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Home My WebLink About0055 CENTERBROOK LANE - Health 55 Centerbrook Lane Centerville A= 172-242 I i �I i SMEAD No.24 53LOR UPC 12SU �wd�orw Made In UU 1� Comm WfIW01�iWIRIW wi No.... FimB.............................. THE COMMONWEALTH OF MASSACHUSETTS -45-F BOARD OF HEALTH ..............OF.... Apphration for Biopaaal Workii Tonstrurtion Prrmit Application is hereby made for a Permit to Construct (t.1K Repair an Individual Sewage Disposal System 1: 4/Z-1 -- %7 41 . ......... .(F ............. .................. e�......... LL Location f3 r.& No. -1........................... ----------- ..... Owner ...........7 1 Address ----------------------------- ...................................7.. ....... ---------------------------------------------- Installer ddress Type of Building Size Lot.Z�J_�100.Sq. feet U Dwelling—No. of Bedrooms---------- -----------------------------Expansion Attic Garbage Grinder (01.0 aOther—Type of Building ............................ No. of persons............................ Showers Cafeteria Other fix.Wres ...................................................................................................................................................... Design Flow___ ________ .................gallons per person per day. Total daily flow.........�_,2 _______,_____._._-__.gallons. 9 Septic Tank—Liquid capacit LIJ-00,0.gallons Length________________ Width_-__-._____.__-- Diameter......_-_-_---__ Depth______-.___..... 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 Dos%ta, eed— Percolation Test Results Performed by. /7 ......fall........ Date... ------- ......... Depth to ground water....__---_-._--___._.... f 'B4th to ground water.- Test Pit No. 1,4o!!5....minutes per inch Depth f Test Pi . . . ......... X, 17C 44 Test Pit No. 2.�4_aA,2_minutes per inch Depth of Test Pit.. --- .... ....... ---------- *----------�---"*--*............................................................................. 0 .......... ................ Description of Soil..0 ................................. ----------- ............ ............................... � .6.........f—, 6 -e./ U - 7.........—e ` /, -,"'***....... W----- ------ P -------------------------------- .................................................................................................... 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 TL I Ti LE 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 and of he h. Signed.. .................................. Date Application Approved By---..... .. .. ......... . .... . ...... ............................ .... .... ...... Date Application Disapproved for th following reasons:................................................................................................................ .........................................................................................................I........................................... .......I................................... Date Permit No............... q.?----------------- Issued_._..----- .11------- .............. Date 6--Lft& Fu$..........................._ THE COMMONWEALTH OF MASSACHUSETTS / BOARD OF HEALTH 1. *'?........... ...OF... �r�,.