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HomeMy WebLinkAbout0065 THATCHER HOLWAY ROAD - Health 65 Thatcher Holway Road Marstons Mills A = 148 - 004 I L CATION SEW GEPERMIT NO. VILgLAGE % Y I N S T A lL It NAME i ADDRESS admw*" OR OWN ER 0 A ' pal Avk4azi�� h DATE PERMIT ISSUE . DATE COMPLIANCE ISSUED If�fYf s7 J � 01 �Q� � r No....9R: ! ..Z FEs...... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - 3 wee✓.............OF.....Z051jv:.;Z 4Z1,4.-.--•-•-------------.............. Appliration for Uioposal Work,5 Tomitrnrtion rumit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: � ..T A �t !2...f v✓i9 _•Ro.�...1.VQ994.-r_X1^-(Qr--- �[ ..................................................... Location.Address or Lot No. `i.. 9n�,�.....f �FlN..!c.._.........................:.................. ner Address ............ .�.± .............................. ......... ................ Installer Address Type of Building Size v Dwelling—No. of Bedrooms.....................................Expansion Attic ( ) Garbage Grinder (M05 PL4Other—Type of Building No. of persons............................ Showers — Cafeteria C4 Other fixtures ................................... W Design Flow........................../.-!.Q..----•--gallons per er ay. Total daily flow................ ................gallons. 1:4 Septic Tank—Liquid'capacity/QB0...gallons Length. Width.1.20_".. Diameter................ Depth._`,''....... Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. > Seepage Pit No...../............. Diameter.......Z4-..... Depth below inlet.a,�-.._._p Total leaching area.,& ...sq. ft. Z Other Distribution box (/4c- Dosing tank'4 } aPercolation Test Results Performed by.. !� Date..... Test Pit No. 1.....4Z...minutes per inch Depth of Test Pit._-&.......... Depth to ground water.. ........... f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •. •--•------••••--•••-•...........................••-••-•..........• _-• ••••.....•-••----- ---........_•-••••-...--_--•-- 0 Description of Soil._ . ..F'. ...k✓�czlalQFI1...+ td ,S'D_« ---- ---- - - �" _. y-Y ................... U --------------------------------••-•--•--...---........------------................-•----....._..............-...---•--.._......---••-•-•--------.........-...-•---........._••--•-•-.....---•••-••••-. ------------•---------------------------------------------------------•---------------......------------••-------------------------------------•----•-------------•-•--•----------------...:--•-•••••--• 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 iITLS 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. Signed. ...---................ 6 ....i ••-------------- Date Application Disapproved for the following reaso s:----•.......................................................................................................... :......._••--••---------•--•••••-•-----•---•-----•-••----•--••-•••-•----•--......_-•-••-•-..........-•--•-----•..............••-•-••--------••--...-•----------••-••------•--•---••---------•-•--••••••- Date PermitNo....................................................... Issued_....................................................... Date 4 NO. i,".r��.:?. FEs......JS................ THE COMMONWEALTH OF MASSACHUSETTS. BOARD OF HEALTH ..---... .LS.y,f�/.............OF..... . Appliration for Uiipoottl Workii Tomivation unit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System�at: /e '•(J'•...,422.1.ar.._..1`�w Location Address orAot No. 1 a ......1-1,,4 Vo,T-•---•-----------------•---------.--.-:---•-- -,wne � �Address '..............................................! *Z�--------------.--------. s�rl-�' !1 �.,•di tl=.l`�. Installer-" Address Q Type of Building Size Lot_.r 'g, ,Cct—feet V Dwelling— No. of Bedrooms........,.3-•-_---•-------------------Expansion Attic ( ) Garbage Grinder (10 aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------------••• ••----••• -------------•--------------------------------•----•-•--•••...............-••...._.... W Design Flow..........................1J40.........gallons per gaf 'aay. Total daily flow.............. .................gallons. WSeptic Tank—Liquid capacity/pO:..gallons Length,&,-C! Width.-f_�.10_!.. Diameter................ Depth._.A$ ....... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No----- ............. Diameter.......IZ._l.... Depth below inlet.%j,X.*'..... Total leaching area4y. ,Q...sq,ft. z Other Distribution box ( 4 Dosing tank ( ) Percolation Test Result ! Performed by.... .................................. Date._..,0,A_.':C-..4e;••-,/ .'. Test Pit No. I...... .Z---minutes per inch Depth of Test Pit-,--./4........... Depth to ground water.. ,q!........_.. G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 19 ................._1........................................................................................................................................... O Description of Soil. -._, :.y� ` �xa_.# �` �d .j... `!-- �L._". V ---------------•-------------------------------•---•--•---------•-............-••••••- -----------------------------------------------------------------------------------------------------------•-•-•--------------•------......... ................................ ......•••••.............. V Nature of Repairs or Alterations—Answer when applicable._..............................:............................................................... ---------------------------------•-------•----------------------------------•-•-••-•-•-------------...---------------------------•-•---------•--------....................................... Algreement 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 in operation until a Certificate of Compliance has been issued by the board/of Health. Signed !���.................... a lit,J ' Application Approved By--------- ---•------------•••••••••-••••.-_.... ...•.............••-- Date Application Disapproved for the following reasons-----------------------------•--•----•--••---•-•-....._..-------------------••••-.......... •................ ..--------•------------------------------••-----------------••------------....------------••-•-------------••-••••-•••••-•-••••--••••----•-•----•-•••-•-••••••-••••••...:••-•-••••--•••--...••••........ Date PermitNo......................................................... ....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... Trrtifiratr of Zomptiatta THIS IS TO CE�ZTIK That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.................. _ '��a, .................................................... ......._.......a... JJ In sta � 1 at...................... ..6S.........,; 1 .... ller > --_ -• f •---->----�-...-----•-------•--•-------..•------------------ has been installed in accordance with the provisions of TITI f, T��!tate Sanitary Code as described in the application for Disposal Works Construction Permit No..........._............................ dated................................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED ASrA GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACT04Y. � DATE...................... `= '- .. I�t� Inspector........... ----- ...........---------...............-•-•--....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Ali . .�,9 Z ...........................................OF....................._............ �J ................................................... No............ FEE........................ Bilivooal fr . n tr tion rani Permission is hereby granted----------------------or SR-------- ---------------------------------------------- ............ ........ ....... �" to Construct ( ) or Repair an In 'vidual , ge isposal System � p�at No. .. � .:. . ..._.. Street as shown on the application for Disposal Works Construction Permit No.............. ..... Dated.................................I......... -----------------------------------------•---•-------...._ Board of Health DATE................................................................................. FORAM 1255 A. M. SULKIN,.INC.. 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Q �7MAF'_ V7E O/�T f3/ W�3 ANL O I w LOCUS Ile - r / s I .,.r, A T ,.. .r...,r .. ,:.,,: �._...F ..-,. n,..:-.:. ..s.,a..�wv.:�..is •; .nn...°5 r CO/✓SrF2vLTioN i TOP OF FOUNDATION ,,f ��� CONCRETE COVER ' Cp �jJ CONCRETE COVERS t 0Hp 4"CAST IRON �77771! 'rr�rr�r j 12"MAX.PIPE (OR 12 MAX. ` 4"ORANGEBURG(OR EQUIV.) . 4 EQUIV.)- MIN P PITCH 14P PIPE- MIN. TEACH " Ir 1 / ' ER.FT PITCH 1/4 PER,FT PIT PRECAST ' /� , / IIIX? S ,00.✓p n,o LEACH I NI G V INVERT g.80 �cR� To•�� PIT OR ELd..o3.. INVERT INVERT w .., ° - ;. ry o' SEPTIC TANK DIST. a y EQUIV'. EL,.3.7...4�. . . EL99. e iNVGni -BOX .. �.. - /� 7 T •.. �j5t a ,.or 6 �.0 GAL. INVER INVERT W 3/4 TO ll,/2 o EL�37...• .. ( EL,3.�,,/6 P' ° EL3.�..7 �n WASHEID ~-� D W STONE 456 'DIAr--►-� U PROR LE OF GROUND WATER TABLE41, SEWAGE DISPOSAL SYSTEM NO SCALE =1 ' - t�vl$s ' SOIL LOG WITNESSED BY :` { DATE TIME. /%.,:tQ!�!✓f' J.,.l!9cOB!,,.$Af2i✓ST/7BL BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ,,Sy" ?,,�d ✓ ' /�/aGG /f'S,, ENGINEER ELEV. ELEV. . . . . . xr w'ao7c©�M m SITE PL-. A N --.- BA PNS TABLE (MAPSTONS MILLS) MASS. F �� Qn.2s DESIGN DATA ' NUMBER OF BEDROOMS . . . . . . . FOR t TOTAL ESTIMATED FLOW . . w33. . GALLONS/DAY ` BOTTOM LEACHING AREA !! !�J. SQ.FT. /PIT ` �� MFp r . DANA 1 , OPN / Ci & SUSAN NICKERI ON ; sq.vo SIDE LEACHING AREA SQ.FT./PIT GARBAGE DISPOSAL . . ^/O. . .(50% AREA INCREASE) TOTAL LEACHING AREA SQ.FT ; �cGcMEj? JS /9F3 ��G9GE /" 40 PERCOLATION RATE . . . . . . 4 , . . MIN/INCH LEACHING AREA PER PERCOLATION RATE 9SQ.FT/![fi=gyp /+2/Z4 4 ,11 O .WATER ENCOUNTERED ` NUMBER OF LEACHING PITS r�LAn/ RrFcREn/c� - n�'�i✓ S°p0� e77 ,-pl2d• 3 x X r fJ�✓7 G rfrfl .�?{; i�✓i r y .w ' d APPROVED . . . . . . . . . . . BOARD OF HEALTH 6' '"�' r /✓07` /, ELe'✓qT/vats �sE� o�✓ /YJ 'F1.✓.� 4 L ,/� Z, T411Z- G'Ls�n/ /S F (J - G SAG/�✓a �S� w. c �Sy rr M FaR DATE . . . . . . . lsiRy ^� e, fI!`/ X c,Pr'!�✓G Oi !L-tn/G t AGENT OR INSPECTOR a� �� « • tH OF Af ?� /O EDWARD PE q E. v KE L OR.h m .Q�/✓i4,/10Q//! 7.S(/�.S',/7i/✓ A/C;e QrR ZO W _ T HSO i /sTea N . 6S.i/-9.7 �/F y o.5 . �. ./;/Q�L✓Y�y Rom. l4MOSUPVE�O 4 w ISTF-P a PETITIONER ' sanllae�n t � a n - :ate>+-,�>..'�,r� � ur �� �,.`�,.�s:k.,�.,..�,�,....#��-��.�a=_.�. >•_. tti ,'s.•. ,,._.. . .. +r�sha•.r 1