HomeMy WebLinkAbout0122 OAKMONT ROAD - Health A1:2'2 Oakmont Road"
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
T0W...V.........OF.........
B9�Z
ApplirFafilan for Elispoii al Vorkfi Tonstrnrtinn Vamit
Application is hereby made for a.Permit to Construct (✓j or Repair ( ) an Individual Sewage Disposal
System at
12 Z ..f3�rGiyon(T...1�0 .. /`7�/��Z.lP.__0�,��1-��ti LaTW Z 0 3
••-•-----------------•...........------••-------••-.........----
Location-Address or Lot No.
�fliY�zL�s sT,.vt - 15e.
•. ...... ... .......................... ........................•-••-•----•--•----•--------•-....---------•-•-------------_.............--
wner Address
W
a .:..
� Install - Address
UType of Building Size Lot... .......Sq. feet
Dwelling—No. of Bedrooms................... Attic ( ) Garbage Grinder
`4 Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures ..................................
W Design Flow...............J�......_..................gallons per person per day. Total daily flow................ 0...._...._.......gallons.
W Septic Tank—Liquid'capacity-1s4d_gallons Length._B"C".. Width_4'6�f. Diameter................ Depth_.5'�".
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No.___•----9......... Diameter.....�4: Depth below inlet..... ........ Total leaching area..:?¢Z:A..sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by.....a-!Z_4i5lo2T..... C....................... Date.ocT,_.Z
a
Test Pit No. 1_..-4_.8....minutes per inch Depth of Test g-_' Depth to ground water-----
------------------
(z, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
•-••------------------------------------------------------------•-••---...................----------.........................................................
O Description of Soil ` "L=Ge., ....WoaLogh. .SIB-So{c_ YRT,t<<VG' A '�........
x �� D rsc� �..........................................................r�cc� ' w1�i f^ &" Z .............
5-7- �Ge Ws—
U ---..... ��� �� ->-•--------------------- --------•---------------•-------------------------------
W -••-- 6.-----�SZ-------M`���iwc 5���-----�i'-{�'-- - 47t''..................................................................
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 iITLL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Complian has been issued by the board of health.
Signed................•---•------------•----------------•---•---•-•--------••--•-......----- ...........................
Date
Application Approved --•- •-- -•••••••-•-• -••••--------------•-••-•...._....
�-
i Date
Application Disapprove r e following reasons----------------•--•---------•--•----•-----•-----------•----•-------------------------------------.....----.....
---------•----------------------•• ---_..
Date
PermitNo......................................................... Issued_.......................................................
Date
LOCATION '�' SEWAGE PE MIT NO.
VILLAGE
INSTALLER'S NAME i ADDRESS
it ter Ion' 251 C� �- b SA
c , Lie
t U I L D E R OR OWNER
F 4S4A IV Lp
DATE PERMIT ISSUED
DAT E COMPLIANCE ISSUED aV,
'� 20
No.---
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
7`aln/.iV-----......OF........ �/C?.:f.5�7f?
Appliration for Bispaa al Murks Tonstratrtiun thratit
Application is hereby made for a Permit to Construct (__.-5 or Repair ( ) an Individual Sewage Disposal
System at:
...........- __......-.----•.................................•-•-............................ ................ ........................................
Location-Address or Lot No.
Owner Address
W ..........
14
1 Installer Address �Q �� t
Type of Building Size Lot••.........................Sq. feet
Dwelling—No. of Bedrooms..................
........................ Attic ( ) Garbage Grinder
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
� Other fixtures -----------------------------------------------------------•--••••••-----•------•-••••---------••--•----•--....-•--...._-----•---------...........•...
W Design Flow...............55.....................gallons per person per day. Total daily flow..........._._4`'0 .........
WSeptic Tank—Liquid*capacityhe4?_.gallons Length.9..G_"_. Width_!- 4"_ Diameter................ Depth 5..'G�"__
x Disposal Trench—No. .................... Width.................... Total Length.................... Total.leaching area___--_----_-------sq. ft.
Seepage Pit No_______ __________ Diameter.... x......... Depth below inlet....S............. Total leaching areal!?2-A...sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
- Percolation Test Results Performed by._..<'_../. _.-1101,E ____ ^!_r........................ Date ec ...-?0 r�'+�___.
...,
Test Pit No. 1_l_...6._..minutes per inch Depth of Test Pit!x'�_r� _ Depth to ground water......". ............
ri, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-----..............
9 ••••-------•-------------------- ----------•---------------...•.....--------............_•--•.----------•-...--••------•-...._........._......•.._.......
.
