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Home My WebLink About0028 LINDA LANE - Health (2) 0?8 Lir�d�, 11d�� ni.S No..••--••••...Q.!.... Fus... v� .............. THE COMMONWEALTH OF MASSACHUSETTS 4 BOARD F H A H " -........ ;;!44R.........._.OF................................. ....... ...................-.............. pIuation -for Uhipoiittt Works Tooitrortioo Vrrnift Application is hereby'made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: 'G �t1lO ..�.!f,---- lv..1046 1.- ---- -------------------------------------------------------------------------------------•----•---... Location-Address or Lot No. ....................... r f�----- -----•• / ...------------------. Owner 1Address .......................................... .Hsl21l��M.._ ._.. 7. �1�!/Y/ ................................ Installer /Address UType of Buildin� Size Lot./1__d-V V........Sq. feet Dwelling—No. of Bedrooms_j---------------------------------------Expansion Attic (eve,) Garbage Grinder aOther—Type of Building ........ No. of persons_-___-_._.-_------------- Showers ( ) — Cafeteria ( ) Otherfixtures_ ------ -------- --------------•---------- -------•-------------------------------•------------_----------------------------- ------------- W Desi n Flow__ ._; .1.�-......... tllons er erson er da Total dail flow. ` g P P P Y Y _o---------------------------gallons. WSeptic Tank Liquid capacity&/-" gallons Length________________ Width.__--.-...__-- Diameter................ Depth.-.-------:----. x Disposal Trench—No_ ____________________ Width-------------------- Total Length..•.---._-._ ------- Total leaching area.--.----_--_-___-_sq. ft. Seepage Pit No------------/------- Diameter...../,�------- Depth4bDelo, let...... ......... Total leaching area----w.6_�__-sq. ft. Other Distribution box .( ) Dosing tank ( /Q v 3`-7- 71'Percolation Test Results Performed by..-_.TAM.-_e. ___----___/P-e!.._ Date `-7 _---_...Test Pit No. 1________________minutes per inch Depth of -.-_.______------_-. Depth to ground water------------------------ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ -----------•--- --------•------------"-----------------•--"-------------•••...-------•••--...-•••--••-•-•------------------•--------------•---------- 0 Description of Soil_-�'----------------------------------------------------------------------------------------- --------------------------------------------------- ------------------- x 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 Article XI of the State Sanitary Code ' The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been ii-sssued by the board of health. 14, -d-- -...-•---•-e- Date .Application Approved BY � Application Disapproved for the following reasons:......................... Date ......... ------ -•---•---•-••-•-••-••••...•----•••--•••--•--------------••••------------...------•---•••-•••••----••••------•-----------.........._....-------------------------"-----------------------------.---.----- ��' 7 �7 Date PermitNo......................................................... Issued........................................................ Date No. ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD SF H A , . H .............................. OF�...... Appliration -for Uhipoiial Workii Towitrurtion Prrutit Application is hereby'maae for a Permit to Cons ),or Repair an Individual Sewage Disposal System at: Z----- ....................... .................................................................. Location-Address or Lot No ?......... ....................... 4. .....4 ' .... .............................. K-S.Z-6..ner Address to ................. ............................................ .................... ..... Installer Address U --- ---- Type of Building Size Lot_e10L-G.V_c --------Sq. feet Dwelling 7"No. of Bedrooms-Z----------------------------------------Expansion Attic ("o) Garbage Grinder ("Vr Other-Type of Building ------- No. of persons............................ Showers Cafeteria P4Other fixtures ------------------------------------------------------------------------------ --------------------------------------------------------------------- Design Flow 045W.........r..0----------grallons per person per day. Total daily flow,.i4o-----------------------------gallons. C4 Septic "Tank Liquid capacitV Length---------------- Width------- - Diameter_-_-__..-_-_____ Depth..-------------- W hing area_-_-----------------sq. f t. Disposal Trench-No. ................ Width___.______________. Total Length____.__. Total' c Seepage Pit No............ ------ Diameter.....1&4....... Depth belo inlet------6F......... Total leaching area..A.V_4---sq. f t. Z Other Distribution box, Dosing tank -7- 7 J- �Performed by._#�774w.(er ............. 7- 7,P- Percolation Test Res-qlts ......P��_e D te - V, .V _-1-t-------------------------- it �'14 ---------------- Test Pit No. 1----------------minutes per inch Depth of Test it------------------_ Depth to -round water. Test Pit No. 2...............�,,.:minutes per inch Depth of Test Pit___________________ Depth to ground water------- ------------------ ................................................................ ..................................................................... ............... 