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Home My WebLink About0016 MOCKINGBIRD LANE - Health Flo (nocY.loc,�A 1� crd LaA-o- 7 f i� LOCATION SEWAGE PERMIT NO. VILLAGE azdez I N S T A LLER'S NAME A ADDRESS ® U I L D E R OR OWNER /y LS DATE PERMIT ISSUED d OAT E COMPLIANCE ISSUED 1�}L' IC � �8 1 �� .,,�� .�'�� 7 vto N ..� THE COMMONWEALTH OF MASSACHUSETTS -- Bb Fib OF HEALTH ........ . .N............OF............J �-•=•.. ....... l ppliration for Di5Vaiial Vorkr, Tonarurtion ramit v o� Application is hereby made for a Permit to Construct ( V✓ or Repair ( ) an Individual Sewage Disposal System at .:�,1 .. .±...."G....... :...... .f� ... Loc tion•Ad ss t No. caner Aire s W -------------------------- CQ � Installer �A'ddress Q Typ of Building /1 Size LotQ�.r;�....Sq. feet Dwelling—No. of Bedrooms................. .........................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures . W Design Flow..........��.._..................gallons per person per ay. Total daily flow.................... .....................gallons. WSeptic Tank—Liquid capacity/04allons Length_. . . .Width................ Diameter................ Depth................ x Disposal Trench—No. Width.................... Total Length.................._ Total leaching area....................sq. ft. Seepage Pit No.......... ....... Diameter.%�.-..(G.. Depth below inlet...J�10. Total leaching area f LJ�sq. ft. Z Other Distribution box (Vi Dosing tank '-' Percolation Test Results Performed by... !��A ... � _- ate.........X Q Y 'Test Pit No. 1._.......A.minutes per inch Depth of Test >t.__.....�l7 ..._. Depth to ground wate0_1(s, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ P4 ..........................j...........................I.........._........ ............................................ O Description of Soi1.Q:',�! e y- '0 c.� Yl�------.N=---:9M_ YE- --------- w UNature of Repairs or Alterations—Answer when,app ical ble............................................................................................... ...................................................................................................... .............................................................. Agreement: The undersigned agrees to install the aforedescribcd Individual Sewage Disposal System in accordance with the provisions of iITL L 5 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. ed.... ....-•-----•..........................................•---•---..............-- ApplicationApproved ........................•--•---.................................-- ... /... Date Application Disapprove f or t following reasons------------------•--------------•----------•----------------.........----•----------------...........-•----.... ..............••-•-------.......---•-----••-•-•---...----•--••-----------.........................-•----•...............-•-•--..........••---•--•---------•--•--•-• .................................. Date PermitNo......................................................... Issued....................................................... Date ii Nolj_...... ` Fus... .............._. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - ..... [.t✓.lK. -....OF............ �,./ �_&.Z ................ Aplifiratiun for M-4puuttl Workii Tuntrur#Tun Frrutit Application is hereby made for a Permit to Construct ( V<Or Repair ( ) an Individual Sewage. Disposal System at Loca ion-Adcjpvs or t No. _.ed.......... ...