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HomeMy WebLinkAbout0318 WILLIMANTIC DRIVE - Health V\�Y�C' c�c�� 3 E p, N SMEAD KEEPING YOU ORGANIZED No. 12134 2-153LGN 1pmmmm FORESM MW RECYCLED INITIATIVE CONTENT 10% Certified �sowcou POST.CONSUMER® SWIM MADE IN USA GET ORGANIZED AT SMEAD.CAM ff� 31 L 0 C VL7 ON ,G , SEWAGE PPE' RMIT NO. L D W 1 L L% {M�tNT1� ,3 ` V 1-L L A G E tMAg-S�. ©^v % Vyl �LLe, INS AAL I,ER'S NAME & 11AADDRESS R /p a� R • L� 8UI ER OR OWNE DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 9—aG— -7nL• Jo �Em No....................... Ficz........................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........OF....... . ..................... Appliration for Eli-spoiial Worko Tatuitrurfivit frrutit Application is hereby made for a Permit to Construct ><,or Repair an Individual Sewage Disposal System at: ....W.. ....Mi.us............Lom-*.-za................ o alio Less A or Lot No. _ ..6AA • ........ _j .............. Ow er A.dress sn Installer Address Type of Building Size Lot..7,1',ChVd....Sq. feet U Dwelling—No. of Bedrooms............... ........................Expansion Attic Garbage Grinder ( 04 Other—Type of Building ............................ No. of persons_...._.._._................. Showers Cafeteria ( Otherfixtures ..................................................................................................................................................... Design Flow............................................gallons per person per day. Total daily flow.....&3.0.........................gallons. 04 Septic Tank—Liquid capacit/600.gallons Length................ Width................ Diameter.___.__......... Depth....._.......__. Disposal Trench—No. .................... Width - ----------- Total Length..._._.__....._-__ Total leaching area....................sq. f t. Seepage Pit No........._!..__..... Diameter.1-C-0..... Depth below inlet__L..-.0... Total leaching area...AIV..6...sq. ft. z Other Distribution box 0<) Dosmg.Lank 1­4 Performed by.... ...... Percolation Test Results ......... Date.....S..- Test Pit No. I......7......minutesperinch Depth of Test Pit-13__A0--- Depth to ground water..A46N.F, Test Pit No. 2................minutes per inch Depth of Test Pit_......_......._._.. Depth to ground water.___.................... !%,3450-tj.................. V.......... r----------- -------- 0 Description of Soil...........0....=3. ........C_* 5 15 r.......5ev.4-b--------------4-16.....-­1-3 t.a.....COA.9.;k E___5-4_1� -------------------------- . "40.9-b..................................................................................... ­ �=,s � ----------------------------------------------57 �� --sr---0-------4_Q_A. V_rJr-ine................................................................................................ �44 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 TL I MIL 5 of the State Sanitary Code—The undersigned furth r agrees not to place the system in undersigned th/furth operation until a Certificate of Compliance has been is Opy the b.Q04 of heal Signed. ... � C �e� igned. ... ..... ............... ..... . ........... ....C?---G.- Date .. ..... ....... Application Approved By....... ....... ... ...... ........ ................................ .......9.,7�.4........ . Date Application Disapproved for the following reasons:................................................................................................................ .........................................................................................................I............................................................................................... Date PermitNo........................................................ Issued------f 7 --------------- Date No................