O Description of Soil...4 ' ,6"_•T 4-_:07;4 'A o4 40A i-1 � �`r�-��F� ----�gve,6zG__ DN7�7J�.....
----....._ -
lp"I
V ...-c�.... e � `` ..........!-fef ................�Z'. ./•........ ,..f.z,.'C ....................,�" fr r?GC........ •-----......••--------------
rWilil (. ��p l�/it/G............................................��+k"✓/i /yf� 7� C1,.7,!�/C..�.._..
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 TITI14 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Complian e has been,issued by the board of health.
Signed------.....�-........................................................................ ..........................
Date
Application Approved ....'•• ----•--•-•••• --••••-••------- •--•--
Date
Application Disapprov fo t e following reasons:................................................................................................................
.................................._7.... .)................................•--•--.. ..............
Date'.n T
PermitNo................................................... .. Issued........------•-- ----•-•----...-•---•---•-----------
Date
THE COMMON.,W kLTH OF MASSACHUSETTS
BOARD OF HEALTH
i /...........O F....... ✓a? .��'�.....k......................
T.nfif iraile of"TuntpliFatta
THIS �. CE Y, That the Individual Sewa e Disposal System constructed ( 'or Repaired ( )
by................... G" ------------ . -•-------- -------------------------------------------------------
--------
-----------------------
-------------
at..•--•-••--• ---------• --�••�--�--•-•- ----•----•-•-•---��---•----•-----•--••-----•-•--•------••-----•--•-----------•••-•----•-••------------------•-----
has been installed in accordance with the provisions of TITI j of h State Sanitary Code as described in the
application for Disposal Works Construction Permit No. . ........ .. ........... dated_.-...-----------------------_..................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................ �,/. t� -e Inspector ....
.......................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
??�..................OF.............. ....:5:�...., ......... ..............
)VAIFEE... !.............
I Disposal nrki Tuom r ion rrntit
i' Permission s hereby granted----------------------•--C
to Construct (v- or�Repair an Individual Sewage Di sal�System
atNo.................................... .,�..... , 3.....----- .... . ......................
/f Street
as shown on t r;application for Disposal Works Construction Permit No.A,,: ,�ated..........................................
......................... --------•••-................................................ ---------...._
Board of Health
DATE................................................................................
FORM 1255 A. M. SULKIN, INC., BOSTON
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/ ( `` SCALE DATE
Pir �� �t�sr�zvf I3 PLAN REFERENCE BE7NG loT 3
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OArcM°�T I CERTIFY THAT THE
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
AS SHOWN HEREON AND THAT IT CONFORMS Ti0 THE
SETBACK REQUIREMENTS OF THE TOWN OF
. . . . . . . . . . . . WHEN CONSTRUCTED.
DATE . . . . . . .
REGISTERED LAND SURVEYOR
o,x:-
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TOP OF FOUNSATION.
e„ CONCRETE COVER
CONCRETE COVERS
„� •e a 4"CAST IRON 1I2Xm -r�m�rr��
OR SCHEDULE 40 12"MAX.
P.V.C. PIPE 4 SCHEDULE 40 PV.C.(ONLY)
` PITCH 1/4"PER.FT. PIPE- MIN. LEACH
PITCH 1/4"PER.FT. PIT PRECAST
0 o INV RT ,Q a LEACHING
e EL. 3. 4.. INVERT INVERT e . �; PIT OR
SEPTIC TANK DIST.a INVERT EL..?.3-.00• , BOX EQUIV.
. GAL. INVERT
INVERT
e; EL.�3..•ZS.. 72 83 w w 0: :i. 3/4"TO I I&
EL... u 0 0•
� WASHED
w STONE
•� 7,7f
' -
PROFI LE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
NO SCALE
SOIL LOG WITNESSED BY :
DATE ocr LB/ I TIME.,��: '09!? ?`� BOARD OF HEALTH
TEST HOLE i TEST HOLE 2 C..P -5/ n�T �rv�: ENGINEER
ELEV. . 7-�r ELEV. .77 4?. .
1n/ovDlo.G+`1 WoopCoAr/
4a' See-so, 48-- S�g So,� DESIGN DATA :
vewSe f4*aD -veNse PAA�ep NUMBER OF BEDROOMS
F,mes V f�?Acty GiniE Sm✓o
9.90 P� W,1 CL'`r'l TOTAL ESTIMATED FLOW . . `�. . . GALLONS/DAY
CAy
` . e.7?1 BOTTOM LEACHING AREA is3. . . . SO.FT. /P IT/
1�7C.P,D,
pow Sir /08"
Five SAr/� �L,e,9,4o Z/9.
