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HomeMy WebLinkAbout0028 REID LANE - Health i S M E A D KEEPING YOU ORGANIZEQ No. 12034 2-153LBE �SUSTAINABLE MIN.RECYCLEDCONTENTIO%IWTRI�ATIVE c°nifieeSour°inp POST-CONSUMER ® www.dprovam,orp SR-01190 MADE IN USA GET ORGANIZED AT SMEAD.COM 3 1?3 _ o✓ LOCATION P,60 �-" SEWAGE PERMIT NO. -:4 C sNu� Pow ) VILLAGE lw tf&sro M I L I6-S INSTA LL.ER'S NAME i ADDRESS IUILDER OR Q!—NER-) ` DATE PERMIT ISSUED DATE COMPLIANCE ISSUED II e �5 '� �� ����� • � b5 5 � � ��„� � � , ��1 a � e 3 I - , No... ......I.D.. ss.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH % N.............OF...... -61"Mws577*-�.-�.. 6 ........................ Appliratiun for lliipuuttl Workii Tunutrnrtiun runfit Application is hereby made for a Permit to Construct (vYor Repair ( ) an Individual Sewage Disposal System at: a L 141 �`? s To ac.s 1-1 iGf_s Lo7' ...................... l� tiAdd._._._.�� ..... iclGs.... ........ ................ f........... �— Location-Address or Lot No. 6 ....................................... er J Address a ............... .•. --.. •••••-•---- Installer Address QType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms................................._..........Expansion Attic ( ) Garbage Grinder (�) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ................................... W Design Flow............. ...............................gallons per person per day. Total daily flow.........._.�__.�®_-.....................gallons. W zo � ?. Septic Tank—Liquid capacity � _gallons Length.< __.._.. Width.5......... Diameter________________ Depth.....6�_.__. x Disposal Trench—No._.._.___._ ....... Width...... Total Length..__ _._ Total leaching area.....7-tea_ .....sq. ft. Seepage Pit No____________ _______ Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `" Percolation Test Results Performed _ ' r- .................... Date...../ ............ ,aa Test Pit No. 1..!5�..3 minutes per inch Depth of Test Pit.... y___ Depth to ground water...... Z6_`_.____. Test Pit No. 2_L__._-'�....minutesper inch Depth of Test Pit----,:to8_y... Depth to ground water........................ ° r----•-•---•-.-.--"-------------••-z----._........-----...................._....-----......_...........•--......................................................... O Description of Soil.--- ...o ' .....� 5 � - S o! C. 30"�- 77 0 D�`��- -3 4—;� . • .. - .._...---•• �•-•• .s!,�.._6L?-A'1° z- !3 _... _.: s • •---•---•--•-••...............•-----•-----•-----••- VW -------------------------------------------•----•-------------------------------------------------------•-----------------------------•----..-.-------------------...._.._...._.._..••••-.....-----•••-- 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 un ersigned further agrees not to place the yst in operation until a Certificate of Compliance has be b board of health. ?%s� igne ------7.........................••-----------•-•--------• t... .-••• --•--••....•---•-- ate ApplicationApproved =-=- ................................................................................... Date Application Disapprove r following reasons------------------•-----..__....--•-----•------------._....-•----------------•--•----------..._...--•--•---•---- ............................................... ..........................................................••-•-•----•-----.._._....•-•••...-•-•-----•-••---•••-----•-•--.._.._._.._Date ...-•------- PermitNo....................................................... Issued....................................................... Date .........................r............................................................ ................