HomeMy WebLinkAbout0024 BABBLING BROOK ROAD - Health 4 BABBLING BROOK ROAD
CENTERVILLE 188-144
UPC 12543
No...�, o�PoS7•CONSV���
HASTINGS, MN
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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
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o'�a. ems`"` • j�_✓„ �,�M• /1. 1�j. lone„' L -
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OF ; 6, �I � a �'f Ma s�y
/ \ �( ivy ROBERT s .
(L A. L i ,8 URufE _
of`� MORSE ci � O ELDRED
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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.
$HEFT..! OF:,2 DATE G. LAND SURVEYOR
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No.1095110 rn
FSS/ONAUEN
. LEGEND
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EXISTING SPOT ELEVATION 6,i0 CERTIFIED PLOT PLAN
EXISTING CONTOUR --- 0 --- tNOF
FINISHED SPOT ELEVATION ��`'�' T ' . � �� ED >: ,
FINI SHED ' CONTOUR � 0 —: Nh,.1V(hIl1`_:.
APPROVED , BOARD OF HEALTH 3 a IN
DATE AGENT H suRv 2� 0 � 203
SCALE, I 46 DATE# -1 (6 , 3
L REDGE ENGINEERING
CLIENT_ I CERTIFY THAT THE PROPOSED
E4ISTERE REGISTERED J48 Np, . 83 � BUILDING SHOWN ON THIS PLAN
CIVIL LAND CONFORMS T0` THE ZONING LAWS
EN 1 ER RYE DR.BY� J' E' OF. BARNSTAS E, AS$.
712 MAIN STREET CH, BYi A :A,M, _
HYANN I S, MASS. ' ' LAND `SURVEYOR 3 ;
3HEET. I OF.,2 DATE G.
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t z y' • I`�//V. �EACX/NG PIT ARE .MORE THAW`/./2`"BELON/
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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�
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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/•�_