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Home My WebLink About0143 PINE LANE - Health p� 0 a , w F u 4210113 SCR M N t LOCATION SEWAGE PERMIT NO. L07 A9 VILLAGE Cj INSTALLER'S NAME i , ADDRESS Ile fG i e70 sll �5 e U I L D E R OR OWNER � G✓,f l �S � f DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED r II t V� O I i 7t 63 7 61 No.Q .......3'L. FEs.. ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .!e.IN A/...........OF .................. Appliratiou for Uiupnial Works Tonstrartiuu Prrutit Application is hereby made for a Permit to Construct (L-7 or Repair ( ) an Individual Sewage Disposal System at: .S7L/�6/s G�TIGr ............ o Location-Address or Lot No. WiGL .. i T B�i�a.. ..................... .......,�.... ..........................._..... .. ------------- ................... ... ......... tuner Address a •............................ ..�!�......................................... ..............................--.-. .............-------- ........ ......... M Installer Address d Type of Building Size Lot----- 771r'�...-----Sq. feet f Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures .................................. W Design Flow...........—6-3 .......................gallons per person per day. Total daily flow............ 3.v.....................gallons. WSeptic Tank—Liquid capacity.Aai a.gallons Length.e!-.'��"_... Width.'¢..'6.4. Diameter................ Depth-5-�8./,/-... x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No---------- Diameter....Z'¢/....... Depth below inlet...3:`��..... Total leaching area3o7.8....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.__S)'.s..ti..2...�� f. ..:..... Date.......--51Z!,116.. Test Pit No. 1--- ._3....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..... a ...7��r----�-P-Sor t_ i+-a �4 ...... ..- L�� A't� '` --- A � U ......... UNature of Repairs or Alterations—Answer when applicable.............................................................................................._. Agreement: The undersigned agrees to install the aforedescribed Individual S wage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitar e— The undersig d further agrees not to place the system in operation until a Certificate of Compliance has b iss the boar of li th. Sig -' ...... .... ......... to Application Approved By. ........ ._. .... .-•----•-•-------------•--•....... .-------------•------•- �� - • Date Application Disapproved or he following reasons:-................... ---•-----•--•----••••----••••-•--•••---•----•----•---•-------•-----=-----.......--....._ ................•---••------.........-•-----••- -----••--------••-------•....._..........-••-------..................--•----•--••---•••........................•... ----•---....Date_......------ PermitNo--------------------------------------------------...... Issued............_....--•-----••••-••••----•--.............. Date --- --- - - -- ------ - No....:'.... ._....... FEs.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _...T.I V N...........OF..... �Yf?-A./S]'/'13 r..........................•. Alip iration for Mipoiitt1 Workii Tontrurtion ramit.. Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ST[i/ZG/S /G� LG2NSTGG. � �� ----_.....--•-•----•--_. _....•-••................................ ____________________-•----•••-••----••------•-------_... Location-Address or Lot No. w . .5'wiFT ��.c.DE .......��_97zysr 36&r.... "7 !_s..s.......---- ._...... .... ...............----•-- •-- ,.._.._.....-----•---- --...... Owner Address W Installer Address Q Type of Building Size Lot___. ........ feet f Dwelling—No. of Bedrooms........... _____________________________Expansion Attic ( ) Garbage Grinder ( ) '44 4 Other—Type of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures --------------------------------- Q W Design Flow.............-63...................._..gallons per person per day. Total daily flow...........3.3.v_______ _......_.___gallons. 1:4 Septic Tank—Liquid capacity./as�e-gallons Length_e_'G"•_. Width_' -'6_:.-- Diameter................ Depth.5-.'d''--- W Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area....................sq. ft. xSeepage Pit No--------1.......... Diameter..../¢......... Depth below inlet...At_-E/..... Total leaching area35!7.a....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by--_ST.SQ�S�!-:_/?,---IS..44...Gr f_ S, Date_-__.....G� !__ 3_____--. __ aTest Pit No. 1-- --3....minutes per inch Depth of Test Pit____________________ Depth to ground water......................... (Z4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... P4 -•---•-••--•................•••••-•-----._..__......-•-•--...........--••-••------__.._....._---_.._..................................a...................... DDescription of Soil----b"- ..............'