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HomeMy WebLinkAbout0063 WHEELER ROAD - Health i . 63 WHEELER ROAD Marstons Mills A= 104 - 008 I III j I LOCATION SEWAGE PERMIT NO. VILLAGE / 7 INSTALLERS NAME&AD DRESS BUI E OR OWNER DATE PERM I o DATE COMPfL4,Ne.E ISSUED ��s�- s�' c� ` ,� No... .:..�.� Fss...:�.0............ _ THE COMMONWEALTH OF MASSACHUSETTS BOARD .OF HEALTH .............7 .........O F........1/—). :......... Applira#ion for Disposal Works Tonstrnrtiun amit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal B System at: ........... 2 ..... Zy .._..... l...... 2. o A27 ./2.�z 5 i'r+✓S 4.1..( S Z �-f ...- Locatio _Address or Lot No. -- 2� A �'.�....c� .v ..................... ........................................................... 3 Ow er Address ®U rt 11�6✓Jt`...__.... .--•-•-•---•-------••-- ................. v:... "�...W✓I�i1....�......... ..__a._..... Installer Address Type of Building _ Size Lot............................Sq. feet Dwelling—No. of Bedrooms..:.:.................... ``..Expansion-E;ttic ( „) Garbage Grinder ( ) 'k Other—Type T e of Buildin �� _F?~...�... No. of ersons--------------- Showers — Q, YP g --------•- P ------------ ( ) Cafeteria ( ) a' Other fixtu d ere ---- W Design Flow............................................gallons per person per day. Total daily flow---------- ��__.......................gallons. 9 Septic Tank—Liquid capacityd(?!?-.gallons Length..9�=G.•.-. Width...Y.�'••_-- Diameter--._.....__. Depth_5•-c`­_.. Disposal Trench—N Width... ___...._..... :....... Total Length.....______p_.....• Total leaching area..-. ......sq. ft. Seepage Pit No_________ ________/Diameter-----o......... Depth below inlet................ Total leaching area....��..sq. ft. Z Other Distribution box (✓) Dosing tank ( ) '-' Percolation Test Results Performed b ..__ v -_ 6� ______________ Date Y } - -- - -----•--••-•----- ,`�1 Test Pit No. 1__�Z_.minutes per inch Depth of Test Pit.....I2'l..._... Depth to ground water_Na,:��......_. G14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water_--_-_----•---------_--. a •---•---------------r--••---•••-• -•---.....•---.•-•-- 0 Description of Soil...............A—_ _.____ _._ �c� -----------------•--------------...-•---------------------------------..._..__------ V ..............•-------------...------------•-••� -(o.........�.ffi?�:�... C?:'.-----....------•-----------•----------- -._. _.. UNature of Repairs or Alterations—Answer when applicable................................................................................................ Agreement: The ersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the prow' io s I he to Sanitary Code— The undersigned further agrees not to place the system in opera ' n e fiance has been issued bb the bo d of health. *� � Signed--------• Date lication rove B �' V ._ 13 PP PP Y ..-S --- .._.._.. Date Application Disapproved for the lowing reasons:-------•----••-----------------------------------------••••---------------------•---•..... --•------.......... -•-•-------------------------•--............-•----------------•--••-•-•---•-----••....-••--------....•••- Date PermitNo......................................................... Issued........................................................ Date r No... .:77 ............._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF Appliration for,Disposal Works Tonstrurtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: N.f r 1f... .............................