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Home My WebLink About0050 HI RIVER ROAD - Health (2) 50,HFRIVER,ROAD Wrstons'Mills ! i i I I FEB ® 0 THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH . .► .....OF.........O 'PZMSM ................. Appliratioaa for UiopooFal Works Tom4rur#inn Famit Application is hereby made for a Permit to Construct (*00 Repair ( ) an I �u e ee Disposal System at: .........._W 5o.... �i i c2 I�.--.2......... ........o7..._l. MA .. o PRQr- PaecZ-z /) Location-Addre0ss or Lot N . R�rti�E_.._ t ..arms ...-------. ,?� .._.. _ 1 !�u../-/... ... <cc� �C e Address "��. ................................................................................... Rnstaller AddressPQ � + d Type of Building Size Lot.` A. -Sq. feet Dwelling—No. of Bedrooms....___...............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ............................... .. W Design Flow..........�� gallons per person per day. Total daily flow__._. 1 .............. gallons. W Septic Tank—Liquid capacity/6dO..gallons Length Width__YL/6"_ Diameter________________ Depth C 7.0 .. x Disposal Trench—No. _____-------------- Width.r____. ........ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------.!------------ Diameter.10.7'1Q_____. Depth below inlet4..-�0._._.... Total leaching area..;A!.7...sq. ft. �-- Z Other Distribution box (K Dosing tank ( )/ - / Percolation Test Results Performed by. 0 ✓�le� !-_.6 ....fE' Date .?�6.- ._.._...... Test Pit No. 1---2 -_.....minutes per inch Depth of Test Pit...../Z........ Depth to ground water__,oSlQW........ f= Test Pit No. 2---A..........minutes per inch Depth of Test Pit.___--*_----------- Depth to ground water_____-................ f4� V ��----------------J ................ % �y O Description of Soil Q..�.20-------.14.4. ISv. i9 ,�y - G _C /v!J x W -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Comp)Iiance as been iss d by the r of health._ (� Sined :. .... ... ... ----------------- 7------------------------ ace Application Approved By --- -- ....... .. .. ..... .. -- ------------------------- Da- -. -----Application Disapproved for the following rea --------------------------------------------------------------------------------------------------------------------------------------- ............ . ............................. ... . ............................----------.............. . --....---.........-- . .-- Permit No. ----- �� Issued .. U. -.�........ Da e .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -----------!_QQ-0.!��).....OF.........1.... ...... ..................................... Appliratiou for Uhipwial Workii Tomitrurtiou ranfit Application is hereby made for a Permit to Construct or Repair an-Individual Sewage Disposal System at: 41 &.; Location-Address .............................................................................s................. ---------------4--- --------- or Lot Address' C .................... ................. .......... er.4nstaller— Address Type of Building Size Lot.4t_,5:3.e"��t Sq. feet U oms------- ...............................Expansion Attic ( )Dwelling—No. of B�dro Garbage Grinder �4 Pk Other—Type of Building ---------------------------- No. of persons___..__..._............._... Showers Cafeteria P4Other fixtures ....................................................................................................................................................... Design Flow._.......4:�...........................gallons per person per day. Total daily flow-------�&.O.......................... Wgallons. WSeptic Tank—Liquid'capacity/600..gallons Length6_L-(.._"_. Width__Y�ZK'.__ Diameter................ Depth.:.7.'Disposal Trench—No..................... Width..,-__------........ Total Length.................... Total leaching area....................sq. f t. Seepage Pit No------.Jr.......__... Diameter-1 Depth below inlet_ .d,_'/..... Total leaching area..i!_�.�R.7...sq. ft. Z Other Distribution box O Dosing tank a ....Percolation Test Results Performed by.WP��Z4??Z�-!----6.e f2- .... Date .. ........... Test Pit No. 1....2.......minutes per inch Depth of Test Pit-----la......... Depth to ground water_i?q/!-"A'�t;�......... Test Pit No. 2...............minutes per inch Depth of Test Pit.._..'..._..___.... Depth to ground water.....`................... -------------------------------------------------------*---------------"---------------------------*--------------✓*.........I-------------------------------- 0 Description of Soily!�_.n.2g....... ...... ...... U ................................................................................................................................................................................................... ....................................................................................................................................................... ............................................ 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 TITLE 5 of the State Environmental 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. Signed ---------- ........ ..... .............. ------------- .................------------------- -------------- Application Approved By 4;-------------- ? /1-&M ..........y--� -------------------------- -------- ApplicationDisapproved for the following rea&-- ---------------------------------------------------------------------------------............................................... ....................................... ------------------------------------------------------------------------ - ----------Z^ - v.................. .................. 0 ----------- ate PermitNo. ...... ------- ------------ .. ---- Issued .......... -------------.............. THE COMMONWEALTH OF MASSACHUSE17S BOARD OF HEALTH .............................................. OF .................................................................................................. Certifirate of Cantlati? mr, THIS r ERTIFY, That the Individual Sewage Disposal System constructed or Repaired by ........ - s ----------- -------------- ----------------------------------........................................................... A In taller --- at ---------5.(-)----- - -------0 -------------------------------2 ------------ ----- ------------------------------------------------- has been installed in accordance with the prove ions of TITLE of The ate Environmental Code as described in the application for Disposal Works Construction Permit No. ------------ ........ dated ................................................. 77- " '_ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT �240NSTVU20� AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION KTISFPO-ORY.. Inspe .....DATE------- --------------------------- cto I. ........................................................................ THE COMMONWEALTH OF MASSACHUSETTS BOAFi!D OF HEALTH D )W . ... ....................... c/� ...... -a OF.......6- D�r iAlY-i No... . ... FEE...4 I--- ----------- Permission is hereby granted........\,qj, m. ....... ....................................................................... to Construct or pair raa Indivi yak, Se age Dispos stern at No. �treet --------- ............................ as shown on the application for Disposal Works Construction Permit No...I... ......