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HomeMy WebLinkAbout0110 CINDERELLA TERRACE - Health 1 c� C�'r►c��e�-Qc. Tyr -� 7 - s r THE COMMONWEALTH-OF MASSACHUSETTS BOAR® OF HEALTH TcN#................OF.......... T V.-................ ./........_. Appliratinn for Dispaoal 38orks Tonstrwtion Vrrntit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: LoTi 23 C ................____........f......!N.�.l�....._� .j...!'�...,....�._..._.... - ---M=ELLS-r-�--��.:....... Location-Address '1 - or Lot No. -.. ....(:��4,�(L� ., ........... �1_IZ. ..............�N!�l l S�-.l�l�f Y-5.................................. .. . . . ..... owner Address a ----.- -On.". A.....aa ..................................................... ------••-•-- c v L _� '......ddr.---........................................... Installer Address UType of Building Size Lot.........t�2 c...Sq. feet Dwelling—No. of Bedrooms._.... ' .................Expansion Attic (� Garbage Grinder (N1A) Other—Type T e of Building � 'n p., yp g ................ENO, of persons.......__._......_..... Showers ( ) — Cafeteria ( ) a' Other fixtures W Design Flow...........r5..r,�?55......................... per person per day. Total daily flow................3.3.a.................gallons. WSeptic Tank—Liquid capacity............gallons Length.$I�"..... Width 4�!Ot`.. Diameter................ Depth-.5_' ....... x Disposal Trench—No..................... Width.................... Total Length...................,.Total leaching area................_..sq. ft. Seepage Pit No........ Diameter._....A.P-...... Depth below inlet.....4R......... Total leaching area..!L t ....sq. ft. Other Distribution box ( ) Dosing tank ( ) Percolation Test Results G 4l Performed by..... ......... Date...... Test Pit No. 1...42......minutes per inch Depth of Test Pit....!& ........ Depth to ground water...Q,&............. fX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a 94. 1 - 9 S.3 Soi L a r y O Description of Soil..... '�^ .... yC�' `� 7.--�14,7 �e�-Pw�- 941 - q4 -co��p .....•••--- 4 . ...`-�4� ...- 93,2 �u 0:c R�� 93.2 -g2eL cLoc sA�s-0 .`._92:2:.91:Z..... V t `.. �. �. W c'� `�1` b,7 !uC` ..... .t.. b:1.._.( }Zz?�-i.P!T.�..t- .%LC TaZ..... UNature of Repairs or Alterations—Answer when applicable..................................... ....---••-••----------------------------•••..._...••-----•-....._............_.......•----•--.......,_.......-••---------......----•-............----•......----•............__...--•.....---•--•---•.... Agreement: The undersigned agrees to install the aforedesc ibed Individual Sewage Disposal System in accordance with the provisions of TI'L M' 5 of the State Sanitary Co — The undersigned furs r agrees not to place the system in operation until a Certificate of Co is has bee • s y e, and ealth t Si ed. _.�: . :............ . ate Application Approved BY .. -:_--- .... ..r.. .... --•------•------e /-•��-- Date Application Disapproved for the f of reasons------------ ......... .......-•--••••--•-...------•.....-••.........