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HomeMy WebLinkAbout0110 MARBLE ROAD - Health arb yylle n , f , e o J LOCATION SEWAGE PERMIT NO. VILLAGE 61 E INISTA LLER 3 MA ME & ADDRESS i s U R D E R OR OWNER JULG 54,11c ' O 6ZIC GcA, ti 7- DATE PERMIT ISSUED . V_30wy DAT E COMPLIANCE ISSUED 6 'A Ht-doN 3 . 0 ®. c t No.aw.--oa. Fims....0............. t r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............:7._w^...........OF....... .................................... Appliratinn for Dispaii al Workii Tami rnrtinn Frrmit Application is hereby made for a Permit to Construct (&,,r or Repair ( ) an Individual Sewage Disposal System at: �9 ....il .....��: s-------- ----------•---....----------------....�-0..7"..3G...........--.......................... /? Location-Address or Lot No. F............... .... SS................... Owner Address /� .......................................... eC�,/crs /J .. Installer AddrAs Type of Building Size Lot.4410/0........Sq. feet .f Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons---------------------------- Showers — Cafeteria a' Other fixtures ............................ W Design Flow..............��..-�.......____.........gallons per person per day. Total daily flow..............�30...................gallons. 04 W Septic Tank—Liquid capacity./Ag!..gallons Length.. _����._ Width_¢'G"'._ Diameter_............. Depth..,��8�.`. x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area_____-__----•---_-sq. ft. Seepage Pit No---------- Diameter.....Zd _-___- Depth below inlet..... ..........Total leaching area.� .......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by--- i � l� y..T��_:_._ Date_.��N -_-Z _.............. -- Test Pit No. 1...G-S..minutes per inch Depth of Test Pit----t; ....... Depth to ground water.............. fi Test Pit No. 2................minutes per inch Depth of Test Pit...Z43....... Depth to ground water........................ f� ---------•-----•-------------'----••'------•-----•---•-•---'---...............---••'•--..._.................................................................. 0 Description of Soil..... 36 f C -i " [3 Soi6 �-'�...................' x ............................................................... U -"'--•-•-•-•--'•--•--""••---•--'-•.....................'-•-'•"'•'•--•'--'-'•'-'-.........-'••-•-"•"--'•"•'--'---•'--•----•-•-•--.........--''-- w ----'--•----------------------------------------•------------•••------•--•'••--••-•-•-•"-•---•----'------------------------••-•------••----•••"--'...-----•••---••'--'-------•---------•-'--------•--. U Nature of Repairs or Alterations—Answer when applicable................................................................................._......._..._.. O ...................................'..................................................................................._................._...........__.._.__..._........_............................_. 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 un rsigned further agrees not to place the system in operation until a Certificate of Compli ce ha een ed by th oar health. Sid.•-- '-••-- .. . ......'-•• -•'•-•-----•......-"...••••-•.•... Application Approved By.. -------------- Date Application Disapproved or he following reasons: . --- ----- - ---------- ............................---------•-----•-•-----•--•-----'-•---.......---------•--'---...-•----......••-•-••••••-••...•-------••------•----•••••--•--•'---"•-----'...-----•----••-'---'--•...--.... Date PermitNo.............•-----.._.._...__....------•-'------------. Issued---------•--------'--•--•-'---'•--'-------------------. Date ti No FEE ................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........�rWA?�.............OF......497Z/V,57i ------*................................. Appliration for Uhiposal Worko Tomitrurtion "permit Application is hereby made for a Permit to Construct 0.1-1 or Repair an Individual Sewage Disposal System at: ............t5 ..................... ........ .................................................................................................. Location-Address Lot No. ss . .............. Z..... ... ........ 111A ................ Owner Address ........................................... ............. ...................... Installer Address 44 Type of Building Size Lot...... .........Sq. feet U Dwelling—No. of Bedrooms......_....3...........................Expansion Attic Garbage Grinder 04 Other—Type of Building ............................ No. of persons....._..................... Showers Cafeteria Otherfixtures ..................................................................................................................................................... Design Flow.............—6-46 .....................gallons per person per day. Total daily flow..............3---To.....................gallons. 9 Septic Tank—Liquid capacity/9 _._gallons Length.A_Z....... Width*4_/6/ ... Diameter................ Depth.4 � ..... Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. f t. Seepage Pit No--------/---------- Diameter....49_......... Depth below inlet.... ............ Total leaching area.?�_._�........sq. ft. Z Other Distribution box ( ) Dosing tank ( ) -- Percolation Test Results Performed by--- a m .. ........ ........................ Date. !'� ...ob? lie 3 ......71----------------- Test Pit No. 1.. ...minutes per inch Depth of Test Pit.... Depth to ground water....................... Test Pit No. 2................minutes per inch Depth of Test Pit--- ........ Depth to ground water........................ ----------------------------- ...... ....*----------------;;�';;---------------------------------------*------------*----------- 0 Description of Soil..... ....................... .....................................................r............................................... ......................................................................................................................................................................................................... U ....................................................................................................................................................................................................... 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 TITLE 5 of the State Sanitary Code—The untrsigned further agrees not to place the system in by th, _a. 0 operation until a Certificate of Comph C42 hha',�We7rV7uieldl by?,nDoa5if health. Sig ---- - ---- .. . .......... ................................ 3y_ —-- ---- ------------------------ .................... .............. Application Approved By.... ........................................... .................................... Date Application Disapproved or he following reasons:-....-. .................................................................................................... ......................................................................................................................................................................................................... Date PermitNo........................................................ Issued-........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS ............... BO A RD OF......H.....E...A....LT H .........OF.... �. evFP6—..C........................................ Tinfifirate of Toutpliatta TH,, C—ERTIFY, That the Individual SeW a ag Disposal System constructed (4-) or Repaired ag alley --- -- --------- by ........ ............ ................................................................ ------- ...I ----------------------------------Zl� 0 at , -----------111-ilt --- - ---------------------------------------------------------------------------------------------------- has been installed in accordance with the provisions of TTTLE 5 of T4fe"State Sanitary Code as described in the application for Disposal Works Construction Permit _V11-4-123................. dated__..___.._.._.._..._._______.___.__._.._____.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..............................................I ........... Inspector....................... .............................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No. .............70 A-/-Al............OF........ - .............................. 'r'V ....................... FEE.. Xonotrurfi u "amit Permission is hereby granted.............. ........ .. ............ ............ . . ............................................................................ ...... ----- I to Construct Re air -/D an Indi-vi e g, ispo stem atNo.......... .............................. ................ .................. .............................................................. Street as shown on the a ica 12 or Permi 0 ................... Dated_._______..._....____.__________.......... 'ppli ti f Disposal Works Construction Per ................ ......................i............................................................. DATE... .......................................... Board of Health FORM 125 ',k. M. SULKIN, INC., BOSTON SNc�-T � of 2 Sf-!EZTs .p 4 00 3 6 2Zo, oa � 10V � � 431 }7w ¢3l1 V( A-r e Sryna Lo y- #3�A - BI'� �d A, 44 o/a 8 0 nQ � 8�1 0� N 14-7 lh h 4 i i .y /Vo7�- EI.�-vA�--roN s BAs� o.v /.�sSvN�D ?�i7v.y CERTIFIED PLOT PLAN LOCATION SCALE . �.��=so'. . . . DATE PLAN REFERENCE . . ,$ 7�/G, . LoT 36 q EDWARg o K � . . . . . . . . . . . O 'TISTEA�a 44nsu84,0 1 CERTIFY THAT THE EXisrrwG iwG.... SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF 8.44. . . . . . . WHEN CONSTRUCTED. DATE ,�oG�7� �oN�n�7-- �CT/T/dNEr� �f�i-r�•�G S' ��� REGISTERED LAND SURVE OR J. sH�T z of z s�/CL�s zo ``TOP OF FOUNDATION e CONCRETE COVER CONCRETE COVERS I9.86 a 4"CAST .IRON 121'MAX. 12"MAX. P.V.C. PIPE ""'""'n"•�A OR SCHEDULE 40 4"SCHEDULE 40 P.V.C.(ONLY)PITCH I/4"PER.FT PIPE - MIN.PITCH 1/4"PER.FT LEACH PIT PRECAST o' INVE T Q < LEACHING ° EL••..3 S• INVERT INVERT 'p W a PIT OR all SEPTIC TANK Z �! DI ST. ° INVERT EL...7. r. .7. BOX EL.X?c P. " ; >_ EQUIV. /oop. .. GAL. INVERT �. INVERT G w w o' EL.707 �. :i; 3/4"TO I I/2 .`� EL7l.•.74. �� \: WASHED STONE °:,• . , /o' DIA. er�c�u�sx� PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY * DATE .9�!`W '7 �9,83 TIME. . . . . . . :. . . co&/. ,9•S•• BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ,2.T b'h/&WraA-j TA/C- ENGINEER ELEV. . .73./o . . . ELEV. .7'¢7�. . . . . . . 77 Co?� 36r DESIGN DATA t2.7v.�o -G,7/7, NUMBER OF BEDROOMS 3 . TOTAL ESTIMATED FLOW . . 33v GALLONS/DAY s/LTY 5/47Y BOTTOM LEACHING AREA 78�� SQ.FT. /PIT. SAD s-9�I� /813,✓�o SIDE LEACHING AREA . . . SQ.FT./ PIT GARBAGE DISPOSAL .N �`r.(50 % AREA INCREASE) TOTAL LEACHING AREA Z6,7 0o SQ.FT EZ,Lo,/o /• dy 42 C/7o PERCOLATION RATE . 771~. `-. vG, MIN/INCH LEACHING AREA PER .PERCOLATION RATE . LBr 6 SQ.FTIC.P.D, .IVA .WATER ENCOUNTERED Per WiTi�1 NUMBER OF LEACHING PITS . . ?�Vo APPROVED . . . . . . . : . . . BOARD OF HEALTH � T OF .STnN` oN ,9GG. .S�Jj DATE . . . . . . . . AGENT OR INSPECTOR OF ���SN OF fi%s, G Z>. 3G_49 i ELLEY No.26100�O i o M F /V.S i9�CL_ ' /i */STEP 0 1STE PETITIONER : �NosuevEr� SAnrtAVLN r... .... THE COMMONWEALTH OF MASSACHUSETTS bZp� BOARD HEALTH db / Appliraatioaa for Biiipn.ittl Workii Tonfitrurtion Punfit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System t �cat' Address r Lot No. Ve •--•--•• •-- .... ---------------------- ..49— � � /� g �Ow(/Q�� A ress a ....... -- -.i'."--�'----- ---i�/+�i-/-d•-�- -- . . .................... ................................................w.•---................................ -- -- � Installer '�.t, Address d Type g 7_v_.Sq. feet e of till Size Lot.- �`l'_. U Dwelling -Expansion Attic Garbage Grinder ( )( )�No. of Bedrooms------------` --------------------------- — aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) Cafeteria ( ) a' Other fixtures ------------ ----------------- W Design Flow................ .._...._..._.__._gallons per person per day. Total daily flow........... ____ __.._ .-..-gallons. WSeptic Tatik—Liquid capacity------------gallons Length---------------- Width-__----�_. amet r__-------_.__-_ Depth..-.__-.- Disposal Trench—No. . Wid ngt al Ching area sq. ft. Seepage Pit No.-____`___-____-__ Diameter. _. .._ _..._._. be o let____________ f leaching area------------------sq. ft. z Other Distribution box ( ) Dosing tan ) / Percolation Test Results Performed by......:'" "IC Date J?lz { _ Test Pit No. I....../-------minutes per inch Depth of Test it____________________ Depth to ground water..-__-_---_-_--.--.----- fs, Test Pit No. 2----------------minutes per inch Depth of Test Pit____________________ Depth to ground water._._.-.--__--__.-_-_-.--- a •---.......•. ------ - ------ ---- ••--e O Description of Soil------ ----------• 'G�, --- ( 1 s-------------- Cxj f 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 Article XI 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. i- . y yate Application Approved BY tomg Date Application Disapproved for the following reasons_____________________ ________.._:_ ---•--....---•--•-•..................................•--••--•------------••---- ----------------------------- 1 .........................Da e No....Z�:_e ......"::�".... ...-=------• Fss. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA�-L�-T/H .......... OF........ �.>...G..�-�2yv!. ✓°rar'g ------------------- Applirtt#iun -for Ditipmal Workii Cnonotrur#ion Vrrmi# Application is hereby made for a Permit to Construct (V) or Repair ( ) an Individual Sewage Disposal System,at: 1 .....