-179 ted.......................................... ........................................................................................................ Board of Health DATE---------------------------------............................................. FORM 1255 HOBBS & WARREN. INC., PUBLISHERS FIRST FLOOR SEPTIC SYSTEM PROFILE SOILS LOG & ELEVATION 22 FIN. GRADE FIN. GRADE OVER FIN. GRADE OVER - FIN. GRADE OVER PERCOLATION 'TEST TOP of AT HOUSE SEPTIC TANK DIST. BOX LEACHING PIT FOUNDATION 74•o '73• S '(3• '13.o TEST HOLE I TEST HOLE 2 ELEVATION _ _ 7�•0 ;, ':, 0" ELEV. '13.2 a' ELEV. -72.7 .- LEVELING RING WITHIN 2" of 1/8" TO 1/2" -roPsa, -F�,Pyo[L 4 INVERT at ��`�3. 12' OF FINISH GRADE _ I FOUNDATION WASHED PFASTONE c� 5 ELEVATION `ll•SS _ s vs o[L su�o[L 'r•.t p:Pfe: '•yfr. o-1 P..:..:ot;.J. .i.,•.•4,IR. . ., 3.. 2.. 24 2q. J lD �:v.'a, "11•�b `: 0 W i "1(• 35 '11. 12 '(b.•jrj D .lo Y'� ,• of J v i. a , PRECAST, C.I. OR P.V.C. TEES 0 ti 1000 GALLON Cr DIST. BOX 3/4" :o•a o; TO Y H-IO LOADING r��o►uM MEn1ur� SEPTIC TANK o WASHED SAJv SA�-10 BASEMENT FLOOR j ° H-IO LOADING TO BE SET ON A CRUSHED ° 0 ELEVATI N ';.;:'. 3.. :,: ,.......• :..;...,•,.: ..;,.a: .: .,•,.,;�:.. . ...i,;•.... .. :•;' LEVEL 8 STABLE �' ' BASE STONE PRECAST • ( ACME DB-3 OR LEACHING PIT r� APPROVED EQUAL ) TO BE SET ON A LEVEL AND STABLE BASE H —10 LOADING ; ( ACME ST-1000 OR APPROVED EQUAL ) ( Profile not to scale ) t 44" Co[.2 144" 60'T f.1 D WA T�� W o WAT0 tiZ 6'-0" 2'-0*' ., PERCOLATION RATE: ` MIN./INCH EFFECTIVE DIAMETER TESTS BY : dC4? 4,J 6004 5MA. J . [24p,E TO BE SET ON A LEVEL AND STABLE BASE. WITNESSED BY E�� F F�srLrzY ( ACME 1000 GAL LEACH PIT OR APP'D EQUAL ) pS�RJ > BOARD OF HEALTH. DATE : Jute:r 1��d DESIGN DATA WATER ENCOUNTERED AT PE2G. APPL-. ► �a. P- 82 a �6 NUMBER OF BEDROOMS 3 G.P.D./BEDROOM 110 G.P.D. _ GENERAL NOTES , TOTAL DAILY FLOW 330 G.P.O. GARBAGE DISPOSAL NO LEACHING REQUIRED 330 G.P.D. I. ELEVATIONS BASED UPON 112�)Z-.> r'I.y.t_. DATUM. LEACHING PROVIDED 550 G.P.D. 2. ELEVATIONS AND LOCATIONS SHOWN ON THIS PLAN ARE NOT TO CHANGE WITHOUT WRITTEN APPROVAL - � OF THE ENGINEER AND THE TOWN HEALTH AGENT. SIDEWALL AREA = 168.5 S.F. x 2.5 = 471.2 G.P.D. 3. ALL SYSTEM COMPONENTS ARE TO BE INSTALLED IN c \ BOTTOM AREA = 78.5 S.F., x 1.0 = 78.5 G.P.D. ACCORDANCE WITH S.E.C. TITLE V AND LOCAL HEALTH 70 \` �\ �•� ��\ `�'� TOTAL PROVIDED= 267.OS.F:, 549.7 G.P.D. RULES AND REGULATIONS. 549.7> 330 G.P.D. 4. ALL PIPES ARE TO BE CAST IRON OR P.V.C. SCH. 40. w 5. THE BOARD OF HEALTH AND/OR ENGINEER TO BE \ NOTE: EXCAVATE TO EL. OR LOWER AS SOIL NOTIFIED WHEN SYSTEM IS COMPLETELY INSTALLED �6� CONDITIONS REQUIRE TO REMOVE ALL TOPSOIL, SUBSOIL, AND READY FOR INSPECTION. OA \ CLAY OR OTHER UNSUITABLE MATERIAL BENEATH THE 6. NORTH ARROW IS NOT TO BE USED FOR SOLAR INLET INVERT OF THE LEACHING PIT FOR A DISTANCE ORIENTATION. u1 \ OF 10' AROUND THE PIT AND BACKFILL :*-WITH CLEAN 7. WHEN COMPONENTS ARE SET SUCH THAT THE TOP )`- SAND HAVING A PERC . RATE OF 2 MIN./INCH IN PLACE. OF STRUCTURE IS GREATER THAN 4' BELOW FINISH GRADE, HEAVY-TOP OR H-20 LOAD UNITS SHALL BE REQUIRED. g� LEGEND EXISTING SPOT ELEV. : :23. 50 2'� + G. _a °� 617 a EXISTING CONTOUR : 6 _ N 0 66 PROPOSED SPOT ELEV. : REV BY DATE7_ DESCRIPTION C9 F7s•sr 34' t� PROPOSED CONTOUR 261 N PROPOSED SEWAGE N ' °N '+ 68 TEST HOLE : GE DISPOSAL SYSTEM ` -4�zI WI i L.P. o a (ExP, z3�� F LOT I E N I � I VER F�OAO I .� , - `yam + 1� . • I p I kORMA;M p GPOSSMAIV No 127ps � ,- - -- 4 C[vn_ APPLICANT: JOA[J►. S P. F1LK1►JS EDGE F LE�"w�-� `'op x" 9F �Q �Q f ' \ C/SM \ / ADDRESS: 115 ��BERQ-Y Nit-L tzn RO 74 —' ENGINEER: NORMAN GROSSMAN, R.P.E. i ZONING DISTRICT FLOOD ZONE ELEVATION 10 MARSH VIEW. ROADEAST FALMOUTH, MA. K10. P-8241�> RT C - - _ 508-548-1920 PLAN REFERENCE: MAP SEC PCL LOT HSE SCALE DATE DWN. BY / CK'D BY PLAN NO. BARNST. CNTY. REG. PLAN BK PG SITE PLAN---SCALE I" _ �[ (00 PART bF 1t IB # SO AS NOTED Jul `( vi , Ind J CH / NG H- 54cU