��. ..7......... .......................................... Location-Address or Lot o. ^�y�h 04q-44-4A •--------------------------•-------_-_--- .... �rlo..... i�Z............................. ...... Owner A dress WType/ ..... .......................................... � Installer Address d yp of Building Size Lot.9110;.7 6�.........Sq. feet U. Dwelling—No. of Bedrooms_________3__ __ __________________•Expansion Attic ( ) Garbage Grinder ( ) 04 Other—T e of Buildin O_p.._ Awd'... No. of persons .............. Showers — YP -- p ( ) Cafeteria ( ) PL4 Other fixtures . W Design Flow..............._. .......................gallons per person per day. Total daily flow.......3 .........................gallons. WSeptic Tank—Liquid capacity/o.o.6...gallons Length`-.4*.`... Width °�'_ '_'.... Diameter:�r�^':___..... Depth.`i_= `.._. x Disposal Trench_—No.___fit/Ar-______. Width.....,... Total Length-- -�-= __-_--........ Total leaching area. =.........Sq. ft.. Seepage Pit No........I........... Diameter....jU_`...... Depth below inlet.._;+........... Total leaching area...ZAA?....sq. ft. . Z Other Distribution box Dosing tank ( ) a Percolation Test Results Performed by.__F,.qc ... ` ��" _r_ t '* t ..._........ Date__f/ ° ---------- Test Pit No. 1., 2v_....minutes per inch Depth of Test Pit. .. " ........ Depth to ground watervAf:`.+�_:-_____-. (X4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------_................. Qi ----•-------------- ---------------------------• -----------.....------.............-----•-•.._..............•-•-•---•.......----•--•-•........-•--..----- O Description of Soil...............Q-'"==..-3......G. ?, G�t 3i/s�r ------------------------V ----------•-----------------•---------•---•-------------......•...... -------------------- UW .............................................'L?• 1 Z—4---- i `l! ^/f14r1e:?_ .._........-----------•--....-----•--•---•-----.....----•-•----•------•-•------------•-- Nature of Repairs or Alterations—Answer when applicable............................................................................................... ---------------------------------------------------------- -•-• Agreement: The ersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the prow io s ,f J. o he Xte Sanitary Code— The undersigned furtlier agrees not to place the system in oper le er liance has been issued by the board of health. r Signed --- .............................................. .......................... Date pplicatio pprove Y . ---- ` .................................. kr .' Date !: _Application Disapproved fort f olypowing reasons: ........................................:............................................... � { ....1................................................. ....... ..3 -••--_--•-__---•--------------_-_-•_--•------••___-__--•-•-_•__-----.------_----_---•••••-• x Date Permit No............ "t Issued, Date THE COMMONWEALTH OF MASSACHUSETTS " BOARD OF HEALTH ..........................................OF..................................................................................... 01rrtifirate of Tontpfianrr r THISJIS TO CERTIFY, T at the Individual Sewage Disposal System constructed ( ) or Repaired ( )' by............60.600r_.._6✓. _.... ti-------....N�:..�J!j�'l t tr t i j.............. :r w Installer ......... ..... .............................e ...!/JZ'��C� .��!'9;1t' � .......................................... has been installed in accordance with the provisions of TITIF j of The State Sanitary Code as described in the ' application for Disposal Works Construction Permit No......................................... 'dated__----._-_----_--___--_---.___--_-------------- THE ISSUANCE OF THIS .CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WI L FUN TI N SATISFACTORY. DATE........ ••--••--•-••----•-----•••. -- f ' .�.� .............. Inspector.. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ S f. .