Loading...
HomeMy WebLinkAbout0318 SANTUIT-NEWTOWN ROAD - Health F18 Santuit Newtown Road arstons Mills A= 030— 047 - 1 LOCATIO n ��p�T�r. ��'u� 3 r� SEWAGE PERMIT NO. ALOJI)icaun Jed. VILLAGE YYIL� io em 11 , INSTA�L��LER'S NAME&ADDRESS j BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED r� b �. ' a 0 :.� a _� _; G - 0 5/`? .y w THE COMMONWEALTH OF MASSACHUSETTS ..t BOARD PF HEALTH �r/m✓................of.... .. . - .......................------ �� Allp iratiun for Uiipusa1 Works Tunitrurtion Frrutit Application is hereby made for a Permit to-Construct ( ) or Repair ( ) an Individual Sew Disposal S at. • ion-Ad ss Lot No. oo Owner ddress ---_.. .. _�...................... ................................ -z- Installer Address U Type of Building Size Lot__2�,:y�-_ ._Sq. feet Dwelling—No. of Bedrooms_______.._.............................Expansion Attic ( ) Garlfage Grinder ( ) `4 Other—Type of Building No. of ersons____________________________ Showers Pa yP g ------•---•--------••--•-•-- P ( ) — Cafeteria ( ) Other fixtures _____________________________________________ W Design Flow........... _______________________gallons per person per y. Total daily flow....�� .___._._______._.__._._....gallon WSeptic Tank—Liquid capacity .gallons Length.__ ____ Width._e'L_l _. Diameter________________ Depth_-f: x Disposal Trench—No_____________________ Width.................... Total Length........ Total leaching area....................sq. ft. Seepage Pit No../--------------- Diameter...... 4P------ Depth below inlet____ .......... Total leaching area... _ ..... q. ft. Z Other Distribution box ( ) Dosing to Percolation Test Results Performed by �<+' �r. j. Date 'k Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depi to ground water........................ fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ���Description of Soil.......... : ....... ------ ------- -------------------•---- - UW ..........................-•-----•-••------•-••----•----•-•--•-••-----------•------•-•_--•- ---•--•--•----••--•-•--•------••-•••-•-----•••--•-•---••-----•----•-•---••---••-•---------•-...._......••. Nature of Repairs or Alterations—Answer when applicable............................................................................................... ----------------------------------------------------------•------••-----------------.......------------•-------------------------------•-•---------____..•-••-.___.__..._.._.._•--•••.....------•---••. Agreement: *Application undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with isions of II'1114 of the State Sanitary Code—The under 1 ed further agrees n to place the system in it rti- e of Compliance een issu d by the bo eaDateion Approved By..-••••--•-•-- -' -•-• ' ,••- -•--•------------••-•........._-•- Date Disapproved for the following reasons:.................................................................................--.........._____.............. .................•--•--•........_.....__...--•--...----------...---•--••---------........--•---._....---.._.....--••----...--------------------------•----------------------------------------•---------- Date PermitNo....... ......... Issued.