------•...................•....•--- ...........-••••••••...•••----•.........-•-•-.......•--•---•••.............•--•---•---........._..-••••-......-----•••••-•-••----•------••-•......----....------..................................... Date PermitNo.................................................__.... Issued......................................................_ Date i s No. :�..-.�. Fss.....1.Y.._......_ THE COMMONWEALTH OF MASSACHUSETTS BOARQ, OF HEALTH ..`:<"isjw................0F. ...... ................................ Appliratiun for Disposal Works Tonstrurtion rumit Application is hereby made for a Permit to Construct (vw or Repair ( ) an Individual Sewage Disposal System at: f� Location Address or Lot No -• -- r? ... .r.... .G:.�..!.."�...�.:. s....�..w:?�. ....... ..i. 1 ­111111111111t FI I �..i _/(/1 .`,,'„`••.................................. owner Add ..... --Address a .....................=.= .................................................... ........... .y.� ....... ............ ._..._........ Installer Address Type of Building Size Lot�o �? Q....Sq. feet �-, Dwelling—No. of Bedrooms___.. .................Expansion Attic (4/) Garbage Grinder (41A) Other a —T e of Building—Type g _______________ .. No. of persons.......... Showers ( ) — Cafeteria ( ) Other fixtures ..__..... WW Design Flow..........r�S.........................gallons per person per day. Total daily flow...............:P..._.___........__gallons. WSeptic Tank—Liquid capacity............gallons Length..1'4a"..... Width4'.$©�'_. Diameter________________ Depth`_?_.'_.. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.......!............. Diameter......!.a Depth below inlet....6-......... Total leaching area..!�!�?....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results4 d Performed by...... ?+.1... +*1 f..f'': +�?`?-/�._............ Date...... 4 Test Pit No. 1.ZA_......minutes per inch Depth of Test Pit....I_1:1........ Depth to ground water_.WA______________ f3. Test Pit No. 2................minutes per inch Depth of Test Pit.................... De"p ground water........................ 9 9. .. Description of Soil..... ?t#! __ �:' ti7---- R'7 (�_„tzav -• "3 e.:'1 - 94Q.:e© sue 9...., 1 - 9�, ...�nR _`c izs ) •q3:-Z•- Zt2.. 1+-T `�± + AU-01 9Z.2- 91.2. W -•----____-..�..r... y..y a--•------- --------- x Atwl .t 1.E-• i a. •�?!(o: ._.�RA 3 _tir4Ls�1 .r...! � .l.._�G TT�'? G?s ...... U Nature of Repairs or Alterations—Answer when applicable....................._.._.__....__.________..__.___..__.__.____..___..-__..._____-_-____-_____- .....................................................---•---••---•----......_.__.........--------...--•-•----•--•-••-----------------....._._.._....-------......-•------------...........------------- Agreement: k The undersigned-agrees to install the aforedesibed Individual Sewage Disposal System in accordance with the provisions of TITIS 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance,has beert"issued' e bbard.oVhealthl Si e& - ............ �j �� Application Approved By..... .... �.e �... - -.....�.....----/----- -- --- '==-=-� -2'7/Date •Q--L==-- Date Application Disapproved for-the follawnq reaso __ _.. `✓ v,• ...--•-•-.-----•------•---•--------------------•---••-•---.._...............-...� ---•--^^•---•-----•--••---...-•.................................•-•------------•---....-----------.................................................— --------------------...-Date-----------— PermitNo.......................................•-----....-.. Issued....--•-----------••---•-------•-----......------...... Date THE COMMONWEALTH OF MASSACHUSETTS ,,, BOARD OF HE�ILTH /.... .:--:...............OF....... - _------................................. Trr#if iratr of Toutptittnrr THIS IS CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by......... :....an(..,._...... ----------------- ----- ----------------......_...-------------------......._....--------------...--------•------------ Installer at...... - - ---------641521©/ec*�&------- ----- ���/X--� ---------------------- ......------- has been installed in accordance with the provisions of TITIZ 5 of The State Sanitary Code as described in the PP P e.i_--7•J-•--•-•--._..__ dated----------------------- -• application for Disposal Works Construction Permit iV'o.___ __�- _ ________._"�-_._______ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFAC,,PRY. DATE.:....... ,! .:.. = ............ Inspector:...::- THE COMMONWEALTH OF MASSACHUSETTS BOARD O ' HEALTH .......... f..../!."1r.7. ..........OF..-.. . .--------•----......_:.:.............. i., J No.:8:.Z--25-..-_ FEE. S .......... Disposal Works Tuntr #ion umi# Permission is ereby granted_____ to Construct or Repair ( ),an Individual Sewn Disposal System atNo...._.... -, -•-------------- .............................................. Street as shown on the application for Disposal Works Construction Permit-No......-.`�._.�:A(Dat$d..________�� ..._................ DATE.............. _ r 2110 ....................................... B f Health �FQflm 1255 �HOBBS & WARREN. INC., PUBLISHERS `ri f: A T ION S A G E PERMIT NO• LO C . 0-r2's n Jene// V I L L A G E (.23) INSTA LLER'S NAME i AD.DR:ESS P-T BUILDER OR OWNER noQr� 2))op V.�/U� DATE PERMIT .ISSUED ` ,, / DATE COMPLIANCE ISSUED � `` f SCE 7tE�p� , AN PIT s 7-1 rd �►� �; °►°► ��•� Imo" - Q _ 15�082 _ ,4o.s2 f 60 l o� ► z,o l ,.�7. IL (SE� 4r 101.0 " • .3 ,"A t 4e Qr 6At7C't,4j.1,K vo 'L�: / - 1 G '` N 43,5ldo s,F � p - ' / .. 'I So -asp . . �arE � •. su • _ iE va�lA.Ic�e A+.rr�D 1 7 / �c�Xlo" 1E71 N6 PITS a=lod�" Of I 3I,DA MD J� 13, 1981 1 ov 87. 10 ;off n ��-'��,��T•ELCVATIo.f5,�1�.TEST, M�KOIJ pa�t� -rio•1 T�'T EC��\14A SE"-+YS'IE-M dc^�16. AS (vAcA��T ) srbw� a.1 --le PeA" a �-, slcyJ II L�AR.ssTAFS'LE (MAs2. r� AM )'AAA _ `!•14,'RiV<2APE ec--D 5"R�E-f Cw- . A.L)iu Sj - —F� C�.-fOkl 5UL JF--r 1.]c_....lL:7T1JI LEGEND CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION . Ox0 H OF EX►STING CONTOUR --- 0 - ,��` Mq ., �nT 23 - ciNA� c��A -ram P?,qc� FINISHED SPOT ELEVATION \?