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Home My WebLink About0085 EBEN SMITH ROAD - Health 85 Eben Sn ith'R&d -- Centerville A = 1.71 288 F. S M E A KEEPING YOU'' ORGANIZED No. 12534 2-153LOR SUSTAINABLE FORESTRY MIN.RECYCLED INITIATIVE CONTENTlo% Certified Fiber Sourcing POST-CONSUMER www.sfiprggram.orp $FI-01m MADE IN USA AFT ORGANUD AT SMEADMU ASSESSOR'S MAP NO.-OSd 1 ' PARCEL '� d US C-A T-10N � �ri' SEWAGE PERMIT NO. VILLAGE g5 INSTALLERS NAME i ADDRESS B U I L D E R OR OWNER Sb- L�.\-> z\ - C, DATE PERMIT ISSUED D A T E COMPLIANCE ISSUED rau c c�3�t ` U°'C!ff !9 � i 6� � G �a Ji 9'o- � a r �a` No. .,�.. .......... �. FE:s............... .... THE COMMONWEALTH OF MASSACHUSETTS '' ,, 11� (BOARD O/F� ��-I1EAjLLT�dH� W.1�L.... OF......... / i1Vr w-�x.�!•. . ............................ Applirtttuan for lligpasal Waarks Tuntitrurtuan ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ....:.......L.�i._ -- ! L..�.�.- 1[ 4 -..1..0---------------- CUB . E............------------ ;�-, .Loc ti Add s Lot No. .......1..:�`•�'-�' ��.1�:[.�_t�L......................... . �/7 , %. ..................................................... Owner Address } •-----------------------------•-----•-------------- -_...•. �. Installer Address `` ,� Q Type of Building Size Lot_ 1E)}3.b3_..Sq. fe U DwellingNo of Bedrooms.._......— . .......:....................Expansion Attic ( ) Garbage Grinder a Other—Type of Building ............................ No of persons............................ Showers ( ) — Cafeteria b ( ) Other fixtures ..--•-•-•-•-•---•----------•-•--- ..•••- Design Flow.............�;.� __..... __ gallons per seta �r y. Total d�/it • ow___ �? .....gEllon WSeptic Tank—Liquid capacity gallons Length .. ... Widt ...... Diameter................ Depth.... __. ..- x Disposal Trench—No. .................... Width._... ........ Total Length........-_,f...•.... Total leaching area.... _ sq. ft. Seepage Pit No........ ............ Diameter...._. _..... Depth below inlet...c Q........... Total leaching area 1-{_.�--sq. ft. Z Other Distribution b�x ) Dosing,_ nk�) '-' Percolation Test Result Performed by.....)-G:.. Date..... ........ a Test Pit No. 1.. ........minutes per inch Depth of Test Pit----15(p_..... Depth to ground ater. _.. �. ...C___. �14 Test Pit No. 2................minutes er inch Depth of Test Pit.................... epth to ground water........................ 0 Description of Soil_2'0-_l..6A1"1.-- ..._.lt--1 .. UW - ---------------- - -- - ---- -- ••-•------------------------ 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 I IIL U 5 of the State Sanitary Code—.The ut r 'gned further agrees not to place the system in eration until p a Certificate of Compliance has be ss e y t b of health.igned•- Da �_. . ApplicationApproved By.. ........................... .............................. .............../ Date Application Disapproved for the following reasons--------------------------------•----•--•----•-----------------•---......------------•--•--......•----........... .. ...-- --- •.... ..••--•----.....-••-••--•---•-•••-•-••-.........-•--••-•--••-----•----•-•--•--......---••-•-••-•-••---•-•-••-••--•-•••--...--••••-------------•.....---- Date Permit No.---•........... __r..........�_1..........--- Issued-....................................................... Date No................ � t Fim60 .._ THE COMMONWEALTH OF MASSACHUSETTS (BOARD O)/F� HEALTH ..--�O�M..............O F.........1��,//'� .I�.I�j YJ}',1 ------....--------........ Appliration for Diipuiial arks Tonotrurtion Frrmit ` Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at ...�.....f.......---•--.... . �....."UNl�.....�.�.....UK......................... Loc ti -Add ss or Lot No. ..•......... .��( . .1 .�1. L------------------------ ..... ............................................. W Owner Address Installer Address ' Type of Building Size Lot._1 � .U. ...Sq. feet 1-1 Dwelling—No. of Bedrooms.........3............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures . b� �f jfh/{......••---------•-•-•••--•--•-----•............. . .... W Design Flow..............1__k_ ._.__... . gallons per�er Fr cy. Total darn ow... ._ --.-.-.--_...._.gll`on�. WSeptic Tank—Liquid capacity. 0.gallons Length,..... Width..G�.A-..-.._.. Diameter................ Depth--L-�'---�il--- x Disposal Trench—No. .................... Width_..__ ........ Total Length..... _,f........ Total leaching area rr (( sq. ft. Seepage Pit No________ ____________ Diameter.._... Depth below inlet...Cr'............ Total leaching area. .l.l-.L.sq. ft. Z Other Distribution b�x ) Dosinnk_�_ Percolation Test Result Performed by__--.1.Z ................... Date....-.�.._t -••• f Test Pit No. 1_. -__...__.minutes per inch Depth of Test Pit.... r1'_�..