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HomeMy WebLinkAbout0108 SADDLER LANE - Health �o $ s k�Pler (� 98 Rue Michelle ' 4 • — 029 0 1 i UPC 10239 No. H163BE 100 Sf•CON`+ ' HASTINGS, MN LOCATION SEWAGE PERMIT NO. VILLAGE - �4 I N S T A LLER'S NAME & ADDRESS B U I L D E R OR OWNER L e.�z e � - <,Q\\, n�S DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED i LA THE COMMONWEALTH OF MASSACHUSETTS, BOARD OF HEALTH ---IO.W 1J................O F..t).A214.I.+...l f.5.-.�......------.......... Appl ration for Di-spasal Workii Tomitrurtiun Permit Application is hereby made for a Permit to Construct '.. or Repair ( ) an Individual Sewage Disposal System at: �-----•--•------ laT . .................... Location-Add ess or Lot No. ... .r. !C .:�✓i.� j/ -�1 -•-•---'•-•`------•-•.............•- ---^-•-----•--................. -•-- .....---^-...--• •-•----•--.........__..... Owner Address a �C/CG`� C�ISTf�! ......-•---. O S Thu..."L.G�......_.._4......................... Installer Address Type of Building (�.))..Expansion Size Lot__15,!)_�_Z........_Sq. feet�- U Dwelling—No. of Bedrooms___i! ,____. __.. Attic ( ) Garbage Grinder ( ) per, Other—Type:of Building .:.......:.................. No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures ............................... W Design Flow.........I.IO..........................gallons per per day: Total daily flow............:t�.O................gallons. WSeptic Tank—Liquid capacity1_00..gallons Length-'�G7__. Width4'::V._ Diameter---• De tl�____04... x Disposal Trench—No. ..:........:........ Width..................... Total Length........... Total leaching area....................sq. ft. 3 Seepage Pit No..l:'�...... Diameter....8__-....... Depth below inlet.....0......... Total leaching areaWIJ.....sq. ft. z Other Distribution box Dosing tank ( )Percolation Test Results Performed Date---4�////46............ Wa Test Pit No. 1.G ______minutes per inch Depth of Test Pit..J.65....... Depth to ground water...�� _.. t=. Test Pit No. 2................minutes per inch, Depth of Test Pit.................... Dep th to ground water........................ OG'. .I .. �.' 1.........••-•-•-- Description of Soil_..� .. � "(LZI� - -,/.�� ��� ............................ V .....--•-•..................:.......................•--------..._.._........._------•-••••----•--•--•--••-•-•----•---------•--••••-•--.___....._..............------•-•--••••-••--.....-•••........ W UNature of Repairs or Alterations—Answer when applicable...............................................:............................................... ....................................................... ..................... .................... •-------------------------•------------------------------ ............•........................... Agreement The. undersigned ees to install the aforedescribed Individual Sewage Disposal System in accordance with The. tindersignf: the provisions of LITL:. 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. .. Signeed------•_W - __'' '.............................. `/van"��e ....._.... Application Approved By••-•---- 1 ........................... -� Date .......... Application Disapproved for the foll ing reasons:.............:......................•__-______......._..____......______________________._...................... ......--••.........................................................•-----............--••--•....-••--•-••..;.........;--••-••-•--•-•-------._.._............_..-•---------••----------...._............ Date PermitNo......... -C� ....� Issued.------•................................-...................... ✓ Da - - ----- - --AIL No.._7��... .. .. Fas: Sc'7 THE COMMONWEALTH OF MASSACHUSETTS t BOARD OF HEALTH ( 1. VWLJ_:..............OF...► APU.>,.,..J..1. At L ........................ Appliration for Dispnsttl 10orkii Tnnitrurtion Vrrntit Application is hereby made for a Permit to Construct '( ) or Repair ( ) an Individual Sewage Disposal, System at .N _ux . ..:�= 1.1 " 1 t '. I._1A 7f' Wa i! ............................le :f............................. Location-Address or Lot No. -•.................:........... - -- •-• ------ --- ......... Owner- Address r T-- .._.: Z........i� ri/.. C.:Q...•..................................... M Installer Address g Q� Q7i Type of Building Size Lot.•.'.-•-.:..J.----P..-:..Sq. feet± ' U Dwelling—No. of Bedrooms_.IHK .._()..Expansion Attic ( ) Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria a' Other fixtures ................................ l $ „ I . --....••-•----••---••-•-•................................... Design Flow.........1.1�a...........................gallons per,pelsan er day. Total daily flow............ ��................ Ions. Septic Tank—Liquid capacity/rl/>��__gallons Length :.-!?... Width .-� ... D>ameter__._._...__-.. Depth .-©._. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area........_...........sq. ft. �Seepage Pit No.. ;l:...... Diameter....(5_......... Depth below inlet.....L6......... Total leaching areaWf.:.I.....sq,ft. Z Other Distribution box.� Dosing tank ( ) t Percolation Test Results Performed by.. l),I.A ..