_....... FRs.............................. THE COMMONWEALTH OF MASSACHUSETTS _ BOARD - OF HEALTH .- N...........OF.......175..V.. l-� �`� ...................... plirFafton for Uhipas al Works Tonstrurtiun pantit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ` , �. L anon Address or Lot No. Owner Address Installer / Address Type of Building Size Lot_. ��� __..Sq. feet U Dwelling—No. of Bedrooms......................................Expansion Attic ( Garbage Grinder ( ) '4 Other—T e of Building No. of persons............................ Showers — Cafeteria Other fixtures --------------- --•---.._........---------••- W Design Flow............................................gallons per person per day. Total daily flow-----3- 30.........................gallons. WSeptic Tank—Liquid capacit/ /00.gallons .Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width..................... Total Length......._f.......... Total leaching area....................sq. ft. Seepage Pit No----------I.......... Diameter.).9__.'_0...... Depth below inlet.4._.....,... Total leaching area...2.l6..sq. ft. Z Other Distribution box K) Dosin ank ( ) '-' Percolation Test Results .Performed,.by--- -_� _h�_ �...__r'�� !!J......... Date.... 2 __� SS..._. a Test Pit No. 1......�.____minutes per inch Depth of Test Pita _._"(,)... Depth to ground water..?�4�.�__ -. Test Pit No. 2................minutes per inch Depth,of Test Pit.................... Depth to ground water........................ Description of Soil........... _... 7f ...............9... -- - - --- a --..51x� ------ - `_ �y---- r ./.N.:9?.. h`' ---------------------- y - - -- -' ---- W •-•----•------- UNature 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 T IT p 5 of the State Sanitary Code— The undersigned furthpr agrees not to place the system in operation until'a Certificate of Compliance has been iss3. y the b of heal Signed...--• -•-- ---- 1...... �[•.•- /I/j�l !• c( .... Date Application Approved BY s ---- x l� ... Date Application Disapproved for the following reasons:............................................. •-•-••....................................•. ---......_.... -••-----------•-----•-•----•-----••................•------------------------------------•---•----•----•-------- ---------------------------•---------------------------------------- ------•--- Date PermitNo.............................................,:.......... Issued_.............................---...................... Date THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTFt . 1: ........OF...... ....ILE........................ Tnrtifirati of (tuutpliFanrr THIS TO CERTIFY That the Indiv� ual Sewage Disposal System constructed X) or Repaired ( ) by.......... R ?*I SI /------°�J '__fZ��)Viz. m.'._(Zf��C.... �.tZ � �� ------------------------------------ - .. Installer at c .. 1'P !I,! !f+'1 �iC ate: .............. VLF- has been installed in accordance with the provisions of T �.1` of The State Sanitary C de as described in the application for Disposal Works Construction Permit No. J ej................ dated---- _._G_'__7 ................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS UE® S A gUARAN EE THAT THE SYSTEM WIL+ FU CTION A I�SFACTORY. � � �- DATE............ ................................................................. Inspector-------•------ --- -- - .-- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL TH 7 <. .............�� c,Ev+./+1........OF.. ....... �� 1.�c: .,=`� �.t f..(� ........... No..._.._.5 ._ A..... FEE........................ i u� t1 nrk Tuns#rur#ion rruti# Permission is hereby granteI:12 '.. .. to Construct�kror Repair*( ) an Individual Sewage Disposal Sy_stety •at No..---- --•--•- -- -- - u ----------------------- Street as shown on the application for Disposal Works Construction Permit D d_.