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HomeMy WebLinkAbout0024 BABBLING BROOK ROAD - Health 4 BABBLING BROOK ROAD CENTERVILLE 188-144 UPC 12543 No...�, o�PoS7•CONSV��� HASTINGS, MN ��� �� � a 1 adr ��- ��3� � Nei iN Z� II !i i !i i I. �I III , Y�... Fss....l...d...... THE COMMONWEALTH OF MASSACHUSETTS -1OARD OF EALTH .. ./�..t.............0F........... ... .'*........................................................ Appliration for Biipoiittl Vjarkg Tontrnrtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sys Pm at, i�lw r i .................................... Locatio •Addr/gss 7 a or t No. Address Owner .e_...------•-----•............ ...................................... ---------. ............ Installer Address `` d Type of Building Size Lot... .....Sq. feet U Dwelling—No. of Bedrooms... ...........................Expansion Attic ( ) Garbage Grinder ( ) H '4 04 Other—Type of Building r� � No. of persons............................ Showers r✓° — Cafeteria Other fixtures -----------------------•-------• - W Design Flow............................................gallons per person per day. Total d 'ly flow.......�2--0..................gallons. WSeptic Tank—Liquid capacitytV gallons Length.._�P....... Width.... ....... Diameter________________ Depth................ Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....._..__r. �e-sq. ft. xSeepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching areaZ-_L-11._....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) 0-4 Percolation Test Results Performed bY.......................................................................... Date........................................ Test Pit No. minutes per inch Depth of Test Pit.................... Depth to ground water........................ fi Test Pit No. .minutes per inch Depth of Test Pit.................... Depth to ground water......................... I --------------------------•-----•--•-------•--•-•----------........-----.._...................--••-•....................................... •............. ..... 0 Description of Soil...... ................ xS �---•--..�7!' kP,t." ..1...............•-•--------..........--•--•..---•--•-------------................................ W ............................................................................•-------•-.....•----••-•--------------------•-------------------------••-----•------•-----------------------•--•---•-•-----. VNature 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 'LITTL E 5 of the State Sanitary Code— T undersigned.further agred not to place the system in operation until a Certificate of Compliance has b ssu thXaf eal h. Igne • . .••- - ................................... ............. to ApplicationApproved BY-.--- •-- -• ..................................•-•--••--••••--------.................._.... �� Date Application Disapproved r e following reasons----------------•-•.....--------•------------•---•--•-....---------------------................--.............•- -----------------•-....-•-•------...-•-•-•-••----•---•.....---•----.........--•-••-•-•-------.................---•------------------------•------------------------------•--------•---•--•----•--- Date PermitNo......................................................... Issued....................................................... ` Date A t FEB...elo................. THE COMMONWEALTH OF MASSACHUSETTS OAR® OF EEALTH ...................OF .................................................... Appliration for Bhivasal Workii Tonstrurtion Vamit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at- X.C.>7../Z....... ......... .................................... '*----L cati Vi-AddrZs ? 0-0 No. Aw..ZOZ............................ X/ ............................................... Owner oe- Address . ........ ............................ ......... ....................................................................................... -Zx Installer Address Type of Building Size Lot...A ....Sq. feet U Dwelling—No. of Bedrooms_._... Expansion Attic Garbage Grinder Other—Type of Building No. of persons............................ Showers Cafeteria P4 --------------------- Other fixtures ---- ------------------------------------------------------------------------------- . .. . .................................. --------------- Design Flow.............................................gallons per person per day. Total d •*jly* flow.._.... .................gallons. —Liquid capacity- . .06gallons Length....__.... .1 1:4 Septic Tank A Width... ........ Diameter------------_-- Depth....._........_. Disposal Trench No. ................... Width.................... Total Length..........._........ Total leaching area.- - > q. ft. -jr leaching area. . . ........sq. f t. Seepage Pit No-_-------_------- Diameter................... Depth below inlet.................... Total I . Z Other Distribution box Dosing tank Percolation Test Results Performed by.......................................................................... Date........................................ 04 Test Pit No. 4-I ..minutes per inch Depth of Test Pit.................... Depth to ground water.___..............._.-_. 4q Test Pit No. . .........minutes per inch Depth of Test Pit.................... Depth to ground water._._._..............___. 9- 01 P4 Ae 0 Description of Soil. .. .......................... . . ................ ................................................................................................ .................................. W......... ........................................................................................................ U --------------------- .................................................................................................................................................................................. 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 TITLE LE 5 of the State Sanitary Code— The undersigned further agree" not to place the system in operation until a Certificate of Compliance has b *ssu the b d heal, . ................................. igne ....... .>01 .. ...... . .............. Application Approved By ........ . .. . ......... .... ............... ...................... ... .. ...................... 7 Date Application Disapproved r t e following reasons:............................................................................................................... ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF....................... ................................................................ (9rdifiratr of To Mphattrr TXHIV T CERT idual ewage Disposal System constructed or Repaired Je wo ov- by. ... ...... Ins at.... .......... ......................... has been installed in accordance ith the provisions of TIjCo ea '-_crj ed in the, application for Disposal Works Construction Permit No-------i _.,,*The State Sanitary .... .................. dated. ..... ... ...................... C THE NICE 9F-THIS CERTIFICATE SHALL NOT BE COVSTR ED ASA GUARANTEE THAT THE SY TEM WIS�SrF"U S N ION SATISFACTORY. KZ Inspector. ........---- DATF-..z?/...... ........................................................... Inspector. ............ .................................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF...................................................................................... No4d... ...... FEE....................... • Permission is reby granted........ . .. ....... .............71;�e)........ .. ........................... to Construct 05 or Repair j an In�divid, age.wisp S at NO. .. ... .. ............................. ............. ... ..... ... ........................................ ............ ---------------- .......... Street as shown on the application for Disposal Works Construction Permit No.............. Dated.._.__.____._............................. DATE............................81,7Z1110 Board of Health . ..... .. ............................................................ ........................................ FORM 1255 A. M. SULKIN, INC., BOSTON • _ i o s Dom. �. r-� � 5, g. t ell' o'�a. ems`"` • j�_✓„ �,�M• /1. 