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HomeMy WebLinkAbout0016 CURRYCOMB CIRCLE - Health 17-7 O\ , r �� 6 S o -+�3 L O CATION t�•��---5"' WAGE PERMIT NO. VILLAGE I N S T A LLER'S NAME & ADDRESS cxL e I � n e U I L D E R OR OWN ER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED 1_ opt- 3 LN Fcor� 1 �s a ol O �I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH o I......W. l.......:........OF..:... aa�f �f- .........------•-•-• Appliratiou for Uhipogai Rlorkii Towitrurtiun Permit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at:"1--IVN�-E CuRrZTC 0_n_ ..JAL.I Msr .;1 .................................... /-144*...................................... Location-Address or•Lot No. - -�-- . ............................. --.....------..................---- ------.......------.......... . . ner Addres` - w f.�� ....... rd.,"—_/-fit..............::...:.......: Installer Address G�9 of TypeDwelling Building Size of Bedrooms.......:....................................._ Expansion Attic ( ) Size Garbage inderq(f ) Other—T e of Building ............... No. of persons_......................_. Showers — Cafeteria a' Other fixtures .......................... Q j6r4j?'—&&---------------------•--•-•-•----------..------------------------------.-.------•--------.--- W Design Flow.......110...........................gallons per persen per day. Total daily flow......._��Q_..................gallons. �� G: Septic Tank—Liquid capacltyl��(�_gallons Length.... ,Z..GWidtk4. "/Q._ Diameter Depth.r?. ' Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No....QKZ.. Diameter.....S.1........ Depth below inlet.....9S. ......Total leaching area;QI.A..sq. ft. Z Other Distribution box ('Q Dosing tank ( ) 04 Percolation Test Results Performed,by.....L IDW. &t.��.fZhiG................... Date....._-�.7/�„a�.._.___..... W / f ,.a Test Pit No. l...G ...minutes per inch Depth of Test Pit..1.5.G Depth to ground water..�Ja ks.-_-. G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.-...................... ----------------------•---..... --••--•------•............. .....--•---........`..----........R......................................... 0 Description of Soil.....�G?.._"...06 n-.fOe$lk;(..,�"o �� ' -U�,501 v ..48.....--/..<�n'--s.Sill2G�. .ql �r -.r(Jy�--�l S..tif'-5%/t. W airs or Alterations-Answer when .....................:......................................................................... Nature of ReP_U n applicable................................................................................................ .......................•----.._......-----••----•-•----.............=-•-••............... .......--••----...---.----------•-----...._...._......-------•----------.-.--------...._...................... Agreement: The. under agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of LITLU 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' ue b the a f health. , Signed....... ......... ...... ....... ....�................................. ^ Date Application Approved By..- �� l-� ©.-:�__�c�}. Date Application Disapproved for the following reasons:.........................................:.......__......._..........._....•.................................... ----•--•--•-••......-••.......................••••-••-•-•---......--••-----••.........--••-•-----••........_.....----..............................................•--••--•--•-........................- Date - PermitNo......................................................... Issued....................................................... Date No THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH b_ r A� OF Appliratiun for Diupuuttl Workii Towitriirtiun jhrmit Application is hereby made for a Permit to Construct 04-),or Repair ( ) an Individual Sewage Disposal System at:`HUNATE_•Z! �-j t L Z / � lljt L �•�S?_Ntr - tr ., i rcc ti��,-- ►-jd- •T ...................................... ---• ••........ � ......... -�.� ........................................ Location.Address or Lot No. jvner AddreA j' f" Installer Address Type of Building Size Lot/51,.. ......Sq. feetT U Dwelling—No. of Bedrooms.............A...._..•.........._..........Expansion Attic ( ) Garbage Grinder ( ) p`4 Other—Type of Building .........:.................. No. of persons............................ Showers ( ) — Cafeteria ( ) G4 Other fixtures ................................ .. op"Ji'1-------- --------•----•-------------.--.-�� ._.................-....... .... Design Flow------..I ................ gallons per person per day. Total daily flow........ ..................gallons. Septic Tank—Liquid capacity)Uhf).gallons Length.... .-G Width; .-'-�d.. Diameter..._.-----Depth- .....4 x Disposal Trench—No. .................... Width..... ....•...... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.... ,1_ .. Diameter....S �.._:.... Depth below inlet..... ..I....... Total leaching areaZQ!,._(...sq. ft. Z Other Distribution box ( Dosing tank ( ) Percolation`Test Results Performed"by... I '? ,!!:,tN.. :....:............... Date....7�� 11�7- ............ „ Test;Pit No. l...<.-:-:-..-._minutes per inch Depth of Test Pit.. �"�C.._.:.. Depth to ground water..�_(.P-.!