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Home My WebLink About0029 BOULDER ROAD - Health 0(C� "Mu 1MG3zmml3D bsn M 3M wmoin e,.wwDOmyr'. U31 MNOO-IM. d Nn-os Pounm M IMNOO 3AMINI (MMA d 7M as M 3�1�5 6'Z KOZ L OON 03ZINdoao noA 9NIM)l CIV3WS /// INol.Y 0 ;1- THE CIOMMOIIWEALTH OF MASSACHUSETTS BOAR O F H f A 9C TWO rO - .............. oF. -..�.....'�6- t p �iriaa fixi n��aixk C�osxrinn anti# Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage D's P osal ystem at: - .... ... ..... ..... . ..- . -_ � I Location- ress o Lot No. � .. Q caner Addr a e ...... .............................. I.............................. tri", � t Installer AddrP� �W ess UType of Building Size Lot.7�Q ---------Sq. feet Dwelling—No. of Bedrooms__--/....................................Expansion Attic (--j Garbage Grinder (e--j- aOther—Type of Building ......... ............. No. of persons..... Showers Cafeteria ) Otherfixtures -------------------------------------------------------•----------•------------------------------- ---.------ W .Design Flow................................�5ud .gallons per person per day. Total daily flow.......) ............................gallons. WSeptic Tank—Liquid capacity _ ;'g allons Lengthlr.4..... Width_!.-_jd... Diameter...'_____________ De th-J7-�_.. x Disposal Trench—No Run. ---------- o eng Total leaching area=f�_Sq. ft. Seepage Pit No ---------------- Diameter.r 1 � �s._eal ._.... Depth below mlet.._�m.............. Total leaching area.��a��q. ft. Other Distribution box (t✓j' Dosin ank '-' Percolation Test Results ' Performed b .. s. �./rt �....._ ......... a Y S Date__'f _ ._.. Test Pit No. 142-_-___--. 'minutes per inch Depth of Test Pit_0.^_P_...... Depth to ground water_._`................ 44 Test Pit No. 2/, ......_._minutes per inch Depth of Test Pit.1-2--.0----- Depth to ground water..... --------------- 0 ..........-----------4tl� ........................................................... 0 Description of Soil..._. t �_.. ._ I..............................................-----------------------*--------*11,------ ----------*-------------1_-----------I-----------........................................... - - ------------------------w x ; --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------*..........*------------ U Nature of Repairs or 41 rations— saver when applicable...^-- -_ �................ ........... - -------- ------------ - ------------------ ---------- Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the.provisions of iITI.L 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has n ' ued by the b d of hea -- -••--------- a I Application Appro ........... ---------•-•............. ...9-4 ... Date ApplicationDisapproved for f . owin reasons:...... ....... .... � ..— --------------------------_--_------------.....-•-----------•--.......-•---•----••-- ------. ••. ...--•-----•-•.............•---- +--- .....---------------•--------------•-------------••----•---.....------------------......... Date PermitNo......................................................... Issued........................................................ Date t A, �. No.�i F-.... ., �'' F�s..v i::................ THE COMMONWEALTH OF MASSACHUSETTS _ BOAR O F- HEALTH, YLs�- --------------------------OF...Y •• 1�i:.G.t••. . Q. .-.-.-------.-----.--..-----..----- ApplirFa#ion for Bispaa al Workil Tonstrurtion rprmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ................q................................................................................. ................................................................................................. r Location- dress or Lot No. $ - .i; 0 .............. � .. ................. a . Ownert�i r< ' a' W E �•' �st�er �--�.�.......... ....�ear-�ss�` ............--- UType of Building Size Lot. .�,.r,�....._...Sq. feet I—I Dwelling—No. of Bedrooms. /„ ......................Expansion Attic ( ) Garbage Grinder ( ) '� Other—T e of Building No. of persons................ Showers (- ) — Cafeteria 04 d Other fixtures .�.....�.------------------------- - ---------------------------------------------------------. --- ---------...--••----- W ' Design Flow...........................................gallons per person per day. Total daily flow........ ...................gallons. 9 � Septic Tank—Liquid capacity—:gallons Length_ ._� _...... Width. ............ Diameter----------------- Depth..�e,Q_..... W Disposal Trench—No. ... .... h..... .. ......... ota nth_..... d 'Total leachin area._ ft. x t-- . g Seepage Pit No. ------------ Diameter; '-'4...---- Depth below inlet.t..t........... Total leaching ar �sq. ft. Z Other Distribution box I asing tank ( ) '� �!'V a Percolation Test Results Performed by.. .