-f)_...:r;J ...� i^. �....... _........_._ /t _ Locatisn Address j or Lot No. --___...� ......................... .....1--......_. •' Ci_ i....."Y .l'.L .(.Stei'^...✓_..____._. 2:...� Ow Aess W Installer Address Q Type lofuilding Size Lot_­____7,__3__7.l.Sq. feet U Dwelling�No. of Bedrooms.._.___..._ .._ Expansion Attic ( ) Garbage Grinder ( ) ---•- - aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures _.---.-.._ Q ----.- - - -- - ----- W Design Flow.................. ..... ................gallons per person per day. Total daily flow.....___._... gallons. J WSeptic Tank—Liquid capacity_-------------- Length---------------- Width................ Diamet ................ Depth.---_.---_--- x Disposal Trench No. ..............:..... Width...... ___ .._.. 1 ngt otal 1 chin;area..._......._..___-.sq. ft. Seepage Pit No------/---____--___ Diameter _ et___ o leacliil;ig area.-._._ ----------sq. ft. z Other Distribution box ( ;;) Dosing tan (t��,)�� � Y �: 'l Percolation Test Results Performed b..__:_... .__ ,,�� _'e:__dull___t,... ___ Date_---�----�/_ -�_. a Test Pit No. 1..._../_-___--minutes per inch Depth of "Pest Pit.................... Depth to ground water...----.-.---.-.--.----- t14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-..-..-----------_--.--- g t: 3G - ---------------------------- - � 1 t 0 Description of Soil , '. 1 - G i..= ...... --------- — ------ ---------- VW 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 AAicle`XI 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. E Signe,/d� -- /j .... ..s_.••••---•...--•-..._-----••---•-------------- .`. ....... ...._•-•-•._....-- t f ! Y � !' ` / 6 Date Application Approved BY , =' ;` �.. !a�I s if ........................ Datder Application Disapproved for the following reasons:......-•----.......V-------------------------------------------------------------------------------......... -•---•.............•--------•---•----...--•------•-----------------------•----------•--•-•.....-----------------------------------•--•----------•-•. -••---•--•- ------•---•-----------------•-------- Date Permit No......................................................... ;Y Issued---��" -•-`-a-7- e�. Da e THE CO ONWEALTH OF7[MASSACHUSETTS F ;BOARD OF HEALTH err#ifir #r off�laut ltaurr TIf S IS TO CERTIF hat t n idhal Sewage Disposal System constructed ( -or-Repaired ( ) - ---------�_5 -----=-------------------------------------------------------------- �j y'J /� InstallerC�� has been installed in accordance with the provisions of Article XI of The State Sanitary Code as des .ribed in the application for Disposal Works Construction Permit No--------------------- .. ............ dated F . ; ........... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTI N SATISFACTORY. DATE--- iZ --- -------------•-----------•---. Inspector---- -`7---- THE COMMONWEALTH OF MASSACHUSETTS ��. BOARD OF7 HEALTH ,,ff t... �I` '�. .. ......OF..... .--6"wr' dJ .- ... ............. FEE... Bitv>al l IV n r dear Prrmi# Permission is hereby granted- 't� -- . ... --••.............................................•-••----- to.Construct or Repair O an I Ividual ewage Disposal System --•-• - --• r .................................... • 'Street . ,. 4 f_ as shown on the application for Disposal Works Construction Per"it No. e'..____.'_.�_--Dated_ r ::,�t :n_________ ��`"�/ ......................... } Board o Health „fe .`DATE-l_ ------ -- - FORM 1255 HOBBS & WAR R N. .tNC.. PUBLISHERS 4 x Af L_ OT 36 44 I. a¢ V 0 CeRT1F/ED PLOT PLAN LOT SPEET 1 OF 2 OF Ass' EL S UR Vu .�' CERT/FY THAT TyE DRE'D G `r'1 A1G- vi✓,�.�7- \ ^A ShIO t�t//V C7N ROBERT yG C O/y1.4 rI G 4 A/ /.S _Lc^•C/�T, s T///S A BRUCE C Al7'14,F GFc'O[/ND ,q S ELDRcDGE ,33 kp.47-1a 'M,q/N S y- !ND/CATE,p A/VD coAl ORM TO THE' ZO/V/AIG LAWS 4 C�STE�yp�;� SOUTH YARMOlJTH,M,�qSS• OF NlAS su /42 nj _ a —�— TOP FOUAtO � � / MANHOLE COVER(24"OrA.� REMO✓E 4-OA10RE7'E COYLLR C.2' MAN/-/OLE' a COYE.P (PI-p/A 3, �4-CgST O .p/GL"-Mi,v <4 ORANCCB JI P/TCN �A /NYERT_ CONCRETE ,BLOCK JA/vF 7, E T 6 ✓SLrEP.4G ,o/ OR pur 9� 9 IOOV AG /NYERT .� T SE � , - f-�[ /f2PTICTANK7. 7 /NYEQT / ER -+ 2 WASHED STONE Ec. = 07,0 t W r' o • ,l// ( fit"�w IdROF/LE OF CROUNp WATER 77.4B& SEWAGE DISP'OSAL SY 7'EM N O S CAL SOIL TEST- x � ��c .SAA117-A PY LAYOUT FOR GOT``_Ao�A T AR I/t/ r��n 13i9seN ST�q,d�,C=� /,�As,s SAND � SC,ocE: AS NQTQ�p I�ATg : 9/20`7..3 - FL DREDGE SURVEYING CO. ytc ,. ' 3.� Al MA!MAIN S7 � � yvATFR -AtCOL/NT�REp 2 , Y , d �" 50� TN YARMOUTtl� MASS. 'j 0 r yam+ ' O m..'�.€+B '': T F �. _m��---