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HomeMy WebLinkAbout0466 SANTUIT-NEWTOWN ROAD - Health i s C-I` 466, Santuit=New"town Road A Maikons Mills'.LL ,'r f A= 029 =:031 4 F \ i i 1 i i I, I i i rrrr UPC 12943No.53LY ST�COC KASTINGS, MN I LOCATIdlob 6, & SEWAGE PERMIT NO. zo t 9 VILLAGE I N S T A kLER'S NAME & ADDRESS F111s5 ® UILDE R OR OWNER ek DATE PERMIT ISSUED 1 DATE COMPLIANCE ISSUED � . cz tfav/U e/ r r � L "`r 0 01. 7 ADDP.E S S : ew�6 w,vg OWNERS NMIE: SEWAGE PER111T NO. NEW: _REPAIR: DATE ISSUED: DATE INSTALLED: , INSTALLERS NAME : 4 zC, Aj INSTALLATION OF: 71a WATER TABLE : FINAL INSPECTION BYAl) DRAWING OF INSTALLATION ON REVERSE S i !'f l r�fit ' � No.. ----:Y/P FEs J............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .....--..""..............................."O F.......................-•------._.....""...-----------------•--------..................... Ap iration for Dispo al Works Towitrnrtiun ramit Application is hereby made for a Permit-to Construct ( ) or Repair ( ) an Individual Sewage Disposals System at: / • �!�.............. .••••••--•----••-•----•.....................--••-•----•- Location•Address -- or Lot No. 1 � �a' a3D t?r1 �-l�a�i� .......... .......................................-•----•--•----•----•---------.......-•-•------ - Owner Address Installer Address Type of Building Size Lot............................Sq. fee U Dwelling—No. of Bedrooms Expansion Attic ( ) Garbage Grinder Other—T e of Building . No. of persons............................ Showers — Cafeteria fl, Oth fi ures --------------- -•---••-----_.._. /. Design Flow____._ _ .._. --•__ allons er erson er da Total dail flow..__ � Ions. W g g P P P Y Y -----------------gal WSeptic Tank—Liquid capacity-______-_-_gallons Length................ Width---------------- Diameter---------------- Depth................ 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 ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..................... �+ -------•-••--------------------•---•--------•-•-----•-------------------------------------...--.............---........---•----....................•---..-•-- 0 Description of Soil........................................................................................................................................................................ x t, -•-•-----------••------•----•----------------•-------------•-------•---------------------•-•---•••--.....------••---•-•-••-----••......-----••--....................................................... ---•-------•-----------------•--•--•---•-----------------------------------•----....-••-----•-------------•--•••--------------......------------------•--.............................................. 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 TITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b(� is ue�xheboard of h alth.e Si •----..._... (/.......... --•- :Z------------ -----------------------•------- Date ApplicationApproved By................................................................................---•----.•----- .............--......................... Date Application Disapproved for the following reasons----------------•----------------•--------------------------•-------•----•-----------------•-•--•......--------•- ------------------••-----...