------------- Showers ( ) — Cafeteria ( )
Other fixtures ------------•-------------
-......
-------------
W Design Flow.................... �............gallons per person per day. Total daily flow....................33,0..............
WSeptic Tank—Liquid capacity,lPiAogallons Length..8.-5;�... Width....A-.!o. Diameter................ Depth...¢.-6-
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No........./.---------- Diameter........ **----. Depth below inlet......I:4t...... Total leaching area...Z 4...sq. ft.
Z Other Distribution box ( ,/)'- Dosing tank ( )
aPercolation Test Results Performed by... ................................. Date......50 S//` ------------
Test Pit No. 1.......�......minutes per inch Depth of Test Pit.......13_....._ Depth to ground water..�QA.2 a..--.
Li, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
P1 ....----••-••••••••---••••••---•.............•••-•--•••----•--.....---------........._..--------.--•.........................................................
0 Description of Soil................o--.. '---r��K7.Try.... !��Qtl;..._.3: _-./ -.1Nc_ca�..3�� _.T/'.�_ee_.�Ct-au��
V .....------•---------•-•---•--------•-••................•--•-•••-------...•-------•--...........----.._..----•-••-••--------••-•-------•-----••.........•-••••---•-•-•------------•---....._.l::--.-----
W
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------•--•----•-•-•--------.....
V Nature of Repairs or Alterations—Answer when applicable................................................................................................
-----------------------------------------------------------•-------------------------.....---------.. . ....---------•---------------------------------------------------------------.....-----......
Agreement:
The undersigned agrees to install the aforedesc Individual Sewage Disposal System in accordance with
the provisions of'ITI.% 5 o t e a anitary The undersigned further agrees not to place the system in
operation u til ertificate of o n' ha b s ed by t board of health.
Signed............. -- .--- ••.......................................... .......//' /Y-
te
y
Application Appr d B •---•--•---•-•--_. _ . ::-�.�[ : .. ........................... ............. eate
Application Disapproved for the following reasons---------------------------------•----------------------------------------------•--------------------.........._
---------------------------------------- ---••--•-••--•--..............-----•------. .._�
Permit No...------. ......q ...(.0 ci. .... Issued-------------------------------------------Date .....
Date
'No�^._.._((09 Fss...........1 ..
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............../_o y.........OF.......... eh/.,S .............................
Application for Dispniial Works Tatuitrnrtinn ramit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at:
1.t.1..C... ......_..
Location-Address or Lot No.
2---CO..:
Owner Address
Installer Address
Type of Building Size Lot............4.�.7..7....Sq. feet
U Dwelling—No. of Bedrooms.............3...........................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons..........4............. Showers — Cafeteria
Q' Other fixtures --------------------------------------------------
W
Design Flow......._..•.......... ............gallons per person per day. Total daily flow................../_,...._.._._....gallon.
WSeptic Tank—Liquid capacity,/ =gallons Length---i �_.. Width....:2-.%o. Diameter................ Depth...4-_:x:a...
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area_..........._.......sq. ft.
Seepage Pit No---------/.......... Diameter........Z....... Depth below inlet.....:1:......... Total leaching area...z¢t.9...sq. ft.
Z Other Distribution box Dosing tank ( )
Percolation Test Results Performed by.._ 3 _ �:l=__,Ez!!R 4 ................................. Date_._....`".. . _.__..._.....
a /"
Test Pit No. 1.......2.....minutes per inch Depth of Test Pit......../.a.`._... Depth to ground water_._
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a ••--•••--•••-----------•-•••................••---...---............-----•-------•---•--..._.._----•-................-........................................
D Description of Soil ............................ .................
4 o�
U --------------------------
-------------------------------------------
------------- -----------------------------------------------
----------------------------------------------
------------------------------------------W
U Nature of Repairs or Alterations—Answer when applicable...............................................................................................
-------------------•----.........._..----------------------------------...............-
Agreement: /,
The undersigned agrees to install the aforedescr be Individual Sewage Disposal System in accordance with
the provisions of TITiZ 5 of thle S.a Sanitary C —` The undersigned further agrees not to place the system in
operation until VCertificate 06Coin n 1 has b sued by toe board of health.
Signed............_ '............................................. ......
te
.�' ..
_�_
Application Approav'ed By.....•..--------�-C � �.:..��� ��....... .......... ---------- IDat��-���
Date
Application Disapproved for the following reasons--------------------------------------------------------------------------------------------------------------_
-•-------------------------------------------------------------------------------------------------------••--••••-••-•--••--••-••-••-•••-•-•••••-••-----------••-•-•--------•-----------•------•---•••-
�-- Date
Permit No........ �~--. cam......... �e ��_........ IssuecL ---•-•---•----------
Date
THE COMMONWEALTH'OF MASS'ACHUSETTS
.h, BOARD OF HEALTH
.................oF..........
.................----------•
Tnrtifiratr of Tuanplianrr
THZS�JS 0 CERTIF , That the Individual Sewage Disposal System constructed ( or Repaired (. )
g J •...••••-•••-•••------..._••----------------•_. --...._......_........••-••••---•-••--
Ias
at 4 0 _.... Y.._... A .... I_ C_'! --���iE ---•--- to er........ 1�� ..---------------------•----...__...----
has beet"installed in accordance with the provisions of TITLE 5 of The State Sanitary CQde as described in the
application for Disposal Works Construction Permit No.•�n......9_6_9.... dated_-". . .f' ,...`.:18----------------
THE*ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY. —I.
�'4�---•-------------------- Inspector...----.....rn....---------------------•---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
- E �
Cgr` .............j tt^'l ................OF.......... .± 8 1L!` j• ..........................
_No.._ FEE.... .....
