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HomeMy WebLinkAbout0045 CEDAR STREET - Health 45 Cedar Street W. Barn'stabfe LOCATION' SEWAGE PERMIT NO. VILLA E INSTALLER'S NAME i ADDRESS -3UILDER OR OWNER A r DATE PERMIT ISSUED DATE COMPLIANCE ISSUED a_-?/- �"i' -Ai No.._...... �3 7•... Fps -`.. AP `'3© THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH �hRCEI f O2�O�?—• OTZ ............"........................OF...........................--•........................................................ ApplirFa#ion for Klispas al Works Tnnstrnrtion Prrmit Application hereby made for a Permit to Construct or Repair an Individual Sewa a Disposal PP Y ( ) P ( ) g, p System at: =------------------------ ------------------------------------------- . ------ ...._-_-______------ - ------ ------ Location-Address or Lot No. ,�l3�'.... -----•---..o... ..5'._. e�. A.._G1...Mh! ...:`:.............. + O6*4 wner Addr s Installer Address Type of Building Size Lot./la.-IL Sq feet U Dwelling—No. of Bedroo --___-__--Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type T e of Building tl'!V No. of persons...:............... Cafeteria Gr YP g --•----=--••---•�----- P •-------- 5hower�( ) — ( ) a' Other fixtures ---------------- -------•----•. . . -------------- ------------------------- W Design Flow............ •-•-_••--------------gallons per person per day. Total daily flow-____,----��--_--••-_--.._---__-__gallons. WSeptic Tank—Liquid*capacity,IOM_.gallons Length................ Width---------------- Diameter_-.__-_---__-_ Depth................ x Disposal Trench—No. .................... Width..........._........ Total Length....._._ ______...Total leaching area.AC-?__..._....sq. ft. Seepage Pit No._: --------------- Diameter.....Z6........ Depth.below i et,._......_....____._ Total leaching area._�'01......sq. ft. z Other Distribution box ( ) Dosing to ( ) i" /�'G� ` QQ 3 z S--7 a Percolation Test Results Performed by...�---• Lf'.. ----.• •------- .--.'_________________________•__ Date--._ _'--------------- -...-------- ,� Test Pit No. 1................minutes per inch Depth of Test P ______.....__....... Depth to ground water_..._._____...._.._..._. 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Descriptio of Soil z d-z S� �'� os _ .7_'_!"-.. � J =1 x .•-_ - ... Wr' •- ..-.....lf� ---•---------•------------------•-----------------...._......--•- 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 TITI.L 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. Sign --- -••-• . . ............• ..................................... ............Da.e........ Dat / ... 77...........APPlication Approved By........ . -- Date Application Disapproved or the following reasons:---------------------------------------------------------------------------------------------------------------- .................................................................................................................................PP f f 9 --------------•-----...------•---•-------------------------....--------•-----------------•------------------...-•-----------------------------=------------------------------------------------••-•-•- 1 Date Permit No......................................................... ] . {/ • Issued - _..._._.i............... Date r. Noo­�t_ -------- Fimic............................