............................................t •es'`" ' x Z-9 �—7Z"..........................................I........................................... x 1'`/' � L� s G tJP S/GAT---------� ............, `�¢ � ��Co!4-i2.4.......S-AVvo U W !,t1ir��._.Ttl4:�5......._--F-..... ^/Cs--------•-"--"•-••---•-"•-••-•---•--------------•-•-"...-_-.-"---...-"-"-•-"--""•-"""---•-"--"-"----•--•"---•-"--....:_. UNature of Repairs or Alterations—Answer when applicable. ------------------•---------•---•--•------••----.."------"-------....--------=------._......__--•-•--•-•.._..---•••••---••--------•---•----•--•--•-•-•--•--••-•--•-•••••---•-•--•--•---.......:....._:_- Agreement: The undersigned agrees to install the aforedescribed Individual S wage Disposal System in accordance with the provisions of TITIZ4 5 of the State Sanitar Cbde—The undersig d further agrees not to place the system in operation until a Certificate of Compliance has b e issu the boar of h th. Sig . .. f� 'I._.j _ --------- A ... . �' T � ate lication Approved B �""' PP PP Y = = "'' /X ---• .................................. ljnac '•......... Application Disapproved or he following reasons:.................... --•--•--•------••--••--•--•-----••--•--••••••-•---•______________•-=•••--._..._----•---- ............................................... ••----------••--•--••••__________________________________________________ Date PermitNo......................................................... Issued...................... Date THE COMMONWEALTH OF MASSACHUSETTS �- BOARD ,pOF HEALTH .........,lQfn/ /...........OF....... . ......................... Trrtif iratr of Tontplittnrit T:E S 0 CERTIF� at the Indiy a lSewage Disposal System constructed (,�j or Repaired ( ) by- ... _______________ _ ,�'! =�• --- -------"-""----._......_.............-_--- ---- n Installer has been installed in accordance w th the provisions of T.-TIZ 5 of The State Sanitary Code„as -cribed in the application for Disposal Works Construction Permit �To ... __ 1>. ._z............ dated-.-flal... ................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRU D AS A GUARANTEE THAT THE SYSTEM WIL F)*CTION SATISFACTORY. DATE..... . `..................""•"""-"""-•--"""••------....-"""---.-- Inspector�� -•-- .--•-•-"----"-"--------........ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH T2ln .v........:...OF..... �9rz�<- 4 ......................... �0 No....6:��.jV3.. FEE.....:.................. t �rosttl I' i a�15tr ion remit Permission is he by granted. - '•.: .. -_...... - " - ------------.............................................................. 4 �. to Construct Repair ( )�'', n ix3u Sewage Disposal System at No....... _........... C- s Street _ as shown on the a lira 'on for Disposa �orks Construction Permit No.. ..........l_.:: Dated.......................................... Board of Health ' DATE--•-•• ----.-_...--%� -•---------------••-•----•-•-•------"-------••--- FORM 1255 A. M. SULKIN, INC., BOSTON SN�cT / of Z S/��Ts zn.00 I � . w 9 ' Iooyo �.579 In �� ►' a s Xe r 73.0 o 411- 0 @ A- � / i ISs3 �� /doe ��L.G9.3 �..�� 5��'.,� �'��.• AZ-71 2 w � +1{r y 1• � Qr p '^l+vY, yp��T 1� La T 114 p 3 mot,7" / NaTtt'.` �7�1/9�r�✓s B.�1s� oA✓ gsSu�yEpj 7� 7-u/1 1 790 sq ,cam „c i _ CCR7-'/ 6-Z> Lc>c,�rio•,i Ij�?2/JST.�13G�� i'lfiss. 0 a.Are Nov. 4 /98 3 1 /�L��v 2 BE7n/G Lo 7- e+�o 0 o/G 7-7- �� •+ �l� P�GC �rJ . S CG7Zr�/=y Tt/R-r T2I E` r"7e�sr��/G DWEZL/NG .S/�dAWN ON Tt�/S VLAs'✓ 45 LoC�7LvD ON T71E" C2ou.va /as SNowN HE-'e--6v 4W)!> 77-/,47- /T G�NFO2NS 7-Q /vay. IN/cam i F SWI CC - PG-�T/770.vim /2c�, �.9ria Sc.,e✓eyo A/ ffTOP OF FOUNDATION NoTt e /NGNT 7�Z Cur orF "wc Ivci/ CONCRETE COVER CONCRETE COVERS3ove 4 CAST IRON 12"MAX. r 12"MAX. PI PE (OR 4 ORANGEBURG(OR EQUIV) EQUIV.)— MIN. PIPE- MIN. / PITCH 1/4"PER. PITCH I/4'PER.FT EACH c; � PIT PRECAST o' INVERT o ¢,,' a LEACHING cc.sit 0 o,:. o'. SEPTIC TANK INVERT DIST. INVERT ° . PIT OR EL. c �3 ELP,�G �_ EQUIV. , o INVERT " ' BOX GS-oc� /oo o GAL. INVERT INVERT h1 w W 0: :;i: 3/4"TO I I& o' EL....:.... ° EL.e 6l?. a.' u0 �: �;. WASHED a STONE .;• ' /01 '° c ,48.Lo /8'— -6'DIA. PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOI L LOG WITNESSED BY : DATE ..��?��.... TIME. 3 �`' 7: T/�^!. `T�`�!3�.�./Z.S•. BOARD OF HEALTH TEST HOLE I TEST HOLE 2 .STT�o� �/<tl,L 25, ENGINEER ELEV. .,58./v . . . ELEV. .. .. . . . . . . �J� Topso.a DESIGN DATA ' cotipn�re NUMBER OF BEDROOMS w rH CZAy TOTAL ESTIMATED FLOW 33c?, GALLONS/DAY Sc BOTTOM LEACHING AREA !Sj, �. SO.FT. /PIT - rrey SIDE LEACHING AREA . . . ,9 . SQ.FT./ PIT /ces►,�s c` GARBAGE DISPOSAL . . n/P. . .(50% AREA INCREASE) �N/r}/ T.Ys14:3 of TOTAL LEACHING AREA .. SQ.FT F.tir`s i44 �2.46•/o PERCOLATION. RATE ?� ?�/9^!.?l/ E. MIN/INCH n/o WATER ENCOUNTERED LEACHING AREA PER PERCOLATION RATE !��F SQ.FT. NUMBER OF LEACHING PITS . .f. R17-. W17;V . APPROVED . . . . . . BOARD OF HEALTH e-e—. . -SiDeS DATE . . . . . . . . AGENT OR INSPECTOR OF 414j,. / �/ E• i c LET �v �j Pik LLEY/uTi L J No.g6Y90ISTS • .�,Tl//�G i5 �N� � �O f � SAKIM% PETITIONER : �'i