HomeMy WebLinkAbout0063 WHEELER ROAD - Health i
. 63 WHEELER ROAD
Marstons Mills
A= 104 - 008
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III
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LOCATION SEWAGE PERMIT NO.
VILLAGE
/ 7
INSTALLERS NAME&AD
DRESS
BUI E OR OWNER
DATE PERM I
o DATE COMPfL4,Ne.E ISSUED
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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......... . ....... •---•----••- �
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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
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fit//f` Fib 57-A/4 /onIA c. yr 1A M 00Al "Z49-1E
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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;