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Home My WebLink About0116 COTTONWOOD LANE - Health 116 Cottonwood Lane Centerville A =252 -028 S M E A D No.2-IW OR UPC Inu smsmd.00m • Ym&In UM OSFImmummmummom wsusnsM�muaua No. D• � ... Fmc 3.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i-CJti3'1.....................OF...... .f-,\: 16-�...------.---...................... Appliratiun for Diupuiittl Wurku Tatuitrnrtinn Prrutit Application is hereby made for a Permit to Construct (V� or Repair ( ) an Individual Sewage Disposal System at: y 1�C� �Q Location-Address r Lot No. ......................i. .....) ----.....r.)..........._I'La .C� .._. ................tZ .-----C ................................ Owner Address ....auc........ �e. .. -n.... - ..................................................... Installer Address U Type of Building Size Lot.Ak_45B__......Sq. feet Dwelling—No. of Bedrooms.._fir. ........................Expansi.po..n Attic ( ) Garbage Grinder ( ) Other—Type of BuildingG: No. of ersons...__1. O.....--.--.. Showers — Cafeteria a' Other fixtures ........................... . W Design Flow.............55.........................gallons per person per day. Total daily flow.......... .......................gallons. W Septic Tank—Liquid capacityAPP ..gallons Length.&39`'... Width.A _'. U". Diameter................ Depth 5'...".`. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No....... ............ Diameter......1.0......... Depth below inlet......<7........... Total leachingarea,.z ......sq. ft. Z Other Distribution box Dosing tank ) // i ll Percolation Test Results Performed by....;101C !.L-�.r_ JU1 t........g(.?- ... Date........................................ as Test Pit No. 1..4,..Z_._._.minutes per inch Depth of Test Pit....1.......... Depth to ground water._k. .n.gn......... Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ii -----•-•................................................ . --•.............. ...... Description of Soil �?-_ �_._ !..�-1-) i.... Co C C...- Sq - . f AV �` -.�_..... .. + t •-••---•-••--------•••-••-••-----•-•-••-•-...-•••....- W •-••----------- -------------•---••-----•--•------•-•-••••-•-------••••••••••---...-•••••••••---•••--------••-•••-------•••...•••-•••••-•--••-••-•••--•••--•-•-•••••-•---•-••-•-••••......-----•••...... UNature of Repairs or Alterations—Answer when applicable................................................................................................ -•------•-----------------••-•••.....••••••-•-...-•.•••••-••••-••-•-••••-•..........................................••--••••••••-••••••••--••-•••--••••-•••--•••••---•••••.....••---.....---•----....... Agreement: e undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the r isions of IITLL 5 the State Sanitary Code— The undersigned further agrees not to place the system in o era n ti e •• a f Compliance has been issued by the board of health. v Sign ....•. Appli at proved BY - � 7 Date ............. Appl tion Disapprove •f or he following reasons:..........................................................................................:..................... -•......••••--••••••-••••-.......----•••••••••--•••--••--.....-•-.......--•-•-•••-•••-••...--•-----•...........-••-•--•------•••-••••----••-•--••-•--•-••---•-•-•-•-•-•- •----•--•-.-••••-..•---- Date PermitNo......................................................... Issued-.-.,................................................... Date ----------------------------------------------------------------------------------------------------------------------------- II ti . No........ --- -• FEs THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .... ........:...OF......