• d:PL/3 ~ FEB. ~!.!'~!o'.'r"!.'II" \\' ~'\ \\ 41 I"

gS-S-No ................ _ ...... .

TH~C~;O~;A~HFOF ~~~~~S~TTS l~~~~ j 1 ~ ~~~

ApPlit.~:;f:r m~:~.1;:::~~n~~~n ,.rlf ~~ 'g) ~ .:-

Application is hereby made for a Permit to Construct (v) or Repair ( ) an Individual S"Go.i!ge . "" S ~ * ~ ystem. at: /J ''11 JrI. \\\\

H~Tw;.·!d..·t .. raf!!.~!Add;£·C/II..~................... ··A·;iAmtiJ5C.s·i.·i1.{~·1.S.··,tLA······~·····~:r~~~·'·~~~ ..... IJ/.d.£!.tUJ.l ..... V.e.X.lIU:........ .................................... .WO ..... .L..§.:JnI!.r..tl-r .. b.{?I1..e ..... .. P...~.€.[a..f_ . ../"Ja ~S .................... ,5fo:n.e·····~f.;~I~vdt.:d.'.... .. ........ . ........ . ......... #m.l4f·«~···;~;?!i!.a·~~··············· ·········· ..... . Type of B~ilding J .. Size Lot..~ ... t .. 1..l1.: .... Sq. feet

Dwelhng - No. of Bedrooms ....................................... ..... ExpanslOn Atl1c ( ) Garbage Gnnder (--T~ Other - Type of Building ............................ No. of persons ............................ Showers ( ) - Cafeteria ( )

Other fixtures ........................ ......................................................... .................................................................... . Design FIoW ............. 5..5: ........... ;Ii3 .. gallOnS ~r,PFrson per day. Total daily fiow ............... ,:t~Q. ................... gallons. Septic Tank - Liquid · capacity ...... gallons f ·'i~gth ................ Width ................ Diamcter.. .............. Depth ... ............ . Disposal Trench - :iro ..................... Width.~ ..... · ...... r . Total Length .................... Total leaching area. ... ~~r-sq. ft. JS-tl""", Seepage Pit No ......... i ....... .. Bi~"'.t.r./{J'.~.X .. Z5Depth below inleL ... $. ......... Total leaching area ..... r . . .s5q. ft.$. d liS Other Distribution box ( ) Dosing ta'll> ( ) --I' .4 ~ I Percolation Test Results Performed by ......... r..r.Ufe.f:l:.f.lL.f:l. j .. q .. ~ ................ Date .... 1li14.!(-.... ..It'.t...i .. .

Test Pit :>10. I ...... 3 ...... minutes per inch Depth of Test Pit ...... jO ........ Depth to gtound water.. .... na:1).e .. . Test Pit No. 2 .. _____ . _____ ... minutes per inch Depth of Test Pit ...... .... __ .. ...... Depth to ground water .... ................... .

Description of SoiL .. · ... ~~::::::6;;~::::;:;::::::::::::::::1(;(j)6::: :@;4!;;;;;j::::t~ii· .... IJ;iUK:.·.-.·.-.·.-.-.-.·.·.-.-.-.-.-.·.·.·.·

Nature of Repairs or Alterations - Answer when applicable .............................................................................................. .

Agteement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with

the provisions of ':'ITLE 5 of the State Sanitary Code - The under~l:~rther agrees not to place the system in

operation until a Certificate of com~~n has ~~en .. ~:s d .. b~ .. :~2cL~......... . ... ...... . .. } ... ~.(?::.£?~ Application Approved By ............... Ce. . ..... . .................................... . ......... .3:::.lt:f.::?4-:.. D,,,, Application Disapproved for the following reasons.- .......................................................................................................... __ _

°S-s Permit No .............. lr~ ................................... . .1~/,_~at, Issucd. ...................................................... .

D""

THE COMMONWEALTH OF MASSACHUSETTS

BOARD OF HEALTH

..... OF ..... .

C!rrrtifiraw of C!romplianrr THIS IS TO CERTIFY, That the Individual Sewoge Disposal System constructed ( ) or Repaired ( )

by ..................................................................................................... ....................................................................................... _ .... _ Installer

at .................................................................................................................................................................................................... . has been installed in accordance with the provisions of TIT I.E 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....................... .................. dated .......... ..... ................................ .

THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.

DA TE................................................................................ Inspector ................................................................................... .

~ ,

t)-~ No ..................... .

. _-_. -----.. -

THE COMMONWEALTH OF MASSACHUSETTS

~ BOARD 9f . ~EALTH

........ L()wt) .... ..... OF···········I17l1/id?b.rr. ······· ···· .. ······

FORM 1255 HOBBS a WARREN . INC .. PUBLISHERS

~ FEE •.• 9...D. ........ .

•

, ,

,r" .•... 40~ • ••••••••••••• • _ • L - .,.ut ••..•. ~~ .. ---)~.i\ .... Gr .. · .'~~~~ THE COMMONWEALTH Of" MASSACHUSETTS ,"'\ '(0\.\ . .' !t'4J':' ....

," :-;\ " u ..... '

BOARD OF HEALTH /#' . } cl r '<~>-

i\PPli;~!~~f:~D:;~~:;:~:~~;;~~~~~;;l1'"J~~f;r:s ";, ~ ~.~ :".0; J ~ Application is hereby made for a Permit to Con,truct (vi or Repair ( ) an Individual S{w)lge .9~/ ."",

System at: IJ J ""/' ~ ~ *,\\,\" . \ //. T J '~.flflJ"'\ ............. W/..!ti. .. i!:.1t..f.Jj.e.J.: .... 1>..C.LII..e.................... . ...... Am.h.I.!.c.s.:f.. . .1i..'i2.C!.ffs. .. ,/L ..... t . .!l. ....... ~.~ ....... Loo: · 11' A(!j ress ';J or ~.()l Xo. h t

..... J1d.r.lJ:1..t-.f.L .... e.x.LeC ......... ............. .................... .Jck.£. t .. L.Q.:mer..(J.LL./".{!.I.1..~ ...... 1.1l?! .. 2.f:.r.s. ......... ;1Il tt C; S nL Owr." .J. A A' . ~ I' .'dd,»,A'

..................... ..::I!dYJ.:e ..... /;;l!;..c. CL.UtIU:d .. '1....................... .. ........ /.~'m.t.d."i'..(,r.{(. ....... {I/.k<. ~:.:L ........................... .. . .. Insta ller ( I - :"cidre;s ~ JI a

Type of B~lldlng • :5 .. SIze LOL.? ... 1' ... L.II.: .... sq. feet Dwellmg - No. of Bedrooms ................................... .. .... ... ExpanslOn Attic ( ) Garbage Gnnder (-T~ Other - Type of Building ............................ No. of persoris ............................ Showers ( ) - Cafeteria ( )

Other fl."tures ............................................................................................................................................ :.~ .... .. Design Flow ............. s.5: ....................... gallons per person per day. Total daily flow ............... ,3. ,~.Q ................... gallons. Septic Tank - Liquid capacity~.O'.gallons Length ................ Width ................ DiameteL .............. Dep:h .............. .. Disposal Trench - X o ..................... Width.:: ........... T .. Total Length .................... Total leaching area. ....... ~,b::-sq. ft. j)~ (/t'>11 Seepage Pit No ........ .. .!. ........ DinJ1'0I8r. .. I.i' ... :!.6 .. Z,5'Depth below inieL ... 5: ......... Totalleachillg area ... ~rl.#iZS;q. ft.$. d i' ~ Other Distribution box ( ) . Dosing taq]s () I '--1' .1 0 .</ f -Percolation Test Results Penormed by ........ [fWe'.U:LIS. .. [L J.y.$. ................ Date ... .I~/dy .... Jt'j{+. .. . .

Test Pit Xo. I ...... .J. ...... minute5 per inch Depth of Test PiL. ... jO ........ Depth to ground water ...... n£t1;te .. . Test Pit No. 2 ................ minutes per inch Depth of Test PiL ................. Depth to ground \VateL ..................... .

Description of SoiL ........................................................................................................................... _ ........................................ ..

Nature of RepJ.irs or Alterations - Al~swer when applicable. ..................................................................... __ ....................... .