��" �, _ r / ______--_-_____--_-____-------- App ira inn for Uhiposal Works Tnnitrurtinn thrmit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System 9t. �ry iea./.tl - ,,,yam �, r Location- es drs or Lot No. ' D Owner J / �Address aJ•�"�$'l.S`'• fi ! - ----•------- -----------------•----•-•---- Installer Address C d Type of Building Size Lot_ _ Cr __Sq. feet Dwelling—No. of Bedrooms...........1__..............................Expansion Attic ( ) Garbage Grinder O<b aOther—Type of Building ............._.............. No. of persons—......................... Showers ( ) — Cafeteria ( ) p-I Other fiX,ures ..-----------•---------------------------------------------------- W Design Flow................ ___ _________________gallons per person per day. Total daily flow--------- _-£o.......................gallons. WSeptic Tank—Liquid capacitg.'On __gallons Length................ Width.........._..... Diameter________________ Depth................ 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 ( ) Dosin to ( ) Percolation Test Results Performed b usy. _---- ___. Date___ Y ` =- Faj Test Pit No. 1 :___.minutes per inch Depth of Test ____._____ . pth to ground water.___ P Li. Test Pit No. �ta_c __minutes per inch Depth of Test Pit.I Y-_._______ Depth to ground water........................ a --------------- O -- -- ------------------- ------------ •-- Description of Soil ,mod _ V -------------•- ---- 4 `G'`•� t.0 t 1 - - UNature of Repairs or Alterations—Answer when applicable_________________________________________________________________________________________ Agreement: The undersigned agrees to install�he aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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-11oard of health. ` •-•...••---------•••_._d r .. -------•-•-•--'-�-----1-----•-•••-•-�-----.-.-.- .;�Signe Application Approved BY -•--- (� Iae ► Date Application Disapproved for the ollowing reasons______________________________ Date PermitNo......................................................... Issued.......................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH , ...............OF... ✓ri ..::.. ::.: ................................. CIrrtifiratle of Tuntplianrr T� - T IS TO C IDY That the Individual Sewage Disposal System constructed ( "or Repaired ( ) Ins er / at__.....f�:._...__[1-- (Pit ' ` z ................ has been installed in accordance with the provisions of TITLE, 5 of The State Sanitary Code jVas'd s ib d, in the g.�,�application for Disposal Works Construction Permit No........... __....q__ ...... da.ted..-----�.____`. ______________ THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSYRUED AS A GUAR NT E THAT THE SYSTEM WILL U``NC ION SATISFACTORY. DATE............... .1_ .... 6. __�5-------------------------------------- Inspector...._'• ....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA TH CC / J_�. __..... 1"••• + ..............0F... No !r'd7 ".: . FE •- Bilipn inn prrmit Permission is ereby granted., -- .Cf__. d. ----------------••--••---.................................................. to Cons ct or ,Repa• ( ) an I ividu 1 Sewa Disposal System at No.._ -___ ' 9 �' ! :!` 1 ----------------------- Street as shown on the application for Disposal Works Construction Permi No._g ....... Dated.........9,............................ - - - -------------•-----------•--------_•---- �� p Boaalth DATE---------- �-.- -0---•--------------------•-----•---•---------------• i FORM 1255 A. M. SULKIN, INC., BOSTON {, ; Z -0 7 D A h• ^'r /r41NJ ILI 1 . V °+ VV "� 1 f a f 3 " 19 Q Cif n ii i 1 ( OF IH` '� p N AS .S U v v✓tO7—H. 2-0 .^. �• �// o MORSE (, y r 3 r _ No.10951 ,o9p FFSSIONALj LEGEND tt EX18TIN0 SPOT ELEVATION . OAOy. CERTIFIED PLOT PL.AIV 19X19TIO CONTOUR -- ' ,>,P�INISNED SPOT ELEVATION Fit -8HED ` CONTOUR ® ,a ^;.