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Home My WebLink About0129 OLD JAIL LANE - Health x fia 1 " a 129,,Old Jail Lane • _ rville • 11 11 g 711 LOCATION SEWA PERMIT NO. VILLAGE INSTALLER'S NAME i ADDRESS E?-09 /,s,0 /,4/2 Q5 , B U I L D E R OR OWNER DATE PERMIT ISSUED T -^ C/- � � DATE C0M..?LIANCE ISSUED `�� 5 v y C cC �d No.. ... Fxs..v.. ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAD~-TK ..................OF........ ............................... Applira#iou for Disposal Works Tonstrurtion Vvrrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ....../.. ._ .. ... � : .-. � ,� � ....... ........................................... ocation-Address / t No .f 9s Ste........................ ! ---------- '/ der Address .:.............................. .............•�id... .. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...............Y----------------.-__ ---Expansion Attic ( ) Garbage Grinder (V/ `4 Other—T e of Building No. of persons............................ Showers — Cafeteria a Other fixtures Design Flow............................................gallons per person per day. Total daily flow......._. !S!,Q......................gallons. 04 W Septic Tank—Liquid capacit?IKO ..gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length..:......._......... Total leaching area....................sq. ft. Seepage Pit No........../------ Diameter...... Depth below inlet.../ ........ Total leaching area-t: ...sq. ft 57$;,' Z Other Distribution box ( ) Dosing tank ( ) '-' Percolation Test Results Performed by.... 02 44LO -. �4i' ........... Date.... aTest Pit No. L.<.Z..minutes per inch Depth of Test Pit-----<6051 Depth to ground water---__--_____________ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --•------------- ---------•------------............._...--------------------------..............---...---------•-----.........................._.........--- Descri on of Soil Q' _Y._... <' ..3.�. 'C --�F�'` ,------.j ...... ----------•------------- U -�- 1 .......✓"»�3�1/l!S✓.car, ' , ? . 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 TI'i iZ 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. e ........... ...................................................... ...--- ....... D y ApplicationA roved -------- - ------•....._..--•-•-•--•-•------••--------------------.............--------------- •--- ....... Date Application Disapproved t e following reasons----------------•--......------------------------------------•-•---------------------.....------.........-•-•---- ------------------------------------------------ - ----•------•••-----------------•--...-----------••--'--------•----.....---•--------------------------.........................._ -----•----.... Date PermitNo......................................................... Issued....................................................... Date No.�.......... Fss............................. ' THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALT•F !V- -----------------OF......4�!Lrt1S��-��`'... Apphration for Disposal Works Tonstrnrtion "rrmff Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: AV .......1 1c.-.......r1'. �?.- !`a/ ._1 �0�� . &4 X/ ...................... r - --•--•---•------ --•- --- ,Location-Address . ... ..�� o Lot rro. ��/.�1:'�' eS G /__4��r :1G1�.'`............ .�. ------•--------------•-- ��. s'1�G.f ss �ddre _..... 2 ti!, :.. = .............. Installer t Address - Type of Building ; ( Size Lot............................Sq. feet 0-4 Dwelling—No. of Bedrooms-------------y........................Expansion Attic ( ) Garbage Grinder (�) Other—T e of Building No. of persons............................ Showers a YP g --------•----•-••-•--------- P (---)--- Cafeteria ( ) dOther fixtures -----------•-----------------------------•--•-----------•••-•-•--•--•----•-•••-•---•----•-•---••............. ..--••---- W Design Flow............................................gallons per person per day. Total daily,flow._...._��.O.......................gallons. WSeptic Tank—Liquid capaci00.0...gallons Length................ Width................ Diameter-------......... Depth.......... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No......... --------- Diameter....Z.9 Depth below inlet..lU.......... Total leaching arepe .....sq. 073:1' Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed b .... �j�_ ��L/�?y._......._. Date.. Test Pit No. -_-_minutes per inch Depth of Test Pit.__��CS,.:".. Depth to ground water..... ............... 