----------••--•---•------•••----------------•-------------••••••-•----------•-------------•.........------•--------•--•-•---••-••••-•--•-----••----•-------••-•--•---------- Date PermitNo......................................................... IssuecL._. ..................................... i 1 . + NO._ ..jn;',✓ FEE ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. ... ..............OF......................................................................................... App i ' a#ion for UiipoiiFal Vorkg Tonitrurtion .ermit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at ..------•.............•......-••••••- Location- ddress or Lot No. �`URr - -:/----------------------- -••.............................................................................................. Owner ` Address W Installer Address Type of Building Size Lot............................Sq. fee Dwelling—No. of Bedrooms------ ...............................Expansion Attic ( ) Garbage_Grinder `LI PLI Other—Type of Building ............ No. of persons............................ Showers — Cafeteria f11 Other, figes . ..Desi Flow....... ... ..............._...._gallons per person per day. Total daily flow--- .._- 1� g P P P Y Y .....................gallons. WSeptic Tank—Liquid capacity............gallons .Length................ Width---------------- Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. .Y. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area.................:sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed bY.......................................................................... Date-----------------------------------..... aTest Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ x ODescription of Soil--------------------------------••----••----•----------•-•-........---•--•--------------------------•------------------------------------------------ .............. x '**---------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------•.......................................................... 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 TIT1E 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b is ued ley+ e Ord o 1 alth. Sige •-------------••---•--------- ................................ Date ApplicationApproved BY................................................................................................ ........................................ Date Application Disapproved for the,�rf ollowing reasons----------------------------------------------------------------•--------------------------------------.......-- --------------•-----...------------•------•`.`s..-�------.........---•....--.....--•---------------...._....--------------------------------•----------------------------------- e y -------------------- Date f PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1 rrtifiratr of ToanpliFanrr THI< r *»TO CF I-FY, at the Individual Sewage Disposal System constructed ,(4o"ror Repaired ( ) ,f bY-.----- �....--- t --- . ..........,..II.......--C ----- ---•---•...--------•-••-•••-----....... '' Installer - at - 'r.....---- -��= S(•--..... ----------------------------•--•------------------------------------....-------- �----- ----------- has been installed in accordance with the provisions of TIT. 5 o.The State Sanitary Code as'd ed in the application for Disposal Works Construction Permit No.. ._z,..''