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TvW.t/.............OF.... 1�.5"Ti9 e"5f .............................................................. Trrtif iratr of Tomphatta TH - CE FY, That the Individual Se age Disposal ystem constructed (�%r Repaired ( ) ;has .. -----•-•-- ---------- -- ...... Installer en in tailed in accordance with the rovisions of T{ LF 5 of The State Sanitar Code. ed in the application for Disposal Works Construction Permit No.fi3•• _!7/�//.0______________ dated�/� : .._ -.. .......................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® S A GUARANTEE THAT THE SYSTEM WI / !___FU yTION SATISFACTORY. -Zd -__� DATE... .................................................. Inspector. .... ...--••-------•---......_........_...._...---••--••-----•-----•---........ s- ., Y Q FRic.-1.I ................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ...70�_t^f_A/.............OF.......45"M A1.5 T/I 13G L .. ...... .... ......................................... Application is hereby made for a Permit to Construct (vror Repair ( ) an Individual Sewage Disposal System at /y4r057-04vs /GGs LoT 3z i ocation•Address or Lot No. ...................................... ----•-• .4-n/n/ Owner ff�••-•----••---- Address Installer Address Type of Building Size Lot............................Sq. feet Dwelling— No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder (X) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) QI Other fixtures ...................................................... _ W Design Flow...........-��.___'___ ----------- per person per day. Total dai� flow._____._.`..................................`.3 gallons. n: Septic Tank—Liquid capacity-ZOo 9_galIons Length.��_.__..___ Width..-6-_ ._/.____ Diameter________________ Depth_____6_..___-. W Disposal Trench—No. ....._._..?....... Width___...�Z____.._ Total Length........._.....___ Total leaching area.....? .....sq. ft. x Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) _ 7- 2 8a. � � Percolation Test Results � Performed by.............................. ........3z-.�---------•-------- Date..... ---- G_ ---_-- Test Pit No. 1................minutes per inch Depth of Test Pit-----__.._.__... ... Depth to ground 'water........................ fi Test Pit'No. 2_G....__----minutes per inch Depth of Test Pit____��P'__ _.. Depth to ground water.__�_..B ._.___. •-••-------------------------•-•--•- ••• ............................. ..........................................................................O Description of Soil � 3 SvS0/ 4- 0" - 7Z " 5 , -A-a - - : --------------------------------------------------------------.......... •--___----------- v W -------------- ------------------------•--___.____.-----•----------••__.__-----....._.------------------_.__--•------._...._----..----•----------.__________--•__._.___._._.___--------••.........____. VNature of Repairs or Alterations—Answer when applicable------------------------------- .........................•------_._..____._----•__._.._..__.-__._-•-----•-------•---_.__.-----__.___._.___.---_.__._____....--._---__.---------------------------------------------------___________---- Agreement: The under.ign d,,agf/iPto install the aforedescribed Individual Sewage Disposal System in accordance with the provisions o .LE 5 of the State Sanitary Code— The un rsigned further agrees not to place the s st in operation until a Certificate of Compliance as been s oard of Health. igned. .....si__...._.._ .-__-------•---•__.__-•>-- ................................ Date ApplicationApproved B ............. ,-_............................................................................... Date Application Disapprove or tt following reasons:•••••---•-----••----••-•--••---••-•••---•••••-••••••••--•••.............•--••-•-•--.._____...______.