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HomeMy WebLinkAbout0364 JONES ROAD - health 3 - d L/7 -(3 oa r 4 TOWN OF BARNSTA E a. LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP LOT 9 INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY 6)0 r t LEACHING FACILITY:(type) X(.�_ (size) 000 0.61 NO. OF BEDROOMS__ PRIVATE WELL OR UB ® BUILDER OR OWNER r�-- A AcI te�_ DATE PERMIT ISSUED: ___1,/a A? DATE .COMPLIANCE ISSUED: Z" VARIANCE GRANTED: Yes No �-' �©AlT- 'RRCEI E.�rT..^. �f� B 8�� No � �? FEB ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........... c�i.vti/. ..........OF......Br-!2,VS 4 Appliratinn for Dhip aal Vurkg Tonutrnrtinn ami# Appli ation is hereby made for a Permit to Construct (ems or Repair- ( ) an Individual Sewage Disposal System at: -----•. -------.-•-- .............................................................. --------- - -....__. Location-Address or Lot No. �f�! /�G�2.s�A." ...................... .........•••-•.......•-•-.....•-•...-•-...----•-•-•--••-••-•----••--•----•-••-----••-•••...----•- Owner Address Installer Address Q Type of Building Size Lot_.Z1.473 Sq. feet -------------- Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( } aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ............................... . . W Design Flow______________ 53._.__.._-._.__..____gallons per person per day. Total daily flow..__........3�a..__...._............gallons. e:4 Septic Tank—Liquid-capacity._�15?q.gallons Length-_8.6...... Width..__. Diameter________________ Depth..,5 '8I Disposal Trench—No...................•• Width.................... Total Length.................... Total leaching area___-•_•_•_-•_-•---•-sq. ft. Seepage P_'t No--------- --------- Diameter-----/o Depth below inlet...... .1......... Total leaching area--- ....sq. ft. Z Other Dist=ibution box ( ) Dosing tank ( ) a Percolation Test Results Performed b -_.. ...___ !:�:�:..Assoc. .1s✓C Date_:.• -��� ZC /7�9'C y a Test Pit No. 1...G.Z minutes per inch Depth of Test Pit..... .... Depth to ground water-___--............. (T Test Pit No. 2.... __......minutes per inch Depth of Test Pit---- Depth to ground water........................ W -•••---•••-•-------------------•----•-•-••-••-••--•----•---.........•-•-................•--••-..._........................................................... O Description of Soil.....0.`_'.--.Z /- '.�o� �:✓ef S�-,v�------------------------- •--------------------------------------------------- 7Gr7�.•5�'��d 6'i2 yE2......-----1 cle=/6 j// S' NU V ...............•--.....-•-•_...••.-- W UNature of Repairs or Alterations—Answer when applicable_____________________________•_____----.--____-____--_-.__-_____-_____-___-__--_-------._.--__- •----•-••--•------------------•••--••------•----•-----•••--•-------•---•••----••-••-••---•••---•-•-••-•---•.....-•--••-------••-----••-•---••--•••-•------•-------••-•••--•--•••------•-...•--••-••-•--. Agreement: The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with the provisio is of i TT 1 ; of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee i su by the board o iealth. ed.......... ...... . ........... ...................... ....... .............7_ Application Approved B C' •........i . PP PP y....._.. ---•••• ......•-•-•-----•.....................•-•---. ............/ Date Application Disapproved for the following reasons---------------•-----------------•-----------------------------•------------------------••--••-•-•-•---•--------- -------•----•................................•-----------•--•----------------------------....--------•---•••••--•-------••----•---•---•--•----•-•••------•••••-••--•-••-••----------•-•-•-•••--•-•-•---- Date PermitNo...... ^..�. ....................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,Apure#ion for Diopooal Works Tomitrnrtion Vrrmit Application is hereby made for a Permit to Construct (.-) or Repair ( ) an Individual Sewage Disposal System at: T.,K/&5 ���------••-j-9/4?25T4,IS 6"/44 S .l''�7- _. -•-•-•--..._--... .................................. ..•- -----•---._._...--------•--•---------•._...__..._•------•---•- Location-Address or Lot No. -......... --- 7ZSp!✓--••-------•-------•-------•------•.......... ...........••----------....---------•------•-••-•----•--•------------------...---------------...._ Owner Address a .. �OGsiizf �E-7.0�•/i S Installer Address Type of Building Size Lot_Zy.G73____.._._Sq. feet Dwelling—No. of Bedrooms............................................3_____________________________Expansion Attic ( ) Garbage Grinder ( ) PL4Other—T e of Building No. of persons____________________________ Showers — Cafeteria al Other fixtures ____________________________ _ W Design Flow.............. . per person per day. Total daily flow.-.._._____���.______.._______._____gallons. 04� Disposal Trenchtic Tank—Liquid capacity/oa W�l�hn;• Lengt��....... Lengthidth-"���.��:-ToDiameter tal leaching area_Depth-'� _sq'ft. Seepage Pit No--------/---------- Diameter..../n--_-____.. Depth below inlet..... _____________ Total leaching area__Z A 7_.