.._ l©------------ dated.--. Z .. Z' THE ISSUA CE F THIS CERTIFICATE SHALL NOTZAS A GUARANTEE THAT THE SYSTEM WIL F ON SATISFACTORY. DATE._..'' .. ... Inspecvj ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH o ...........................................OF..................................................................................... 0 N . ................... FEE.../.................. Diopo at lion rruti Permission� hereby grantedr'- ��� = = -------- to ConstrI' ) or Repair ( f nd'ip.�lua�S�__Itw ewa�Dis osal System .._. at No.....�..1-:...---- -••.............r, L 1'Z� ................................................... Street as shown on the application for Disposal Works Construction Permit NO............. a d! __,:__ .7 ---------------------�--'-•-•---"=---- r� '/ .............------------ -•-•----- Board of lie; alth DATE. 7 ..........................................•--•-•-- FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS fi r ?O FT. M//V•, No-re /F E/TNER THE SEPTIC TANK OR LE,4CH/,oVG P/T ARE MORE THA.'/ I2"SELON/ /a *Al-' 1RAOF, A 24'O/AMETER CONCRETE C'OYER' t SNAG L BF B ROUGfI T TO 4MA O.E.64/✓ EXT.?.q CpNCRCTr 9vPYC P/Pr t/EAVY CAST /�?Oi`t/ CG{/ER SHALL a,- USEO MIN. PITCN ELF(/, co 1/jt��F.QFr /F//V DIM/VEyvAY { ?JJ /N/N. CG+/VCRE TE IA ... d7�AOE COVER CLEAN S'A/VO U4pu/O L EYEL ,:• _ 2 DYER c.•.. M!/V.PRC/ll l O C7 CY L. • • . • . . . . . .' a •4 / Vv PEic/T. SEPTIC TANK D/sT, o WA S HPO S71?NE BGX Y I I 8 • I • • • � .r• • o • I t IEF. =crl VC • • ♦ •v 3�4+- �2 +.. • • ► • • Ot�PTN • • • • 0 WA5t/ED STONE ago sc O :c lSx Lim = $'7Ca . .. • • • • • . . . . •v . /,O 7 y r a• 1 • • • • • • • • p r y PRECAST SEEPAGE L °OA/ s .• r ► • • • • • • • • •o. P O/T R EQLI/V. INYB.CT tLE1iAT/oNS ,�<7 C la�� T = 5 l / • INVERT.AT OlI/LDING 970 FT. 6 F7 D/AM. FT. O/A;w C SEE T"WV4,47 D/V�` .4 SEPTIC Ti4NK ,{ t CtlTLET SEPTICTANX 3 FT. %NLET 0/3TR/13!/T/ON BOX " �'/ FT. GROUND 7TFR TABLE SECT/O/V.O F Ol1TLETD/STX/B/1T'/ON BOX 9�. FT. . I/yr LEAcH/NG PIT FT SEWAGE 0/SPO�i'A I- SYSTEM LEACH//VG =/T TA5l1Ls'7`/ON SCALE : %s s /=D~ OiMENS/DA/ A 3 FT• DESISM CRITERIA FT. AIVAf&ER OF BEDROOMS a4RQA6E D/SPOSAL UNIT SOIL LOG ,TOTAL EST/MdTE� FLON/ iQ 0.4L.ADAY SOIL TEST l*/ SOIL T6ST02 SOIL TEST )4(UMBER QF 40ACNlN6 PITS f^E[G°% Z7'Z �`-ELA PATE OF .SOIL TEST 17. l S/OE 4CACi/!N6 PER P/T Sa fT. _ RESI/LTS iVITNESSED BYED.Kcz- c-Y_JAr- aar Lz4cN/NG PER PIT ?� so., Ar L0 sJ 0,6MC04AWO" RA7'0,*/ TOTAL LEACf//NG AREA Z'E SQ, Fr. --Q p S o1` FEN COLAT/ON RATE lk 2 ���MJN,�INCH RESERVELEACNIN6ARE14 SQ. FT. ,3 �_ �j` zev CoA-I�SL� OF AdA�� I L o T 9 /v ��TO - �y�, 9 2- �'JA 5 TG�nf S &1 1 L..0 5 A. CA ORSE No.10951 E EL DREDGE E/1/G/M.EER/NG CD,/NC. s • _ G.�gTEfa�'OQ, .sis , � `�`C �L EV 8,r.Z 71Z MAIN ST. , HYWAIA11S. MASS. hp SUK`1� ♦® D,ALE IVa Cr T0VN0 kV,4TCR E/VCOU/VTFREO L'L/ENT:NJNCkL6y DATE ! z -z �Pa�_,- U/VO LvATE.? AT ELEi/, `�- a SN OF Mq y —rc,; i/ WA or -JONIV ��' 3 DERV ft29874 1 - SU . 7Z-././ Z�.53 o, o _ J I o �STE {o .__ _..