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HomeMy WebLinkAbout0043 ALLYN LANE - Health --- ------------------------------------------------------------ ----r'----�'_4. , to'p� -.- ---.-,g z L0.-CATION SEWAGE PERMIT NO. J�V 1 L L A G E aS oINSTA LIER'S Jb�AlME� A�DQ�ESS (�u8 U I L 0 E R OR OWNER Bar DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED �,�� a 0' \ V+_ S No THE COMMONWEALTH OF MASSACHUSETTS- BOAR® OF HEALTH ..."fi"....`......N.................OF...........(�,�1Z N S.. ..j4 ............................ Alipfiration for i�pos al Works Tonstrurtiun Frrutit Application is hereby made for a Permit to Construct ( ) or Repair ( } an-Individual Sewage Disposal �System at.... _.__,� � 7 -----------------* at •• - iog-Addr s or`LotNo. ..... AA.fin' .�................... .................•-----------•-----------•----- ........A ....- --•:-._......... Address •---- ........................... ............................................. ....... T ZiL....__12 ._... ......... Installer Address Type of Building ,� Size Lot ,��7 3-________Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria d Other fixes ..................................... �� W Design Flow.................. ........................gallons per person per day. Total daily flow___....______________.._._____________.___..gallons. WSeptic Tank—Liquid capacityA ..gallons Length-----9_........ Width........ Diameter---------------- Depth__-- ....... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area. ................... ft. 3 Seepage Pit No......1------------- Diameter.../_o:_7_--- Depth below inlet------_�.......... Total leaching area.7 -4._sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ~' Percolation Test Results Performed by.__ -_ ll i3 NFL.............. ._ Date.....V!-OI7.7.._.._...___.... 1-1 - r_____' Test Pit No. 1................minutes per inch Depth of Test Pit........ Z7__.__ Depth to ground water..- ......... 44 Test Pit No. 2......:�=...minutes per inch Depth of Test Pit......f;?�........ Depth to ground water...t ......... 94 -----------------------•-•----•--••--•-•----••---•--•----------••------••------••..._...------_.....--•-----•-------•-- O �i/li� Description of Soil---------------- .-' CGS !? .....5-_ _..................................................... U •--••-•-•-------------------••-••-----••-------...--------•-••----------------------------_____.••-------••-----•••----•.._...-----•-------•---••----•-----...-----•-•-...-----•----•-------...--•---_.. W . x ------------------------------------------------------ •------------------------------------------- .. V 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 TITi U 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has iss d by th oard eal ned.. • -•-•---•------------------------------------•••----••--•--•. . Date Application Approved By.. = �'`------ ---••••----•-----.... Date Application Disapproved f o th ollowing reasons-------------•-----------------••----------------------•-----------------------•----...---••---•---....-----•--- Date PermitNo......................................................... Issued_....................................................... Date i No. .�:. ..... ' r FEs.../.... ................. THE COMMONWEALTH OF MASSACHUSETTS' BOARD OF HEALTH ry ....---...................................OF...........ty ............................ Appfiration for Diipoli al Workii Tumitrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Systemat_....... ............ ................ ... .._..•-• - ._..._.... -........... �^ Lo.. �.. f a io -Add or Lot No. ..... ..- Address Installer Address Type of Building Size Lot.-'�;1`7.--9--_--------Sq. feet ,. Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder '4 Other—T e of Building No. of persons............................ Showers — Cafeteria QI Other fixtures -------------------...................... W Design Flow.............. .jJ_..._.__............gallons per person per day. Total daily flow.......3J_v_.._.....................gallons. WSeptic Tank—Liquid'capacity�a� ..gallons Length_....7......... Width............ Diameter................ Depth...... ........ x Disposal Trench—No..................... Width..................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......J------------ Diameter...l.e._'�.___._. Depth below inlet.......6.......... Total leaching area- ,2.Z�.-I...sq. ft. Z Other Distribution box ( ) Dosing tank ( ) I° '-' Percolation Test Results Performed b ....�... ! /�? �_✓ !� Date.....Z'` f17...7`. a Y r� Test Pit No. I................minutes per inch Depth of Test Pit...... -....... Depth to ground water---N-Q4✓_r:.......... 4.1 Test Pit No. 2._._._.� ..minutes per inch Depth of Test Pit----/1 ....._.. Depth to ground water__A.44.. .......... P4 ------------------------•--------------------------•----......-•----------...........__.....----•••........................-------.