__. --. Date .___ _:` _ _ 0- is - .. .�-- •••...... 7 -;�/------------ Test Pit No. 1 _ ..._... i` T //minutes per inch Depth o ; est rt�. .�. ....._.. Depth to group t LL, Test Pit No. 241..........minutes per inch Depth of Test Pit... .. ........... Depth to ground water.-.----------------- / . 0 - -* a :::: --- ---..--•....... ............•-••----••-•-••.........--------•-•---•-••............••. Description of Soil_._. _. -_. ---.• . x 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 TIT11 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. ned_ .-,!2....��- ------ -- ------------ f�r•� a�# ", �, Application Approved BY -....................!�.. ..-�....-• ---------- --••--- -------•-------- -----•----•----............................................._ �... _�-----""" � • c Date v Application Disapproved for he f gRowin reasons:_.__ ........ .... �..................... a--' .... ..... ... ... ............................................... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS . .. -130 RD:--OF .HEALTH - ..........................................OF.............................................................I.................... (9rdifirate of ToanpliFatta TH S 17,;TO. CFIRTIFY,�')'iat the Individual Sewage Disposal System constructed _�epaired ( ) r / f f f ^ Installer has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as described in the A'1 application for Disposal Works Construction Permit Nog,_. _ ... ^� dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTS6 THAT THE SYSTEM! WILL FUNCTION SATISFACTORY. 1�1 ....................................... Inspector..-- ------- .._.. bf U" THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l4_ ..........................................OF....................... No:..:..:.:: .....,:.... F>� .!.......---...... rurtion rranit Permission Is hereby--granted....' to Construct ar;Re air } an�Ind�Nidua�8ewageRo al System at No. ........ r i / Lry •----- ------------ •------------- -------- ---------- --........... .e" :.._ j.... ........ i - _ Street _ .r+�'"• as shown on the/application for Disposal Works Construction Permit :.... Dated________________________________________ .................... i :=... ...................................................... &P — Board of Health l% - DATE........-------------------------------------------�.._....._....------•---- , FORM 1255 A. M. SULKIN, INC., BOSTON f - Z0 �>� `\ IC' / �.� Top' ` r---o•�— - T.�L�B':95� --rt (`s" 7. r 91) , J i r Ct i3.40�1 i R o A o N D- .710 LA AN 1 � L Et? I \o M -- REG.PROFESSIONAL ENGINEER Loy 50, �CT5t. S e P'�1 c � Lf.�c.�r al ' j r ' 0 4'7' SITE PLAN LOCUS. it �u .ao� r41 r,4 30 fir, � ,..:a'TZ,,,' ,�•. . _ , ,�'• HMI I9I,zg - ioy.g5 LOT 50 - -q--L.CST REF 5I is IIG PREPARED FOR ? CONTOURS (EXISTING)------------- FELCO INC. �_: •,r\J f— c7 .J�_,, (J / y i i (PROPOSED)—0--0-0-0— • Building Contractors • Engineers ORLEk S DISTANCE AS CERTIFIED --�-- ` \ IC. MASS. 02653 SCALE i; Sheet 1 of 2 DATEL{- oc a s ' -SOILS INSPECTION REPORT TEST DATE r{' SECTION - SEWAGE T.ta �\ �•l a.ad�g' —TOP OF FON r"2"OF 4T0 Va" - Ta7 WASHED STONE . TESTBY�,FA\2��n\� D WITNESS -PLAN .",—TEST HOLE LONG IN- OUT OUT- . - . 1 e ' - OUT - IN- T.H. b G t_ SEPTIC IIQ�i5 x. LOAM TANK Oq•OU 7 ZI _ n SJc� �1�,OC7 ELEV. ELEV. ELEV. ' �•. / L7 O 111•00 ELEV. \\0,'3j O L,,ba_T\ O iJ5 C4�f.IJ ELEV. ELEV. `a�v DESIGN— 4 I Lr 4 BEDROOM HOUSE +��p • »+p ER/ DISPOS ! DISPOSER PERC RATE �Z MIN/IN. L r- FLOW RATE (GAL DAY) 'LL U i\ �. /, (, C7 �� -?�" � 1_�� C SEPTIC TANK 1 !_ L WASHED STONE ELEV 17, �—. ! REO"D SEPTIC:TANK SIZE 4— ��• 7�- �"') LEACH FACILITY ` + SIDE WALL 400. 70 (Z �) ¢oo.So DID. • T.H. s 2 ELEV. BOTTOM �•7Sr ( ! " 5-6.7s G/D. g,4Rn1S-rs-ZEE (MSLI TOTAL . USE. �` C. (�� Ca O�rt LEACHING ' —NOTES �� ).DATUM(MSL)=TAKEN FROM � -\`'�- '^' =OUADR ANGLE MAP i - �POhYP` 2.MUNICIPAL WATER �" AVAILABLE ` 3.PIPE PITCH:V.-PER FOOT 4.DESIGN LOADING FOR ALL PRE-CAST UN1TS:AASHO- �-'• .44 S.MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1)FT. < E.PIPE JOINTS SHALL:BE MADE WATER TIGHT N -Tr` :r� G i��- 1 '1 :� "'1 :i r I- ).CONSTRUCTION D:TAILS TO BE ACCORDANCE WITH COMM..OF MASS. STATE ENVIRONMENTAL CODE TITLES -TEST RESULTS 1. Lot # �O meets with requirements of the state sanitary �V,LTHOp code (Title V) is considered "BUILDABLE" moo`' ssy LOCUS. 1 2. Percolation Rate is ram, ! �„ r ZZ 3. kAO water encountered �no-1�6S,/ Z„ , REF: � r 4• FELCO 1NC. .PREPARED FOR: - + i L EN�� Building Contractors Engineers ORLEANS. MASS.02653 OPARDOF HEALTH =^�.Ia�.1Gt� �_ .L�,..•d� SCALE .L •k.l\ I APPROVED BATE YA RED.PROFESSIONAL ENGINEER Sheet 2 Os 2 ' DATEEEE