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HomeMy WebLinkAbout0149 REDBERRY LANE - Health �4G 12eE4(�e✓ Ln . �7h � . 04��o►z/ooq TOWN OF Bli',RNSTABLE LOCATION SEWAGE # VILLAGE 14Vc 016L<5 ASSESSOR'S MAP & LOTU�� INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY:(type) �f� (size) 6x NO. OF BEDROOMS PRIVATE WELL PUBLIC WATER l BUILDER OR OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No '44 � ----• i � � Fps. .. ....... . THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH �0/0 '- ......... 3. ...-----...I............................. Appliration for Bhipuiitt1 Works Tonstrurtinn ramit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage.Disposal System at: L.v �3 S �2Z L-s9- r►�.9-<-2..5 TcJ<✓s M i c t S -• _-7-•-`�-... . ------------------------------- . --•-----------•---------......------........ ....... Location-Addre ..... .............................•---•--------- ._.. ...... .d Address Q © Installer Address Type of Building Size Lot... ._G---S?.Sq. feet U Dwelling—No. of Bedrooms................3_.....................Expansion Attu--j— Garbage Grin er Other—Type T e of Building � yp g __/._.�.�_No. of persons...........!;�--........... 5howeps—{---}---• Cafete is Otherfixtures . ----------------------------------------------------------------------------------------- --•-•---•--- Design Flow........................5�,1__._gallons per person per day. Total daily flow-_-_-_---�..3....�...._............gallons. WSeptic Tank—Liquid'capacity� agallons Length..�t _.G"Width...f 4 v''Diameter.............. pth... _'�-•.--_ i/ x Disposal Trench—No..................... Width.................... Total Length............__...... Total.leaching area....................sq. ft. Seepage Pit No.......... ......... Diameter........ _►----- Depth below inlet....... !.......... Total leaching area.... ...sq. ft. Z Other Distribution box ( VJ Dosing tankr(--) a Percolation Test Result Performed by._... r'9..% ..�2' -S� r- ....._. Date_. ----------------- a Test Pit No. 1---._=-Z.minutes per inch Depth of Test Pit... Depth to ground water_.I__�1_L-`------ (14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------- .._..___..�8 --- x n• G4 .^. ---------------- l..t/ .,., G.... !✓ O Description of Soil............. x U ---------------•------------•---•-----------------------------•----------.........--------•-•-------------•-•-•--••-----------------••--------•--------•--•--------•-•-••--•-------•------------------- 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 TITLE; 5 of the State Sanitary Code— The undersigned further agrees not to place the system operation until a Certificate of Compliance has been issued by the board o ealfh � — �� j ' t— • Signed........ . S 2.3 �j 1.38 at Application Approved By.... _. _ Dae --•--YL,f - ---�+ Application Disapproved for the following reasons---------------------------------•-----------------------------------------------------------•--•-----•-•--...... ..__...... �," �. -------------------------•-----•.............................•---------Date........--•--- PermitNo.--- -•-•----.--- - ` Issued....................................................... Date 7 •. ' Noe.................. Fns.��. ....._............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ApplirFaiiun for Uispunal Workii Ton,strnr#ion Frrutit Application is hereby made for a Permit to Construct (W--)-,or Repair ( } an Individual Sewage Disposal System at: _ Location-Address _ or Lo No. 44) Owner Address Installer Address UType of Building Size Lot.._:_..:- _4P .0..Sq. feet Dwelling—No. of Bedrooms..................................................................Expansion Atti&--(— " Garbage Grinder(�)� a Other—Type of Building _1....E.G__7l.- No. of persons....._.._..�=.._......... Showers—(---}-- Cafeteria—(_) Other fixtures .._. ---------------------- W Design Flow........................ ..............gallons per person per day. Total daily flow...._.._ ^ ?_ _` ....__._._..._..._gallons. W Septic Tank—Liquid capacity!-90 2- allons Len h.�%.' Width--` Diameter---------------- Depth--==*--=--''--- x Disposal Trench—No...................... Width.................... Total Length................... Total leaching area....................sq. ft. Seepage Pit No.........d.......... Diameter................ Depth below inlet......'......... Total leaching area..:?­!�?.t....sq. ft. Z Other Distribution box ( Dosing tank-( -) / a Percolation Test Results Performed b ........................ ... ......................................... �'' 7 � Test Pit No. 1---- Z...minutes per inch Depth of Test Pit..f ?_. .__.__ Depth to ground waterl..�_ .__=._.___ (z, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------......;..._._. O Description of Soil--------------- �` �.....--...`(--------�---�--�--�c--=`.S--f....------....� �x -•-••••-•-----•-----••••......