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HomeMy WebLinkAbout0306 MARSTONS LANE - Health 30� s tee,, r, e n9 5 9 G r ' / 30 LOCAT ION 5 AGE PERMIT NO. f�l� Ns VILLAGE Lam. vy1 A v vt�' I N S T A LLER'S N✓rAME i. tADDRESS 65, Cop S - 1 L y� a UILDE R OR OWNER AI Ll C` 6u. DATE PERMIT ISSUED DA,T E COMPLIANCE ISSUED ?d so �kw i �a I a a, No. -�'� - J Fss...:� ..�........... THE COMMONWEALTH OF MASSACHUSETTS �l BOAR® OF HEALTH .............70A :o .........OF......��/�'!2.�1>S';. Iq C Appliration for Disposal Works Tons rnrtion Vautit Application is hereby made for a Permit to Construct (c-,) or Repair ( ) an Individual Sewage Disposal System at: .Z7!?1575. '.`/ .....�3GY�ZNSi/ l3GG ��T � .... --•---...----- •................................ Location.Address or Lot No. !✓,YGs._.Gro wG u- ---------•-------------------------- WL T- X/�-1 o ,,.........A:;-'`�:S S.......................... Owner Address W _ Installer Address T Type of Building Size Lot....T..... .................S feet Dwelling—No. of Bedrooms................. ...........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ................................... .•..-_ W Design Flow........:...... ..._..._..___.___.___..gallons per person per day. Total daily flow__._...._._..._3�n..................gallons. W Septic Tank—Liquid capacity.i�Qn..gallons Length._8.'6"-_-. Width.��L__`�__- Diameter________________ Depth. :8`... x Disposal Trench—No. .................... Width_................... Total Length.____............... Total leaching area-___-__---•-•-•----sq. ft. Seepage Pit No---------/�--------- Diameter..... n./....... Depth below inlet.....6 1.......... Total leaching area...�7.....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by__.7P>� ..... ............. Date...�� r ,4 Test Pit No. L_z!�:... n---minutes per inch Depth of Test Pit.._e _'./ Depth to ground water................... f= Test Pit No. 2.. .._Z...minutes per inch Depth of Test Pit____! `..•.. Depth to ground water-_____---__._.-____ •---------------------------------------------------------------•----•.-------------36"_/44" ��✓� Pnca Sao V ......../4� -/.Yb_....... ;2r( SF N --- ................................•------•----------••-•----•---••--••----..... W ------------------------------------.--------------------------------------------------------------------------------------------------.------------------------------------------------------------.--- V 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 iITL U 5 of thnfollowing itary Code—The undersigned further agrees not to place the system in operation until a Certificatte�of Co as been issued by the��thnne��board of health. d.- -•........ ....... y Dat Application Approved B .•••••. +-- _... . . .................. Date Application Disapproved for the easons:_....-•-•--•-• -•-----------•••--•----•••-•-•--•••••--•-----••-••----.......•••--•----••-•-----•.............. ......................................................................................................................................................................................................... ��>> tt LL Date Permit No...........?. --------- Issued............r J_-Eta-- - Date 44 No. -................... � P FEs..�r.d............... 'cl THE COMMONWEALTH OF MASSACHUSETTS 6^1 BOAR® OF HEALTH .....OF.....4644eA/ X!*,64E' ApVtirFation for Uispaoai Works Tonstrnrtion Prrutit Application is hereby made for a Permit to Construct (,`) or Repair ( ) an Individual Sewage Disposal System at: .. ............ Location-Address or Lot No. /. /G6+N C ZC I!S//�+.. .... �./C/.t!U�sT?.!. ......�/!5.............................. Owner Address W Installer Address Type of Building Size Lot__-4 .00........Sq. feet ; ,., Dwelling-No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons____________________________ Showers — Cafeteria al Other fixtures ------------------------•--•-•-••---....---••--•-- . W Design Flow................ .......................gallons per person per day. Total daily flow.............-��-'a____.______________gallons. WSeptic Tank—Liquid capacity�op9___gallons Length_4_1 ......... Width.-'4.'L.`.._._. Diameter________________ Depth_:'$"'_.. x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......../.......... Diameter-----�p_ ........ Depth below inlet....A_____________ Total leaching area._.�G_7......sq. ft. Z Other Distribution box ( ) Dosing tank ( ) � Percolation Test Results Performed by--- ?%!!5: : ' �� ��'/________________ Date__e9j- �•_..: _°,.1?84._. -------------••--------- Test Pit No. LA.__3-__ minutes per inch Depth of Test Pit•-6.74`r___.___ Depth to ground water----- (s, Test Pit No. 2_i;�___:4_-____minutes per inch Depth of Test Pit--- ........ Depth to ground water........................ ___________________________..__.______:_.______._________...._________._...._____.___...`s�.........A.......__..______.__.______.._.._._____._.._._.__...._. D Description of Soil........ "/ o i! ...r S ' -S_��G. S6----144 , 6i"4- x ---------------------------••••--•--•_•... U ......-/.=!/ !.`....................../r/ ................------........_.._.... 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 TITLE 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__ -�1.�_ .....- � U ¢ Application Approved BY -:f f-�"'" '- '�/..� .. .. . ............... !✓. .......--l_.--- �•""'•'`- Date Application Disapproved for the following reasons:.............. --•...--•--••--•-•-•--•---•.._•-------••-•--------•••-•-••-•... --............- ..................................................... ................................................................................................................................1................ Date. Permit No------- ¢ J ®. Issued_ y Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Qprrt firatr of Tuntplianrr THIS IS TO 9TIFY, That the Individual Sewage Disposal System constructed (✓I or Repaired ( ) by---------------------- +v........--•- -------------------------- _•- ----- -------••---•-•---•--•----..........._.__.....----••--•------------ I ._ ---- r has been installed in accordance with the provisions of TIT 5 of The State Sanitary Code as escri d in the application for Disposal Works Construction Permit No----___.__'_�.__------- _ _____ dated_.....6� _._ {__b. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CO STRIKE® AS A GUARA TEE HAT THE SYSTEM WIL FUPICT ON SATISFACTORY. DATE._...Z•-- 1_3.. • ................................... Inspector__...-- -• ....... ....... ... ................. 1 THE COMMONWEALTH OF MASSACHUSETTS 4 BOARD OF HEALTH ✓`/`' /� 7fP 1r.A/.............OF . ..... i.3a?�✓,5"�6�!,�.No......................... FEE._ • •d.............. Disposal nrk��Tffnstrurtion rrmit Permissionis hereby granted----------------•-----•-...... -••-•••--....--•----•---------•••-----•-•------.....•---•------..._..••--...._......---..._.. to Construct (t J or�Repair ( ) an n iv ual Sewage Dis osal S atNo......................................... ............. .. �------i'------ Street as shown on the application for Disposal Works Construction Permit No______________________Dated.......................................... ........................... ' ...................................................... DATE.------� '6 -- Board of Health FORM 1255 A. M SUL IN, INC., BOSTON w 41,1 3 .Ra.. TES7k' .c.:. .. \\ Al 1� F c�ZEY. 7a °� pp o C O O �o✓.vp S� � D V) Z, � } PRop°st-a wgrr�2 sr�1/ct za, 30, 6 M 1AlAr o illy 1 - �2a,o0 sires P��v Norte- EZ�1/A�7uNs e13sEa aA-J LOCATION SCALE . .�.��'. �. . DATE 77 J . . . . PLAN REFERENCE . ..BL.n/G. . LoT .' . . . S14oww on/ loL,Bid. 3 Z 7 =o EDWAR� o E LEY c.26100 v, F GISTSPS I CERTIFY THAT THE . .. .....a . . ... . .. ...... . .. ...... `ANOSUAYErL� SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF WHEN CONSTRUCTED. DATE : . . . . . ... . . . . . /Vy� C,QpW�2G - /aE7/7'/O�►/E"� REGISTERED LAND SURVEYOR Z SA&Z,.7-5 L 47.ao TOP OF FOUNDATION s„ CONCRETE COVER CONCRETE COVERS B.IS 'e a 4"CAST IRON 1I2"MAX. r ' OR SCHEDULE 40 IV MAX. • P.V.C. PIPE 4"SCHEDULE 40 PV.C.(ONLY) PIPE- MIN. LEACH PITCH 1/4"PER.FT PITCH I/4"PER.FT. PIT e.e � PRECAST o' INVERT e a LEACHING e EL,.38,35 INVERT INVERT P w q:i' PIT OR e SEPTIC TANK EL ,g7,y3 DIST. EL 37r�¢ >_ . � EQUIV. e INVERT 38 /D /oco ., ,, GAL. INVERT (30X G' a p ;�' 3/4��TO I I/2 e; EL.....,...... EL378j INVERT ww �; � EL37¢o �. WASHED L �Z.3i..� •�� STONE 10 IA PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE P- 33zz . SOIL LOG WITNESSED BY : DATE 4(!a. jo.°�98¢ TI ME./D:oq•A•'> S�/�/ !J�CdB// S BOARD OF HEALTH TEST HOLE I TEST HOLE 2 L-7.�,G✓, D L ,(!E7LL-'/ ENGINEER ELEV. . . . . ELEV. 3�,yo DESIGN DATA : FBI 3<" 34,1 NUMBER OF BEDROOMS 3 Z`Z-374o C-Z_3l,yo 4g" TOTAL ESTIMATED FLOW 33o GALLONS/DAY �ti� LiNE Inc PHC.L'b� BOTTOM LEACHING AREA SQ.FT. /PIT/CS'C,OP. SIDE LEACHING AREA , , �BB,So SQ.FT./ PIT/377C.pD• GARBAGE DISPOSAL AREA INCREASE) �q�• c-z.zBQo iq¢' �z �79p TOTAL LEACHING AREA .'��7.�d. SQ.FT FitiE 7>&-S1CA1 �02 4s5 771AA-j rpuA PERCOLATION RATE LC35. ?�/' .Tbyo. MIN/INCH LEACHING AREA PER PERCOLATION RATE .. . . Z SQ.FT/CP.D, .No .WATER ENCOUNTERED an/ PiT 1yi NUMBER OF LEACHING PITS . . . . �. . . . . .�. APPROVED BOARD OF HEALTH /�o DN .q2L S/�E3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . DATE . . . . . . . . AGENT OR INSPECTOR I'OF ���SH OF j a EDDW i`14rzS�n/S L/a?./fir 26100 ySTS , C.ci!y�s�fii D � /�SS `A��s p�VE+�e S4NRAR�p� PETITIONER Nv6-- cp-6Wc--LL