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Application is hereby made for a Permit to Construct of Repair an Individual Sewage Disposal ess Ins Address Other fixtures 0-4 It - ...1....................... Percolation Test Results Performed by........... �.�C...44 .... . ..... Date....J:!Akn7l............ The undersigned agrees to install the2aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I TLE 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. Date Application Approved By... Date Date Date THE COMMONWEALTH OF MASSACHUSETTS BOARDWOX: HEALT T_HZ6 IS TO qE ...OFIFY, Thaa the Individual Sewage Disposal System constructed or Repaired Instal s all has been installed in accordance with the provisions o 5 of The State Sanitary Code as described in the THEAStUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIO14 SATISFACTORY. DATE............... 7.2.................................. -fnspector........... ....... I k- e_-Z-------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS 130ARDfF,,. H1.E T JE .. FEE.'..................... � t( or pair C) E�n/j i ua Se,%!!aggr�ei'mos; t at NW .............. ..............5srs . as shown on the application for Disposal Works Construction .............. --.- - _- ' puoLIwxsns SN 7 / of ? S 1 ez.Zrs,z CGZ� - e2 Z8 7awM wiry /9.S$ Gv. i i /4= 1 I Itr ' 1 G ACE -04 0 33� 1 1 esusrn Ql— Pr f 23' : 1 ,1 Za SN. Ifi `7-Z.8.7 �_I S 0 1° I CERTMED PLOT PLAN ED`l1�ARD E. KE!!EY S MI/.AQUiD, MASS. 02637 LOCATION Y"l Z7 8 !sr413 r M.45s / // Q , I SCALE . OATE Ms 7 i971. r �jH OF PLAN REFERENCE .8�?•vG. .ZoT . . ... . . oZ EDWARD I CERTIFY THAT THE . . .. .. SHOWN ON THIS D ON THE E GROUND AS SHOWN E AT IT 'IS TO THE SETS NTS OF Tylr C'f .i, i'7cW/cL/ems DAT . . . . . . . . . PETITIONER: Wmsr 8�5�8GE" + REGISTER;;t'vtWltJ SURVEYOR r V 59345 L r-EL. TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS 4"CAST IRON 'Ie MAX. �n r ' ° PIPE (OR 12"MAX. • 4°ORANGEBURG(OR EOUIV.) -•�- PITCEQUIEQUI )— MIN. PIPE- MIN. i LEACH ' PITCH I/4"PER. PITCH 1/4"PER.FT. PIT PRECAST o�o -� LEACH I N G INVERT Q o ���.. EL.z7.04... INVERT INVERT o w o;� PIT OR SEPTIC TANK 88 DIST. 8G EQUIV. e INVERT EL. . . . . . BOX EL .... /000.• .. GAL. INVERT _ a 0: a; EL..u.as INVERT ,. �+ w w 3/4"TO I I/2 LL a WASHED STONE 0ip �O/ °�. 6'DIA. „ • , , �---- /0 DIA. n/oNt PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE PnD ������n SOIL LOG WITNESSED BY : DATE TIME. AH. PAsiG �1u2A�/ . BOARD OF HEALTH TEST HOLE 2 TEST HOLE 3 T//oH,c}S �; Zc�y� PF. ENGINEER DESIGN DATA X\` SuB So,C � S�(3-.SOIL NUMBER OF BEDROOMS �+ . . . . . . . TOTAL ESTIMATED FLOW GALLONS/DAY BOTTOM LEACHING AREA 78:-r . SO.FT. /PIT sA'►.o /88..Sc� 8¢'; rtsr whir SIDE LEACHING AREA . . . . . . . SO.FT./ PIT $c[4y h,wk-n GARBAGE DISPOSAL AREA INCREASE) /08 TOTAL LEACHING AREA Z47°.0 . SO.FT Co A'?Z5 E` CLAY PERCOLATION RATE . . . . . . c7!•!�. . . MIN/INCH LEACHING AREA PER PERCOLATION RATE �. . . SO.FT. 9 .WATER ENCOUNTERED P� NUMBER OF LEACHING PITS 1 . . T".w`r7V 7�0. . . . . •rZ."2'7' APPROVED . . . . . . BOARD OF HEALTH °!� 3TGA%E,av/.-L siDEs, = 1-1 C 7bA.tS aF sra�E". .P . DATE . . . . . . . THOMAS F-KELLEY CO. AGENT OR INSPECTOR ENGINEERS—SURVEYORS 346 LONG POND DRIVE SOUTH YARMOUTH,MAS& OF Mgss9 02664 O� r�L�OF �tgrS9 � THOMAS Co 7- O�Z '� KE `= p�FSC'/STE 9" X U r trrw' 1 S�ONAL PETITIONER a yL,.i