The URL can be used to link to this page

Home My WebLink About0013 COBBLE STONE ROAD - Health is cob},�e R.a . 4 1 Sewage Permit No. Location ' Village: Installer's 1®iavae & Address: JTA Builder's Name & Address: Date Permit Issued Date Compliance Issued /Q - 9- 8q SO 31 i t ........_ THE. COMMONWEALTH OF MASSACHUSETTS T /6 �-� BOARD OF HEALTH L- pw rJ ........ oF..........h2...t5 A c3:c. Appliratiou for Bispos'al Works Tonstrudion "truti# Application is hereby made for a Permit to Construct (YQ or Repair ( ) an Individual Sewage Disposal System at: LD o� o �Address or t No. .............. __» .. _.._...... .------•-•--•............................. •....................•.. W v ... Owner Address Installer Address Type of Buildi Size Lot.4 �..�(Q.(_......Sq. feet V DwellingNo. of Bedrooms........ - -Expansion Attic Garbage Grinder p, Other—Type of Building ................:........... No. of.persons............................ Showers ( ) — Cafeteria ( ) p-' Other fixtures ............................................. Q ........ ......... .......... ...•• ----- Design Flow.... t_-5]5.........................gallons, per-person per day. Total dam fl ow.._-. 3 �.___..____.__.._........._._gallons. WSeptic Tank—Liquid ca.pacityK°° ?..gallons , Length.%§'-5�--.... Width:'�.!5........ Diameter................ Depth..... x Disposal Trench—'No..................... Width__ __ ._._.... Total Length......__._:.;. otal leaching area....................sq. ft. 3 Seepage Pit No........A........... Diameter...!.V... .: Depth below inlet......Ar...... . otal leaching G j D Z Other Distribution box ( Dosin tank ( ) a Percolation Test Results Performed b .._ gV................� ! .. �- 3 �4 .g'..1.............. a Y - �--�=•---.:..---•--•--....... Date--••-- ---•- Test Pit No. I.....Z......minutes per inch Depth of Test Pit._�v......... Depth to ground water....r1O11. _.. ` LL, Test Pit No. 2......g___-..minutes per inch Depth of Test Pit./.2:'........ Depth to ground-water..... 'n ......................................................... �+ --------------------------•...._.._..--•--•--•-----....................... •----------.:_... O Description of Soil....:"fZ`'.D_,-T !!;°t!�.!�1_______F!hx£...'try......M4.Q- .��►n.........M.EkND.................................................... ca 1F_ _._>_i tiT........--•.................... 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.LITP?•'• 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!�e board of health. Si ned� .. . _ ..............-•---•,. -, ' 1 .y......_.. Date A lication Approved BY•---•--_•-• _ .. . . .---•-•-----•--- ....... ........... Application Disapproved for the following reasons:...........................•--••------------•---------••---......-•----•------•--..._................----..._.. --•.................•--.....,..........................•---...........-------•- ---•••--•--•-••---•......-------•--•--•--...... ..............---•--................-- - .. ........... Date _ PermitNo......................................................... Issued................................__.....---•----•-•............. Date .J.._................. • a 1 FEB.. • `~ �`' THE COMMONWEALTH OF MASSACHUSETTS'• 6 BOARD OF HEALTH `j a' SL vUj 0 .._ (. 1'. .. .................oF.....T.A:R.t tS'C. ................................... Appliration for Mipasal w orks Tunstrudion rrrmit Application is hereby made for a Permit,to Construct (X,) or Repair ( ') an Individual Sewage Disposal 'System at: (� .................... ............................. Location-Address or`Lot No. Owner ...