�� . �_�r a c� ��r� " �foTE�, The `location of -any existing underground sewerage, IN t 'wells, ;o.r. other utilities shown on t;:is plan is approx- Zo ' imate '1,ofily as determined from records and/or verbal ` Q; 'anformation. The contractor is responsible for the , Av,'erifa1cat on of the existing locations in the field. SCALE, / ��= 4 0 DATE 6 / ��&5 s _ L,®REDGE E'NGINEEROIliG Co 'NCI) CLIENT. I CERTIFY THAT THE PROPOSED EGOSTERE id16GISTERED JOB NO, u-707 BUILDING SHOWN ON THIS PL AN At; rsa AA .CIVIL LAN® CONFORMS TO THE ZONIr�a3 LAWS DR.BY$ � ' . /YJ. ENO IFER RV OF I ARNSTADL. , m SS. :762 MAIN STREET NCH. BY, � 8�" HYANN1S MASS. Z ';„ $ Y ' SHEET OF. D TE G. LAND SURVEYOR " a0 FT. /'9//V• NO7"l� /F E/TiYGcR •TNE SEPTIC TA1Nl< OR �. L.EffCN/iYCs �/T ARE' MORE THAt/V / "BEd.OIi/ /D FT. /'9/M ._' R.4®E� 2�`17/AN?ET4R CO/yCR.E TE Ce�Y�'.ia SWALL &,F BRO&6N7- 7-0 GRA Dr.64N ,EX'7,,k-A rt CONCR&IrE PVC PlP�' HEAVY CA ST-/RO/Y. C0VE°!i .5*11A4L DE C/SC—.D E-e - 7 2 o coYER.S A91N• PITCH _ 2 rps►inl. C'pNC.�. 7'1 =�� OAA� CCa l�ER CLEAN SANG „U«e L gU/O L,EYEL ;:•.{ D/ST, o• �f ° e ® ► • o a ° o �®" WA5NED SR0NE Pox J�'7: S PY/C' TA/V/C - • o f f s . _ • o e e a ® e a '-�� BOX � ® e • s s a a•� ®•• WAS/!ED SYONE - 0 6H L /l r1 • 04 a a s e m • • s • o p s•p PREC,AS T,�EEj-A6e IAIt/� ' Ls�B��/OMS Gs4-v4 c�-"y . �.9 (' / • s n • s o. i • • ° i e o /NYZAT AT t�U/L DIMLY 69.o FT. 3� 6 FT D/i�Yl. %,V4E7,.�Srpr/C r,4NK 6e-s FT, � /�- FT O/AA�I. CC.SWE7AWLA7-ION� ouTLE:Ir, SE'Prlc 7,9Nx FT . /l1/LET®/lTRIPA0"10H BOX d/T R T�OU SECTI�/� ®F GROUNO J•t/,4TEIr TAaLE ETDlST / P>!o lY E�?X /IV4F7- tEACP Ait P/T ALEACHIlVa =/7' DIA1EN,5I®R/ X7. I&IFS/G!V CXITERIA SCALD Y Dl�EIYSd®A! g FT'. /NUMBER OP&ZOROA/'9S 3 ®/N�EIVS/®M �r F ;'M�n!• NE TaTAt toy/ 3 3 vG.4 t. ®. SOIL TE57 �! SO/1- T0 2 SD AL ��3T` R/UM�EFL OF L .4 G H/n !� •. /rs l S!L>E LEE.4CHdM�r PAR P!T /S roo � ®,�-soo�� il TEST .� �z u/ R-•SU.-7'S gY✓,DD 61 4007—r01W L rACH/NCr PE9;'P17- 113 $ FT. L ,�.�7 ex �cl$�O.LA7'oN AA'T�'r '/ L�55 MI^Vj-mc t TOTAiL 1e CH//Yfr' •at�'EA z g ,SQ .Fr 5 U/3 s v i L FE�@C®d.A7'!®fd J�A�'- 02 � lyilgl.�/l1/CH R.ES-ER 64 `WIM6AREA 7-1-4- 549. FT Z � : � ? .l5cAll G>- r , tee NCH OFry sF.r/r�- Lo T 8 777E mC la. [J ,' � /✓ / No 1095! xAV �elvI Gid GL S.4,� 'R 7,l .I✓$f}IN .3 F '/{Yi4/ /[/fS�.h#�3.' #AL'_E� r,a^ „ • .. . ". • .'„�•;k t;, M .,�., :z..:..z.�ar^3^..�,�,w+' X�`r.A. .;, v�w..✓ RG nt: .f � «m r�r}, ,tar�,c•�`' x_ .,'x,. �c.}`"`. y� > � r,,;�.u. 't. ...,,r ...,:, .:,.s F.� ,.. ,.,,.,+..• . ,.,-.:, �,. ::4;- _ ?', „,x.� 1.. ,aL... tyr;d �3`,� .iw ,<,._t .�, � 4'c.s �;�ti.� .1150' x. e . � .. , � - .. n.,. ..:....4K. :r. ..v'ry�' ♦r .J�,,:.., ,.Y ..... .....e a'-G ,... .•...•. i" s..-. •:.N ^d :'v-JC �...� A*"4 F.�� d.»'t..n'i �R.we ^��A. ,.0'.'4. •.. s.�_ .:::_ ,.... .5...,. ,,: :...,.,,.. a -:^� .-K • a-�.s._. fin.... : .„..T � .,> .:, ,1e�S.Y., .. a- .�: , .. ,. •, �. � ,. �. .. .,xt-. .. ._..,. G,.. w . .� :�,�,,- t >"ft 1'j�•tK,a .3.t. .. ...,- .'N,. .f.'-..� ..• .. .,•.�'. .-.. ... 1.i,y.«w.•.e.s.r4 .. .. ,, ,, .^[, ,•.L� .vim „s.... ,.P S .r.�3'. ...:.. ... '..r.) v.Y, uC 5+ n ��`,a 'j s•—�,.�: sxla..,-rv;+b.. 1"} ..,.,,.,.,..-«.„ .J' ^*s F,r.;.".:; �+,.,«++;-•. r*rx . . .�,,...,.,,,. :�-�-........-„«..-N .y ...,, ....^c�,�:-::. � ....K,: - .�7°. S, 'Ss„5„ .r":� .n .s.,... LOCATION SEWAGE PERMIT NO. VILLAGE , I N S T A LLER'S NAME i ADDRESS i I `J /','s� /l yam'S6n 8 U I L D E R OR OWNER) 9 DATE PERMIT ISSUED DATE COMPLIANCE ISSUED r-�GG �'� � � /�O USA �� 1' ��'�„ 3