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HomeMy WebLinkAbout0024 MARBLE ROAD - Health 24 Marble<R`odd 11+Ba.mstahlP r1A 316'1 '030 0 ASSESSOR'S MAP_'NO. ZI w PARCEL SO LOCATION-`"q SEWAGE PERMIT NO. 1s�TZ�oP� by g VILLAGE UN&A1Le f�sR IN�STA LLER' NAME i ADDRESS t I,r - B U I L D E R OR OWNER E � DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 1 � � �h�6 z9 BCK ASSESSORS MAP NO: PARCEL NO: No...YD.......... Fes$.. ....-�............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH --------- �WAI..............OF........BA?ZNS �3GGs_.....---------•--........_...-------- Applirati.an for Uiip.aiial Works Tonstrnrtiun Prrmit Application is hereby made for a Permit to Construct (c j or Repair ( ) an Individual Sewage Disposal System at: ... ? r.:lzo n �tiYr�.vsT/�BGC-•--------------- --------------••------....---......47 `.`Z�A Location-Address or Lot No. .......N..iGG�A -••••-•�•--•5'w..F�' r x i�g ,B9rr..vs . � - ........................................................ er Address v'.. ..........•.................... Installer Address Type of Building 3 Size Lot..'¢3.-' �._._•..Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures .................................. W Design Flow.............. ...................gallons per person per day. Total daily flow__._..........33b .................gallons. 9 Septic Tank—Liquid*capacity.14 off?-gallons Length-_��'A.`.._.. Width.'¢.'6 o.. Diameter................ Depth. .'.. W Disposal Trench--No._____•______________ Width.................... Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No---------/--------- Diameter........�A___.._. Depth below inlet......G.......... Total leaching area._:�39.....sq. ft. Other Distribution box ( ) Dosing tank ( ) `" Percolation Test Results Performed by.._r __....WTI!�G.......................... Date__. :..�� �gBZ Test Pit No. 1...G._Z----minutes per inch Depth of Test Pit...... Depth to ground water------- .............. Test Pit No. 2.._.L.....minutes per inch Depth of Test Pit...... Depth to ground water........................ -----------------------------------------••--------•-----............................----.----.---------------------•----•---•------•......------------.. O Description of Soil_.__..D_��:Z4y k!ooD4&4--Z F �riB-S®i L Z4`- � C-04=Sd .5 •-- . . --•----------------------------------------•----•----------------------------•--•-..........._.. IMiTH -=S%OA� 8¢"-/62`-----7� 5�� N/ -5'AV-0 /d2_- -/74-" I-I&V__"..-5Am U ---•• -•---.- W •-•••-••------------------------------------------•••--•----------.....-----........------------------------.....------------------------------------------------------•-------------------------.----•- 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 TIT:_.E 'of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has be he and S �ned-•-...... ....-•---••--•••--• •-- ... ... ....... ......................... •• -•---•-•--•-•................•-- Dat ApplicationApproved BY ---•--•----•-••------•••-_....�..........--•-••--•-- •---•...................•---•--••- Date Application Disapproved for the following reasons-..............-------------•--------•--------- ---------------.---------------------------------.------------ ----------•---------••-------•----•---------•--------------------•-------------•-......---•-•----------..._...-•---------....._._......----------------------------..................................... Date Permit No.. ...... - Date r'w.. No._..=.v. ..... 