--------•------------------------••---•-------------•- Date P THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... .. ..........................O F............................._......... Appliration for,D'ioposal Works Tonstrnr#ion ramit Application is hereby made for a Permit to onstruct ( ) or Repair ( ) an Individual 'Sew a Disposal Syst at: ,/ ✓� . .......... .... ..----••---•----•....... - tion-Ac] ,,�� LO Noy . W ` Owner / ,7e� Address ------ --- . - ©...... ....... ....,.-•• -------- -- ------•---� �l �•C•(/%`'�" -•- -----•--- - Installer = -- ---- ••- Address Type of Building Size - U Lot_��'�(."x '.�°�._Sq. feet Dwelling—No.•of Bedrooms..........2.............................Expansion Attic ( ) Garbage Grinder ( ) Other-T e of Building ............... No. of persons............................ Showers a YP g --------•------------------------•--------.p--- ( ) — Cafeteria ( ) Other fixtures ---------------••• ---•••---------•••......---•••......•---.... w Design Flow............ ------------------------gallons per perso er cjay. Total daily flow____ o--O------------...............gallo�n,�1 WSeptic Tank—Liquid capacityZOF 'gall`ons Length ........__. Width � .�a9_ Diameter---------------;Depth__--'�_�Y x Disposal Trench—No..................... Width Total Length....... Total;.leaching area � _sq. ft.. 3 Seepage Pit No__ ________ ______ Diameter G ------Depth below inlet.._...... ..._.._. Total leaching area..:. S, ft. Z Other Distribution box ( ) Dosing tap ) Percolation Test Results Performed b ._ ____-_ --1��yel��.--�_- . ... �t�� v Y �....---- � Date'... -- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Dep�l-1 to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x �f - ----=- --------•••••----•-•-••-----...-•••••-•-•---•-_.. O Description of Soil.... 2. �/a j'-- �e x ••------•--- ----•-•------------- ---- 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 th provisions of TIT11 5 of the State Sanitary Code—The under 'gg d further agrees n tAo place the system in Aeration Il a. erti t of Compliance en iwssu. by the boar o hea igned---------- � 'A . r� ..._.. f�� `�L c.._.....'� . to -.._. ._ APP aYion. Approved BY .-•---............................ -�� = 2 i............... Date ( Application Disapproved for the following reasons_____________________________________________________________________________ .................................. --------------------------------------------•---......------......---------•--------....---•---•-•-----------------••-•.....---------•-•--•-•-----••-•-•-•-------•---••-••------•--------•---•....------ Date PermitNo.----. � �.••••--• Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF...................................................................................... . t"rrtifiratr of Tomtrlionrr THIS IS TO7 CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) bY....................... L:.... ti..Z Installer has been installed in accordance with the provisions of TITI�P.�'gf tate Sanitary Code of described in the application for Disposal Works Construction Permit No_________________________________ ....................... dated......... -( _a77?:VQ-S-------•-•-- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... ••-•---•--••••-•--•....--••_. Inspector---•-•••----•- c/a4gs .