0 Description of Soil---"- -------------------- --------I------------ U -------------------------------------------------------------------I'�.................................................................................. ----------------------------------------- ---------------------------------- ------------------------------------;------------------------------------------------- ------------------------------------------------------------------------- U Nature of Repairs or Altera'tions-Answer when applicable--------------------------------------------------------.................... --------------- --------------------- �f----------- ------------------------------------------------------------ -------------------------------------------------------------------------------- Agreenie t: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System' in accordance with the provisions of Article XI 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. igned-_ ... ....... ------------------------------------------ ...................I D ---_------- I Application Approved By............ .... ..... .. /y . .... ... -- -------- Date Application Disapproved for the following reasons:--------------_---_------ -------------------------------------------------------------------------------------- ......................................................................................................------------------------------------------------ ------------------------------------------ D.t e. PermitNo--------------42n....................................... Issued._____...__ ............................. ........ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......OF......xde4.. .. .:�.. ............................. WM,-ifiratr of 0011intilliatta T S IVTO-CERT& T at *e Individual Sewage Disposal System constructed (4:15-or Repaired by.... 1_9 77.... In ller..... . ----*etate -------------- --------------------------------------------------- at.-4L 4L--. ............................................... has been installed in accordance with the provisions of A XI of Sanitary Cg4e as'described * the application;for Disposal Works Construction Permit No-_ ------/-------------_------ dated.. THE 'ISSUANCE OF THIS CERTIFICATE SHALL NOT BE,CONSTRUED AS A GUARANTEE THAT THE SYSTEM'.-'WILL FUNCTI Wrts FACTORY. DATE-7..............r-7.................................................. Inspector....... ........I------------------------ .............. .......... THE COMMONWEALTH OF MASSACHUSETTS BOARD 0 -HEALTH 9 ........... OF........ . ........................ ...... ............................ N �FE1Z........................ IT...... . . Permission is e d .. . . ..----------------------------------------------- .................. ,1'ereby grani fi to Construct � r R - ( e,�ya t1pyr an In Ibis sal Sy in -------- --- Z4,1.at No-2t* ........)p ----- -------- ------------------ Str et as shown on the application for Disposal-,Works.,-Construction-.-Pero_______-- --- - d--- ........................ ----- ...... . . .... .................... ....... DATE.--- Board of Health ------------------------------------------------------ ........... 4., FORM 1255 HOB13S & WARREN. INC.. PUBLISHERS S E[�v. TP of 7-T¢9 - . __� '.+1Wn:u+.rwM.nr V'+-?'.`..iu:t..a�:.;.�/:n.- `. e.•.::'�:St9jji:.{,?,f+:4.v-•e. 4::aY.:r.u.`.xr.w�..:a;�-=.:...-r.•n.».�cc•I4tier.::::i?.:rwv.:.•:.v.�.ww•q � __— � X( afsT. Box 3 � SQPric� 7- 3 /3 -r~A )✓� �E /l 000 54? FT. Ec.�49z O II . 4790 /O i �z' o Q : 8 zoT�4 0 pW 0 d Q y f Peo�os�D 7�wLui•vG h_ \ r v-tiOgT/oA-- = Jo,oo EL.47.• 7t I EL. ¢B.S x EL 48.3 e I I W 30' �Iri .• i I I .48.L � 1 Z/A/O/-? LAND 4o'w•vE_ NeTE-ELNgTiovs BA56-D ov ASs+^sea DATciy CERTIFIED PLOT PLAN EDVJARD E. KELLEY LOCATION . . // A"Al, , s.. .. . CUMMA(�UID, MASS. 02637 SCALE . /„ zo . . . . DATE ''��'� 3 �976 PLAN REFERENCE !.vG �� SNowN on/ A PL,gav L-�v%/TLE`A ZH OF qcs L'eA/G Po,e r .qvD EDWARD .`�,� /oL.4>v. SooK 11.1S PAGE ¢/ �.rE. Y I CERTIFY THAT THE n?�Pos�a Dw�zu.!G„ SHOWN ON THIS PLAN IS LOCATED•'ON THE GROUND ` AS SHOWN HEREON AND THAT IT CONFORMS TO THE I` SETBACK REQUIREMENTS OF THE TOWN OF ae9R!/sT�Be�:. . . . . . WHEN CONSTRUCTED. CZOYD .5,,4 //A DATE '`TS��!`!.3 i979 PETITIONER: ,SG LiwoA 49NE REGISTERED LAND SURVFIYOR u y J TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS o, CAST IRON 12 MAX. . • 12"MAX. PIPE (OR 4°ORANGEBURG(OR EQUIV) EQUIV.)— MIN. PIPE MIN. LEACH PITCH 1/4"PER.FT PITCH 1/4"PER.FT. PIT , PRECAST J LEACHING o' INVERT `'4 EL..�-5S INVERT INVERT o w o��' PIT OR SEPTIC TANK EL 5cs!? :. B EL•4485 ?_ EQUIV. a INVERT. OX i000 .. _. GAL. INVERT ;-. !o a p: 'a' EL._`{s �lSo2 INVERT o._ :�. 3/4°TOII/2 EL........ w w_ o'e EL�6.... �� o' .;. WASHED _ w �: STONE 7 � 6'DIA. DIA—►-� NbN� PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE !`�9ecf/. �!97B TIME..!?:34.Pry. HAUL, !`?v2eA�/ BOARD OF. HEALTH TEST HOLE I TEST HOLE 2 /-7/n,45 C., /CE?t PL ENGINEER ELEV. ELEV. .. .. . . . . . . F36 DESIGN DATA soiL NUMBER OF BEDROOMS. 1 TOTAL. ESTIMATED FLOW 3 . . . GALLONS/DAY MifED SGanv z BOTTOM LEACHING AREA 78:'0. SQ.FT. /PIT SIDE LEACHING AREA . . . SO.FT./ PIT GARBAGE DISPOSAL (50 % AREA INCREASE) Z67JANO TOTAL LEACHING AREA . . . . . . . . SQ.FT 8)/ - :O S S4,eV,47 N 144„ PERCOLATION RATE .44 :5. TyRN z MIN/INCH LEACHING AREA PER PERCOLATION RATE . SSo.. SQ.FT. ^��. .WATER ENCOUNTERED 1 NUMBER OF LEACHING PITS . . . . . . . . . . THOMAS E.KELLEY CO. APPROVED . . . . BOARD OF HEALTH ENGINEEIi$-•StJ�2V$�70RS .396 LQNGc PONI))DRIVE DATE . . . . . . SOUTH YARMOUTH,MASS. AGENT OR INSPECTOR 02664, oFM9s THO .Lo T J6'3 �,� EDWARD GN E. rn E. Lory L/�/DA L ANEW !-/'Y,q A/niis v No.2610P • 4260 O G/q. /STp� Frs�ONAI PETITIONER SG Livofl Ly,v�- .�/�,q.vv�s �''IASS, rho 5uR��'y