SIDE LEACHING AREA . . . GI. . . . SQ.FT./ PITIzV9cPo
GARBAGE DISPOSAL . . .(50 % AREA INCREASE)
TOTAL LEACHING AREA 717 6 . SQ.FT
C
is&� / 9 �S�„ ` �• �4Lo PERCOLATION RATE MIN/INCH
LEACHING AREA PER PERCOLATION RATE .. . . :.. SQ.FT/c,P.D•
n/o ,•WATER ENCOUNTERED Z PITS l•Vi�
NUMBER OF LEACHING PITS . . . .
APPROVED . . . . . . . . . . . BOARD OF HEALTH .Tj� G /a c L• • • • •
DATE . . . . . . . .
AGENT OR INSPECTOR
E�OF SH Of �
Lo 7'U Za 3 coa LKEUEY R.
. pp. . . . . . v y �go.26100
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PETITIONER ; 01/t016-
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47't LOCATION . ��!!N!`9r9. u/�� fl ss.
IF�Tenv6� SCALE . .e.��_ �. . DATE
I, Pir, R�se,zvE�� I � lo' 4I3 PLAN REFERENCE
01,
shvwry oAl PLA� goo*-- 23S"
7 I CAS ��6��. . /`�,�. . . . . . . . . . . . . . . . . . . . .
. . : . . . . . . . . . . . . . . . . . . . . . . : . . . . . .
. . . . . . . .
7-
1 1 CERTIFY THAT THE . .. .....
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.
p DATE . . . . . . .
REGISTERED LAND SURVEYOR
oiC
. Aa L. . . ..... . . . . . ...
TOP OF FOUNOATION,,
a„ CONCRETE COVER
♦;° CONCRETE COVERS
4"CAST IRON 1I2"MAX.X T
OR SCHEDULE 40 12"MAX.
P.V.C. PIPE 4°SCHEDULE 40 PV.C.(ONLY)
PITCH PIPE R.FT PIPE- MIN. LEACH
PITCH I/4'PER.FT. PIT PRECAST
o ° INVERT �� Q LEACHING
o ;•..
/ EL. 73:��?.. INVERT INVERT o w� q:; PIT OR
SEPTIC TANK DIST.
n INVERT EL..7.3'.40. . BOX EL.7.z.[G ; �_ EQUIV.
/Oo , .. GAL. INVERT �' c~i a ::i: 3/4"TO I l/2
e; EL.73.z .. 7Z 83 INVERT , w w
EL......... ww 0
� EL7.�:.7.4. w \ WASHED
w STONE
` ♦ 6'DIA. -+� n/oNc
o. O ♦ � 14-1 DI A. EfiNC�U.C,TC'X6'(i
PROR LE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
NO SCALE ,
Imo-�0 9
SOIL LOG WITNESSED BY :
DATE cGT .��` � TIME:,e�:00!9" f ^! .���$, 'e S- . BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 C,,P S/�o�T Live; ENGINEER
ELEV. . 7-'r9p . , ELEV. .77•4q. .
�n/ocD(o/a?1 N/oop(pq y
see- so 48 s So,c DESIGN DATA '
se sago &Z.73'Go
7L rda s'4" asr PA"c�D NUMBER OF BEDROOMS
Fi..iE" sshvo . . ... . .
C 49.90 W1 CGS TOTAL ESTIMATED FLOW ¢ GALLONS/DAY
9G 'pf3N w SL i `,nibs BOTTOM LEACHING AREA �S3.9. . SO.FT. /PIT/ !`7 C,PP,
t /08
Five S/Ir/� t2Z,CB,Lo Z 9.
ice" SIDE LEACHING AREA . . . ,/. . . . SQ.FT./ PIT/Z;¢;gCP.D
GARBAGE DISPOSAL . .yES . . (50 % AREA INCREASE)
TOTAL LEACHING AREA 747 .6 . SQ.FT
/ y PERCOLATION RATE . MIN/INCH
/fir
LEACHING AREA PER.PERCOLATION RATE
n/o .74j8 SQ.FT/c•p•D,
WATER ENCOUNTERED NUMBER OF LEACHING PITS . . .2 PiTS l.V"W
APPROVED . . . . . . . . . . . BOARD OF HEALTH
DATE . . . . . . . .
AGENT OR INSPECTOR
H OF�� � � LTH OF
EDYI�ftD
ca 1� '�CELLEY
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so SUR V I -PNITAR�P�, �
PETITIONER : C1714,c!G _-5-- G�
. ^ t•a,. :` � -a - �"Y,,, 3.. .�:.."s.,.s, .,iy' syy�y,,,u,, to i�ti ,.,. of :rt:.,�trc,'w# 'd'.x ,;,;°"a
. _ .. :.. :• .. ,�.. ! . �4 ....�Y�. .. .... ... •� ,.. .. .� :'c^,p•. .:Y. q �Siw^aM^+�` q.;":51Y'$Y ..arr. � y,.Mk". 7�iL'.