---------•--------------- O Description of Soil--------' =....t v C e,4 r_r 54 r"✓�__....----•-•..............•..........-•- ----------------••----------------------•-. W VNature 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 Sanitary Code— The undersigned furth r agrees not to place the system in operation until a Certificate of Compliance as ee iss d by,t -boar eal :fined- .... ._----• -------- ...... •--•----------- .................... .` Date Application Approved By..._... t.._. ----•-.......---•----------•-------------------------------- ..... ..d.. _..�. _....------........ Date Application Disapproved f th following reasons--------------------------------------------------------•----------------------------........................... ......................................... ......----.........------------------......-----•--------•-•--•-•---------------------------------•-•-----•------•-------------•-•--.._._ ......-••------- Date PermitNo......................................................... Issued-....................................................... Date d THE COMMONWEALTH OF MASSAC,,-HUSETTS 1 .' X. BOARD OF ALTH ......... ......... . ............................... (9rdifirab of Tuntpfianrr IS 'CERTIFY, That the Individual Sewage Disposal"System constructed or Re aired t g P �' P ( ) by .• ff.......a�r ._._... Installer .............................................. at....... --------------•-•. ----- -�M--- ... -----------.------------ has been installed in accord ce with the provisions of ITIF of The State Sanitary Co described in the application for Disposal o;ks Construction Permit Nc '°"_ ................. dated ._ '.`. ........................ THE ISSUAN OF THIS CERTIFICATE SHALCNOT BE CONS S A GUARANTEE THAT THE SYSTEM WIL FU CTION SATISFACTORY. DATE....,2 ,l�. � Inspector-------- ---- ----- -------- THE COMMONWEALTH OF MA A USET BOARD OF/;./ A NE{_.. .� �... .........................................OF...............•-•-- .............................................................. FEEop L ........ Rapp 11 uw[notnr$URn "pan fit Permissio ereby granted_:._ -- " to Construe r pa' . Individual Sewage Disposal. System atNo.................................................. .....-....-------•----....------.-------• --- Street as shown on the application for, �,;rsp sal Works Construction Permit No............. - ................ .............. o d of Health DATE...................................................... .......... FORM 1255 A. M. SULKIN, INC., BOSTON - SECTION - SEWAGE SEPTIC TANK - - "D" BOX - - LEACH TOP OF FDN `:cuJ (MSL) PmzM PJ.vY lhA1'blll 1. tit�l'Ge JAI_ "2"OF r/eT0 4z" I' / � I ie_ e+ ts�St"R+waCll efF' © ,ci'1��w7 4UT'1e WASHED STONE L.�Aa•tA `PrT AwtS I;S71��-AGE VvtT'W cs_cz$�4V, 1/1 pz ` 5,9 / 40 39 IN• OUT 4©O f? IN OUT- IN- 7 TT TANK T 7• :''.;'" �' ��-' ) +'y«°`T4>( ELEV. ELEV. ELEV. ELEV. 44.1, 4'd>.p r. • , 4 yam' I C'li c 3'► N ..ELEV. ELEV. is rs'� 4. Z.p' OF 3/4"-14z" / �-4. I ` rJ . Av fl WASHED STONE 'EST HOLE LOG - u r x 'r WITNESS l t.f.Fi�E / t ',.� ' ` ►�3!ysc2klq ` `p" r 'kt #. TES7'$Y �R�AI►.►K, �•F.Gs(wAS M / 5 �' �. �.^ Dom,,. '�:-ri4Yt•4t`'r` �' �` fi�'s TEST DATE I Ito 1 DESIGN --` BEDROOM HOUSE T.K as 1 4,sn T.R. 2 4.4.co �,•�.i iZ l rr 1 1 (. OQ" ELEV. Op ELEV. ti d4 , LoJ� r. 2` DISPOSER DISPOSER 4-4--1 t�'r 43..Zo PERC RATE MIN/IN. Kati, Top co�.. FLOW RATE '33©(GAL./DAY vw^r.a ot�i, +w �1iRt�4W IS-3 IL / SEPTIC TANK ^ 33r� (I,S)= a-G ar / 'I .4'.�2 A•S" 4<a,fr REQ'D SEPTIC TANK SIZE 44•� Sit. s ►+� "lZ` 3 MACH FACILITY � �� L,,t„"�1 � �/• � SUDS WALL G/D. t� BOTTOM i` t," 2 '�" TOTAL Z"15'.► 14 " „ USE: oI-4I� LEACHING 7 1 4 33.-7 t4t+4 "�j2.Cc G� .111A.Y (,�' bc�'S't-1 v>,/1'L4 '�7�A►1—r :. 10` ��.0. - .! J' I �0 WATER',ENCOUNTERED t Lc sm 4 S NOTES: (UNLESS OTHERWISE 'NOTED) 1. DATUM (MSL)+TAKEN FROM____ Y ~ S_._-�_OUADRANGLE MAP 2.MUNICIPAL WATER•____tom AVAILABLE - Of 3. PIPE PITCH Va' PER FOOT F;�-1O - 4. DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO - 44 OF 5.MIN.GROUND COVER OVERALL SEWAGE FACIL)TIES: (1) FT. ` AFINE H. DISTANCE AS CERTIFIED 6. PIPE JOINTS SHALL BE MADE WATER TIGHT y\ 7.CONSTRUCTION DETAILS TO BE.ACCORO'ANCE WITH COMM.OF MASS. ARNE G�r OJALA 1 HEREBY CERTIFY THAT THE BUILDING SITE p /� STATE ENVIRONMENTAL CODE TITLE 5 '+€ H. '^ CIVIL - PLAN chi OJALA No. 307 SHOWN ON THIS PLAN IS LOCATED ON THE Lc�-r' -••I _ ���� L A,?.�E_ 6348 GROUND AS SHOWN HEREON &'THAT IT LOCUS: _ CONFORM TO THE ZONING BY LAWS OF'THE 't > 'S—r A. I� L___ tA�� FGI$TER�A ROFE$ R WHEN CONSTRUCTED: DATE' SUR'�� REF: Nt.r�.CZA.►,-IE. 'Pt Jo.ta dowo Cy�G y @� �il @r�II r PREPARED FOR:�G+N . CI-VI ENGINEERS , 1 LAND S.URV.EY.QR� ?" ----- - — ` ` BOARD OF HEALTH I l' FtEG.LAND 511RVE1!OR. CONTOURS (Ex1,ST1(VG).:•, , SCALE> w , ;. " PR a != APPROVED ` DATA Yarniouth Oar fan MA 4 ,.( f3 .QS O) 0-0 -- ,., , IY(A St ,I s, �' ' 't ATE• 1w D D • • P r ., . ,., .:..:..q,q JI.,t{ .. .. 5 •. <.r .'.'t :e. j... � ,. ... �'' r t. {.. ry.. . �M" Y t •