-----•... V --••-------------------------------•--•--•---------••-•--------•-••.........-----.---• 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 Sanitary Code— The undersigned furtb r grees not to place the system operation until a Certificate of Compliance has been issued by the board o �� .. /�.Gi / �A off' Signed_ `S ` ram``' -5/ce3 �j' v . . Application Approved By... __ 1/y/ .. ` /_ �, .. . te Application Disapproved for the following reasons-----------------------•-------•-----•--• ............................................................... ....................................................... ---------.-------•--------------------------------------•------------------•---------------------------------------- �•'/ Date 7lC]Permit No -- .... Issued....._.... .-- - Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................':f............OF.......... .' .. ............................................. Tntifiratr of Tomplinnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (L-ror Repaired ( ) bY-•---..........................................rc .s'' 7 i , •--•-••-------••-•------------------••-•----••----•------------...........---.....---•------•----•._.._.....--••--......_........._..--•--•--••-- I staller has been installed in accordance with the provisions of TITLE 5�o T e State Sanitary C d as d ,i n the application for Disposal Works Construction Permit No... .��."^ `. .......... dated-__- __�_ e �e............... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................... .... �._/... Inspector :_{__ /...----------- ---------------------------------•....... t THE COMMONWEALTH OF MASSACHUSETTS OARD OF HEALTH No._.`:.. !�1[/ .............. W OF.....�-�: .--.....--•--•--•----••---................. .._.� FEE..! .......... Disposal Vorks %T.onntr ion ranfit Permission is hereby granted------. �. --•--. -•••-•------------------------•--................... to Construct or Re air ndiv du Sewage Disposal S stem ( ( an at No c� Street 4_ �`/ as shown on the application for Disposal Works Construction P t a� -�lJ _. ated.j� v_ ... ..�....... f Board o ealth DATE............... ---- -- _ FORM 1255 A. M. SULKIN, INC.. BOSTON BENCH MARK : TEST HOLE RESULTSP _.-! ---" DATE / /z/ 7 \ 2 WITNESSED BY * � R i 11 o. 2`� �,., TEST H0LE'w _E71- 1150, l� TEST HOLE so /Q 5 O �� ( v✓r/i� ri' 8 C L �+AC�`l•� 7. 0 7* VA 7- TNT P fto P'D FAM, �✓ �1 2' °' GROUND WATER GROUND WATER ENCOUNTERED ENCOUNTERED MANHOLE ; AND COVER' TO BE B U I LT TO :�. ELEV. TOP OF �fITHIN 12" OF FINISHED GRADE ., FOUNDATION o QFIt� ISHED GRADE411 MIN. 2 /a SLOPE �,• / t Pl D IA. _ �rN ._ 4 DIA. PIPE FIRS I2Ms� ' M�_ MIN . 2 LAYER O►F , I M I N . PI TC:1 I; F T. �.. �,.4, --�•-.�,.� � L E V E ,.r ,r. P E A S T O tN E MIN. PITCH i© .vi uv. 14)# i , `, Q . I/4/F T. /000 mw.�i I.a ., 5- - �17,2 ►- . INVERT GALLON IN'V� RpTT C, s��r,tx+ INVERT i / Q7. 75' SEi'TIC TANK ; ;.y1IST i •, to •� �4-' IY2. DID . r _ N E u FOOTING TO BE PLACED INVERT INVERT BOX ,' �' WASHED STONt RT V ON A MINIMUM OF I8" OF PLACE ON r ; I ,I , ' 1 rx r�, ;` ALL AROUND VIRGIN 0 R C O M PACT E D ; ,>2----•-� >r 1 R tiq B A __ . ,. I _ ; , -_��+-. .u, .j :. B o T T 0 M AT E L F V, J, SAND L o M ► N.) .r � z_c - ... ,- O GARBAGE 2 0 M IN.) /' �' ✓' , ' GRINDER o7- C 77 HoLi � ELEV. 37. c PR 0 F I I_ E 0F GROUND WATER TABLE j34r40lvV SAN 'ITA.RY DISPOSAL S Y S T E ( NOT TO scA L E ) D E S I G N D ATA 0 CONSTRUCTION OF SANITARY DISPOSAL ` ' BEDROOMS SYSTEM SHALL CONFORM TO THE MASS. DESIGN FLOW 33o GAL /DAY ENVIRONMENTAL CODE TITLI: Z LEACH RATE - MIN./INCH (REVISED 7- 1-77 ) AND THE T 0 W N REQUIRED LEACHING CAPACITY : �(27W�- HEALTH DEPARTMENT REGULA ' IONS �7 a777-I a SEPTIC TANK, DISTRIBUTION BC'X AND LEACH — PROPOSED 427 GAuL/DAY ING UNIT TO BE OF REINFOPCED CONCRETE : 2, E 7 - SS zj�` + MIN. CONCRETE STRENGTH = 300OPS. I. REQUIRED SEPTIC TANK / ©®G' GAL. MIN. STEEL STRENGTH = 20, 000 PS. I. / MIN. DESIGN LOADING : S / 0 PROPOSED SEPTIC TANK : /000GAL. DRIVEWAYS NOT TO BE LOCAT �. D OVER SYSTEM UNLESS H2O DESIGN LOADING IS USED ALL PIPES AND FITTINGS TO 3E WATERTIGHT AND TO BE OF CAST IRON OR APPROVED P.V.C. HEALTH AGENT APPROVAL DATE SITE PLAN SHOWING PROPOSED CONSTRUCTION ZONING DATA LEG EN ® L 0 C A ION � . S7 2- FOR : www.w.v,r L Y 'Wn d DATE : V / EFE EICE LOT ` AS S »;u++.°nrpwn..pg8aus'MMwAiMBsrr...w. Z 0 N E _.._ ._ ..._ � � TEST HOLE LOCATION ' . O SOWN -�N - REVISIONS • REQUIRED AREA L .._ *�3�, G© s, EXISTING SPOT ELEVATION 17.6 o , / REQUIRED FRONTAGE :— do© EXISTING CONTOUR -- 16 � � e � � � ►7 REQUIRED FRONT SETBACK . PROPOSED CONTOUR 16 / 0 SCALE F REQUIRED SIDE SETBACK PROPOSED WATER SERVICE----W S SIONAL REQUIRED REAR SETBACK /`� I PROPOSED GAS SERVICE ____....C'---- • PROPOSED ELEC. a TELE E a T— C" 1`3% A 14 G R'% i ('Dl FR` T P. E . PRO FESSIONAL C I V I L EN G I N E E R BUILDING INSPECTOR APPROVAL DATE 131 OLD . ROUTE 132 HYANN IS , MA. 02601 FILENO. r- III II I