HomeMy WebLinkAbout0067 STURGIS LANE - Health �� Siur S Lh , ISc rvti
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KEEPING YOU ORGANISED
No. 120314
2-153LBE
SUSTAINABLE YW RECYCLED
INITMVE CONTENT10%
Certified Sourcing POSWNSUMER d
wewjriDroprem,ap
WOIt00
MADE IN USA
G 0PXW 1 D AT SMEAR=
LOECAT ION ". S. 1MA G EtlERMIT N0.
VILLAGE '
/tea.-H
N S T A L L E R'S Id A p1 E &A D D R E S S J. CRAIG ME®EIROS
Trucking & Bulldo, ,ing
y; . 142 CoFporatlon Street
Hvar�, Mast 775 0828
BVLDER OR OWNER
14
DATE PER I ISSUED .� '7
DATE C06MPIA.NCE ISSUED �91
a�
x
No
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF H A H
0�
2 --.
._.V .
Applirtttilan for DhiposFal Works Tnnstrnrtion ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
_ Location-Address or Lot No.
.......... .. _........ ...............................
Ow er Address
W
Installer Address ��, 9��
d . Type of Building Size Lot___---�-------------------Sq. feet
Dwellings No. of Bedrooms...........................................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
Q' Other fixtures .----•---------------------------------•--•••.
W Design Flow.............. ................gallons per person per day. Total daily flow............_y.`A....................gallons.
WSeptic Tank-L Liquid capacity. _�? o...gallons Length................ Width................ Diameter................ Depth.................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No_____________________ Diameter.-R............. Depth bel w inlet._.._.b_.._....... Total leachli area.. v3.!.sq. ft.
Z Other Distribution box ( ) Dosing tank ( ) d� !� "7- 2 7_ �e✓ C` an y►" .
'-'• Percolation Test Results Performed by._�,_.__ 11 .. : ,�._.__-_ Date..... ............:
......-
Test Pit No.,1---1_2----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----•__--__-__--._._____
O Descri do of Soil- �. .�... c .e �!?Sri..._f "1 ' f ^_ ... l.l�.J-7' j' r >'
} nw_
` r�
W .....---..�'.-••=1••F- r !L t�'3kel�v
.?`t!._l '- �s�. s
........................... � L ------ -------4--------- ------ ----------
U Nature of Repairs or Alterations.�q-Ans r when appl}}ic�aable-----=----------------------------------------------------------------------------------------
73ec cY., sus-----------------
Agreement: "
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITA U 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 bLdhe board of health.
Signed... a 'ti"f. : 'Q �.
Date
Application Approved BY L�_.... �---R ...�_2.-''L 3- .......
--•�'/
Date
Application Disapproved for the following reasons:.........................................................................
.................. ..........._..
--•------------------•------------------•----•--------------....-•--•-•--....-------•------•-------------------------------.....--._.-----------------•-••------•--•-----------------•-••--•_....._.._.
Date
♦ �J
Permit No..... .._. Issuedl.... .............. .......................
Date
}
:.............._
THE COMMONWEALTH OF MASSACHUSETTS
_r-
BOARD OF H A�:.TI�
-----. . .f.�.......... OF...... . .... .......
.....................................
���lirtt#ila�t���fla� �i��u��a1 lark, C��at��.rnr�iun .e�mi#
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at* /
... ....._................------..._.......-----•----•------•-----•------------. ................................................ ..............................................
`L`ocation-Address or Lot No.
- -- �'° -•..O.�..J ............ t.=_......_........ ...
Address .._.... .--------
� ner..
. .. .
Installer Address 740
Q� Type of Building Size Lot..'!_.;....................Sq. feet
Dwellings No. of Bedrooms..............._............................Expansion Attic ( ) Garbage Grinder ( )
C4,
Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfactures .- --- •--•--------••---•---•--•........_...--•-•--•---'-------'....................--.._._..___...... ....._.....--•--•......
Design Flow_______________.__.. ....... gallons per person per day Total daily Iq I
gall
ons.
WSeptic Tank I Liquid capacity l._i_i�'.._gallons Length................ Width---------------- Diameter________________ Depth................
Disposal Trench—No..................... Width................:_.. Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..........`__-_____. Diameter?.............. Depth bel w inlet______� _________ tal leac g area._ '� _ q. ft.
s
Z Other Distribution box ( , ) Dosing tank ( ) , � l/ rj7�+ ?�� i, �' t TA�yr e .
a Percolation Test Resul s Performed by_-►____ `d_ _.._,r _ __.. _e ,.____._. Date....Yt. .' ! _____________
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...___..._______.._.___.
y
�/ / ►
rr �+
ptn o $o Descriio !7�/r� �( �# �y� a �yh� 1 {
W w
s .__..__ _____..
�.. : ex
t At . ........ E{, .... .................... ..........................................................
�'. c
U Nature of Rep rs or Alterations•. Ans r wh app able __--_------- _ _____________ -------------------
= ....... ...
1 � �.. -_ i ----------------= ....
AAgreement
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TIT1.;�. 5 of the State Sanitary Code-The undersigned further agrees not to place the system in
operation until a Certificate of Compliance_hasen issued by:tkie board,of Health.
Date
Application Approved BY.......hr. .. r*� .•_ ..--•• r l�
Date
Application Disapproved for the following reasons__............................:
......-•-•---------•----.._. ............ ------ ------------•-••----••'•--••-•-•••..............•-•-••......-•----••----------••--------•---
�, 10 Date
No.. . ..................•• •--:---• V......-•-• Issued__--4P. •-
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD F HEALTH
.:.......................:: O F........:.:::... ....''............................................