__....�. FEE- .......... ,r Disposal Works Tonstrttrtion rrutit Permission is hereby granted......../k.4C4r..... G'4 -•-------6! ----P4*f-a rA.C1 .................................... �y to Construct ( ) or Repair ( ) an Individual Sewage Disposal System W-No.•-•-••-•ADS&.........low....... 01.!-... L?.................... '''JC�i'1JCt'�9t G IIbLt. Street as"shown on the application for Disposal Works Construction Permit No......_ 1 ated.......................................... "..------.._••••..., a of He�tfh4 DATE......... . ....... •---•----••- � r 1 �� FORM 1255 A. M. SULKIN, INC.. BOSTON %VOTE /F E/TNLtR THE'SFPTiC TANK OR 20 FT, M/N• LE/{CH//YG P/T.A/tE . MORE TN/�/V /2" 6ALOw /O FT• M/�/• 5R^DE, /q 24'O//l M E.T.E R CONCR.F 7'E CO vER S'VALL BF BROUGgT TO GRADE.��4N EXTRA 4"f'YC P/PF . NCRETE JHEAYy C^ ST /RO/Y GOYER SHALL. pE USFO CO �L,(US•S COYERS / M/N. P/TCN /FIN !OR/YE1v.4y A." �g PE,q FT d�C.�oE CO VE'R CLEAN .SA/V.C) BACxF/LL •.1• -- _ L/OC//D LEVEL 1 � -• - • _ . . - - .' .0 ` -j DIA. 2 L.A Y ER I �-- SCHEo utr.40 "T'T" _ .�.2 r 'b /+9/N.P/TC/il —Z-- GAL. • • • • . • . ► ► NA SHED 57-0,' e DT,IS "PEA iT SEPTIC TANK • . . . . . r • , • , , BOX • t 8 • • • • •.r .•► • . • t rl • •EFfECT7VL • ' • 3 4 :��, • r • • OGPTN • • • AS//ED STONE •�a• _ • 0 r • • • • 1 • -'i 4 l��x 47v • • ' � � • • • • • • • e • z.^S PRECAS T SEZ.�-AGE P/7 OR EqU/v. YERT c'LEVA7'IONa � � S irC-,*.nc�7 ds C�MLw�*/ ♦ •. r • • • . • . • • s+ /NYERT AT QU/LD/NG /03 o FT ' O/ FT. PlAAl- C CS l8UL EE T� 4TJON> !HEFT SEP'T/C TANK /O Z& FT. �t OlJ74E7' SEPTIC 7A N O< 102-1- FT. INLET D/STR/B!/T/ON BOX SECT/ON G'/c GROUND P44Tf w 7AeLE OuTLETD/STR1BVT/ON BOX I Oz,Z'FT //!/EFT LEACHING />/T 10 z.°fT SEWAGE GE O/SPO�SA L SYSTEM -rA J41y,'TlD/V L EACH//VG P/T JCALE �.• s /�O. DIMEKS/dA/ A D.ES/6N CR/TER/A D/A'lEVISION a FT i 4o'jbfSER OF QEDVR'OOMS 3 DIMENSION C ¢ FT. M��/ Gi4RQA6E D/SPOS.9L UNIT NONE SOIL LOG sol. TEST TGTAL E?T/MA'rED 740*/ 3 3 " (5!.41.1DAY SOIL TEST 0/ SO/1- fz-57 Nu msER ac L.-Aoyma P/TS L fELEY. 103,7 /�-EL4-, PATE aF SOIL TEST S/OE LEACHING PER PIT !�� SQ, FT. f RESfJLTS ^1117-NESS.ED Jr Y3,4 Y, G - 3 OOTTOM 4ZACHIN& oER P/T 7$ W. L- O PERCOLAWOW AA770 A�l L~_ s 1 pi NCH TOTAL LEACH/NG AREA Z6 '- SP. F7 V S )OWVCOL,ATION RATE 7Z0 M/NV/NCH RESERVE LLy4CNIMS AREA Z&b SQ. FT. L- e • r t f:, ��*�`.�"� �s' ✓�. G-OTC � P._F_?l r , /V( o�7) ' y GLORt�D'GE E1►R'rINEL�R/I i COiJA�C• 712 MAIN .ST., HY-AN/v/9, /yet S. GRO[JNP Wo4TER JWCOUNTERE� EL/ENT:St�;� -/n r'r•r� p tTE s- 6/ SS ,Q Got U/YO WATER Al; EZ-?L060 �~ T r 1 fit//f` Fib 57-A/4 /onIA c. yr 1A M 00Al "Z49-1E 7`tl El , or Al _ too %o I U r �J l tr G x/O -LC/iCN.A/T. 77 o hj M 32' os:o 1 /So is rc0A/7/1 CAE j _ o1 y s ' -�j(/r�ESL E�' t � /-`'v A °►►.;`-�- •:�: FOGS�F PKIC:Af e�✓.a� a QQ.� ' '✓��'�sQ LEGEND - ' 'I>14TINA SPOT ELEVATION:ISTIN® CONTOUR --- 0 ;vw*-� CERTIFIED PLOT PLAN ,--� 4ISHED SPOT ELEVATION -� 6I.SMEO CONTOUR 0 lYS L_v7 c �-r/1�f`t��' .:. �'oA ram.. t'B• .The=•.location of •any exs•trigunderaround sewer�,ye, lls, or: other utilities shown on this pl;a•nis apprgX�f �^' 'fit IN Eormation. The tcontractor ermined oisr responsible ds �for verbal the I--'_ rification of the existing locations in the field. SCALE, / "- 40 DATE 5-161 XIV r . :DREDGE ENGINEERING CQ /N �/� A�, �1�+of CLIENT.dL_._,., ^„ �`� ' may I CERTIFY THAT THE PROPOSED EOISTERE REGISTeRED Sv7 . ROBERT • J06 JHO. , _ y_ B s. BUILDING SHOWN ON THIS PLAN CIVIL LAND ��arc cGE y CONFORMS TO THE ZONING LAWS t� DR BY M N E R R ----- � ` rlo. �oss� o A,e�sT.���� p OF ,a 712 MAIN STREET. CH. BY I t�� ��sfl,�EClsttR�°�` �2 01 ' `H YA-N N 1'8, M A 9$.. - E SHEET-1 0F -.... / -� ATE R G. LAND SURVEYOR ti;