�. r r , ° THE COMMONWEALTH OF MASSACHUSETTS ,F BOARD OF!-HEALTH .....................................OF............................................................................ / No......................... FEE...........-••--...... `'Diova'Sa1� ujajkg �o #r ion rrmt# Permission is hereby granted.-...............................0 J ----------------•---•----•--•••----••-----•...-••--------••-----........---•--....-------•------...---- to Construct ( V or epair ( ) an Individual Sewage Disppo�sal System at No...................... ' r fU f a "K� ................... Street AO as shown on the app 'cation for Disposal Works Construction Permit No.�.... ated.._.. �"�._.......... DATE Board of Health FORM 1255 A. M. SULKIN, INC., BOSTON /�SSUG/Igr�s�� d } Z. LCTzs } rt. : cT Zo, 7ooSri r -f l ,w 0 w4.11L 1 .r� ��` y JJJI 7y.Q !" j L_ > �. `tH OF g�q ^0=r r,+ i3 MSG~ ROBERTSyG o' %r ` 2��.' s 1 n,r00 No 19367 i �♦�,61ST gS 3 `_ w!' / /�.�+' 11\O�At s P� ASS a L"• �F' �. �C, _.----''.,._. 9..2 A SSu M�,o LvT rr ALBER pow• L5 _ 9y.3 T�1eUT4Trrion/ A. tT 93 sari v �.4� Mf�✓r SEC r.[ 6. ?vw�/ ay�Ae�s C3 MORSE . v, �'y" (J,� T / T�:1�1�/�f f r U } Np•105"1 O . 2 l V fit' �O' G c T r> \ EGEND EXI�TIN® , SPOT ELEVATION Ou0 CERTIFIED PLOT PLAN �; EXISTINQ CONTOUR --- 0 ——— �RtN.{SHED;' SPOT ` ELEVATION. oT y .�In' "c��-rh/G► -�F✓ ,' f 4114 .91iE0 CONTOUR 0 U S NQ'1'E.'The' location of any existing und_e_"und sewerage, . ti "we:lls;'�or'other. utilities shown on this plan is approx �N Uniate only:as .d,termined from records' and/or verbal _ \ 1% fo-rmation."_ The contractor is responsible for the .9A�kjr.S7t�.�3l..� �a9�1► `verification of. the existing locations in the field. SCALE, o " DATE I 6 7 �S : *��� 4DRED6E EN6/NEERjA(6 CO. IN CLIENT. r 1. CERTIFY THAT THE PROPOSED, fix; :4 Et1<ISTERE REGISTERED J08 N0. Ss BUILDING SHOWN ON THIS PLAN r CIViI ` LAND "° CONFORMS TO THE ZONING LAWS t - DR.BY - t ENO F4ER RV OF BARNSTAB E MA33/ 7:12. M A I N STREET '. CH. By; H:YA N N I S M A g 3. � �� �^ ' SHEET�.OF DATE REG. LAND SURVEYOR W-1 —al i• r4w'�.3n .� ''��v"�,.'r,�'!~J.^��F'.��...e. .7a1��"•.� �;i2z.i�,+,•w-.x..._€^_. ,a:r y. -kf .s - .,€•, _ „•:> -; :.. e. ..,� �cr,e r r ��.: .,� �w;r�s 2�s:,�� •�• -.+ fib*;;:,` .:...,.p..tYe?. .,» ,.+ s..•». `-!+'•k xnr•dr.:.::b.. `ei "i",.. �... 4„ '''�;'.�'..(,.et. .!> l +;yL� r:: '.. � rr�. '�:: r- t<.. • J. x'i�4 - - y.. .. .J ..,,. ... -. ,rjt:.¢�ry 7eA; 7y4A;,.R — :4� .. :_. L • ..r: " ,� { " t a� �` . /!1I/1�. 4N : >..� :e� .4t t �j.a -'..�: ,_. O., T, l�'x •�9RE� TNT{%'✓ /2�B � .w. s.. •.ci .. .re' .:. :.... �'F.. ... r.-:li:.'...}Yrt.:�... -.:, ` -"i^ .'l. ,n.d. .f. ">"+ 'i:A M��� .,,rt. t �4. ':'#h K• �';_ _• � ., ... v`S,e,„. ,,.:'•�`- .,r�+'� .r ,, s,. :,M is .;s s �" - 3;:,. ,n. ,/N.., <� f:., �. :�'r. ..:: •..=;.a,�&,a. ...�t+p.., .� '�c ran, ,. *. ,.. w �.w...., /o �.. r. 'n.:,.. ....a 3 _. S .. .: �: .,•... _,..� - ....$. •_ .. t ..: r'.:. - "., ...., �DEf::�N;: :A�.. � y -� : ��.r.�..._.. ,. .,�. < ., •a. ,�:_, �a �, "k. �.�. � ;�.a .. ,. '{"rv,. �x.:�� .SJtIIII L.L. F�8 R�iKSH, wl ::�.. 47PYC•'/�/PC t �O✓ER` .9''LG. BE U,SErD. 'r xv � ..szo-'�n ,, .:;<� �• '�s,.�:=`.,CONCRrr,.E 1...