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HomeMy WebLinkAbout0067 STURGIS LANE - Health �� Siur S Lh , ISc rvti ��8 �oyl j�Th r �vn /// SMEADI 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 - --------------- �o t �S m �c fii.. Et.4e.8. 9 � ��>3 '4jFti�,� r'�•3S 7�` t��.° RG� \. U K.4S.B Ec.37.9 ® �o`Q� L��r f � � EL 39•u / s 34e z a C Yw \ L3 , r Et 44"L�vf✓�E 1, r �OT 'b`6 Ee.4o.9 E 36' 97o Sp FT f z �R Z ELF 3 f 30 2 EC.. Nord'-EZEvw-lovs O,gs6a o v DArc,y 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. f �• q 02664 f I