� ................................... Appliration for U ipo.ittl Workii Tonstrnrtion Prrmit Application is hereby made for a Permit to Construct (.r-3 or Repair ( ) an Individual Sewage Disposal System at: I . Lk ..{'-{...Q f! ..F fJ C......?-r1 Location-Address a_ �or Lot No. ................I.. '��t'1............1L.i.5_....��.� �z�...1... ...........Y �� ......�+.�d�.a�....t A1.1.��.r................................. Owner t Address ...... fir:__.....( =- . .... Installer Address d Type of_Building I�. .1 x-Size Lot_Lflt! .........Sq. feet U Dwelling—No. of Bedrooms...tbl 1 Z.__........................Expansion Attic ( ) Garbage Grinder ( ) p`4 Other—Type of Building CR.f�.e............. No. of persons... VW.0............. Showers ( ) — Cafeteria ( ) Q' Other fixtures __________________________d ---•----••---••-...-•--•---•-•••-••------••---------------------------•----------••... -------------- W Design Flow______________.a_._......................gallons per person per day. Total daily flow--------- .......................gallons. WSeptic Tank—Liquid capacity-r p{t._&]Ions Length_,,'t�"___ Width..q.' c0 Diameter -�:"_______- Depth.3_< ..`.... - x Disposal Trench—No. ............. ...... Width___.: ._._...._"_ Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------t------- Diametei? .A''j_. :._.. Depth below inlet..... ........... Total leaching area_?,.r,,�......sq. ft. Z Other Distributio box' g tank ( ) aPercolation Test Results Performed by-___.f.c.. T_./r ti I_`.-K________ ___ Date________________________________________ Test Pit No. 1 ®_-______minutes per inch Depth of Test.Pit....t.2;�-__.._____ Depth to ground water..},;,.;. __...,-_. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ---------- --------`•--•-•--{-..... ---•--......-•------------- ----•--......................................................... O Description of Soil...._ i _.._._._._ �_ r,.__:.:= ___ t: = ` U ._....6- ,cs'-. 'k•v9 .i -i'i s�-i.T�. 71 'i?'f�G4 ... --- ________________________________________________________________________________________________________________________________________________________________________________________________________ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... •---------------------------•--------------------•------------------------------------...-•---•-•-------••----------------------------------._.._...----------------•-•--------••••--••...-----•-••----. Agreement: e undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with :. th�r isio>Is of TITLL 5 f the State Sanitary Code— The undersigned further agrees not to place t'ne system in opera n nt Ce:t tica f Compliance has been issued by the board of health. - ................................... _ ate �.......... Apppplica A proved By... Appltion Disapprove or he following reasons: ------...------•-:..--•------...-•-- .f --••-•-------••---•------•---•-•----•-------•-----...----•---------------•....•-•-••••--•--------••••••-•-----•--------•---------...-------•----•-------------••..._..I = Date PermitNo......................................................... Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r.......................OF.....-...... �jo a b..:.,�,. (9rrtif iratr of font li�tnr�e THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Rep4`ired (. ) by ��cs .. =, 9 � -------------=---------------------------------------------=---------------------•------•-•--... --•-- 1 Installer at... -s �{ ! ' }c ) t ° vim ' 5'tit ` -------------.... has been installed in accordance with the provisions of TITLE 5 of The State SanitaryZV�Ai;i�IA&Tk s d�ribed in the application for Disposal Works Construction Permit No.