7 ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH To UiAi e1Q7ZA/5 --*7 C 4 ....... --- --- ---- -------------OF......................................----------------------..._...........--••----------- Appltrattnn for Dhgpniittl Works Tonstrurttnn ranfit Application is hereby made for a Permit to Construct (Vj or Repair ( ) an Individual Sewage Disposal System at: 1`14143cc- A'In, Biar�vsr4a4-- 47- �z�A ................-........_...................................................................... --•-•---------------.......--•-•-..............-----•-•--•--•----...........-•••-•--•-............ Location-Address or Lot No. fit//LL/GN9 / SW.FT ,Box /08 ,$RIZnisTJ'f3GC --....-•-------------------•-•-••-•--•-•------------•------•--•---......--•--------•--........... .......----•--------•••---•--•-•-••---•----•-•-------•----•--•.....---..................-•---••--- Ow er --•••...--- Address W �ic�Cl c7} fib C,A;A l7 Z1//GLG� a •---•-••--•.................. Installer t/ Address d v Type of Building 3 Size Lot.....�3..................Sq. feet U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building .............. No. of ersons......................_..__. Showers — Cafeteria a YP g -------------- P ( ) ( ) QI Other fixtur s •••-=--••••-•--••............•••-- --- •-- -•-.....- -- W Design Flow..............................•..........._.gallons per person per day. Total daily 35c> ............................. gallons. Rai Septic Tank—Liquid capacity.�d°__gallons Length..s 6....... Width.'¢..a.. Diameter---------------- Depth. --6 W Disposal Trench—No. .................... Width`.................. Total Length_..........j__.... Total leaching area....................sq. ft. x Seepage Pit No.___...._�--------- Diameter.................... Depth below in et.................... Total leaching area........._.:._._._sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by __....tvp.,T!�G............:............. Date.._ ��8z a •..... . a Test Pit No. I...G...7-.___minutes per inch Depth of Test Pit.._._��`�. ... Depth to ground water_......_'............ 44 Test Pit No. 2....L.... ...minutes per inch Depth of Test Pit------ --- Depth to ground water................__.. t4 ---------..................................----------------------------•-......... �...... ,...................................................... 0 o Z-0 ' w00%x04-,7 �`Sv8-Sol c, �4 - Cv 1SL' SASi� Description of Soil ----- •-- •••• ....---- ',>'r' Iw/TM S70^16-4 'y /6 2'' 7,�'E�uSC �Nc .�A�D /G�"- /�¢" f9�'D_ .SAtivvp U •-••-•••--•--•---••....-•---•-•-•----------•-•••--•--......---••----•--------••... •..............................•-•......................................................... 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 T:. =.-.i.p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b e ar _ S-fined_....--- -•---- ---------- ---- ---------•- ---------------.......... -- •---- --------.........-------- A Application Approved B CU(J't „�-- //Z-�/�G� PP PP y----•--------------•----------.......-----------...........-•_... ................._---•-•. // D ---------------- Date Application Disapproved for the following reasons---------------------------------------------------------------•-------------•-----............................. .................................. ...-----•--------•---------•----........ ------........................................................... •-•-•-••••----••--••-----------•--•••------••••---•--•••------ _ Date PermitNo........... ..................... . ....._ Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 77) ��7Z�/.sTi4ls LC ..........................................OF .............................. Trrfifgratr of Tnntpltan e THiS7S TO gERTIFY, t the Indi^v dual Sewage Disposal System constructed (L-r or Repaired ( ) l l C� Q �e..r L�` Installer . ( �-------- ,-1 7=�------ ----- ------------------------------------------------------- has been installed in accordance with the provisions of TT� - j of State Sanitary Cody as glescribe�in the application for Disposal Works Construction Permit No.__..__`�C�.__.�....__. dated_.-..__...._—_.7../_-?-_'.............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE SYSTEM WILL F NCTI N SATISFACTORY. DATE.............1-6 L3 / o ... Inspector.........1. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............ToI.✓............OF.........8!47avST 13�� �--► -- .......................... J No.........................� FEE........................ t pnlia1 nr1 s Tnntrnr�inn rrntit char. {� � Permission�Is hereby granted ....................... . == ..................................................... to Construct (am ) or Repair ( - an I dividual Sewage Disposal.Sy tem Street 1 � ' as shown on the application for Disposal Works Construction Permit No C�5 __...2�c-7_�V.... Dated....�� f GL • -- -...-- O 2 Board of Health DATE. ( ` FORM 1255- HOBBS & WARREN, INC.. PUBLISHERS y i $� ti i \ 8df5„✓ \ \ \ pltopos�?j W� L/NE' \ 2Csvc- 00 L o st Maze 1110 1 S3 B LoT ¢Z¢ Si TG" f'L�•v LOCATION �Ir!vsT/fiL SCALE . .!.��-�'4?�.... DATE .s ?T z?v58G PLAN REFERENCE G' ?�!G �?'aZ6'9 • ���AL�n OF �}�by . . /�.. .. . . . . . . . .. ... . . .. . . . . . . . . . .. .. . � ll RD G� /// KELLEY � No. 26100 ���s 9E�,IS?ERGO rs` I CERTIFY THAT THE sip�A SHOWN ON THIS PLAN IS LOCATED ON THE GROUND L LL AS SHOWN HEREON, DATE S�nT. 2z 1986 REGISTERED LAND SURVEYOR TOP OF FOUNDATION A s CONCRETE COVER CONCRETE COVERS 4"CAST IRON 12"MAX. OR SCHEDULE 40 4"SCHEDULE 40 PVC-(ONLY) 12"MAX. • P•V.C. PIPE ° PITCH 1/4"PER.FT. PIPE- MIN. LEACH PITCH 1/4"PER.FT PIT PRECAST o'c �INVERS Q LEACHING EL.. 7. .?g.. INVERT INVERT e•: PIT OR SEPTIC TANK DIST. 7¢3L ; w : EQUIV. a INVERT EL...7 -7.� o . . BOX a; EL. ?` .87.. (aov.. .. GAL. INVERT �i E-t- a. �'a 'o� 3/4��TO I i/2' � EL..`f..p IN�VE 34 �o d: :�. o EL...:..:.. �� �. �,. WASHED w STONE 350 Z/ • —t • 6 DIA. �.. n°. E o• . e, �-- /z ' DIA. co�vre�eea •o• PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE FHB.. /7 i99Z TIME. /!-�. !� ��^� / /Zp j2'.s• BOARD OF HEALTH ,, . . . . . . y. . TEST HOLE I TEST HOLE 2 / i AcC Wi-/17-/1/G ENGINEER . . . . . . . . . . . ELEV. . .80. /o. . . ELEV. .7`c.7?. . . . . . . . . . Woo�DLo2,1 wo 4a/dr7 2,4" S�g.soµ, s B-So DESIGN DATA 78. tZ. /0 'Gr Co qxs� --Z,7/,9o NUMBER 3 F 0 BEDROOMS . . . . . . . . . . . . . . 5,qa� pent• .57v- CD C TOTAL ESTIMATED FLOW 330 • GALLONS/DAY eZ. 73, io BOTTOM LEACHING AREA !�3.� . . . SQ.FT. /PITIC,P D• 'rl,j ��� �z.6¢,90 SIDE LEACHING AREA . . .Zz�. .? . . . SQ.FT./ PIT/5ZSG,P,p. Deals6 GARBAGE DISPOSAL . !`!6^��' .(50% AREA INCREASE) �Gz ez,4.4( o TOTAL LEACHING AREA �39.3 . SQ.FT so PERCOLATION RATES / !.r�!/Q. MIN/INCH i�d' �z.cs t d �80" �z.•s 90 LEACHING AREA PER PERCOLATION RATE .G78:!SQ.FT.1C.P,D .No.WATER ENCOUNTERED o.v�r / NUMBER OF LEACHING PITS . . . . . .1- 7- v1/77�. . . . . . . APPROVED . . . . . . . . . . . . . BOARD OF HEALTH? ,Fri•°�•`S?�^!�.GN �2G S/I��S DATE. . . . . . . . . . AGENT OR INSPECTOR Of iygs ON EGVJARJJ� %J u. �T # .� y '4(ZLLEY N fCl$TER�� sgnrtks\a�' . / fQL LAt+1U PETITIONER w,GL� A•'