Agreement: The nndersigned agrees to install the aforedescr ibed Indi\'~dl1al Sewage Disposal Systl!m in accordJ.rlce with

the provisions of ':'ITLE 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.

Sigllcd........ .............................................................................. .. ..... _ ................. _ .. .. Date

Application Approved By ................................................................................................ .. D"te

Application Disapproved lor the followi1lg reasOt"': .......................................................................... _ .................................. ..

Dat<

Permit No ............................. _ ................... __ Issued. ................................. ___ ......... _ Doole

THE COMMONWEALTH OF MASSACHUSETTS

BOARD OF HEALTH

....................................... ... OF .......... ....... .................................................................. ..

C!rl'rtificntr of mnmpHnttcl' THIS IS TO CERTIFY; That the Imi:vidual Sewage Disposal System constructed ( ) or Repaired ( )

by .. __ .......................................................... _ ................................. _ ............. _____ .................................. _ .......... _._ ........... ____ .. _ Installer

aL ................ .. ............................................ _ ...................................... ............................................................... - .......................... -has been inst:1.t1ed in (\c('ordance with the pro\,j $ion~ of r.::'Z's 5 of The State Sanit:lry Code as de::icribed in the application for Di~po$c:1.1 \Vorks Construction Permit 1\"0......................................... dated .. ........ ..................................... .

THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.

DATE .............................................................................. .. Inspector ................................................................................... .

THE COMMONWEALTH OF MASSACHUSETTS

:

\

137,7 3'

/ I

~' ------------

'Pt-OT f'L"N (, "-4() r)

-/00 - ~/~"',IJ~ <:iltJjWll'!.

~ P~a Gc.~-;.

FROM SEPTIC TANK -use leeon~ ~n p!p8s IeYet 2' ouI

,. ~

O. BOX ---.~ I t-

18'

LEACH FIELD DIAGRAM (NTS)

NO TRees WI1N 10' OF STONE

10'

f - - - - - - - - - - - - - -0

)

3S'

--~------~--==-~'r=~--~71; USEWATERnGHTRtSER _______

PlACE STEEl (7oIER UO H2O lOADING

'\)~\..,""

- ~'""'"----

3:1 SlOPE

CLEAR TOP &

1S"MIN.

ElEV. = 8E50' OVER BED

-.-IN':: n 1 .Li~f~'-·{~' po OU

10' 14' I :1 . 10' 1 4"

64" NEW DBL (2) CHAMBER GAS BAFFLE7i pS

~ ',500 GAl. II

...... CONCRETE TANK I \

• • I \ 80" I \ 40"

,'. I . \ . ... 1.-....,

1\-:+ ~E":: ~E ~ 3!fl..J..12" -f0!f + + + lIs'

j. 126'

.\

MIN 6" SUMP

INLET OUTLET 1+ + + + + + It ..

-PlACE ON STABlE BASE OF-f1'314-1112 .CftI...ISHED~ - USE CONcReTEoox Wl2"MINWAll Tl1ICKNess

T ( TEST PIT LOG TP-3 EFF. EL96.32' (1211S/99)

0-12" A +B FINE SANDY LOAM. FRIABLE.LOOSE (.OYR 313)

12·65"

85-100"

Cl B FINE SANO LOOSE outwash (2.5 y 618)

C2 FINE SANDY LOAM (DENSE. FINE.MED SANDY TILL 15% STONES . (2.5y 618)

$f@(o!j:=jtw --ffi' SfeAWN'PRrnODEDl EFF. @ 65' OXIDES· (10 yr 518) N/A STANDING H2O N1A WEEPING FROM FACE N1A BEDROCK

CROSS SECTION OF SEPtiC SYSTEM "BENCHMARK' SlAB 'AS NOTED

S'l'STEM PIPES NO MORE THAN 3 FEET BELON FINISH GRADE (Note: use 6" OF 3/4-1 112"10 stone undet d. box AND S. TANK for stable base)

2% min slope over system

97.75 .. 6" SOR 3S

IS BREAKOUTeLEv . . ... ,. ~ 1;i;liil;;i;;i~i;;;;~~=:'4"~ID~~~:~ ---- BOX

ELEV. BOT BED 95.90'

USE ONLY APPROViiD,STONE 'Do v C1 "C-

6"OF 314'1 112" WASHED 5::T()NF

97.25@ In •.

