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HomeMy WebLinkAbout0059 PEACH TREE ROAD - Health 59 Peach Tree 20 Q d Marstons Mills A=057 - 096 Zoe N6L.tD -ram- Fizs.... . .`....`.... THE COMMONWEALTH OF MASSACHUSETTS / S�id BOAR® OF HEALTH ----T' /�1..............OF........ -!s'r- Applirathin for Rapaiiaal Works Tonxitrnrtion amit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at ...... N.....-!--...........�.. ---- !( -�v1 .............. .. .......•- -- - Locatio -Address or Lot No. ... ..CQ- ----------------------------------------------- ------------------------------------- Wa /1 ..' � �cl Owner g` Address ......._.. •--•-•--•............................••-----•-------- .: f .-•-••........ nd... / Installer Address Type of Building Size Lot.... �1045,5.....Sq. feet ; ,. Dwelling—No. of Bedrooms............................................Expansion Attic (i JA) Garbage Grinder Other—Type T e of Building !r4 A No. of persons ps C4 YP g ----------�-------------- P ---� --........... Showers (H/A,) — Cafeteria (wA) Otherfixtures ...........-'•IA-................................................................................................................................ W Design Flow............ .1 ................ -gallons per person per day. Total daily flow.............................................gallons. PD WSeptic Tank—Liquid capacityl� _.gallons Length................ Width...._.._._._..._ Diameter---___.__----- Depth._.S__.._'.. x Disposal Trench—No._._ ....... Width__+-!./A........ Total Length...}-+/A.........Total leaching area...!-!J-F........sq. ft. Seepage Pit No..... ti__- Diameter..__x. -. Depth below inlet...- .... Total leaching area..`�.�.._�......sq. ft. Z Other Distribution box (1< Dosing tank (wA) Percolation Test Results Performed by....5A*:1f a..... il��.... Date... 8�0 Test Pit No. 1...t1.----minutes per inch Depth of Test Pit---- ...... Depth to ground water-__ ...... fs, Test Pit No. 2...L'-._._minutes per inch Depth of Test Pit....l :P..... Depth to ground water... ------- ........................................................... ------------------------- -------•----•--•--........_...----------•--......•--.--------- -----------•----------•-----•-------•.---------- 0 Description of Soil---: c= ` ®.--�....L !4?ti'� ` f a'� !.1.5 C=--r-1-T .............. xTP . . ® ��--� �/ �� °L....��v i_r 15, f) 1tea wTf- v -••.............•••......••- W -------------------------------------------------------------------------------------------------------------------------------- ------------------.................................................. V Nature of Repairs or Alterations—Answer when applicable...__A__r1A........................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal,System in-o cordance with the provisions of iITA U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Com liance has been i b the b and of hea S. -- --••-• . •--•••••--•- ............ ate Application Approved BY •... Date Application Disapproved for the following reasons---------------------------------------------------------------•---------------------------------.........-•----. Y .............................................................•-•..................................-•................................................---•--......•..........__--•---•--........__......._. '. Date Permit No.. .5...... Issued.......... ............. Date N6-?ON ..... °1 Fps... ,k............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ApplirFation for Uiipoiial Work, Cfon.itrnrtion ramit Application is hereby made for a Permit to Construct (v05"or Repair ( ) an Individual Sewage Disposal System at: N .. . Pests N(. A a Location-Address or Lot No. ......................__.......................................................................... ..........--------------------•--------------•--------•^•----------------------- Owner Address W Installer Address /j QType of Building Size Lot...._•-(_`_i�.5 6_..Sq. feet V Dwelling—No. of Bedrooms.............. .____.________.__...__._Expansion Attic (�!A) Garbage Grinder pP4 Other—Type T e of Building ., yp g .....►_.A/1_t------------ No. of persons__.__-a/_A------------ Showers �/A) — Cafeteria (►.A) QOther fixtures ..........�/,A................................................................................................................................. W Design Flow............U;.......................gallons per person per day. Total daily flow..........3_ ........................ PR WSeptic Tank—Liquid capacity.l-240...gallons Length.�'.��.. Width. '-....__ Diameter-_)-+IA_..... Depth..-`k_"?'_.... x Disposal Trench—No. ...!-ajA_....... Width._N jA......... Total Length.. .lt�......... Total leaching area___!-a_t ---------sq. ft. Seepage Pit No.... Diameter.�4 A.. Depth below inlet_.. __- Total leaching area._--'--�---�......sq. ft. z Other Distribution box (vr- Dosing tank (pj A) `-' Percolation Test Results Performed by._._FAI3 aTest Pit No. L_15;t!...._minutes per inch Depth of Test Pit_,..L1 `'�____-_ Depth to ground water.. Test Pit No. 2__ z-....minutes per inch Depth of Test Pit___t'�_: ?.._... Depth to ground water--- ! -+ ........ W •-------•..................•-•-•-•---•-•••.........••• ------ ... DDescription of Soil_._ __1_______ .-_'«,�_..._ ' '1__.!_..' '' "` '. `•' 0, ate' ,,' Cc 1�fT "` !'`' V ...................................�.�.:..._Q.'�`.._.'..__i'c�!t-!�1... ...`-.........I.......................................t1. _.artr.x:f,�1�Vea 4.ati'r .» W x ...............-........................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable...__ -Y: ............................................................................ 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 been issued by the board of health. Signed-------- --------------•-----•-------f_- _.�., -"— �� agte Application Approved By e - 'D-a ./ Application Disapproved for the following reasons-------------------------------------------------------------•-----------------------------...---••-•-••---•----- -----...•---•••--•-••-•--••--•-----------••--•-•---•---•-•..............•--•-•----•-----••-•--•••------•--------•--••-•--•••••••----••--•-•-••--•-•------------•-------••••......•-----...•-•••-------•- Date Permit No. ....... ------ Issued____________________ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ... ?V 1. ............0F......... '1 h !- ?: ............................. T-5rdifgratr of Tontphatnrr a THIS IS TOERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by................. J _ C4....: '" ; J .°..........................................................................-........................................................ Inst at.---•------ °L t '�tI ------- -------•--•---•----•----------------•----------.... ------•------•------------- has been installed in accordance with the provisions of TILT 5 of The State Sanitary Code s des qd in the application for Disposal Works Construction Permit No���_.',-_„-". _.____ dated....... �_�___..___................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUA ANTEE THAT THE SYSTEM WILL FUNCTION #TISFACTORY. DATE........................ .1_�._.!... ..................................... Inspector........... -------------------•-------.....--••---••-•---••-••--------•-...... THE COMMONWEALTH OF MASSACHUSETTS BOARD• OF HEALTH No................... FEE....................... Maps 1 orks (go strwtion rrtnit Permission is hereby granted--- to Construct ( ) or Repair_( ) an Individual Sewage Disposal System atNo........................- z)..-.. ......Y!----S'--•--C ......-------------------------•------------------------------------------.........-•--- Street as shown on the application for Disposal Works Construction Permit N:F*.__--�••75 Dated-_6 4��............... l •----------.......................................... .................................................. /' I l r' _ Board of Health DATE............. `r r'..............-................... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS P ASSESSOR'S MAP NO.s_ PARCEL r�L , k 3, LOC A T ION 4--jc SEWAGE PERMIT NO. VILLAGE IN_. STA LLER'S MNA ADDRESS �Y B UII L/DE R OR OWNER DATE PERMIT ISSUED b lc - DAYI OPPLIANCE ISSUED jr E- y r1l f'1 ORTC,AG � W 5ft�CT IOC PLOY ftA� LOCATED 10 : MAaSTO4 t l I L'Ls t'I DEEp 6K:�2q PG,o32 B uY C R PLAO 00. SCALE I"'30' BK.33? PG. oo L.o-r 7 3a F: —� t� CIA N -75 2 sToey \./oop - . 2014" ITT-CC l I 1.1o�Jq,� i qN h t 6) en.c !2500 SuOJ EGf To EASE h'1EI•tT5 PeoTecrivs C.o�lE►.Ja1,.t'r5; 6,► o p w\e 21yHTS, . M'sTR.iGTIOWS, oft �ESE2�/�lTlOn►g 01= R.FiC.oRa. To= PEL10 CO.0p-)�'2ATN(s lj4416 and its title insurers I hereby certify that I have 6"auined the provisos and that all buildings are located on the ground as shown, and that they do ( ) conform to the zoning by laws vhen constructed. I also certify that this Property is IJe located in the flood hazard area. t10' : This certification is based on the surrey markers of others, and does not represent ' An actual surrey. For mortgage purposes only. �>t Of NORTHERN ASSOCIATES, INC. ES 11 BALLARD WAY,LAWRENCE MA 01813 Tel.975-7118 9.13112 Q 4�o su-'1�y DESIGN DATA, STRUCTURE,:--,k ti�Gt_�_ G/,r•.ti t c_�/ �w�r i, DESIGN FLOW-, P,fluh..A - SEPTIC TANK / 1'fCo. 89 - r I-fI4 �IO.�aO EA�.h7 GPD SF k ( LEACHING RATES: SIDE AR BOTTOM AREA,�aGPD/SF LEACHING FACILITYAI = � / -rt� 11 .F�I�T: ARC la°•ZC"IT'�C Co=� = Z`�.G� PLAN REFERENCE: d t` v tiNLL y... ASSESSORS LOT NO. f5 S Co NOTE: �p2 ro, ICo' Gj� `N O II. Q I. ALL MATERIALS AND CONSTRUCTION METHODS Ni �! r TO CONFORM WITH COMM. OF MASS. TITLE ENVIRONMENTAL CODE U- SZ L© A sAL4 O t?'�V „ ri W v- ` . p i PLAN q '`, ��. zv SCALE l"=30' TEST PIT NO. TEST PIT .NO. Z S - ELEV. ELEV. �:da �N D. - ��;`"'r, _ f "� ems•,->.-tea LO.dM IL OBSERVATION PITS P--5'1 1 E5 s�lasol� S1.13SO11_ DATE OF TEST 10 �o o ti p 3 3 ENGINEER-F5Au-r=-2 N`iG -51.5 Vic- o o o u- B.O.H.AGENTT. Mc� /�tit © EXCAVATOR Tdti\Y` "8 V�Q 0°6 0 -T PERC RATE IN T.P. NO. AT— FT.=GZMIN./1N. cdl s cati GOTL-1 IT Io' 30, T �. Rom ZCo'(NTS Id-Co" 10' ZO-r Lp -Z t�' 'FOP-' CDEN �UIL �ZS Z.Z ELLIS & THULIN, INC. 115 �I t4 I. LAND SURVEYORS AND CIVIL ENGINEERS i IZ y BDT O \Alo.Z EAST SANDWICH, MASS. t---COF�OSEi7 �ZG�-C t`I SECTION �' : �. 13 ec�SCALE µow-.. 1`�io' .2: "=5' N THRU. SEPTIC SYSTEM - �2c�y.- � I. vCo-©l@