-:_t___.____ .................. dated.. ...:. .......................... � ' ' THE ISSUANCE OF THIS CERTIFICATE SHAD NOT BE CONSTRUE® AS A� THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH i NY / ;' ....................OF......-.. .:._"'} ,�: ........................ FEE—.— ........... Uiipowd Workii Totwtrnrtion rrnnit Permission is hereby granted...... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atNo.. { s j•.......- - >>- C �}-�(� - --------------------------------------------•-••--••- � � •k . ._..- treet as shown on the application for Disposal Works Construction Permit No.........._. Dated.......................................... Board of Health ---• DATE...........-------------••--- , ---.......................................... ,',✓/jr�/✓ FORA 1255 A. M. SULKIN, INC., BOSTON 10N oo" SEWAGE PERMIT NO. VILLAGE INSTALLER'S- ,NAME A ADDRESS B U I L D E R OR "OWNER y DATE PERMIT I S S U EO DATE COMPLIANCE ISSUED �.j YN __ 'i� �l. '� �`r' ' ,\ .. -�--- �. f� ®� s J - �, ' �� F� e� � �' �. r ,• bl a 3 -41 1.4 20 t . r �4? A T 1 MORSE p No.10951 O Ado STE�� 4ca�/J jfQ �Fss/ONAI E gv5vA (.47. rV6 �o,J fop a u `z:7 Z7c, C. Taw.. zr r�,r✓� LEGEND CEPTII~IE® PLOT PLAN EXISTING .N SPOT ELEVATION OuO .� EXISTING CONTOUR -- -- ® _- -- � F x' ' , : G .o r ��, _ 17A, FINISHED SPOT ELEVATION Tr�nfw�: ' c ` Rf)pERT �, j �-•',�.:./i� j E:'k"�f E_�_�.:.; - FINISHED CONTOUR 0IX - AP,'ROVED s BOARD OF HEALTH s .ELDRE I N sai r DATIE± 'AGENT SCALE+ � ' � 13_pE + 12 /'�w LD�'EDGE ENGllil�E'E'RSNG C - _ CL I N'f I . CERTIFY THAT THE PROPOSED ' EGISTERE REGISf ki D joIa N0.:�" BUILDING SHOWN ON THIS PLAID mw CIVIL LAND ON.�Y + ;..,.4.... CONFORMS. '1'® '�i�E ZONING LAMS y. E GINEER QR Io _ OF GAIIINSTAGL.Ib , MASS.X12 MAIN STREET CH. ®Y+ �r�'�'' ��,2, MYAWN15 MASS. I2f � A:� - •..-� SWEoaT,.,L,"OF _ A ,E a1~C t, 'a 1e 6 ' IJR�dEY�F /F e/TNE/P TXA_- .S_,c7PT/C-7-A Vjf< OR L£/4CKdNG 'dwr ANE IJORZ Tie A"V 0 JAA.Opv «� /® / Y //4/. 7'�I��i �)//�. P4-d7/A W E7,,e COyCie�T.= COPWJP _ _ - SMALL S.F ,&.VD'4hSoYT TD 4-TA Z�Z.(AN EJ►'T/P.�4 t�rEAV y CAST /ROJY C o{/�.�? .Sf/i4 L L L3,E USE-® g W IA.*. 01 TCH ' EL' !08:s GONErRS f if !/ ®AC.YFl - .�"G.�ST 2'LAYER. .,.1►?1JV.Pirex G/1L. D15T, o• do ► • • • • • • e e o 04 WASHZED STONE t ��. PBI? I? S,EPT/C TANfrC • • e e c , ®®X p r e, . :e � ♦ o cost .ro e� ..� /tom• s a � a e s �CTTVG' e ' . b 3�4 — � ✓s' ( g�O`�S • r a • s D�TJ/ s s i • o o WA✓PMEP STONE 3-77 o • ' • t s s o tore 13 s Q • RAECA57 SEf..o4GE �/3 a s e • e o s • • ra g f 6�C/4'T' LL�B✓�T/GW�'r. PtT t�+PA.-C.t7 !�'9� . s. �. a e o e. r- s s e a ..e $ f3/T DR. • s a =y 4" lIAIi�E ? .4T'BU/td�fiVG" �oiS, S FT, 6 FT ®I*AM. MA ! INLET Z FT. .O/Aim- C.&EE 7yiOVLA71oN� j OiJTLt—T.S&PTIC. TANK 1°4`Q D AF Vzk-r DJs TM1'sUT/P BQX' j y:3,Z e• 2 G,�061N�*1 t TER T.4dLE OU�LET /S7`R!/3 103,p:, �`- - " :SEA/�/V"�F f; "'°`.` l!T/ON�X !-T /N1.kr LF.4CNlAorr O=JT710 OI NAWSIO/►d �4/ll�fdER OF�E�®® 5 3 ®1�7E /Sl®/1f C'i "`4 aAR49A4GE0/SROSAJ-4V0V,17 +saes �81� L®� 7-07AL,sr8'Tl/rA7'eD Ft.ort/ 3 3� C.At.14OAV Sail TEST A/ SO/L �57#2 ate®/L TW3T { [Numaze QF L,EACRINT A/TS �`ECE6! f a �"ELEY. QATF Or SOIL, TEST S/D�LEs4GH/NG PER f�IT 4S! 3 F BY j - - y:" �.•OfOTTOM L 4Ci!/NG P x f9/7 t!3 Sq ter. f P€RCQL.�Tio�+► ,r,�r� / _;:TOT.s 4 ZEACHI&CP AREA 2 `if S47 FT. ,_ ® PEIeCOLA77AA1 RA7,E A M/N/lNCH t=R s �RYEL�CRIN6AREA ?X SO. FT. ��,�,tl�ocr-oP z.� OF {a �ROBERTN"l u o A 4 � . .ELDRED f C- MORSEcoo �, ��2F3 ✓ ` No.10951 . E G FL �.i' t S T E ��- t . 9 Z e�¢; ;. 7 t2 Md!l N ,S'F:, 14YA NN/S;, /LtA-S'S. ONALL !vaG/QOUMD kv,4T.ER" 4KVC04lfy7"Zc)le-4--4C> C41XAl're /yj. 047_4-: 1a_ e (sJTOLrV,0 CATER AT 4 AA 2- EAT?®I� .J®