� ........... I.... . �.............. ,a Test Pit No. 1.!.f......minutes per inch Depth of Test Pit... Depth to ground water...kirDur-r..... (st Test Pit No. 2.......... ....minutes pr'' h Depth of_)Test Pit.................... Depth to ground water........................ Description of Soil...Cu'1 .i. :. ( .'�V� ? �t[ : ...-•-•-•................ .....------------------------------------•-...........------------•-----------............_..._..........--.• ..........................-................'.......... x --•--•.--••••-----•.......... ....... .--.••..._..----••......----•- ---------------•--------•--.........----.............--•.............._......... U_m . r Nature of Repairs or Alterations—Answer when applicable...............................................:............................................... ....................................................... = Agreement: �i I The, undersigned ees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITU, 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. -. . - .._k,..... Signed !: % .................................................. ..........................�..... Application Approved B Q__ Date Application'Disapproved for the f oll ing reasons:.................•----••---............---•----------------•--••-•-----------•--•--•-••---......-----...•....... { ...........•................................................................_....----•......................._......._.............................................................. ...........•.. Date ------..... Issued......................Permit No......... ............. .............. Date . .>..:.-.-e- ..,....-...-...-w b....,;.L�-„-u....-..rya-....._....._.>.-..m.......,..:.........-........... .......... .........<.....,............. ...o....• ..a..._.» THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH UCd i7 Trrtif iratr of f�unt�rlittnre THIS IS TO CFRTIFY, That the Individual Sewage Disposal System constructed (—Tor Repaired ( ) by......... T/- . c... ._ - . •-•-•-••--•-----------------•---...........--.---••............................................ .......... ......_ Installer G G ... ` :~.. ..... J , G.....'1`L has been installed in accordance with.the provisions of TITIE. ..5.of The State Sanitary Code as described in the application for Disposal Works Construction Permit No----- `' ."__.r `x"5 dated..... ------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. / _ DATE..... / _I h� ....... . Inspector...... 1"�.....----•--------•----.....-•--•-----------------------------••--. t _r. .... ......y...»�._. .� ,.._T._____-___ _...�.............�.a... ... . .,.,.»...,,,_,,.__---- .__ ................... g ,g;JA1 of —__ N_E- p� ` THE COMMONWEALTH OF MASSACHUSETTS i BOARD OF HEALTH �N_0 L oG gS ......... OFF........ `....................... No......................... FEE......................... his u�tttlVarks Tonntrurtiun rnmit Permission is hereby granted a��,....r�............... �.'.� � �...=`.....-�----f................................ .... � .. to Construct (t or Re' ji ( ) an Individual Sewage Disposal,System„!t�' at No.:.... [f J�a .._.:... �' C� �! . .rCh c5 ---------- ..---- .•••••-•--•-•----.. r t ,Street ��� i as shown on the application forsDisp�sal \'orls Construction Permtt'No______ _____________ _Dated...,; :. `' .. ...:. f - .... ................ .► B d of Health DATE...............I • ��-b _8. . ......................................r CA SECTION SEWAGE 0 to -SEPTIC TANK- Cp -"D"BOX - S -LEACHel TOPII OF F FDN .IJU �QD.(MSL)a WASHED STONE \ (SO i IN• OUT• i 1 16a IN• OUT• IN• G `') J SEPTIC TF LL1�1/ TANK S (7O ELEV. ELEV. ELEV. ELEV. 1 \" t51;2 5 ,IDce ELEV. ELEV. WASHED STONE / $yr� / 150 L \ w I cl, TEST HOLE.LOG ev. 144.o ►�'� �� `° �� rz` TEST BY Co 11 BS WITNESS �o- 3BEDROOM H E TEST DATE DESIGN V HOUSE T.H.- 1 T.H. # 2 =__w a� c ( ELEV. 6„ w71 PERC RATE ��`MIN/IN. DISPOSER DISPOSER �ub r` FLOW RATE 33o (GAL./DAY) N 155, SEPTIC TANK (1.5= — LOT 5 3 REO'D SEPTIC TANK SIZE LEACH FACILITY SIDE WALL 'rI� o ISO-e( 2.5) a 3't .G/D. �- hem BOTTOM CS)"2Z- Zn: = 3( � 7 } Su .� . G/D. TOTAL Zol . 1 i66'` USE: C3t�C' LEACHING PIT i3 . N UPEN WATER ENCOUNTERED �nt NOTES:' (UNLESS OTHERWISE NOTED) 1.DATUM(MSL)a TAKEN FROM ALn�l�� QUADRANGLE MAP 2.MUNICIPAL WATER AVAILABLE 3.PIPE PITCH:lh"PER FOOT 4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO- -44 ���� OF S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(2)FT. 6.PIPE JOINTS SHALL BE MADE WATERTIGHT Cy � ARNE H. G� - 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. .� O iALA �,{ SITE PLAN STATE ENVIRONMENTAL CODE TITLES 8. -ry.5 �� � f=ot .��-�za wo�c�C o.�`� a._►a �+-���o NBCfV01� � LOCUS: LOT���I St1DDC6J2 LEAN E �. au.,\,h.1SJITA��I.� './1L�.TG[Ztla.(✓ TC� 'E�,E:. �10�16C>Actr,� .'2Ef'�n��tj. __ 4�G( . �Q° __ - .` 7/ %3�/fNS-rAB1-E /VjA VJ1744. C LeAnJ "Er->tOM -R7 -= c+ C> REG.PR EER PLIN OF M4S H - r ARAU1�tp tVrtilCr � P., u ` !a�E 9� REF: LOT 54 NUA/T yK-(. Lc 4 a Z<a doWo Cape +eIllImfr'IYft� ARNE PREPARED FOR: Le,53-_z_ SdL,L.O-W_$ CIVIL ENGINEERS LANDSURVEYORS - - BOARD OF HEALTH ( S"'Mal CONTOURS (EXISTING)............. APPROVED ��4RA157- &Z-6, MA ( AtIA �fi'r3I I c�I S E� c��Q SCALE / b 40 I � �r (PROPOSED)-O-O-O-O- DATE - I b4l LAIIQ./ DATE 8`5 -0/