� e�r�A caner Address Installer Address Type of Building � //�� Size Lot . ...Sq. feet U Dwelling—No. of Bedrooms................ -__-----_.------_--.--Expansion Attic ( ) GaAage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ............................... . . W Design Flow...........%J_Z��------------------gallons per person per Jay. Total daily flow__._..... _.__._..................._gallons. WSeptic Tank—Liquid capacity./ %allons Length..,6_..._ Width................ Diameter_............... Depth................ x Disposal Trench—No. .................... Width_._................ Total ength................... Total leaching area....................sq. ft. Seepage Pit No----------- ------ Diameter.. -�.(p.. Depth below inlet...>,47_!4._ Total leaching area,; .,,.::r64q. ft. z Other Distribution box (y Dosing tank ( ) Percolation Test Results Performed b _ ._ .. _ �7 a y..-��-C�•- � ��--- ate----...._� �Vv�� - ....A33aest Pit No. 1.___�..A.minutes per inch Depth of Test it......../A.... Depth to ground wat r.. �[�,,.: 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Pr �._........ ..... f•--•-. ..............• --••-•..._/..._....,......_......��/'."�-,q 0 Description of Soil-�--"(i�-j----�+�J--�-••(;�v'�v+�l�->--•� ��/'a��-�.+�-..-�-�---E,3��'�f�•��---�•--•• U - ---------------------------.--.--------•-------__---- --------._..._.... _-_----- ----------------------------- ------- •-------------------------------------------------------------------•---•-•-__..__._._._...-----...............---------..__...._..---•----.........___.............___................._....--•-•-•--••_� U Nature of Repairs or Alterations—Answer when applicable...........................4............................................................. ... -------------------------------••----------•----•--....._--•----•-..............----........_.....__..._........------------......------............................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT1Z 5 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. Signed..... ' ........•••-•-•-----••-•------...---•------•••--••-•-- ......._.... "' G-•''' P / Date Application Approved B� �`:... 1 !G✓'`f+:_.f'.._...::==-•,..- 1 Date Application Disapprove or to following reasons:............................. ...._..__•--•------•- --••-••....--••-----•---....--••••---•-----•••---•-•--•-••................•-•--•---••..........-----•••-•..................-•••----•------••••---•--•••--•--••---•••••----...----••----•------_...::=---- Date PermitNo....................................:::................... Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS V BOARD OF HEALTH , .....................................OF.......................................................................................... Trrfif iratr of Tompliattrr T1111S'IS T;. CERTIFY, That the Individual Sewage Disposal System constructed ( )or Repaired ( ) by.....�cl'/ � t .. ......... .�...__ ............... _ ' .... Installer at.......W - .-� ......__ "�� /fir✓-,� /._i of 4..f_---••-•---...---•......_...-•----•-•••-•---•-----•-•....,r%/..z...•••---•----- has bee� nstall�ed in accordance witlh provisions of TITS 5 of The State Sanitaryode as described in the appl,ie'ation for Disposal Works Cons ction Permit N o.___..__._,:?.__-_.%l-2 Z...._....... dated... -___. !