___sq. tt. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by---- S___- Cam/ _____As ............................. Date_AR��Z',, "yGp 4 a� Test Pit No. 1_. __Z____minutes per inch Depth of Test Pit.... Depth to ground water------------------------- f= Test Pit No. 2--- __.L__..minutes per inch Depth of Test Pit--- ____ Depth to ground water....-'............... a' •------•--------------------•--••-•...._...._.......•-•----•---•----•.........-------------..__.._.......--•-----•--•--------------••-•-•-.._..__........--- O Descr1 tion of Soil....r _70" �C ?4'=e,'-- S4-art> W 14 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 TITS 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--- ned---------------_---- .............................................................. ................................ Da Application Approved BY.....•------•------�:_~> ��..:r �-r r'--------•-•----•----•---....._.. f / __----- Date Application Disapproved for the following reasons:•------•------------------------------------•-------•--•-----------------------•------------------------------- --•--•-•-•_••-••••----•••....--••-------•-••-•--•---•-••-•••..................••-----....------•-•------_..---..._...__..._..------•-•---•••-•••--•-•----•------•--••----•-••--•-••---•••-------•--•----- Date Permit No.--•_ . .--.....'----.--L----------------------- Issued..------.......-•-- .... Date ............................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................ ).�-........OF........��ah!sT..........G. ...................... Trrfif iratr of Tomphanrr THIS IS /;:p C.ERTIFY, t th ndlvidual Sewage Disposal System constructed or Repaired ( } bY----------------------` .1.C11!]n._...-- -•------------------------------- - at-•••-•-••--•-•-•••••--•-•--•••-•--•••-•-••----••--•••-..� ------•-•••-••-•- Installer--; ------ j has been"ile I in a� lance wdzli�A&pr�isions r IE } of The ��aee��`Sa�itary Cod as Z-1 ibed in the application for Disposal Works Construction Permit No_____________ �_.___._�_z dated I 0 --------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GU RANTEE THAT YHE SYSTEM WILL FUNCTION SATISFACTORY. DATE............. ...... -G?... ..----------•-------...._. Inspector-•- -........................ ...................... THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH jF i- 2. ............... ........OF....... lsT °'-----.-_...-....---•-------•---•-- �J �T .�-........ FEE. ................. gDispoo ork �ono#rion rrmii Permission is herebyranted.....� .n ............ CG a to Construct ( ) or Repair (V) an Individual Sewage Disposal System _•- es CI(p ». .3r1 C S (ram 6 N{ S t2 as shown n the application for Disposal Works Construction Permit N I__a2___ Dated_._.t __. _ _�................... .•----._. .. ___---- • • DATE................................................................................ Board of Healt FORM 1255 HOSES & WARREN, INC., PUBLISHERS r* �.• -SjTC �L, .Sh/Cc�T / or Z •SN�L�TS LOCATION 6RQ�!sT3BG Ci;IA�?STaNS /licGs� SCALE . , l 3d DATE Dom., .9 PLAN REFERENCE �WN bit/ iLoT 6 Z97 I 8¢ Zo 9= � l� zf L gg 88�� � PiT00 ��ST- �� ^• So� � `PVC V Sox � 14, i seen c 711p�� N I,Q� �oren�D? W4�� SE72{/iG� Ve rear \ �/,2E3E�2 �cE• �� �v 9 z7' Z5� �4-1 �— Akk OF I ��• y oP o�� 6' 9S,00 AsS�rse7� ', �T �Z1.5` 14Sf F i NoEY '{ �26100 J�F �£GIST06\N r ssfaN�L LAWD HAY Pe-7e.5ot., i l° To- SHE e' Z of Z %57O o TOP OF FOUNDATION s CONCRETE COVER CONCRETE COVERS 78L 0 4"CAST IRON 12°MAX. � r 12"MAX. SCHEDULE 40 P- 4"SCHEDULE 40 PV.C.(ONLY) P.V.C. PIPE PIPE- MIN. J LEACN PITCH I/4"PER. PITCH 1/4�PER.FT PIT PRECAST INVERT a LEACHING ` ° EL... 7.•.!8. INVERT INVERT 'p . Q•, PIT OR o'. SEPTIC TANK DIST 8�.3c a w f.;� EQUIV. EL..... .. . .. EL.... >_ INVERT �000 BOX e; BC,7L... .... GAL. INVERT EL. EL... INVERT ww �' :�. 3/4 TOIV2' ELM U,-,3 WASHED STONE PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE .!3p2.4.z9.19d TIME. . ?:311.4"1 774hAS, !�CfIE?9?v BOARD OF HEALTH TEST HOLE 1 TEST HOLE 2 Z-'W-.e /--SSOC. TNG ENGINEER ELEV. . .4.Z._cn. . . ELEV. ..'rJ'•°•bo . 72 7,gF 7J7127- Su4'S SIB'S DESIGN DATA za" �y NUMBER OF BEDROOMS 3 TOTAL ESTIMATED FLOW . . 336 GALLONS/DAY SG}al D Ez_ 87.00. LD &Z,Bsoo BOTTOM LEACHING AREA 7Bt4o . SQ.FT. /PITlC.PD. 7el I S4,D HEM SAT/D pt-lac• u SIDE LEACHING AREA . . �88 So . . . SQ.FT./ GB P.IT�47/c•P.D, /O8 /08 (:;�r& ez_83,00 _-Z s/oo GARBAGE DISPOSAL NONE (50% AREA INCREASE) 1�14v. MEv, TOTAL LEACHING AREA Z G7 d c' . SQ.FT '01 It SR7./n Sin PERCOLATION RATE MIN/INCH /68 ez.19.co /68 LEACHING AREA PER PERCOLATION RATE •/% .WATER ENCOUNTERED SQ.FT./,-,OD. ✓NE'; f�T Wi NUMBER OF LEACHING PITS . . . . ?�. . APPROVED . . . . . . . . . . . . BOARD OF HEALTH 77!/U iT Ot.S7�•/� O/✓ DATE. . . . . . . . AGENT OR INSPECTOR 1)3kk 0— `� 5H OF rylgs� E o EDV,__1Fr GJ``{ cLLEY o ry No. 231CO ��� i o. /1,'Oq WDoVr /t`We S sip/'r,GIST ,osa . � L 1�.+• SANRAR\P� PETITIONER