__^............ _ Address. - a .................. ..•--•---..........--•--...... ........----....---•--•-........................... , -•---- Installer Address Type of Building Size Lot.93•_5_! .. Sq. feet �-� Dwelling—No. of Bedrooms.......... ----_----------------- -,".Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building p., yp g ..._._..•------------------- No. of Persons............................ Showers ( ) — Cafeteria ( ) Other fixtures W Design Flow-....�;....... ...........................� gallons per person per day. Total"daily flow......a.!4?............................gallons. WSeptic Tank=Liquid capacity 9.0 U.-gallons Length..>a' ._.. Width:`.:5_..... Diameter...... ........ Depth..4__.O.... xDisposal Trench—No..................... Width................... Total Length............;...... Total leaching area....................sq. ft. 3 Seepage Pit No........M........... Diameter....!.5? : Depth below inlet...:...G:... Total leaching area.5�:9.'].sq-ft. Gj Q Other Distribution box ('�) Dosing tank ( ) Percolation Test Results Performed by...1� gV ec �'?v,4 r t Q: �114184 .a .......;---,- - ------------------ Date...._.......... .-----............. Test Pit No. 1.....Z:.....minutes per inch Depth of Test Pit_.t Z':......... Depth to ground water.... 0 ti Test Pit No. 2.....?--:....minutes per inch Depth of Test Pit!. ........ Depth to ground water.....en Cl?QYN e r' �a R'+ ----- --------••---•---------------------------------•......................................................... O Description of Soil..... —V,V u� cu ...... ................................................... -•-----------•-------- .'hQ F1_C f r7 ��-+t�. .... W ......----•••-------..._••-------•... . • -•-- • •---•-. ::.-•-•--------•-•------------------------------•...-----•-••..... Nature of Repairs or Alterations—Answer when alicable...................... -----------------------------------•-------------••-------•---.....---------•-..----•-..., ..•••--.....---...---• ••---------..••-- -•-•----•---•-•-....--•----••••-. --.............. Agreement: The,'undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLW 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 .ee board of health. Si ned -------- -----------------------------------------•---••------- Date Application Approved By.... '--,•�� -!' yf8-y........._.. Date Application Disapproved for the following reasons:------------•-•--•----••----•-••----.......-•----•--•------•-•--•--•----...-----..............................•. ...............................................................................................................................................--------....--------••---------•------------. ' ............_. F ¢ Date PermitNo..................................---..h......... -- : Issue(L...................................................... Date _ --v .4 ..�,. «. � � .�,....-�-..._.�, ..i......�....�:, ".-,�,.�,.:r-•.�•�:,.r...,.;..� -a, e+., ... v!e F+'cw, .�,.. ,- -•- •.. r .. -. .�...n.- � _. K.r .�. .ve -.. .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t Trrtif utttr of Toutphatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructs.&T'"�)+�or Repaired ( ) by--------------------------------------------------------------------------------- --•-------•-•................y....------......