SEPARATION TO GROUNDWATER

( TP-3 elf. ELEV. = 96.32') START INV. @ 96.60'

GROUNDWATER ELEVATION INTERPRETED =90.90'

IOTE: USE TInE V -:=F='L=L =ON=-L Y UNDER AND AROUND FIELD AS NEEDED TO

"EET DESIGN ELEVATIONS AS NOTED ON PlAN AND AS PER 310 15.255 (~Iear all top and sub prior to fill placement)

97.&1 @ INV.

pipe in and out center Hne of tank

PLACE INANOOUTlEES ASNOiEO Tl'nEV. GASBAFFLEONOVTtET. INlET lENGTH:10· OVTLET LENGTH:1.-

PUMP CRUSH AND FIll OLD SEPTIC TANK& leach tank

. ; , S1TE LOCUS

SCALE: 1"=2,083 'FT. USGS 7.5 MIN. QUAD.

DESIGNI NOTES:

1. 3BRX 110 <GAUDAY =330 X 1.25 =412.50 GalJday -Use ONE L,eachfield 18' wide x 3S' LONG W/6" stone below Invert.

Bot. Area: 18' wide x 35' long =630sl. Side Area: N.A. Tot. Are,a: 630 sf x 0.74 gai.sf. = 466 gai./day.

3. GARBAGE IDISPOSAL NOT ALLOWED 4 .. ALL D. BOX: OUTLET PIPES lEVEL FOR 'Z , S. NO PRIVATIE WELLS WITHIN 100 FEET 6. NO WETLANDS WITHIN 150 FEET OF SAS 7. PRE & POST CONTOURS NOTED AS NECESSARY. 8. RESE~VE A.REA NOT REQUIRED. 9. SLOPE CALICS (SEE CONTOURS). SUBGRADE INSP. REQ'D. 10. 2% MIN. SLOPE OVER SAS. CLEAR TOP AND SUB TO 24" MIN. AS NEEDED.

CLEAR TO BASE OF B (MIN. 16") UNDER BED. (ADD FILL UNDER BED TO COMPLY WlmTLE V LOCATED BENEATH .0.50 FT. OF APPROVED STONE

11. SOIL EVAUUATION BY; A WEISS, RS. 12115199. 12. DEPTH OF PERC. 40"& BY A Weiss 12115/99, 13. PERC RATlE <2 MINAN ... CLASS I SOIL RATING (SAND) 14.1NSTALUINlSPECT TEES (10' INLET. 14" OUTLET) ON 1.500 GAL. S. TANK lS.USE NEW 2! CHAMBER, 1,500 GAL S. TANK WI BAFFLESfTEES IN PLACE.

SITE

REPLACE :S. TANK W/l,SOO GAL & REPIPE AT SILL (OLD TANK TOO LOW). 16. USE APPR(OVED (314") 10 STONE UNDER BED & D. BOX FOR 6". CONTRACTOR TO CONFIRM STO)NE PROPERLY WASHED (WITH BUCKET IH20 TEST) PRIOR TO PLACEMENT. 17. NO TREES WITHIN lQ FT. OF NEW LEACH FIELD. 18 ENGINEERt TO INSPECT SUBGRADE. 19. T.B.M. 100.(00 SIl.l.

DRAWNBY .AW

N~MBER

COLD SPRING £NVIAONMENTAL, INC. 99-1095-0228

PERCOLATION TtS T LOCATIO 1\1 Fa r ; IJl'Ylh us r ~Vood.s Pf./<J.s£ JI

Lol #' 35 " ,

?c~/e: [ ~ 1(0

B'f.' FNder/cl: r;l'o~

,$1.73 -1-'

@ A::: 34911 5<,. Fl.

)

o -$:1 0 {d Perc.

1 1 ~\ u

---------------------------------~-----'

ERO_ELrr OI-=SI~FII[_S YSIIl"l NOR MA NV E X L E R) \j\j EST . PO ~.~ [f5 oy-~[ Al\fC7\PITTrrrST:=-fTliSS= 51 T F __ AI_LO T 35) WILbELQ1:/E.K __ D R,,;~AM HERst ItJOODS B Y.:.=[reder:lc.:ic_EfliDS _~J1C71':c.h- ..11 Jj 85_ .

mJ t~ ................ (; .