__ - SCE C1 G7 6y� `j' RD `� Ir\ . lu °I {_ I , Q �1 Ll � � � •'�'�S 71 td a GF I ,I LpT � ! qs o 1v �_ } LoT it I �( .o MIN M /Oo 0 4Fh[. ' . T\All , 6r/ 30' i 3Sf� r G� 7C A �. LEGEND L-cERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OxO ��r ' _��, EXISTING CONTOUR ---- 0 --- `>i� "'r-"' ;' a� I..O7 FINISHED SPOT ELEVATION ( `� ' �" c, 57 FINISHED CONTOUR +J j ORSE H APpI OVED t BOARD 4F HEALTH A �ro.1o951 4�� +, . •� � SSa o SCAI_E ®ATE AGENT �'a ,,— -<� I i / — so DATE $ LDREDGE ENGINEERING CO. JCLINT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED ;IjO® f�0, � � ' BUILDING SHOWN ON THIS PLAN CIVIL LAND �* CONFORMS TO THE ZONING LAWS ENGINEER SURVEY R DR.SY �L � Of ®ARNSTA LE , MASS. 712 MAIN STREET CH. ®Yv'I.p .C• IDATE G. LAND SURVEYOR 23 82 !� H YA NN I S, MASS. SHE ETA OF r 640 9cy JOHN TOWN WAY pERV ale o rNo.299R7 4 t qS °15� .9q ` � EL ST SU 9 o. o I I I � I , MIN M n M /Oo0 4qt. T/C r � Q 6'/ 3,0' %0 + i ti N , El= �ao.o I AGtitit7AC�� °1 /_D T �9 6 LOGEND I CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OxO 9j'T_ � EXISTING CONTOUR --- 0 --- X/ r;'�u' 911 Lv7 9W TO FINISHED SPOT ELEVATION (� ,r R ' � ti m Ae lsS 7Tt_J" MSC LS FINISHED CONTOUR-0 Jig , IN ORSE APPROVED , BOARD OF HEALTH ND.10951 O �STt DATE AGENT --P. SCALE, / ''= 30 DATE , 12 2 8Z LDREDGE ENGINEERING CO. IN iNcicc Y CLIENT J I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED :,JOB I,®. �Z BUILDING SHOWN ON THIS PLAN CIVIL LAND �� � CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR DR.SY ArA OF BARNSTA LE , ,ASS. 712 MAIN STREET _-- H YA N N I S, MAS S. SHEET-L OF 2 A E ( AEG. LAND SURVEYOR NOTE : IF E/Ti'/GR TNG'SEPTIC TAN/,C OR ?O LEACN!/VG P/T ARE IJORE 7W A."/ 1Z"5EL0yV /a PY• M/N. .'rRA OEM ?Q'V IA M E TER COiV CR E TE CO NEP ! ' t4 _ SNA L L eE B RO 04S H T TO G,qA O.E.( .A N EXTRA CONCRCT�, 4 PVC PIPE IyEAvY CAST IRON Co✓ER SfIALL L34- 41SEO C ..+'• ELF/ �Ob p COYE/tS PFRTFT /F/N DR/VEN/A Y 2 MiN. . CONCRETE A ' G AOE CO ✓ER CL EAN SANG BAGX)=l4.L L�U/D L EYEL '' 2 A L ER Y 4 %RON P/PE G/IL. • . o MIN.P/TC�II . - • • • • • . r . ••� / L :: P&M r'T. , SEPTIC TANK D/ST, o o • • • • . • • • • s . WASHED STt�NE ?.x BOX + • e • r • • • , .•. . it . • b •EFFECT/✓C • . •i 3�4 Ozpr • . • ,� °� ' PREC,q.ST SEEPAGE } ,�'I 7- Cep o4C/T .s¢� �' p'4y • •• r • • • • . . • o. P/7 OR EQU/V, IN T ELYGR EYAT/aNs Y` ' / . a I/VYERT A)r.euILDIN6 F 9 7.D T, G Fr. D/AM. 1 INLET .SEPT/'C TANK S FT, �` FF. O/�IJ►f. C�SEETs1BUL.ATIDN� Ot/TLET SEPT/CTANK 96.3 FT. INLET D/STR/d!WON BOX If, /c?. GROuNo Jt�iTEJr TADLE SECT/ON.OF. i •OuTL.ET'Dt 377t/B1lT/0/V BOX 9 5 FT. //V4,57- LrACHIMG P/�' �Fr. SEWAGE OISPO*S'A L SYSTEM T,,BUL.l7lON i L EACH/NG P/T D SCALE %" = I= o' /HENS/O N 3 A ITT. . DESl6/Y CRITERIA 101MIEN5 t o/v &_6 _FT. NtIMOER OF BEDROOMS -__ ___ D/HENS/ON C_ FT. M r n/. GAROAGE D/SPO.SAI- UNIT Af r) SOIL LOG TOTAL EST/MA•TE FL.D OW-310 G.41•1DAY SOIL TEST 0I So/4 rEST102 SD/L TEST NUMBER OF I.-ACM/NG P/73 97•7- ttarY, PATE OF So/L. TEST SIDE LEACHING PER PIT 7 9:F SQ wr. cams 3 �2 I RESULTS it//TNESSEp dY Ke-"Z-y.JAe_01 �90TTOM LErICN/NG PER P/T 7� S4• A P'`RCOLIIT/ON RA770,*l Lis-S MiA(IIINCH 1 TOTAL. LEACHING AREA SQ, FT. aP 901 L �hCOL/4T/ON'RATF2 _ ly/N�INCH RoSERVEGEACNI/V6AREA '2-�� SQ. FT. � e Ca.4-l�sE j OF k" o LOT 9 5'Al T' M/" "� I D 1� D y 61 vr:. r c z ALLS A G o A. N sa'n�� (1 � sE co N 2W4 �l10951EL DREDGE ENGINEERING CD ! C. No.O �\ 4Q/STB��p� • co �LEV 71Z MAIN ST• , IVY.9NwiS. MAS?, hp SU S �� rci f��� [ ' MO GROUND kV,4TER fNCOtJNTfREO 'CL/ENT:NrNCkCSy PATE : ! Z Z k ►rvKrr� G1 GR0 C1N0 LV<►TER ^T 64Ev JOB NO; 2-L - SHEET?- OI< __...