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Home My WebLink About0060 BELDAN LANE - Health 60 Beldan Lane A= 189-031 —012 Centerville UPC 12543 No. 53LOR MAQ—.-C, Y4 ..�.�.�...,. ..ram.au... ,- _...o._�.. .r.��._ ..�.��.�....,_ ..,......� ....:.' �„—�- ...-..,....�.,y.....-.....:r......uve.--,.�...-. ...._- ...... ..._.. .....,......ate,_ -a-.... ..u.....�...._.v..vW LOCATION SEWAGE PERMIT NO. l'ez7-cc tom, " //e. �'c`t1 • 392 , VILLAGE r.l_ or_ (oq INSTALL R'S NAME i ADDRESS 3 UILDE R OR OWNER DATE PERMIT ISSUED z- DATE COMPLIANCE ISSUED J Zb� �ol. i , � �� CW No.......J). Fps..- ... ..... LTH THEBOARDAOF FHEAcHTH s a �Gl^1...........OF... i�•,I .f,�..r�r. ............................................ Appliration for Disposal Works Toustrnrtiun tirrmit PApplication is hereby made for a Permit to Construct-_�() or Repair ( ) an Individual Sewage Disposal System at: ' /� Lo tion-less of� or Lot o. ..CZCC:"Y,l./�l ..., `�:. ......................•.....: 1. .®!Y r --.... ... i//...................................... W Owner 5� m J Address ..................................... ...................•-••-......-•--...•----...........---..................--••..............-•---- � Installer Address /// //ff U Type of Building 2 Size Lot_L__4� r- _____Sq. feet Dwelling—No. of Bedrooms.......... ____________________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Pa Other fixtures ...................................................... W Design Flow........la0.0......................gallons per person 7. 0 l2er day. Total daily flow........... .....................gallons. WSeptic Tank—Liquid capacity_40®..gallons Length.... .......... Width..... ....... Diameter................ Depth................ x Disposal Trench—No. .................... Width............. Total Length.....................Total leaching area...... __.sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area... ...sq. ft. Z Other Distribution box (.k- ) Dosing tank ) Percolation Test Results Performed by...... ............^.� !! l_....___ Date.... ___._ a Test Pit No. l�rs. minutes per inch Depth of Test Pit---!-K....._.____ Depfli to ground water. ......... Test Pit No. 2------ _._minutes per inch Depth of Test Pit.................... Depth to ground water....... ........ U --/..-.•.-.--- ♦ .............• .... ...... .�...._.. - ------....... v q, i O �.................. �T --------- Descripuon of Soil... � 1' / �, /� `.CWrLf.-�P----- .................................................'- W 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 iI'i!Z- 5 of the State Sanitary Code— The undersig d further agrees not to place the system in operation until a Certificate of Compliance has bee issued by tlp boar of health. ed ----. ....--- Date Application Approved By---------------- ../- ----- ............. .....7----1 -- � ....... Date Application Disapproved for the following reasons-....................i=--`----•---------------••-----------•-----•---•----•---•-----------••--•--•-•-----•--•----- ..............................................--•---------•--•--•---------------.•......-----......-------•-••--•------•--------------------------------......---------•---------------------...------ Date Permit No......................................................... Issued-- .- ( /^ Date crd) No..--... A ..."�` FEB. ('j................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH '....... ...--....OF... d !-, 1. t:_...... Appliratiun for Dispvii al Workii Tunitratrtiun rantit Application is,hereby made for a Permit to Construct (-�-) or Repair ( ) an Individual Sewage Disposal System at: , yyy� L tion-Address or Lot No. Address Za /YwnerO �j ----------------..(.. .......................................... --------•-•--......------.....--- Installer Address QType of Building Size Lot........�V�----------Sq. feet U Dwelling—No. of Bedrooms-------.- ............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building No. of persons.........................: Showers a yP g ---------------------------- P -- ( ) — Cafeteria ( ) Otherfixtures ..---•-------------------------•-•-----------------------•-••-----------••-•------•----------------•--.........--..-•--- ----------- w Design Flow........f0_Q......................gallons per person per day. Total daily flow............ �.......................gallons. WSeptic Tank—Liquid capacity.l:�'_!�..gallons Length----7-------- Width........ -........ Diameter................ Depth............._.. x Disposal Trench—No..................... Width.................... Total Length...........--------. Total leaching area...---------- ---- - ft. Seepage Pit No........_/ ....... Diameter.................... Depth below inlet.................... Total leaching area__. ,.....sq. ft. Z Other Distribution box (k-' ) Dosing tank '-' Percolation Test Results Performed by_...._ ! _ .......�r"!' !C 's ._" ..a Date_._.. ......................... a Test Pit No. inutes per inch Depth of Test Pit.. ......:....... Deh to ground water./V ? ......