Dispos t nrkii Tonstrnrtinn an it
Permission is hereby granted. ... 7.
...... ,.......:1...•---•- _..._-----------------.....------------------------------------------............._______ ..
to Construct (VI) or Repair ) an Individual Sewage Disposa System �
at No....A&T........
....51...._.. !l .......I. -� ".` ! ..------. "= � �` �`'� 7 _ .I
.....
Street
as shown on the application for Disposal Works Construction Permit N �� _ Dated..... -t1.-V- (.........
Board of Health
DATE � ...? --------------------••-•-•-------------
FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS
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SITE PLAN SHEET l OF 2
SCALE; 1 = 40'
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i. WA44WIC9t : y
No. 19771 �
Es fCISTER��
t FOR
RE61 STERED LAND SURVEYOR
9•. �ZO'NE �/� 4�7191e�STUAlS M/LLS MI9.-5 .
.j PLAN REF, DATE
BENCH MARK DATUM /929 MSL 019r4lM WM. M. WARWICK 8 ASSOC., INC.
DOMESTIC WATER SOURCE 72Ww w.g 7 AE7,2 8OX' 801 - NORTH FAL MOUTH
FLOOD ZONE. Now-/��z��D C MASS. 02556 - (617) 563 -26 38
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LEACHING BASIN SECTION NOT TO SCALE shce
24C.I.MH COVER
EARTH F/L L BRICK AND MORTAR COURSES AS REO'D• TO BRING
_ COVER TO GRADE
8'FLOW LINE
INLET L _ __ ___ _ 2' �"TO%" WASHED PEA 5TONE FREE OF IRONS,
PIPE FINES AND DUST /N PLACE
T::
l . 414" TO I%2"WASHED CRUSHED STONE FREE OF
OUTER DIAMETEERR
53 43 OPEN/NG WITH IRONS, FINES AND DUST /N PLACE
• .•
AND / �/q„INSIDE .'.
DIAMETER I. CONCRETE TO BE 4000 PSI 28 DAYS
2. REINFORCED WI• TH 6 x 6 N0. 6 GA. W.W.M.
. ' 3. 2'AND 4' SECTIONS ARE AVAILABLE FOR
GREATER DEPTH REQUIREMENTS
410" �--a' ---�--6'0" 3'---I 4. N U M.B ER OF PITS REQUIRED I
MIN. /2' NOTE: EXCAVATE TO ELEVATION G9.4- OR
EFFECTIVE DIAMETER
(NOT TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL
WATER T4BLE--A-1-'NF LOAM AND CLAY BENEATH PIT. REPLACE
f EXCAVATED MATERIAL WITH CLEAN
TYPICAL PROF/LE GRAVEL TO DESIGNED GRADE.
/8"STD LT. WGT. C.I.MH COVER
4"C.1.PIPE 4"B/T.FIBER PIPE OUTLET LEVEL
FLOW L/NE TIGHT JOINT
,i DWELLING _ TO FIRST JOINT
ij 97 8 -Q-1 /4 O O 11 0�O 0 11
77
I ry/ C.I. TEE 43 77./,3 I I o 1 00 11
77. STD. PRECAST CONC. : 77.30 �D/ST. BOX TO BE ' l I 0 0 0 00 so 1 I
_GAL.SEPTIC TANK 77' 111100 0 0 0 I I I
INSTALLED ON LEVEL, 1 1 1 0 00 0 0 0,1 1 1
STABLE BASE
\SEPT/C TANK TO BE- it 000 O 0 0 1 I
INSTALLED ON LEVEL' 1 11 100100 1 1 '
STABLE BASE. 1 [ 1 0 0 0 O 0 0
1 1 000I0 0-1 1 ; 1
LEACHING BASIN , 1 1 A 0 0 0 0 1 t ;
BASE TO BE LEVEL t i 1 1 0 0 O 0 I
SOIL AND PERC. DATA
TEST PIT NO. 1 P-5�07 TEST PIT NO. 2. PERC. RATE � 2 MIN. /IN. 0��
Tco. `
.:TEST BY
WITNESSED, BY T M�KFav .R�3N /?i1�d �culd
TEST PIT OR. EL. g� o Traces Gruver/
DATE:
/VD 6ZAO. WATF_/L
DESIGN DATA GENERAL NOTES
BEDROOMS 3 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM.
DISPOSAL- Xlelul_- SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD
EST' TOTAL DAILY EFFL.a=GPD. PRECAST REINFORCED CONCRETE UNITS.
.' SEPTIC TANK /000 GAL. ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN' ACCORDANCE
TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE,
SIDEWALL AREA z SGAL./SQ.FT. MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF
BOTTOM AREA *40' GAL./SQ,ET. SANITARY SEWAGE EFFECTIVE ON JULY 11 1977.
.LEACHING REQUIRED 20o.SQ.FT., ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
ACTUAL LEACHING AREA OF HEALTH:
?�SQ,FT, ...AT COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE
BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION.
%
PITCH ALL SEWER LINES I/a" / FT. UNLESS INDICATED OTHERWISE.
SO :.
SEWAGE DISPOSAL SYSTEM'
$os MAFjN \�
w MORAN h ,�.o T $/ OLO yoA?EST�.9I� OQ/✓�d23417�Q
?p COf
- . : . :^ � • ASS;OIIAI.ECG
SCALE AS INDICATED DATE �-7 B
<.; WM. M. WARWICK 8 ASSOC., INC.
8OX 801 - -NORTH FAL MOUTH
MASS. 02556 - (6/71 563 -2638
PROFESSIONAL ENGINEER
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LOCATION NO.AL_
VILLAGE'- DATE
APPLICANT
ADDRESS P�D,'
TE'LEPI]ONE NO.
� U8IE SCHEDULED /
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