(Intifiratr of (lomplianrr
THIS IS TO CERTIFY 'That.the Indivvidual Sewage Disposal System constructed ( ) or Repaired ( )
b rJ/' .�- Pr �� -----•-------•--........-•-•----------------------•-•-•---•-•. ----
kr
Itkat--• ................ . ._... -. _ .. e'v* nsta - �---- /!.- '- -••-•----•------------.^.^-•--^------......-•-------------
has been installed in accordance with the provisions of TAT
5 of The State Sanitary Code as described in the
application for Disposal Works Construction Permit No - V� •-•---•..... dated../.A * A r` 7
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION.."SATISFACTORY.
DATE...........:.............•-.._..........----•------••---.....-----•---•----•---- Inspector....................................................................................
THE COMMONWEALTH OF MASSACHUSETTS
a"7 BOARD OF HEALTH
74 4................................. OF-:..:. :"' �"f.:; .-- ..................................
No.---•.... d........ FEE... . .........
Disposal o bi Tonotrudion rantit
r r ....�. F.
Permission,ia-hereby granted---------------• ����'
to`Cons r ) or e it ( ) an I vldual (rage Disposal S, t ,
at No..ATI... --- ! 1t. * ........ Q�✓?�I . .....................
Street
as shown on the application for DisposatVirks Construction P t "--_- Dated...., _T;k �.-'__7 7---------
-• % %. --
....
BoardofHlt
DATE.::. ._----- ...
;
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS -
---------------
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47,E CERTIFIED PLOT PLAN
6G
LOCATION . .B.9eA/ -7 c« '`?.9ss.. ... ...,. .
tE� s3 9 „ ,.n SCALE . .! ,.. ¢. ' . DAMP-- � i977 .ED"01 RD it KEIJX,"� PLAN REFERENCE
t - tVllNlM/ �Ji,' f? 7`�. 0 i[j;Y,r
` SffoWN ON A PLc}.v ,fie WicCAi.q.v
BooK 27v PAGE �/`'
I CERTIFY THAT THE R•.
SHOWN ON THIS PLAN ON THE GROUND
AS SHOWN HEREO IT CONFORMS TO THE
SETBACK RE U OF THE TOWN OF
\mt Q . . . . . . . . . . WHEN CONSTRUCTED.
LPETITIONER:
Ror336-7 DAT 20 . 7-0---ZA
CvMAill(vcir IDS M�9.ss. REGISTERED LAND SURVEYOR
.-EL.
TOP OF FOUNDATION
t CONCRETE COVER
CONCRETE (. )VERB I
� I
4' CAST IRON N�
° PIPE (OR 12"MAX. 12"MAX. ".
EQUIV.) - .MIN. 4°ORANGEBURG(OR EQUIV.) I
° PITCH 1/4"PER.FT. PIPE- MIN. LEACH 1
PITCH 1/4"PER•FT. PIT 1 _ PRECAST
o,
INVERT - LEACHING
�.0 4o.•ov . ...
EL... INVERT INVERT � . ' a•: PIT OR
SEPTIC TANK 3908 DIST. 3B yr¢ . , w= EQUIV.
o INVERT EL... .: . . . . : BOX EL....... >
39z /Saa GAL. INVERT �o
o; EL....:....:... INVERT �, 3/4'TOII/2
EL 36'71.. �����, o•
=
° EL31/40.. iLv. 0: WASHED
o w STONE
6 D I A --+
�-- /o' DIA.----.1 A'°N6�-
PROFI LE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
NO SCALE ,
• I i
SOIL LOG WITNESSED BY
DATE 7.!9,7.7 TIME.,/o:3o,A!7 yr�yec- BOARD OF HEALTH
TEST HOLE I TEST HOLE 2
3 yy ENGINEER
ELEV. . . /`Zo. . . . . ELEV. .I�� (o. . . .
.. 77777rG Z�w 4/zD G-; .4-1C-Zc:,Y
woo p(p;o n wc�DLo.o y
DESIGN DATA
NUMBER OF BEDROOMS
TOTAL ESTIMATED FLOW . . . . GALLONS/DAY
SAv°F C49y ?E�c Sava C may.
Go" 7Z5T �o" BOTTOM LEACHING AREA 78.5, , SQ.FT. /PIT
r16D1✓y HNDI✓y SM✓D ..
sgvp 8¢'G � SIDE LEACHING AREA �8B• �o SQ,FT./ PIT
GARBAGE DISPOSAL �/oNL o ~
Ge.a�az . . (50 /o AREA INCREASE)
r NWI�.t
TOTAL LEACHING AREA S34 on SQ.FT
r-wq-54.o PERCOLATION RATEMIN/INCH
LEACHING AREA PER PERCOLATION RATE!��.°• , SQ.FT.
!�.'v. .WATER ENCOUNTERED
/ NUMBER OF LEACHING PITS . z
' APPROVED .�G ,.�. . 90ARD.OF HEALTH
DATE 2- x3-77 . • • . . . • . ... . . .
. . . . . . . . . . . .
AGENT OR INSPECTOR
� I J ' � HDF
PRELIMINARY �P�� M4 s
o?� THO
c
1 STveGis L am' Vl
Cl` KJE �+
,P�ljco; - b. TiiOMAS I. hELLFI' CO, a+o. 4 60
�r? 'ToivEL Lc}.V� ENGINEERS—SURVEYORSTEP�0�4�
!�. G 346 LONG POND DRIVE Fss/ONALEa%
PETITIONER .�v,y,��Qv�� ss SOUTH YARMOUTH,r•IASS.
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