---........••-•-•--•--------••-- InstallU has been installed in accordance with the provisions of TITLEp 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No........... ..�f.�.L:.. dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE. �0 �` . / ,:............ .............:..... Inspector +`.,.............................................................. --- - - ---- - ----- THE COMMONWEALTH OF.MASSACHUSETTS BOARD OF HEALTH No.. �....el.,�.L ................ ................oF.........�..----•....----•...... ....-•-••-------•... .. F .... . .......... Dhi nsttl Workii Tunstrudiun rrrutit Permission is hereby granted.-•---------------------••-•---.........-----..........:............................ to Construct ( pp Repair ( ) an Individual Sewage Dis osal System atNo. �i .........1 .__. .....-•---------- i Street'."' as shown on the applicatio for Disposal Works Construction Permit No..................... .Dated.................................................. �j� , 1�� oard of Health DATE // l' --------------------.....................- 1;ii r c FCT SEWAGE — Lam,-•,- , A, t - r -SEPTIC TANK - - "D"BOX - - LEACH �,. "• _ _' (MSL)* a..OFa/8TO 42"WASHED STONE C. 'ctJ Cl k IDS a IN- OUT IN- "T --,-, I 1,+��'�r .y O i -,.• t. G OUT+ IN+ ELEV.� 1S TANEP IK c"l'F 5r- 'V7 C70 , _ C� / �_ �f f 1 • ,� �. ELEV: ELEV. //q �• // t/ r // � T �;, ELEV. (f]-� l 7� • /�J 1 ELEV. ELEV. p { r x^k 2._o'OF V4"-iV: ' -. ♦ S.T- , n' f ±; - WASHED STONE \ `. �, �\ C► f. / �� I ! /�j , ' L yr {�Ct 1 �.�Im?'1 Ibt �+•+� "�o� r.i rL a_ 1, j� _/�I Fx.�. •. • ,y'.r ,! r F ,, •, rn �B-Iaau,y�, F�/�.a� �. f � rt( ~% r 17f1�' �. , TES_T •HOLE LOG -�306'3 too \ � � ! .f ; / F+ •*y, a / ! r , c i�r• 2aAwE Itiut� t ;:TEST BY flat WITNESS. TEST DATE 3�14�5 BEDROOM HOUSE t, ✓°'� dt / 'L T.M ;« T.H. DESIGN ao" ; ELEV. ELEV. NO DuFK rt K ►e7' ^ >uFc f2fi AM \ ! / C? _•(� I a „ m a a !� t o `o L Z DISPOSER DISPOSER ( ✓ r a %a,t.. + 6`nb' O.ERCRATE MIN/IN. IL. 91,ct .'FLOW RATE �3o(GAL•/DAY) ~a i •. ;- .+ na+ wa SEPTIC TANK ((.51= '„ y , REO'D SEPTIC TANK SIZE r LEACH FACILI Y dl tjo 7 f t' k A > wwF SIDE WALL' yo` �I)(oa \ (Z.fi ) G/D. 46 FI/+sa; sar.ADIAe.^iti S/a,/o erc BOTTOM io' `7$x 1 ( 1.0 ) G/D. TOTAL 2�'i+o = S QCS -) G/D. �'Z Qi USE: LEACHING 14•�-" S'fi.� y44" sto•mot _ I� �. C �a 4... X Co � 'C-1"'t', t�.er�•'�•� N T r _ ». � � �•.+� i SyD WATER ENCOUNTERED NOTES: (UNLESS OTHERWISE NOTED) * `� ' '•` flF 1. DATUM(MSL)+ TAKEN FROM-_ ______________,.____.____QUADRANGLE MAP �`� OF �IR�E y tZ�FC 2: UNICIPAL WATER_ — - .._.._ -AVAILABLE ��..k ��m 3AP�t,PE PITCH 1/4 'PER FOOT 1 S 4.DESIGN-LOADING FOR ALL PRE-CAST UNITS: AASHO- 44 ARNE• ,T OJAI.A Fy,� 5.N11N.GROUND COVER'OVER ALL SEWAGE FACILITIES: (1) FT. H. CIVIL --0-- DISTANCE AS CERTIFIED Rtcw' I " 6:PIPE JOINTS SHALL BE MADE WATER TIGHT O O,}ALA NO. 3079Z 1 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. `'' 1•26348 G f K STATE£NVIRONMENTALCODE TITLES Q — v • SITE PLAN ,r LOCUS: �5: use t�.z.c� �Tt JIGPl...I �,•c.+�z� war,...��AoS !,q TF. . �. REG.PROFESSIONAL ENGINEER soar , V�11asi'. I REF: '�.G_C r�A►.�'�Qr f}!own C4�9� PREPARED FOR: CIVIL ENGINEERS 1 -LAND SURVEYOR8 -^--- — $OARD OF HEALTH 'REGrLANOSLLRVEVOR— ---- ----- r 8�6.lin . > - (EXISTING) L a CONTOURS !PROPOSED)-^O—O�-^0= � APPROVED _ DATE.- • ��;�T ��MA �� . - .. d C .Ix.. , cZ+,,Fr;F..,.a $�.. ,.4.,.,_. .... -.'3'.... ..a. ..- .. .... .. ! .. ',. _ .. . . .... _ .. � .a r. - . L}' LF•{-'�' P, y"'.