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Home My WebLink About0122 ALTHEA DRIVE - Health iaa AtAcot q�. I 4 i i � � I I I ! V 0230 • No.H 163 aaoTu�a na L04®A�ON � �, w � SEWAG�E4PE?RMIT No. VILLAGE ffS?: . �.� (30 INSTALLER'S AIE i ADDRESS BUILDER OR OWNER azttw DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �`'� 38 t ! o �313 T No..c4�.1,.p.: .... Fss B- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........l. . ........ OF...... �I7LNST�}.��.................................. Appliration for Uhip sal Warkii Tomilrur#iun ramit Application is hereby made for a Permit to Construct (t�-j or Repair ( ) an Individual Sewage Disposal System at: . . 9.......7�izi v�s �sr/ -•-•• ------------------------•-----•---------•-g-------•--.--.-.-..--------•--..-_----------------- ........L cation-Address or Lot No . /� �JY/z?l� .�T�6GS7Z5 ., ...................... / ownerAddress � Installer l Address �� d Type of Building 3 Size Lot.._._..r.-._.---,".......Sq. feet U., Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ---------------------------------- W Design Flow............. 53............_....___.gallons per person per�day. Total daily flow_______.._...3 ..................gallons. WSeptic Tank—Liquid capacity-��+4?.gallons Length_._6__..___ Width�.6..._.._ Diameter................ Depth S 8. x Disposal Trench—No. .................... Width...... ............ Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.---___-.__.__.... Diameter.......`v-__..... Depth below inlet.......G.......... Total leaching area..Z6,7......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by.._.4�y:��...�_.. -� � -- _..__...._. Date...7� ..�� '�l f ---------------. Test Pit No. 1...G ._.minutes per inch Depth of Test Pit.....e ....... Depth to ground water........................ `, G4 Test Pit No. 2....5¢..minutes per inch Depth of Test Pit.....&6!...... Depth to ground water........................ h a Description of Soil -301, klooDGcs✓..d.... ......... ...(...-SaiL--------`3c . ... .��...... � F�wGs -S'A--yp - U W C�—� .... = 'SAS`'' •---•------•-••------••--------------------------------------------•--------------------.._..--••--•--•------•-------....... 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 iI'LU 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.................................. ------------• --•• --...•..... Da Application Approved By--•-- .. ( GJ/ .. _............... --•-- ............- Application Disa proved for the following reasons:-----•-----------------------•--........... ....................••---------•---••...................--------••--------•-•---•--...-•------••-................----------------•----•--•--•••--...-•-••-•--•-----•--•-•--•------... ......-•-------- Date PermitNo.------..�60.- Cl---------------------- Issued------•--------------------•--..._.._.......••••....... Date l _ No.. .�. ... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T.� N. ....OF.......L3L)7ZNST�ALL Allp iration for 13iipostt1 Marks Tonitrnrtion Frrntit Application is hereby made for a Permit to Construct (✓j or Repair ( ) an Individual Sewage Disposal System at: 1147'7-4 Y?l _D/zi VC� 13�uvsii�-3L� 9 ....:...- ___...._...................................................................... ......................_....................---..............................._.._........_..-- -- 1V1 1��/P?� > ....� catiAep2TT�:..'�aT�GC-?L$ ••- ... G'��/?�� j or Lot IC�!.. �7Z.SG-� --.. ...--- 7 .. _-__- _--- Owger (Address ---------------------------------------------------------------- - - • ......_ __- - _.._ .......... -• - ...._--•--••-.............._.... Installer Address U 4� �Type of Building .3 Size Lot_._ _,�_____��......Sq. feet U Dwelling—No. of Bedrooms............................................ Attic ( ) Garbage Grinder ( ) a`4 Other—Type of Building No. of.persons ersons............................ Showers YP g .............•-•---•----...- P ( ) — Cafeteria ( ) 04 Other fixt�ul es -----------------------•_-•-•-•--•-•---•---...._............--------------..........__._._....------..............----•-•-•.........-••-•............. w. Design Flow..............` _--•---.....---.....---gallons per person per day. Totalily��ow----.....---•33'�---....-•-•----- �ems. WSeptic Tank—Liquid capacity./�!�gallons Length---Y-'._......... Width................. Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length...............,.__. Total leaching area.....................sq. ft. Seepage Pit No..______�-:.-____.. Diameter_______.`v__..... Depth below inlet........G......... Total leaching area...Z6_!....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed b ....................................:.............� �_____. ____ Date....a y . .. .................".....---•-------. Test Pit No. I....��.�-...minutes per inch Depth of Test Pit...... �.. Depth to ground water...._ --------- Test Pit No. 2....._ _ __minutes er inch Depth of Test Pit._.... �'.._.. Depth to round water........................ P P P g R: ............................. 