+ _"PMIIP r n, A �-rc�i�.t /ullL_lr ; FINISHED CONTOUR -0 -------- ------- � APPROVEDI BOARD OF � HEALTH-. A9 ''�Q. ��J"•' ;� �������� �A 2 LA A ASS� J A4 �......•• , DATE , OZ•23 ''L T s AGENT .,�... SCALE DATE G • �REDGE ENGINEERING CO. IN CLIENT ��� I 'CERTIFY THAT THE PROPOSED elm EGISTERE. REGISTERED JOB:N0. `bolo► BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS ' TO THE ZONING LAWS DR.BY= E..: EXCEPT ENGINEER SURVEYOR Of. BARNST LE AS$., As l c=,T 712 M A I N. S T R E,ET : CH. BY cal 23 02 H YA N N I S M AS S• ,` r SHEETS-0F DATE` EG: LAND SURVEYOR ` s20 FT. M. �"N0?F /F E/TNER THE $APT/G TAN'�C OR CH/1vG !-'/T ARE MORE TH.q;a/ /2' BELO!-V /O PT M/N 1,RAOE� 24 'VIA METER CONCRETE COVER h 4'PVC PIPE I .S,,vA4,4 BE BROuGNT To GRA D.E . `. ,'✓ EX7"R� �,;:. c. GONCR&TE.` 1.i; + /-/E%4 V.Y: CA S T.IRON C O V eF T Sh�.4 G L 3 E U S z-- `L= f01., YER.S = M/N. P/TC7,+ I F CO - I /N- V PE t R N/ Y � > • MiN. C'0/VC.PE'TE. CG ✓E.4 '' ,-' ii=�•., I � / CLEAN SA N O . • .. ._.� ' A . B4Cc�FILL -� L/!�[J/tO LEVEL• _ - . - .,��t:;,=,•. ,a /ROlV PIPE :try M/N. PlrcN l O00 G�IL. ' • ` . • . . ►`� P o �I aF /fig' SEPTIC T4/V K p/ST.. o e. 1 • ► o WASHED S7-0N,E BOX O s I 1 • • • • ► t. o G• ' • 1 $ • r • ••e • .314 a ♦ • r o ► • • pEPTI/ • • 1 ► c" o o i�AS1lE0 STONE , !� ,'s - ; . :. .. a �AVQ. 1 1.. • • • • • / I `. G p n 47 1 4�3/ a. ► • • • • • • ► p P.v PRECAS T SEEPAG E I NYeRT CL F .�I T/ON s:.. -7 3 t x 1.0 7 8 G %D a ► ► • • • • • ► ' e o 7/7 C R E 4//V. • • a EL= 90.7 /wYERT AT GUILD/NG 9S.2 FT. r 6 FT D/AM. INLET "SEPTIC TANK `�8--0 FT O, �� f FT. O1AM. C(5- T ovL-A710N, OUTLET SEPTIC TANH �� 8 FT- NLET OlSTRlB!/T/O/V BOX: 9 ..::Ca FT. GiQDUNO. y1lATER 7A91E SECT/O/V OF 0C/TLE7'AO 5-rR/BLrrl0)V BOX 97.4. FT _ !/Y46T LFACHlNG .SIT •-7 FT TE;-VAC, AVISRO-SAL SY.S'TEM LEA Cf1//VG f3fT TABULATID/V DES/GN CR/TE�4/A SCALE % " _ / - o" DIMENSION A 2--8 FT. D!,►fx)v5/GN $ FT. NUMBER OF 9EDROOMS 3 D/MENS/CN C 4 F F.. GAReAGEO/SPOS.4L (/N/r QQi-1= SO/L" LOG TOTAL F.LOrt/ a3< 4G,44.1DAY SOIL. 77E57- At/ SO/L 7;=-S7-*2 SD/L TEST r1/UMBER C1F LLYACX!/WG PI7-S='1 -ELG°Y. `8.-7 /^--` M -ir\� I� ,DATE aF.SO/L TEST SIC--LLr%4CHlNG PER RI- BE� SQ, fTT. vloc�D _��nF RESULTS It//TNESSED BX5I�JILSc�N/r ttU&L,k�f .90T710M LEi4CH/NG PER P/T �g - So. FT. ` b aL=�a:3 PtRCaLAT/O/v itA'TE,1E/ LcSS M/N7IINCN TOTAL LEACH/NG AREA 2(�o SQ. FT: w i� c�a 7' " �__. -__ /tC0L A7 0 V RATE} 2 ��!/ '� /+JI N.�INCH RESERVELE.4CN//NGAREA �� SQ. FT. C.LA ! Er> P /L,p El- 94 l �ZN OF Mqs•. P`Ztl CFI\its �C" .0 �E -�,T IL 3 Ct1JLUE{ = LLs\ r ee. � , F 1 ,.., t o i WE! cn 74 0 c ' + E` ELOREDGE ENGIIVEER/NG CO,/NC. 1. O /STEM; uECK A �.w.o Frs/n ti �° —EL` �o•� 7/Z MAI" Sr.. ► HYAA/N1.T, MASS. Np SU�� '►► ;y�9m ,. h ® NO.GROLINt� YY�4TER ENCOUNTFREO �G>��, CL/ENT: Q .GM UNlD yyA TER. AT EL�L/. _ ip� JGB NO. EET=L OF III Q � f 1 2 7T r .000 ,D .'.'..T�..'„.s.rr.-t^'..w-.. ..a.+Y+w..._w�.... .� :......A..r. ram.. ._.... -�....--......., e..�: +-..., w _ f t , ^ - , R ; \ , ; le • <: .x. .� •' 2c �, t . _ r 5 +