04 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ --------------------- ------------••------••--•-•----------•-------..-------•--..----=------._...----.........-----•------................--•---••--------••. D Description of Soil... -� `l-••---��-��--F-- Y,i ......--.?,"./zo..-----COY--�-'� _'........................... U .l�C1-.�!1.Y......✓`?% C2 /_ r�"r - - !/, -----•-•------------------•----•---•-----------...... 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 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. CT_ ems--~ ,. . _. __ A .. •• •---••----••--•--------••.................................•-- D Application AlA proved Bic.--= %' U ' ��-/.............. Date Application Disapproved tK the following reasons---------------------------------•-••---•-•--•-••---•---------•-----•-------•--•----------------:..--•--...... .......................................................-•---------------•-••----------•---•---•-----•--..- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ......................0F.......�. e.", .................................. (9rdifirate of Tort plianrr THIS IERTIFY, That the Individual Sewage Disposal System constructed V J or Repaired ( ) by '..:::..,,�............. - - -------.,,�---------.....----------------------............................................... _ ------ - ---- --- - `Tnst has been installed in accordance with ze pr isions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.._--.._`�.....!-;2 ,3_......... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM 1Al LL UNCTION SATISFACTORY. •--• .DATE.. .`......_„4. ..............................•-••---•---...---..--._.. Inspector.........f......................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH x s.. f . ii?............................ 7 �1�1�u......................OF.. .... .. .S r� No :.......... FEE:....................... Permission is hereby granted--------;�`'=C,�--- -----------------•--- ......... = -- ---------..............--...........--........ ._.. to Construct f e�iair._( r),an Indivi�,i�', e�ge -is atNo.•-•-- •. ...... � ... �.OZ: : •..... t:.=- .r......------•----------------------------------••-----.......... Street as shown Zthhe;pp/1hcat1, for Disposal Works Constructia Permit No..................... Dated..____._...._....__._._......_............ DATE . .. Board of Health FORM 1255 A. M. SUL;<IN, INC., BOSTON r SHE°�T / o` Z SNG2Ts r u ass _ oa � 'r 'R93 all .�LoT a3 �� . 3, I v Fy 7'6 V Joe4-7 ' 1j d/ LP•� iqu vMsuirHSGr 0 B4( — hHTd�/AL � 7 r LG79CN /at gv a P �l� Aa iv,o oNo 1 5 ` %t, 7D 8�.�iroNE"D D ��'� kept•vca-b �So EXi3Ti.�� ' WQ�. ,dZ. Fj&_7/Arr/oNs BASC7) t+AI � �95Suh�D DA7'✓�: ZOC,9770N BH2A/STi91jGGj� /L1�ScS . SC/1GE / y/ob f.1,I. LoT J 3 sf/a 4v.ti o N fY. B.e_ 33G ► �„ Pc. 79 j eew I CER r11-_ / a�a y 7 N Bwc.Di•vG Shbw.v ON Tf-/4S o EY E3 Co.V FO&AvrS 7D 77/,- SBT-B9G�G 2BI00 v, PE�bc./�'HtNrs cF ry-- raW— . � �G/g�P�'� QAseNSTJ98L,E. ,fNQaue,Er° .T�✓. /9 /yam s`' r,Zx 7- .SNo W De- Nes., ► /" G� 5/-AF&7- Z A L. TOP OF FOWINDATION I CONCRETE COVER CONCRETE COVERS 4"CAST IRON 12 MAX. 12"MAX. vim+ PIPE (OR 4"ORANGEBURG(OR EQUIV) EQUIV.)— MIN. PIPE- MIN. PITCH 1/4"PER. LEACH PITCH I/4"PER.FT p o PIT PRECAST INVET Q < LEACHING o EL. SEPTIC TANK INVE RT DIST. INVERT w )r: PIT EQ� ,.o INVERT BOX —L3 &/ V. /Soo GAL. INVERT EL. INVERT v a g :,i, 3/4"TO I l/2 o; ... ..... .. EL�3:3Y EL.GZ.Bo LL u- V: WASHED w STONE dC1. SL.8 0 PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE P- 137 SOIL LOG WITNESSED BY : DATE TIME. 9%3r') P.gv- C• .�`1�ee� • • • BOARD OF HEALTH TEST HOLE I TEST HOLE 2 E��ZL�y�RIC, ENGINEER ELEV. .4B•.--. . . . ELEV. �S.Bo wwa• etc . �r.c_s. L.ogw/7*77 .. GoRn �. 30 s e-so,L J o` DESIGN DATA ip NUMBER OF BEDROOMS Sa+�o rY/xTv�2 E B4 TOTAL ESTIMATED FLOW `• . . . . GALLONS/DAY y/sA,,o ��' • •�B12 BOTTOM LEACHING AREA -r-3.4�. SQ.FT. /PIT1C.P.D, hixn.eC SIDE LEACHING AREA 1 . - �•$a SQ.FT./ PIT //oo C.P.D. / GARBAGE DISPOSAL . /" . . .(50 % AREA INCREASE) TOTAL LEACHING AREA SO1,-.T¢ SQ.FT Zze �z 49 O'D Z04'. so PERCOLATION RATE MIN/INCH LEACHING AREA PER PERCOLATION RATE f Z:S¢ SQ.FT./G.P-1 .!Y�o .WATER ENCOUNTERED NUMBER OF LEACHING PITS V IC- Srn•v6— APPROVED . . . . . . . . . . . BOARD OF HEALTH S i17� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE . . . . . . . . AGENT. OR INSPECTOR �I" OF n%A • ,. ID G GLD• ��}J L Ls}s./� KEUEY 46,q,q)I2A!S Tq� F ASS: r/sT[p e r�nnan�a�� PETITIONER : De. '�►as.T; ;C�o�ETer -S•vc k/ �r' "v0 s u r;v �:;3° %Wvlivi'v`