3 -----------•-•-•G.................. 5u Q•-•-•S-----•--------•-•-•- ----_- --..F......n.-i--s-•-••-••----•----- ...................... _rA_A/aO Description of Soil....... b • a = g --. --__•-- U / "t1/i 77 1V�5 1 _...._.... -•- ---•-•-------------------------••---•-•--••----------•--.._..-----•-••----•-•-------•---•........................................... 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 TITIS 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.............................-•-----...-•...................... - ------ -----........... -.... /d ---� - a A lication A roved B -'-�. - ''=-----....Q.......:..y✓.......................................- � ---'-�•----....... Date Application Disapproved for the following reasons______________________________________________________________________________________________________________ ..--•----...--••-------------•----------•--.....-----•-••--•------•-•-•--......----------•-•-•--------.....-•-------------------.............----•---•--..........----•-•--....---•--•••--••-•........._ ue Permit No. '��=�---c................._.... Issued........._..._... ...--------..........D ...... Date THE COMMONWEALTH OF MASSACHUSETTS �-- BOARD OF HEALTH /!� /,n./.... /..... e.` ....................................................... Titrfifutttr of Tontplittnrr THIS IS-TO CERTIFY, That--the Individual Sewage Disposal System constructed ( 4-�"•or Repaired ( ) C:� n l _�/� Installer at............... .....................................`` (..'� �..!t.0 a.�� !.1?.s..... .................. .... - --- has been installed in accordance with the provisions of TITLE . 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No...... ' � f t ` •-•-•--•-•............. dated __��--=='-==='•--•-••--•-•-• THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FU CTI N SATISFACTORY. ___� /j1 DATE..................�-•f I ..................................... Inspector........... -•:•-1.............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......:............. "::...: ............OF....... ^-..c�f5%/�F..... ........................... 7 No......................... F>a�......:. ......... ais;1oo 1F,�orks Tonshvidion ramit Permission is hereby granted..... �.r r: ............_.. ..... to Construct (_}�f g�r Repair ( ) an_Individual Sewage Disposal System atNo....................../;1 ........................f a."? ......................r..... ------•-----..._..............--•---............... .....................•---•- Street as shown on the application for Disposal Works Construction Permit No �......... Dated...... _._� ` . ..-----�--------------•- ••---•-=-=---•-•---....---.....------•----•-----......_ Board of Health DATE---...1 .c Co................................................. FORM 1255 A. M. SULKIN, INC., BOSTON •R op 01 ' ¢3 7L s�FT zoz / Bp Go7'°'8 Sbc--aL \ / n 74 for`�io -74 ' 42.00 7e- 9¢, _ u o o , �S 4, �� l � �K i N� �. 1 68 I 40,0 gal 517,6 /VOTE— lCZE1/�17pNS .B�:SE"D LOCATION B�te�vSTI/3�i. /�J9Gs5:.. SCALE -) PLAN REFERENCE S/-k w.v G.v AL,8,e. I o �; .. Pa. . .8.Z . . . . . . . . . . . .• . . . . . . . . . . . . . . . . . . . . �l� ��i.' i. . KELLEY No. 2F`Ctli' (CERTIFY THAT THE ... ...... . ...... ....... ........ SHOWN ON THIS PLAN IS LOCATED ON THE GROUND �tGtSTc =Cs �e AS SHOWN HEREON AND THAT IT CONFORMS TO THE 14 i SETBACK REQUIREMENTS OF THE TOWN OF ° WHEN CONSTRUCTED. DATE � . . . . . . . . .. . REGISTERED LAND SURVEYOR � r SyEzrr Z of Z sNE��s r. . /-EL. 9Z.c v TOP OF FOUNDATION . , CONCRETE COVER CONCRETE COVERS 3•08' e e 4' CAST IRON 1FX �» r OR SCHEDULE 40 4"SCHEDULE 40 P.V.0 (ONLY) 12"MAX. P.V.C. PIPE PIPE- MIN. LEACH ' PITCH 1/4"PER. PITCH I/4"PER.FT. EA e ° 1� 'PRECAST `—INVERT • �"� a LEACHING `•e EL.. -7Z. �INVER INVERT p . , PIT OR SEPTIC TANK DIST. /Z °'. EQUIV. W s: EL..... .•. . . . EL....�... >_ . . , e INVERT BOX - a: .°. / o GAL. INVERT EL 88,z9 INVERT ;•' w W o: •;a 3/4 TO I V2' EL.�78R :. �c �; WASHED W STONE lil A. PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE D� /l/9P.S TIME. /o:3v ,gM fI'Zeq . AF C1A/4v,N BOARD OF HEALTH TEST HOLE I TEST HOLE 2 4-7, .eE2G�/• , ENGINEER ELEV. . . 9(•86. . . ELEV. .!`f9.�?. . wbo all DESIGN DATA : .� n � .Su 3-Soil � So�L�f["��Fi.vE �`2•g/•��' NUMBER OF BEDROOMS . . SEMI D FiN� w,fna 5 /a TOTAL ESTIMATED FLOW 330 . . GALLONS/DAY 00o ,, Fl tee S 7Z" 7B,So Ez,78.9c� �z 8S,/.� �\ DG�s� BOTTOM LEACHING AREA SQ.FT./PIT� D, X- SIDE LEACHING AREA . . �88•'Sv SQ.FT./ PIT1377 i a �INE'lr G /ZO Ez B/•Bo /� �" 47-7¢,g GARBAGE DISPOSAL .No^!4T..(50% AREA INCREASE) r7Gs TOTAL LEACHING AREA . . Z�.7 P. SQ.FT I9ND. SRC r� •SsM/I� PERCOLATION RATESS. / ��✓.2 MIN/INCH I•sL,i Ez,78.80 /48 Az. 70.r/o LEACHING AREA PER PERCOLATION RATE ' Z.. SQ.FT./,-PP, MP-WATER ENCOUNTERED NUMBER OF LEACHING PITS .6'YE : f'�T•W!Tl7/• APPROVED . .. . . . . . . . . . . BOARD OF HEALTH • 7?YQ s�rnNe oN !9 - S/D�3 DATE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AGENT OR INSPECTOR KELLEY R ' No. 261100 E61St RI �� /STEP �'�!`J!`9.q�V/� ��$S• L Ise SIMMS% PETITIONER : C�A�G� .��/,,, ,• •