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Home My WebLink About0019 CURRYCOMB CIRCLE - Health ,3(p Cavbc�YnbLa&, V A — ISd 0 �-6 ASSESSOR'S MAP NO.c'�=s PARCEL L0C:ATl0pj � SEWAGE PERMIT NO. VILLAGE Hsle, I I N S T A LLER'S NAME i ADDRESS I� S U I L D E R OR OWNER t DATE PERMIT ISSUED �l r DATE COMPLIANCE ISSUED L_ �c0AA i i K � ASSESSORS MAP NO: I S ) 44RCEL NO.: F� No.. _..... _..._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `...............OF......... ........1... J........................................................ Appliratiun for Biupuual Workii Tunutrurtiun Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal y �Locati�Addr'ess � /�, or t No. s�_. __.T.. ... ............................................ /. ../l/ .... �5.:.-.....:,�-........ .. caner ddress a ..............--------f-�--� .......tam, a-'�----...----.....-----------.... .............. _ ....................:n.......................................... Installer \ Address _ d Type of Building \ Size Lot. S .s'�� !..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) a4 Other—Type of Building ..... No. of persons............................ Showers ( ) — Cafeteria ( ) 04 Other fixtures e -- ----------- ---- ---------- --------- -------------------- --------------------------•--------•----•----•---- W Design Flow.................�__. gallons per person per day. Total dailyflow.......... . ......................gallons. WSeptic Tank—Liquid capacity_!!�q..gallons Length_........ Width....6.......... Diameter---------------- D6pth................ x Disposal Trench—No..................... Width....... :........ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......e-------------- Diameter.................... Depth below inlet./.?/r.Pa_.. Total leaching area..................sq.:ft` z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by._.........p4 �^?.._..6"0 .� / �___..____ Date..... __.�2`. _-. �� V Test Pit No. 1....s k.........minutes per inch Depth of Test Pit---&F.._.._. Depth to ground water........................ f= Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ .......... ...................................••......_. ..................................�-••---•-•--••••-•----•••-•-•-•....-••--••-•...••• •-- Descript�o�of Soil _._i( •...?,�L..._.... . ��u so../ V ° ?a?cl! ---...•---•------•-•-------•-•----••--••----•-•----•••••--•--•-•--••--•----------------•--•----•--...........-••--••-••-------•-----•........ ---- ----••--•-•-----------------------------------------•-•---•----------•-•--•••----•--•-•--••--••••-----•---•------------------------••--------•----•-------------•-••--••-------••............••••...... 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 iITLL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate Compliance has been issued by the bo rd health. Signed....... - --Q•--•---- + ... ......... �•'- Dal SApplication ........ ��:..---•••......•.- � --- - Da e Application Disapproved for the following reasons:......................................Q......................................................._......_ ..............••----•--•......--••----------•-•---•--•---------------------•----••--..................---:••--------------..........----•-•-•-------•--•••-••-•--------•--•--•••••---•••......._...•----- Date PermitNo......................................................... Issued_....................................................... Date No....................... Fitz........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............OF................. .!t. ....................................................... Appliration for Dispasal Works Tonstrurtion rtrutu Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal Syst at ..... . .................. .... ...... Location-Add(ess r No. ........... .............................................. ..0... caner ,r ddress ............. I . ....................................... ............... ✓ ............. .......................................... Installer Address Type of Building Size Lot.Z ,..$:-Z.$ ..Sq. feet ..Dwelling—No. of Bedrooms............................................Expansion Attic Gaibage Grinder ( ) Other—Type of Building ..... No. of persons............................ Showers Cafeteria ( ) Otherfixtures ...................................................................................................................................................... Design Flow...................:!r`1..............gallons per person per day. Total daily flow..........73..Z.........................gallons. !4ptic Tank—Liquid-capacity.!P9P..gallons Length.... Width....6......... Diameter................ Depth................. Disposal Trench—No..................... Width......7 ......... Total Length............._...:.. Total leaching area...................sq. Seepage Pit No......I ....... Diameter.................... Depth below inlet._13h.k Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank Percolation Test Results Performed by........... ...... ............. Date.....?Iqlze.__�........ Test Pit No. I.... .........minutes per inch Depth of Test Pit... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit........_........_.. Depth to ground water........................ ............ ........................ ........................................................................................................ 0 Descri tiou—of Soil.........4... --- ........... ...... e7l ...... .... -------- ----------.................... ......"".......*......."........ -------------------------------------------------- ........................................................................................................................................................................................................ U - Nafure of Repairs or Alterations—Answer when applicable............... ...............7................................................................ .................I...................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TLITIS 5 of the State Sanitary Code—,The undersigned further agrees not to place the system in operation until a Certifica, Compliance has been issued by the board ealth. all p 9�.h Signed..... ..... ......... ".....ra... ...........4) Application Approved By.. F .... ........ . ..... --------------------------------- ........... .... ..... Da e Application Disapproved for the following reasons:.......................................................................................................... ...................................................................................................................................................................................................... Date PermitNo...................................................... IssuecL................................................... Daft THE COMMONWEALTH OF MASSACHUSETTS ` BOARD OF HEALTH ..............OF............. .............................................................. ......... Trrtifiratr of Tompliaurr THIS IS TO CERTIFY, That the Individu Disposal System constructed (i,<or Repaired by........../'y IK 4�4!'�v' ........1.1 r-'..-e.X ..!e-2.�L..-,e.,��. Ie.0;I........................................................... Installer at............................ ... .......... ........................... p. has been'installed in accordance with t1fe provisions of TITLE 5 of _Th"e"�*t'a_'t_e*...Sanitary a'n"it"ary Code as described in the applicatioh for Disposal Works Construction Permit No......... ......... dated..............I................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIL�V SATISFACTORY. DATE.............4u� ......g r.".7.......................... Inspector.......... ........................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF EALTH ...............OF............ ........ A .....? -60 ........)............. .......................................... -700 No......................... Fmc Disposal Vorkii Tonstruffirin parAft Permission is herehy! granted. jL&AjV'- .....V ..... 1C�&'.4.........................................................- -- - .V to Construct �r r an Individual Sewage Disposal Systen� 'evai atNo................ ......................................... � Street as shown on the application for Disposal Works Construction Permit No.................... Dpase�.. . ------------------------------------ ........... oard of Health DATE........... .................................. FORM 1255 A. M. SULKIN.ANC_�160�ST,N SECTION - SEWAGE 0 -SEPTIC TANK= -"D"BOX - �: -LEACH PI-r TOP OF FDN / LET- 34 � l� !�ZO�MSL)• WASHED STONE �' IN• b119 opc/l/ S PA C c- OUT• IN.- 1 A OUT• IN• +SEPT CG 1 ` // 1 2 G TANK L"Li��L'! V. C ELEV. ELEV. ELEV. ELEV. CO +• °�C9-7-- c,t � ELEV. ELEV. —..I�_ OFi4"-1Pe" WASHED STONE • / �." 28 �f�orn ol"key I(IOIG � ,•—'`,\` - TEST HOLE.;LOG 9 \\� 30 I TEST BY '�n ram. =n 4, , �r l(Os1 Ct3.C7, H.� / 131 .3 eC� WITNESS' BEDROOM HOUSE a / i� TEST DATE ^ DESIGN 1�2{. J 13 T.H.- • 1 T.H. +► 2 136 / �` 1 i.__w ELEV. 13Z ELEV. NO " PERC RATE MIN/IN. co 2 DISPOSER DISPOSER �\ FLOWRATE Z3W (GAL./DAY) 3 6 SEPTIC TANK '?530 (LS1= AE52n' o REQ'DSEPTIC TANK SIZE. 14 Q 2 t �O 138 C d V M LEACH FACILITY SIDE WALL (Z 'G/D. IQ 2 C,\r1 BOTTOM 50 L.o G/D. TOTAL ZO 1 _ G r-. �- ic rQ _.( IIBi ►Ge! USE: C�- -1"t= LEACHING PIT WATER ENCOUNTERED N®TES: (UNLESS OTHERWISE NOTED) - G -? nJZG A1C-r?LI1 1.DATUM(MSL)+TAKEN FROM %W t^ t ___.QUADRANGLE MAP P' �.�T�LtiG�C) ]��!O � y` 1 GJU 2.MUNICIPAL WATER�'�Z oVAILABLE pe 3.PIPE PITCH:V."PER FOOT 4.DESIGN LOADING FOR ALL PRECAST UNITS:AASHO- — -44 t 7, !:-5 MIN.GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. 6.PIPE JOINTS SHALL BE MADE WATERTIGHT �' 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. I I — -7 SITE PLAN STATE ENVIRONMENTAL CODE TITLE 5 vnb ��s. t=ot .�a � �,ozlC o�.�� ,o -5•-�� LOCUS: L oT 3 eo CuRRYCON T:S C►2. r-..�o-c- �� u�D PaL. �'.zo�.'L�`•C ��uC— sTla��+._►V � n�tov �, iv�.t )dlat-, STr�I�C®r ` A . Vx i7,uia.C. '/.i t'�}} C-l_>=�'1"..-` e.il ._ -�1!„J t rl TO C�� -S� REG.PROFESSIONAL ENGINEER f�. ;;:• C t 1 t .,C.� /STt :.C<_ ( REF: C,, i down cope enginee�in� PREPARED FOR: L'L y � - CIVIL ENGINEERS : 11/,LAND SURVEYORS ------------ BOARD OF HEALTH �. w6/1 REG.LAND SURVEYOR SCALE V CONTOURS (PROPTOISED C ))—O—O—O— DATE O— APPROVED -� ilrY�+. c MA i � r r� — DTE