>_ r ,�. /"�E.4 .Y C,. ,t ,. i h: _. i'�:-.s-. x; .,_.. ,.,,� �:•,._: ��; �MIN.t,P/TCJ�l �-. :' g *;;. ',.;+�x-s.� W t��s ,.:•. i;;,r +#+:�e c:,M`„ c .� �:�a�� �. � ���• � - - �' „ �s �; -/Fa•IN,OR/.YE�'t/ 4 Y w �„ ' ^*,'',:.s.tv :`": -� , . +..• ,'•`•f':-..-- YERs. �:. ;1 ;.n::'•+..: G f GL<, 85" 4, rya TCO PFR, L r i Ar t Xr k:� G :s, -k,F - t�`.:_ �, e y '.:;; Yu, "5• a.:h,i'` '? cope'. "EL EAJV SANG .3. �:`• 3 •I.1. r •.k .4� ; _ �i {. .ems;- t Lh a: _Vio LE EL4 s _ LAYER sc "17Tr�TT!"rr7'TT'r77 9 ' I • r Co jr G. L. 0 s ! e , " .; • • • �, s ••' DLST o yyASHFO SJ�tiE . _r NK ,•. •,'.• ,. ' '� •;• • /� Prit/T _SEPTIC TA - BOX • ��� � r� $ ♦ • � � e . � .. zf , y • -• • e • .DEFT!+/ . .,. a � ' WASI'!ED'.STOh'E •S t .' YX Zf7,a • ,.� e • '• • _ :�.• o D PIP p:-' BAST,$Efl4GE k • ,• � r ..; '{l �.. � F '£ � >I � •.a e'� ' �. S4�GAL. y . . i • o E 6S OR D 4 lrY�'XT LEVitIT/oN3 %�i'T C.aP�Cisy_ IN &A7' AT 4l/!LD/NG '�'/•'� FT- � ' C(SFEr�8ut.4T1oN� INLET, .SEPTIC rAdvk "$D,O fT• lD P: P/r41►�J• _ 400-Y ET SE•PT/C TANK .79r8 FT- GiepL/NO I1�iTE/� T/1dLE , x AWLET D/STR/Q!?IDN 80X �9•G FT SECT/OV OF O/ITLETD/.STR/BVT'/ON.BQX pQ�SA L SYSTEM k !/YLET tEACN/N& PlT 7 y o fT SWAGE' O/S', " ' _ LEACH/NG '!T vlirfE s /1f¢N FT. DIES/6N CR/TE �tR/ -SCALE f� _ 1'•a. pl�fHYSloN D G miofSER DF QEDmooms - ;GARdAGED/SPOSAJ !!IV/T'/✓�nrE SOIL LOG s`D/,L,.yTEST TOTAL-rJT/MA'1'EG:F[OK/ 3 3 fl." DAY, SOIL .TEST; / SO/L-TEST ,2 j ti XUMdER OF; ACJVlNT,p/TS / FLEY 74.4 ELI�Y OATS GF SOIL TEST "RESULTS ^117NESSEO aoTTOMiFi1CN/NG A-0it P/T -fig J$q FT /°iEItCOLAT/DA+ /lATlf I Liss MlI1�IlJVCN t— Lv A M �" TOTAL L EACN/NG. '•AREA Z 3¢.. ET. �cig s o i t: S�( M E lo1EJtCOLAT/OA/RATE 2_ TZ.4`n/ RESE/Ct�E LE;dC'N1JV6 ARE^ 2.b SQ• FT TEST' P 4.2-6.3., K. M,p: `tt� Mss+" P� �s �:� fig• sy :7v��7vJ� s >.. LD T: �, �„��� •�1:- "� _,.� ' .. 9C'.:. - Ikelr ,, -'-'fir, ::e:`. a - ,*;,,•. r ..{,. rv., �,. 'BERT , ' .ROEERT• � � �`� _� � 4 ,.S Q� <. �� c f,. 4, � ."F: fe'` �.t k 2.S'4' ham-° a 8 Ya.f $ ;^•k b F„ eF n .,); ,��,��,yd•;:'. A, tP $ a m * k iDdS, ,. ;:�, - , ,, j,. '• v{:. + ,,..;� <-, •4 .�. � a, ....:FYI. •!•... _�.. b ..Yk•. .._ •.. �• 1.,. :::•, r`.r .:5. k � 1'� �!. 9 :�.44-, } l„' - g ,� :� kYs:., a,. .;� *" ELD/ DGE. EJVr'rlN�/Pl •_ l 'o {L: Cn E{i a r. �,a < r z , t•�„ k :,,: /1lIS MIA 1 E .4N c�t1`s' a r 6 7 +4 r r' t r Tx H 3 /►7 )': s _h �, •, F ° rl ..:,� .. L ..r,. z �.r fig'." A_RNST a': -PAC;- - 1 p r NO GROUND YYAr &WC4l! # .: .}. $ ... rw Y W�.2 .,;F. .,3: n ..,+K_ '*. ...,:. ,J-..�^"�L.'4.R.'t'Y'.1.... , e 4 ..,,y.�. 7"":;>Jr .✓: ;,,i'._.• .°,�.Q4'k�:.yfi:;� ..:�. ....,. .,::ay:�. . ,l .,:�t>.� �:�, -;.�'.. t._ g.«»�.'f3 ,,, *� -- �, < »k.ta..- ,. _. ,�a"'�g , .+.•,.��a.> N. :: `" �..-,'i��G �' y,z: cYrr 1. .�r ,,}n 3:?>'..,., ' y,. } ��`�+,ai .+,r:c,.,. .. 3,,.Sw... ... .. r .. . .. f• <,... ,.: r.. - tit':-.k. n F::%ad, "t'4�_r :«"p?k v. ,gin y�.'� ,t�`'r.�".��.-. -, naw.•�':•`.,ts,--, ,.Wa:.._ ...z.H.:�,�4�'tgF... 4..,......�+�`,k:..... ..., .. -.>;. :a. ,,,+. � e' "!'trti yMw r° n�. �M r'•;.TS a n`' �.�. ;,�> t _. _ _. ...,,.,>H.,:,a:... .�a,:..:,Lrw ,,.,.ssrt•v-•,t, .�,�?;-,.,tea,,t' .,+i�:'r`Ak.��"•*�"cn:L�r'�,."'ar"-�..'.�'A'�.�.sh t. 1. kA4°� »;ud. ^+"�. .,��� '•..✓9}:*�i,`u°`-C+� .' Qa-.'t�ir�..a�ln�.: .:�c ":�"r„5 �3�'.'�'i.sr.x __