� ..... f14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ p4 ................ .----------••... .................................................. O Description of Soil..... '!- Ofr `.�../.�c9.M_.;� �� r 4.:._, ��-}��_ f3��1,. r� .t••if w .............................................................. : . -------------------------- ................................................}...................................... -•--- ......------................................ U Nature of Repairs or Alterations—Answer when applicable-----------------------------•-_----------------__...::.........................._.............. ...............................•---.................----•----•----------•--.................----................----------...---------------•----•----••-•----•---•-••-•--•----•--•......•.........:.... Agreement _ ' The. under ' e agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLZ 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ' sue b the a of health. _. _ ..... Si ned � ' . 1....g �...r.:. ... _ ......................................... /....... ' .. ...... .... Date Application Approved B -•------ �• C�. Uc_ �...---...-••------------•--. •----- 2......r'•-s y Date Application Disapproved for the following reasons:...............-------••.......................•------------.........-•------........-----...................... ---•-•-•-•---•..............••-•----•-•--•--•---•----------------•-•-•--.........---•---------•----.......--------••----•--...........................................-•------•-----•-........-.. - Date PermitNo........................................•-••-••••••-_._.. Issued_....................................................... Date ............. . ._ r._ .._._... .................,.__: ...W_.. ....,._...___ -.-.I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............OF..... �� '1...1� .C........................................ (Entif irate of Tomptl urr THIS IS TO CERTIFY, That the Individual Sewage isposal System constructed or Repaired ( ) by__...................•---. ...------------............- Installer ........................................................... ' has been installed in accordance.with the provisions of TIZL 7, j of The State Sanitary Cede as described in the . application for Disposal Works Construction Permit No...................��...� _..... dated. 1....... .0......:....................... . THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE i 'SYSTEM WILL FUNCTION SATISFACTORY. . DATE...................:....... ' -=.._........... Inspector--- ..... 1 7 ............................... ..,._ _a+ _z .. .4. -._.Y..r:.+sa,.�.a:h.;.......... ......., THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' f mow....... r .e'llS% �C-.-- ................ : . No.g ....... ��" � ..... Fn... r Sinsttt for u Tonufrurtionrrmit/ Permission is reby granted........................ ... =.... _.. to Construct((., ly Or R air ( ) an Indivi}pual Sewage Dis /System '� �d I �� ^'f� rposa� I F J� �c L-1,_ at No. . . i�1 i- :...: Y........ 7 / .v f? .� l Street ! " a i. C as shown on the application for Disposal Works Construction Permit N_o_ -.`�l?�Dated.......jb....�... _ ...................................................................................................... Board of Health DATE..... d..1. .. _ ...................................... SECTION,-.- SEWAGE - ---- r G ' 1 i SEPTIC TANK- 7j -"D"BOX- 3 -LEACH TOP OF FON 1Z �dQIMSW• _. "2"OF I/STO Va" ( �� ASHED STONE ,` ♦/ OIYI e--"i IN• OUT• IN• OUT• IN- SEPTIC C ) LoopG -7Z), 0 TANK ` 115 I / /2 115. 1� is./ 1 l� ELEV. ELEV. ELEV. ELEV. ELEV. ELEV. f ; . � —33 -WASHEttD STONE - G TTDfYN O� �t01 \Q — �� QO� TEST THOLE LOG TEST BY �v` "'l `-!t�;' � , I1Z I�D ? WITNESS 1 - TEST DATE DESIGN Z BEDROOM HOUSE I +� .� 1C4 T.H.- w 1 T.H. +� 2 ELEV: fie ' 4 - e ELEV. 2 DISPOSER DISPOSER PERC RATE MINAN. - 'S• / DC2 �p r ¢G 8:arl� CIF FLOW RATE SEPTIC TANK UFO S REQ'D SEPTIC TANK SIZE S /Z y .�tr ltlt { LEACH FACILITY 1 SIDE WALL.. �t�CQ =. IO.vo(Z.e) a 31� L7 . G,'!�. ! ?, �,_ r e-A ` BOTTOM ( �d . _ -so.S(1 ��. % es . TOTAL 11 II. USE: ace. , LEACHING, N G� I WATER ENCOUNTERED NOTES':- (UNLESS OTHERWISE NOTED) 1.DATUM(MSL)L TAKEN FROM '52 ! 6J I C�OUADRANGLE MAP J 2.MUNICIPAL WATER j =____ _AVAILABLE _ -2.PIPE PITCH:4�".PER.FOOT 4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO• _ -" "-44 -- -- (� OF S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. ti "♦S,$� 6:PIPE JOINTS SHALL BE MADE WATERTIGHT Cyr 9.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. ARNE H. u g�� STATE ENVIRONMENTAL CODE TITLE 5 o OdALA SITE E PLAN IL us Lor 34/I 1'o C ►�t��t ctil•l r5 cl(zc Lc-. ti1a r �E t ibED Pow �sto.'z'.Z�` LOCUS: Of q\ �1 �R f�l�S'f��it_ M�R ♦A-Jrr I C.0 l�{vS GC���1 �� TL'> mcl;'4l0" S AL ENGINEER A. ARNE may\ REF: LaT 3q/►C7 upjTErttltu LCT 3F3261 l®, )JG1nIEE.� . TO GEI�.'( IFY .MI�TE�IAI.. P� TIME I ®W� CQ�� �OI ��L�P�'it���� A �' PREPARED FOR:(_EL3E(_ ��- OC►C_UWS CIVIL ENGINEERS �'G LAND �%-•=G —— — _ BOARDOFHEALTH 'A :�L'AfLg,SC� YOR CONTOURS (EXISTING)-••---- DATE (3A 12 N$TA�3LE MA r l A4ti)�' SCALE (PROPOSED)-O-O-O-O- APPROVED I �p O TE V S 2!5