`ram' r7.................. THE ISSUAN OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE � YSTEIA WILL CTION SATISFACTORY. DATE...... .1.3... .---•---•-••--•-•-•-------------•-•---------------•--- Inspect - ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH OF..................................................................................... � No.... ......-�.._.... FEE........................ tuu 1- ur-kj Tunu#rnr#uan "anti# l Permission is d—reby granted. � �.!� .,,_,.... � to Construct ( ) or Rep ' .((O an Individa � wage is osal system' at No...._.--•�........... _......./..!._ f�/Cr! 14 •1 / _�.r �x �� Street as shown on the a li ion for Disposal Works Cons n Permit No.__...,a^' _ Dated.. Z4. t`' )( Board of Health DATE---••-//!----------=•--------------•-----------------•---•-•-•--------•-------•---- fj/// • r i' FORM 1255 A. M. SULKIN, INC., BOSTON R It "FYPICA L PROF IL E'IVOT: TO SCALE,MH CO VER 5 ro.. L r *6 7.I4'�B/r FIBER-PI,PE ITIGH r'xINTS 04ITLEr LEVEL FLOW L INE rO FIRST.JOIN NFL'LING , C_S T -CAST ANDARD PRE COCRL& UALLUN Tf--SEPTIC 7ANK Q A'o -R180 TION BOY 7 T TO,BE'INS 7AL L ED ON,I tBLE BA SE.LEVEL. S 7A TA NK 7rO BE 111/57ALL0 Off LVEL STABLE BASE tTO VO WASHED PEASrONE LEA CH11VG PIT-AROOND FREE OF IRONS, FINtS 43ASE TO BE LEVtL AND. DUS f-IN PL A CE 314 tO //4� WASHED CRUSHED tO BRIeKa MORrAR tmt.� AS RECOMIREP rci BRING STONE ALL AROUND FREE Or 24'C OVER,W GRACE MH.CO VCR IRONS,'FlAiii A AID DUs r /N PLACE.AND FRA ME IT, 4'4 LEACMNG P1 T. SEC T101V_ .'T ''8' FLOW L I1VF Lo INL ET,'P,V_F-6 A',i�,T LCONCRETE TO BE 4000 PSI , 28 ; DAYS A T E 2. REINFORCED . WITH 6" x 6" NO.6 -IG A. W.W.M.6 '� 3. 2' AND 4' SECTIONS ARE AVAILABLE FOR GREATER DEPTH,REQUIREMENTS.f2.opy,I6 WITH 4-118" 4. NUMBER OF PITS REQUIRE IOPE#VIN b TALI lw-, NOTE: EXCAVATE TO, ELEVATION OR LOWER AS 041 rER DIA ME TE- rrER 71 I T14 INsIoE DIA m,t Ij REQUIRED TO REMOVE ALL LOAM AND CLAY BENEATH PIT. REPLACE EXCAVATED MATERIAL WITH CLEAN GRAVEL TO DESIGNED GRADE ,LPT 4;t F 7Z I6!-6 0-4 0 EFFEC r/v- o m mErER(NO T, TO EYC EFFEC TI VE DEP TH)EEO j rlmrs�64 _51 WATER TABL F V�Z_i�,FRC OATA � GENERAL NO TES'SOIL'AND ,IPERO.' r NO HEAVY EQUIPMENT- TO RUN OVER SYSTEM.MIN. ,/IN .RATE SEPTIC TANK, DISTRIBUTION BOX , LEACHING PITS TO BE STANDARD JE ST,BYt, PRECAST REINFOR*CED CONCRETE ' UNITS. A. 'ALL, SYSTEM C E INSTALLED IN ACCORDANCE�WITNESSED BY: -J TO ..REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE,_GR. EL.:TEST PIT DATE MINIMUM REQUIREMENTS FOR. THE SUBS'UFACE DISP OSAL OF T NO.'I PIT NO,2 SANITARY SEWAGE EFFECTIVE I JULY 197�.TEST Pt 0 0 ANY CHANGES TO THIS PLAN MUST' BE APPROVED BY THE HEALTH.BOARD OF'AT COMPLETION OF CONSTRUCTION , PRIOR TO BACKFILLING 'THE BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION,ki C> PITCH ALL, SEWER LINES 1/4" FT. UNLESS , INDICATED 0 THEkWISE.DESIGN DA TA IDISPOSAL BEDROOMS EST. TOTAL DNILY -EFF GALS.SEPTIC'TANK� GAL., -LEGEND , SIDEWALL AREA 7 GAL./SO.. FT GAL./SQ. FT.-BOTTOM AREA LEACHING REQUIRED' S`_'S 0.F T. AL- 5:YS TEM G I RADE DI A EXISTING SEWA GE '_ SPO 'L 7_r�19. C;7z, SO.FT FOR:ACTUAL LEACHING AREA -=-ZONE: FINISHE 6R46E_tC ILL 4 INVERT . ELEVATION ol� 46 t_V- ,7 i'P ESTIC , WATEq7 SOURCE! I ID LA.&4 G:PROPERTY LINE NA A, t2-6 1 o iS_415 NA I LL'��_/ '5Tt,(-3LP_j MA-.PL ..REFERENCE� SCALE' AS INDICATED DAT E :MEAN HIGH WATER.�_.,BENCH MARK" DATUml—,_:' MARSH WM. M. WA RWICK (9 -A SSOCIA rES BOX 801 IVORrH FALMOUTH AV,7-�91e AP, MA SSA CHUSE F r5 02556