__._ Depth to ground wate : h'. .... fs, Test Pit No. 2................minutes er inch Depth of Test Pit.................... epth to ground water........................ '214- O Description of Soil-- .. ...... U .... ` ......� �. - �(- - .!_ ... .�1_ x --------••---•--------------•-----•••-•-•-----•--•••---•-•-----------•••••------•-••--•...----•-•--•---•---•----••-•----•---•-..... ......----•••••_.... 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 TITIZ4 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in �e eration until a Certificate of Compliance has been issued by the board of health. Signed...................................................................................... ................................ Da Application Approved BY•.. -------------•-•-•--•---......... ...... 1 qate Application Disapproved for the following reasons-----------------------------•--•-----------------------•------•--------------................................ ••-•-•...................•---•---...•-----....-------•-•--•-•......----••••-•---•••-•------••--•-......_..•--•------•-••....---•-•------••••--•••-----••--•--•••-••••-•--••---••-•-•-----•------....•••-- Date PermitNo.---....... ............................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1N..........oF.... -........................... Trrtif rate of Toutphatt r THIS IS TOICERF Y, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) �.. ."�. by r_. ••--•--••-•••----•••-•-••---------•-•••-•-•--•---•---•••-----•••••-•-••......••-•-•••••-•••••••----•••••-•••..............•....••••.............. In 11 •-.- at•---------••... ��-�----•-----•-- ...5..� ` - G-44....... .• •-• has been installed in accordance with the provisions of TI" F 5 of The State Sanitary Codes described in the appli&ion for Disposal Works Construction Permit No. -._....._. �� `7..... dated-.....1__J-_ _,�6 ................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNC IOV SATISFACTORY. V — ' DATE........................... .Ial -------------------- ' Inspector.:_..-C•A.••--•-.......----.._....-•••••-•-.........--••-••................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ` .................O F..._.................. No......................... FEE ..... �t��ou�tl orku �on�frttrtion �erutit Permissionis hereby granted....................---•-----------•------•-..••----•----•--------•------•-...--------•-•---.........................._..•••••............... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System atsNo... - ..... Street as hown on the application for Disposal Works Construction Permit,,.N " ..t. Dated.......... .. ..�t �....__.. > •••... Board of Health D' TE ( .............................................. .:... FORM 1255 A. M. SULKINI!INC., BOSTON I s jr s �. SECTION - SEWAGE _ _ .. - t, 9 SEPTIC TANK- 3 _//D//BOX 3 _.LEACH�/T TOP`OF F N '"2"01=ire TO 4h-: ' WS. ASHED'STON&: s IN OUT• IN• OUT- IIV• G. Ot'J O _ _G P `E TI C=S 5 5 OD s r , x. ELEV. 'r'` 5 I ELEV. ELEV. 5 C r' F•Y, / i O - r c . .: -. '. HED STONE WAS LL El��/• < t TESTHOLOG ,: LE ICP� �l..co�tl,otil TEST BY . _ G/ WITNESS 10I� BEDROOM HOUSE DATE J mmV DESIGW TN: ,r 1 = T.H. s Z ELEV.57,00 ELEV. !No , G 2. DISPOSER DISPOSER PERC RATE MIN _ �,` 9 u I/�AN uel /IN. p V FLOW RATE 330(GAL-/DAY) Se. ;. .. GOtS SE; SEPTIC TANK .3':•' t/� S :. •3r 6p� � N REO'D SEPTIC TANK'SIZE L i� i po,00 EACH"FACILITY�FACI:LI TY W - Ze711 MErD M �ri1D x SIDE WALL G/D. �_ --- 47,00 BOTTOM 7_-147777 SV.3 //t7.► . 3 G/D. ( - Gd SE : TOTAL Z /r s�j,;, _:' Z 7, G 383 s r r- --- l - M Ep, 5 D / e Imo" sf4,00 � � USE: O LEACHING T _ �G - ohllt�lEj -- cyj' Fjl�•M k �o' f � ?`t- LOT-110 2p, t0 r-rof-IT WATER ENCOUN+tEO F NOTES: (UNLESS OTHERWISE NOTED) ` �.: ' — l.rJ•T-q — 1.DATUM(MSU 1-TAKEN FROM: � (-tJ I G QUADRANGLE MAP oVAILABLE Jr7 :1 - 2.MUNICIPAL WATER' or 3-PIPE PITCH.Vr-PER'FOOT -ra 4.DESIGN LOADING FOR ALL'PRE-CAST UNITS:AASHO- -44 S.MIN..GROUND COVER OVER ALL SEWAGE FACILITIES:(1)FT. - - 6.PIPE JOINTS SHALL BE MADE WATER'TiGHT H• — -' --7.CONSTRUCTION DETAILS TO-BE ACCORDANCE WITH COMM OF MASS. - $ OJALA ' a _ STATE ENVIRONMENTAL CODE TITLE 5 -- -- --=------ _ U _-- _ _ — --— _ _ -- --__-- SITE PLAN VI s.M.I T , 8:--rutS..'PG.�a�l Fo'Ca-�i'IC.A7+�3c.�- k�o+iJC C�-�.`�r_�•. !'d.__�+�4sJ�.�__ ----------------- -- - - •- - - - 4 - ------- --- -' / pf a -- - -�O- E LOC S hJOT �E USED PoZ_ .`�it.0?ti.ZT`f �-.`ac -�c-�►�s�� _ __ _- - REG. I/1� INEER : /Z'+ 3 ;. s ARNE REF: ��OK �/0 3 PA6C o2'� t down cape • PREPARED FOR: ' - - CIVIL ENGINEERS t F L pLL® ,. LAND SURVEYORS. BOARD OF HEALTH AL rr t f'J ZPj �� - . ,� s�aalarst.; _ E so - yao yr, � - YA P.7Z�MA1. CONTOURS (EXISTING)••• APPROVED DATE YIIIw�`'Y�' - DATE R• — (PROPOSED)-0—O•�0--0— ' -— - v•.