1�j. lone„' L - � � i4;� � o -Div.� tis� � 1/C,• OF ; 6, �I � a �'f Ma s�y / \ �( ivy ROBERT s . (L A. L i ,8 URufE _ of`� MORSE ci � O ELDRED p No.10951 q A 1 ,o a, F w 'PpFF6I 5 T E� ��� � � �•9 T E FSS/ONAI SUit`1 LEGEND ,, EXISTING SPOT ELEVATION 6„0 CERTIFIED PLOT PLAN EXISTING CONTOUR —�-- 0 OF 4_c�T l (3Prf3 i►�1C, P� D , FINISHED SPOT ELEVATION [� FINISHED CONTOUR — 0---._ ; N C�--►T (%urLl : IN APPROVED = BOARD OF HEALTH 44A " 1. .., GATE AGENT su> SCALE= I'- 4o DATE=D-7- I8 83 L REDGE ENGINEERING CQ /N CLIENT! I CERTIFY THAT THE PROPOSED l MISTER REGISTERE E D JOB NO. 83..,.,,,:? BUILDING SHOWN ON THIS PLAN CLVIL LAND CONFORMS TO THE ZONING LAWS EN 1 ER RVE DR.BY E'' OF BARNSTA:8 E, ASS. 712 MAIN STREET CH. BY, HYANNIS, MASS. $HEFT..! OF:,2 DATE G. LAND SURVEYOR r � t t h? W J0 ( O l Q1 "h ID l » 4 � R1i Q J rv' J f, kki oc. �,. , 14 OR t 4 11. 4� W Q y ty r 0 0 � W • 14 ki U V '� a • ° � h O � W p Vt OU . . . % . • . �,Z. . . . p joo { waaocti ,� ` W . timHW a. Nuu os ' q uov tid . .. . . . IN it �k ., � -'� � N ,`t Q 0 7"'�r � •'' �,� 114 y to 10 y C11` 4 ik �sf.TrsCal ` 03 ►: w (�l N I,, O W ' W ll •• EITS •1 Y 1 � 14 14 X -------------- IS:,ccoe� s. F. .: (3 F �o 0 ( p IX 0 1 of , �� iA8•S p o l/o,� Pt,A OF M t \ �11 i F.hl o� T. yG h I / .� iQ� R09ERT , ( A.' L ' HRUfE MORSE N y� O � i / \/ v ELDRED No.1095110 rn FSS/ONAUEN . LEGEND �� EXISTING SPOT ELEVATION 6,i0 CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 --- tNOF FINISHED SPOT ELEVATION ��`'�' T ' . � �� ED >: , FINI SHED ' CONTOUR � 0 —: Nh,.1V(hIl1`_:. APPROVED , BOARD OF HEALTH 3 a IN DATE AGENT H suRv 2� 0 � 203 SCALE, I 46 DATE# -1 (6 , 3 L REDGE ENGINEERING CLIENT_ I CERTIFY THAT THE PROPOSED E4ISTERE REGISTERED J48 Np, . 83 � BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS T0` THE ZONING LAWS EN 1 ER RYE DR.BY� J' E' OF. BARNSTAS E, AS$. 712 MAIN STREET CH, BYi A :A,M, _ HYANN I S, MASS. ' ' LAND `SURVEYOR 3 ; 3HEET. I OF.,2 DATE G. _.:r,�•��..r.�---^" --r— Z- .,y ...,,-`,1 ,;� .� rye .,?�?,. e,.x� r . �j � ;� ,� a F _ ... "_3 :-<f. h EITXGR. T.Ne SE or7C TAN-AC` 0Q'. t z y' • I`�//V. �EACX/NG PIT ARE .MORE THAW`/./2`"BELON/ ss 1RAOEj A 240O/A METER CONCRETE COV&,r t! Sj!/tLL eF BaOuGHT .7O-4RA0.6.� EXTRA► f M COA/CI!!'Y'L• g�PY� P/pr h►EALy CAST /RON COW4FM SANALL 3-6 USEO/IV- P/TCIV /F/N DR/t/EyVR.Y EL=�tlfl:c COYE/GS . �At�DFipFT. CONCRETE i :; • i 2 JG MiN. : ' _ d .DOE CO ✓ER CL E,4',V -SA V O d,aCXF/LL z PITS -'LAYER I = �`/ROMP/PE ' fZ ,Oj' f ,' � . o • , , •'• s • C. J�lJ1V<P/TCJV -t GAL D/ST n • WASHED -5mvc • • • • • • • • • �. s • , %?PC�c PT SrEP'T/G- tAIVK • •. BOX • •_ 8 • f .• • • � • . - _ - � .•�• • • •EFFECT/VC I y • • .i 3 a�- I �2� • O • • tope PTH • f• `� 0 1VASXED STONE t - D EPA -rs x Z S" S4�GPI PRECAS S G /40 l Ojos ► • f • • • • •:• t _o P/T..OR �U/V. tl�lYL'RT ELEYwTIDNs. �' 6P�? o • s T �L o Co i INYERT.'AT dl!!CD/N6. I OBI.o T /L,n �rC� FT. O/i41►f. ,, tSFE TABIJLA77 l 9 FT .INLET - , S Of/TLT SEPT/C Ti�NK ' (0 9 3 IO /N[ET D/STRlB!/T N'_BOXSECT/O/V EiFY 0U7ZAT D/3TRIBdTION 9QX $jWr lly,(E7!'LEACK/HG•/4IT i o�•ca s1-'WAGE: V SAFOMAL SYSTEM T�eUL�i7/ON t o �.45AC �7�!'V �I K• SCALE :%sue {DESt6K CRI TERM[ . FT �i C 4 F f s�tL uivrr ��E so. - L.OG GA.PQ,cGEoiSPO SOIL TEST 7�OT.tG. �T/M,�rEO FlAry G�t:`OAY SO 1 L TEST AE! SOIL TFST 2 ^!UMBER C{F LfACXING P/TS_Z �C't Ei!"109. -ELfY. DA.T4' OX $O/L TEST v l s 8 3 S/aF tt'ACNllVCr PEAL P/T L •S S41 rT. LoAau a RESCJLTS'yv/TNESSED dY 90TTOML6+IGN/NGP.6RP/T 0•3_S4: FT O'-i8'' T�p�o�°- ACRCOLA7/0W AATAF,*/ LESS MJAVINCK TOTAL L,e'AcHlNG AREA �sQ 7H-A-l-- MI N.f INCH AEsRmVE LEAC AWS AREA G� ,Z- 54 AT-. r.y� 4• kc !f ;rtp!)\ . :O�(,.. 1 G \ N Lr 1.I Q Rc 2�ftT 3�P�Ila OF S4� e I B,. I�. ' �0 � ?/F. BAR r� LET !�. f-t��Y-11�.}1(e �QCO K �4= C� y EL MoRSEcnyQ¢j . EL DREDGE EIV&lAlAWRNyG CO INC. Q No.10951' i� Sum P�" `�`� EL 9'7l0" 712 MAI/Y ST. , HYR�IN/S, Mf�S1. �O sum �ESSIONAI ti�'G CAI'NO GRO!!Nt?' yV,4TC/! E/VCOClivTl�R.SO CL/ENT."t,UcC.�stf< PATE.* -7,Zo- 8 3 Q" GROVNO- W,4°7ER /'IT ELt"i� - JOB NO.• 83 l Ce SHEET�O/•�_