__ ....._.... ............. v ----------•---•--•- / DATE.--------� ----------------------------------------- Board of Health FORM 1255 HOBBS & WARREN, INC., PUBLISHERS y i4 !�'ti ,+' �- ,.y ' • t .r y. 7 a` ; S�rY << tat�°`�y .+J 2 .. it t. • - {.f �r�'E I'tf �!' N i �'�.r F�., i� irr )' .. .. .. ' . .. �f^ ... x• _!• l L y}• r L 'Y l.�� #x; L ^ 4�'fz x^ e c .L. o S f.i P s� s: tL�;Y§��7 t.g e� A£ X4; t t4 � I c +•",�. 4� f E -r: i.. ��� � i1 'SY f�`{ / 4• OL�� —� , -• C ,v ,y ii h ii'.y�1t .,ky �{A...Bfi 'r% r �a� , `V- I`�� � r 1 fx t,MF F! •,F V. W s8r 3S 1 31. �} t 4; rr i 'nl ,( e YY /000 G GL• r,. n rL i Y: t,. STA � ZM \ + s Ora w� LI), - z4-�?i l000>caL r� /a0 170 • L-ACf//NC1 r. }k 4 � t '� i� r _ - � EX/��/✓J'/O/✓ A�j h :fz � ���'�; F.aia r r3 �k i4 i a-h3 s :7 yt 1 i't J F� ; }e f .• •f "a-Ur�l?O D 5r� f y f� ROK P er 1 'OUNIKI J� t { r N<3 9 O 4z 3'S )-V bo.:t2162 E.a w r y' ! ]} is + �N s - t r 'r• s 4• i. ,'.`' it� F� ' ONAI.: , Y r .�v�r r ., r �"'�ydl t.. t t Y •�+.i �..#M t r �f,��aQ� 4 LEGEND " - E ItiS;YIN6 ;SPtOT ELEVATION OrxO` CERTIFIED PLOT" PLAN tvfl }� EXISTING. C 0 N T 0 U R ; - - 0 G.0-jr a� , /ct-IM4NTIC DRI�� FI ' SN ED SPOT ELEVATION .` l0� fNtSHED -CONTOUR --- 0 -- M,q JZSTp�/S O�IlLI.S4 n r N } AROVED BOARD OF-- HEALTH :.. „ SATE AGENT ' SCALE : �r_ q �; DATE EDGE ENGINEERING CO. IN�G i „Yxt CLIENT W._ERi./ER I� CERTIFY THATi4'}THE PROPOSgo- ` � �wt31STEl6iE REGISTERED JOB `NO.7�oZ LUILOG+ SHOWN ONk THIS P(,rgl » y � ,fi 4xfC�Vll. LAND n f tN.Ft)42•MS .T0lTHEi0N`ING DR. BY14 . ' 7 _ } . { -tNGI'NEER [SURVEYOR_ �QF OARNST BILE, MASS Try K£ i r a4`: { NC MAIN ST 712 MAIN . T CH. BY _'R P, S0' kY2UOUTH,•MASS.. HYANNIS, MASS. q SHEET OF �-__ SATE "' ' R, G L`AND `! SU:RV£TO .4`� u r�',��a:�Y �s.°;••tr+..;.�.' .:,>.ri,' ,�.u.T+ ...r•. v r: ., ., ., rY s �'{! - .,��ft"� l:;'&'p X" �! .F t /V0.re., THE LEACH/wG P/T'ARE MDRP THAN /2 BELONr; r0. a'6AADE� "O/AM ETER CDNER�T COv ; l y; _ :ySJL4LL BE BR004SNT TO �/�Ao.E..�A>✓ EX7r/C?/� g"Pvc PIPE m-je.4vy CAST IRON Cow R .SHRILL. BE USES z MIN. P/TGN LPL. /.D O;v COYERS ,: IF//V GR/✓Ey✓.4Y 2 MAN. CO/VCRgTE ~ s o — *'VA DE CV VER CLEAN .SANG eACJ+CF/LL L/QUID LEVEL .^ . • 2'LAYER e m` 4"CAST ; Qo v o eizro v or J1e,. IRON P/PE c O O D GAL'- - n I • • • • • • / / ' D •,o /►9JN.P/TCN D/ST. o "A • • s . • • . • • p Q q WA5HPD 57?�NE T/C TANK o PEA r-T 5EP 1 a j�}•s o v p 1 eEFFECT/VE =; - • 0 1'• . DFPTH • • ' • a o J• AsR,=D STONE e o 0 1 • • • • • • • 1 ' o p o PRECAS T SEF_PA&E v • 0 1 • 0t • • • • • l e'' o o P/7 OR EQUI✓. /NVB •T ELR E✓ATION S o ° r 0 6 J=T-INYERT AT BU/LD//VG 9 6FT. Imo' ----� i C SEE Tx0ULATI0N> /D FT. D/A M INLET SEPTIC T,F/VK 9 5. S FT, r — •.OUTLET SEPTIC TANK 9S"3 FT. INLET DISTRI,3UT/ON BOX 9 5-0 FT. SECT/ON OF GROUND Hr�iTER TABLE t7TL TD/STR/BtIT/UN BOX 94•9 F7SEWAGE L7lS'/�®SAL .SYSTEM -/AILET LFACN//VG J�JT 94.s FT. 7A46411-AT/0/V LEACH//VG P/T DJME/VS/ON A DES/G!v CRITERIA sCALE : %e "' _ I•_ o^ D/,y,FNS/ON $-�FT. ' FT. �/�, �'NUA9BER OF BEDROOMS GARBAGE D/SPOSAL UNIT__ SOIL LOG SQ/� TEST aTAL E.9T/M.4TED FLOat/330 GAL.�DAY DSO/L TEST �/ SOYL TESTgdt?. . A/UMBER OF �•LCACHJNLi ,v/TS_ �FLE✓. 9 f`-ELEY, ,DATE OF SOIL TEST SrL Z3 79 B/OTTOM LFr9CN/NG PER P/ i //T/VESSED gyp, n �u N//c)S Dw f'4nRCOLAT/ON RATLs *I _ Z MINyIINCN L6 ///✓C (� , Co RATE fk2 MJN. IS TOTAL LEACH//YG AREA SQ. FT. -z —3 � ESERI�E LEAcNlms AREA_ SQ. FT. co'4 R s SR,✓�> �ZN Mq s any �- c�.4 ylL�-JM/�NT/ C- ,Qi ✓E .. - ® ROBERT yc\ GRsa riEL- a P. rn Bur,iKrs 04Z>RCDGEENCrhVAVlt/NCs' No.22162�0 Co�4 2.TE. @ EL's 4 _ e ?J 2 Mfg/N ST 33 NO,MAIN ST A1ST� i� HYANA//S MASS .'O.)',4RMOl/TN� ss•: • ��6\ '. ND GROUND YYi4TE'R O/VCOUNTLSiE'L�D" �, „ Ir FZ CID UIVO PUA rE'R A7r JOB /VD...7 8'O 8"Tr SHEET., pF' ?