20 FT. MIN.
TOP OF FOUND.
F11hf EL. _ 10 FT. MIN.
/ ;� _ CONCRETE 4" SCH. 40 PVC CLEAN SAND
,. 4-, f { GONERS PIPE- MIN. PITCH
1!8 PER FT. CONCRETE
"
COVER
2" LAYER OF
4 CAST IRON 12" MAX
1 1/2" WASHED
PIPE- MIN. PITCH STONE
1/4 PER FT.
l o FLOW LINE—,* Z �f
EL.= �. ? 10
MIN. / EL.= —
_
DIST. EL.= -
LOCATION MAP BOX
3/4% 1 1/2" D v o° w a a o
WASHED STONE LL• o
w G vG
_ {.Coo GAL. PRECAST LEACHING °°v° EL.= 88 �
BASIN OR EQUIV.
SEPTIC 6.0'
TANK
f 130'TTOM OF TEST HOLE OR USGS PROBABLE WATER TABLE E L.
PROFILE OF _
% GROUND WATER TABLE( / / ) E,
-!f SEWAGE DISPOSAL SYSTEM
x
NOT TO SCALE
DESIGN CALCULATIONS SOIL TEST
,r r NUMBER O BEDROOMS .. . . .. . . . . . . DATE OF SOIL TEST
0
GARBAGE )ISPQSAL UNIT. . . . . . WITNESSED BY F
}® TOTAL EST �MATF. D/ ' LOW- _ PERCOLATION RAT EM IN./INC H
�A�. /BR./DAY x BR ). . . . . . . GAL DAY
REQUIRED SEPTIC TANK CAPACITY____ -' GAL. OBSERVATION HOLE I OBSERVATION HOLE 2
ACTUAL SIZE OF SEPTIC TANK .... .... . . . . . . . GAL. ELEVATION = r-ELEVATION =
f
LEACHING AREA REQUIREMENTS
SIDEWALL AREA GAL./S.F.
BOTTOM AREA GAL./S.F.
1 4- LEACHING CAPACITY {BOTTOM + SIDEWALL) . GAL.
14)F6,.,4'`AN4,' rf� _i,•'f',.J`�I ..
r J ' I
RESERVE LEACHING CAPACITY .................. .. GAL
lilt�I 7
NOTES
I. ALL WORKMANSHIP AND MATERIALS SHALL CONFORM
( TO D.E.Q.E. TITLE 5 AND THE TOWN OF
}� 91k9 `- RULES AND REGULATIONS FOR SUBSURFACE DISPOSAL
OF SANITARY SEWAGE
2. ALL COVERS TO SANITARY UNITS SHALL BE BROUGHT TO
`^� WITHIN 12" OF FINISHED GRADE.
- 3. EXISTING AND FINAL GRADES SHALL REMAIN ESSENTIALLY
- --,,M MIN. FRONT SETBACK
� ,�� THE SAME. MIN. REAR SETBACK
4. NO DETERMINATION HAS BEEN MADE BY THIS OFFICE AS TO
MIN. SIDE SETBACK
COMPLIANCE WITH TOWN ZONING REGULATIONS. OWNER/APPLICANT
APPROVED : BOARD OF HEALTH
IS TO OBTAIN SUCH DETERMINATION FROM APPROPRIATE AUTHORITY.
-,o �'.� �_ DATE AGENT
PROJECT LOCATION:
j ��� .Air L„ 111I?Il/c
�� �
�f r 0N�44 Ro1 i Dr� APPLICANT
i • � a '
I SST RE- U' RrC
t
S S MFS cA
-p Na.F6yRN
LEEND - -'' �C/SrER''O SCALE DR. BY: DATE;
`' r •° '�" «' EXISTING SPOT ELEVATIONS ,' 00 s JOB NO, APPD. BY REV.
���;•�'` "` EXISTING CONTOUR -:�0- - •-�-''
FINAL SPOT ELEVATIONS-'
b FINAL CONTOUR 00, R. J. O HE4RN, INC. DRAWING
`: : �za SOI L TEST LOCATION � RES. L.AND SURVEYORS- REG. SAN/TAR/AIVS NO.
SITE PLAN -y«y;. . ••...,.,..�°`. * r -
�.t ` y` 35 ROl/TE /3 4 UN/T 2
SOUTH DENNIS , MASS. OME
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