House r --~~ "8l ,- - ~

:

..sC9-'e: HorizOl1tal I"::: 10' 'l.e.r:.tkaL I~= 3'

,.

L _8_LCU_LA II0Jl. S-.3.Bd rms ...@..JJ..Q..=..J1.0_+G.r,.(f(':;S_'i:.JS_G_<lL_'R.s;Q'd_,-_ EercJes.t @_3 ~aLL,oe c... LI1~h I

_Si.deS 5....2Dii...'?ls_P-" ,- Sj' ft.,...B.tmE.O.B3i;o is.lsg.fL _S_ige_ 12.S'oo X S~2. = J 2.:>_ S'f·ft·----En.dAr:.eQ . ..5._ZS-.X..ils 2.~7 fl :[--"5. q:ft · _______ .... '_ oo_ 210 X 2~Q == '12.0.£ooqLs~

.B.tm. Ar-l'a..J2S1:c B,s'X 0.83=- 88,1 B Go, 1.$. r .'i 'J:jlc>~ -.- _ 96.IJ ;- 4. ~e;{I.P~_--'

~ EI'~~ , I ~ tKaD.G,jJ" •

if r - . I' - -

I> .5.ITT I I ~ I ota I /t wlo b le $..Q8. f8 GqLs~ 'f2S"~" ~ ~'2' t" e /j Ill. Q _ __ 0 L ooWq S. __.s.:tD11

I i

?'ID r

II __ Le. I' I, ~ J ANJC II IL

II I !MQ{i.1 I

'I I I

I ~I:~I I I

I I r '12.0 ~

I

!. I

IL~, . ' UI~IJ r . I

'ft;,£r-~' . _____ 1 o DO 0-r/O

" M

0'\ <xl o.! ct-

J IS' 'f ' 0 2.0 ~3D

~ ~ "'" 0-

.M.iJ:J.J. 5'Wid_~, i';"-Ih" ~edS:t.®e

Ot~o

~ ~ ~Iso ~ ".

_AJL_mater ia /s o nd CQJ1:2J.r~i/( tjO ir1 jt, _Qe __ Lru2..c.corg QJ]J;. ~ __ \II/-'tth _ r £M J) ' -'}" -L.Lll1JJ11~--D _ 1":" 1 Q..5_S. , (;.-,-I~",-,,--

StC?tJ2.._E,w in:>i: men to i . Cod e.. -r ... , I - $-_ #-4-L.~_

",11 1111 1111/

'10\\"\."\\ OF tr" "I .. .. ' < "" -4' " .'h.' . ..... • 1. f'.,',

... ' ~V·"./ l 0f' ~.' ". ' .. ...... ~ I . 't' ... ... • ~ t.::;)/ \. 'l .. .. ~ ~l . '" e ;,-:-: ~ . f~(tll K ) ~n ~ :c." C) .... : - ~ . • -4"

~ ~~ fljUQS. R.S. '" g :. ".) 688 ~

'/ -. ~ ~ . -~ '~ ~ ~ . " ,- ,;--..... ' .. """'-~"""-; ... " ""r( ~ "

'''11 / . ~( , \\\\ ' " ' II'h f ll" .

,. I DCEP SOIL LOGS

/ . . [If) y 11r '(. , I "

AmhusT tJood~ ?h<J. se !1. Dd Ie. OWNER, 4pr ,18 . iUiI i ..

Lo Cit T/OM A.m~u..f' uJodd'S lal # .75

So;! -,.. ,-------./

0-,0" topsoil It>- 40" :; .. j,~c,l

20 -37" Coa rs ~ S 'H.d

, 0' 5 - -,

l' - liJ ' - '- L-____ --l

GrounA !{~/u '

'.

M (,..e.t ..... deNd.( w/f( ~,-" ~ $¢;.4

•

_ ,-~ ____ --J

Gre"",1 v,',"I'r ~ __

_~ L-______ •

" 0'"01..1 (le·( ~t"'I,(

-r

\

"'- '---------: G r~"n,1 !Al:.1 ... .-

! .,

i 1

i

j I !

I ; . ,

) ,

L-----~--------------------------

•