-------...... ................................................ .-------------•-•----•------•--•••------•••••--•--------._.._..----....------•-••-•-----••••••----------------•--•----••••--••••••••••••---•--•-•-•- Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Tv W A/ $A72NSTi9'5 G' .........................................OF..................................................................................... THIS ,'PERT Y, That the Individual fwage Disposal System constructed (L-j"or Repaired ( ) X by........ % ••...... ......••-••, -•-•---..14..._... ••--•••••---•------------- -•------••--•---._._..._......-•---•----•--•....-----•-••--•-•------- `.�' Installer Chas be insta led in accordance with the provisions of TI 5 o e State Sanitary d din the application for Disposal Works Construction Permit No-_-_�_''����....__.__._.__ dated.-- .................................... 41.9E ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THESYSTEM WILLIdC O� SATISFACTORY.r DATE. -• -- -----------•-•-- Inspector.. ...... .-•-•-----••-•-•-••---...._..._..............._..-••--•--•••--_______._ TFjECC�049 WEALTH OF MASSACHUSETTS I) BOARD OF HEALTH afYl2 ti ST/a 7 13&L �7 ...........................................O F......--..... .........._..........-.....----•--•-•.. .........•--.......... No... �' ...t! FEE........................ �84Y1 $ a1I �1�B11�4� Permission is ereby granted............. -4................................................................................. to Construct ( LOr Repair ( ) an Individual Scwzqe Disposal System atNo__________________ ...._____._...____--•--__..........----._..._•-- ------------------_----- a---------------------------------------------------- Street as shown on the application for Disposal Works-Construction Permitxo___ _______________ Dated.......................................... ,© _____________ __________ _ :;-•---------------._._...__.____._.••••------•••..._._-.••-_..- Board of Health DATE_._.. ------� ....�----•--.......................................... FORM 1255 A. M. SULKIN, INC., BOSTON 77-, 77 -J. ........... iV.: EL, N-1 �Z-- N TOP OF FOUNDATION CONCRETE COVERS �'j q. V 4 CAST IRON if's 12 MAX, PIPE (OR 4"ORANGEBURG(OR EQUIV) 12"M I N. PIPE M IN. EQUIV.) MIN PITCH 1/4"PER.FT LEACHING TRENCH REQUIRED) k J, PITCH 1/4"PER.FT, fi F� INVERT INVERT INVERT 16i EL.. TANK DIST. A 4_iw INVER EL� BOX A g GAL. INVER V,, EL.. fl, EL. INVERT pj veT,� I NVERT—J 4t-p,zo EL..-f 4c�l 410 Zk%�, GROUND WATER TABLE V 16 P F1 LE OF RO' S E DISPOSAL SYSTEM TYPICAL CROSS SECTION EWAG SOIL LOG LEACHING TRENCH . DAT E 71/ TIME . ... . . . . . . . . . NO SCALE % TEST HOLE 2 J" a TEST HOLE I e­ 7' AW ELE DESIGN DATA ' V. ELEV. 12"MIN. ,\mi 5- WASHED NUMBER OF BEDROOMS J,1�li (10 STONE 2 TOTAL ESTIMATED FLOW . . . . . . . . . . . GALLONS/DAY Z4 5, B 7/� SO.FT./TRENCH OTTOM LEACHING AREA . .. . . . . . . ... e ce ez, ez. /0 SIDE LEACHING k X_� 7"' AREA SO.FT./TRENCH 3/4"-11/2 GARBAGE DISPO HED SAL ..(50% AREA INCREASE) WAS STON E SQ.FT. TOTAL LEACHING AREA k� 3^ 5" PERCOLATION RATE ... PER. INCH 7!t� % ? 77. PER PERCOLATION RATE ... LEACHING AREA .. SQ.FT. I hr 7e k", i.1v .wt GROUND WATER TABLE 10 BOARD OF HEALTH ez e6, APPROVED "k, �A, 4_1 s� Y�-�. .WATER ENCOUNTERED DATE . . . . . . . . . . . . AGENT OR INSPECTOR WITNESSED BY Pj fg p BOARD OF HEALTH ir . . . . . . . ...... 17, V _4�?wp, ENGINEER 7W- Qt�' f,�4 PETITIONER 7- �777 ,7_7I', 7 �,x R� �J, -44 -j ik" A, Al k� `2� _;t, 10 K 7, v,-A" t, .6 v ;'x 4 A4?104 ov -7 47 4, V N,:A o" 1A, 7 17& q Z ­,W j 4 c-- , ,�k s-, 71 1 y, �V6 v '4 J" ji "t, _q !011 J� It 'We 1.t,, 0 el .01 7 7 ­,v It_ 7- A-­71 IvI A, vsoe v 7' -7- 40' -/A/ 7 A I AL 17 k" no 'S, _4 9'el IMTA 4. oil k% 7 0 a u 04 "AAA kY1--i, j '4,REQUIRED)' 77 WASHb7 177 STON 0� ft ­k, k� A� k,I K J