__. GL, Test Pit No. 2..... `-....minutes per inch Depth of Test Pit.................... Depth to ground water....4--!' �i! j,;'f Ri �a =.-•�°.{-----------------------•-----•-•--------- t�. a ----•----------._...................... .............. Description of Soil. . 1' f" ° Jy� ��i� 9 ie!_------------f�- c� �"�+�i rE°SfJ,��=:q p�� r ��,,, ✓ ___ .__ _. ��.V-/................ w UNature of Repairs or Alterations—Answer when applicable.................................................:.............................................. r Agreement: -' The undersigned agrees to install the aforedescribed Individual Sewage Disposal System 4n"accordance with the provisions of TITIS 5 of the State Sanitary Code— The undersig ed further agrees not to place the system in operation until a Certificate of Compliance has bey issued by the boaof health. f fr Sig ed---- - d . ....... Date Application Approved BY ........ .. ---•-• ... ..... - '..... . r =1 / < Date Application Disapproved for the following reasons:................................. ....................................................--•-................ -----------------------------•--------•----------------...-•-------------------------.......-------•-•--•------------••----•----•-----•----•--•-------------------------------•-•------•-•-•----....... Date PermitNo......................................................... Issued...................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH L✓r1.'�............O F....r`................ , err ifiJcatle of ( 1int�l anr�e THIS IS.TO CFRT jFY, That e Individual Sewage Disposal System constructed( ' ) or Repaired ( ) by.......... !' '...�" ... --- --- ----- -- ---- --- - --------- ----- ------ Installer ------------------------------------------ has been installed in accordance with the provisions of T r of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.- ....'a`............... dated...... _.° P'.d................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WIL FUNCTION SATISFACTORY. � DATE.........../ ................. ,S/ ............ -_. Inspector----.---- •.....--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL�✓1-!� fit-✓ ...............OF... ,j,/ ....... No.......... FEEL.�............. Dispu,oal Workv ElIndrurtion Upanfit Permission is hereby granted. ��n� �/ /'.�......................................................................................... to Construct,,(,•"') or Repair ( ) an Individual Sewage Dis osal-System Street �) F ' as shown on the application for Disposal Works Construction Permit No.... ........ Da d.......r7- 1....09.... ............ t ......................... htl,.�� I 7—/.. rf Board of Health I/ DATE................. ............................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS U U - �`' 1 z ,:s J scn7-i C r 17'- pp 51: _ hi,4 ac OBERT t° BumlKIS �; x n J Ptv:22I61. O a. �S. r l LEGEND CERTIFIED PLOT* PLAN" " EXISTING SPOT ELEVATION 0,0 EXISTING CONTOUR - p / 07- � Z_7- FINISHED SPOT SPOT ELEVATION 0. 0' s , FINISHED CONTOUR 0 �' APP.ROVE.D ,'86ARD OF HEALTH � � -\\I= ' �- ��\\ gg . } -9A11 � M5 �•i�� J� i�1 Ja DATE AGENT S ALE = 4U DATE ��,ELDREOGE�ENG/NEERING CO /Nc. la _ . . CLIENT . �' I CERTIFY THAT THE PROPOSED' '�2EGISTERE6 : REGISTERED JGB N0790 6G � BUILDING SHOWN ON THIS .PLAN *' I V I L LAND R BY ! �'ONFORMS TO THE ZONING LAWS • r =; ,. SURVEYORI,ENGINEERS' i � D . '/ , l�, ° I GFr BARNSTA LE MAS$ CH BY: HYaNN,`;, Ma; SHEET 0F DATE R G . LAND SURVEYOfl it 7 N 0 7-,-- THE SFP 771 C /< OR 20 Fr. //V. -,4 r ARE ,/10 6;RAPF -,A d?4*VIA M ASTER CO CR,0F7.F --COP---le 'Arr. MAN. SWA L L 46,F j9M0&aq7' 710 4JTA DE. AIV EXTRA lopvc* PjPZ /A-O/Y COI/ERS C40NCJR&r4ffi t MIA1. A/7C-q �02- 4 V Y C,,�S 7 o.p E V4=WA)e colvm?5 /loy Y8 -co VER CLEAN .SANG L19411D Leyei- "LAYER IRON A-IPZ c WOFA SH'1Be O 570Y-W/A . R17Cl GAL.. D157No Pam / r. SffPC A A90Y 0 p Ir Cr-1 IIA=- • 4 P,o o PRECAST SEEPAGEDsp jo 0 0 P/7 OR �-(PLII V I Al VeA-r e,4 Aff IIA 77 40N 5 p 1,Vko',ER7- AT 04olIL-DI"Cr S7-7.-0 C(5EE W119VI-A 7-) INLET SEPT/C ON TANK OUTLET szp 7-/c TANK -574,3 FT. A IN4INLET V�571?1441710H BOX 5-y,9 FT. SHCSECT/ONOF GROUNDWA7,E�T TABLE INLET 1-EA Chl/Na 'L�V 7- F 77 SEWAGH 7A- 4641LATION LEACH11V6 PIT oim-clvslov A DE516,V CRITERIA SCALE o/AjE-N5/0 Al C'T. NUMBER FT. "1 G,ARCA6Z-P15RO-514-4- so/z- Z-oci S014 'TESTTO TA d- EST/MATED =LO kV 3 3 0 G,44.1,OA Y SO L TEST A 60/1- 7-C=S T#2 NUMBER OF :AcAC-,qifV6; P/7S--- I/ ,DATE 0.1v- SOIL TE.57- 51AOZ LEACHING j='Z=At P/7- Sq �=r. 2: RESULTS *V1rAlA--SSED 6Y./Z'-' S 6UTTOM LE%4CN/NG PER PIT 7 Sq. Fr. -46WCOLAWON RATE Afl %?-,-lV-1J?4CH I L 0,1 FW)k.CoL_A-r1o.,VRA7-,Ej4L-2 P7jN.11,VCq T07AL 4eACH11Y& AREA F7.- -5-L"0 / /3 c ,A� la- ,d) 7-N, L.0 09ER Co A F, Ti UP. UMIKIS r /� `S m so, ORZDCTIE AS-N&IMAZRING C40.,JfVC- 712 MAIN 57', 33 Hol MAIN.Sr. A 0 ONO kw HYANA11.5 MASS. SO. YARMOUTHy MA5�5. 0 UVD J--V-A 7 4-,0? A 7 Z=L- Fv JOB No. -7206