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Home My WebLink About0041 ENSIGN ROAD - Health 41 Ensign Road Centerville A= 147—067 S M E A R No.2-153LOR UPC 12534 amead.com • Mad®In USA i x U No. � .... F�$. .............. THE COMMONWEALTH OF MASSACHUSETTS �- BOAR® OF HEALTH ......OF.......... �.... . .......................... Apli iratinn for Mipogti1 Workii Tonarnrtion Vanfit Application is hereby made for a Permit to Construct (..Ieor Repair ( ) an Individual - wage Disposal System at: ... ........ . ........ . ................................................. ... ........... .... �, ��L oyclat�ioCn�- A dd�re+sss{+;1�� :^ orLot No. ......_•___._.........16. --••---................... � �� ktre .............................. .............................. . ............................................... !� Installer _ / Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms........... ..............................Expansion Attic /0 Garbage Grinder p` 4 Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures W Design Flow................ �...... ._..._-gallons per person per day. Total daily flow.........7� _.Q..................gallons. WSeptic Tank—Liquid capacity f.,, ) .11ons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No...............T.._ Width•..._........_...... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( V*�_ Dosing tank ( ) Percolation Test Resul s Performed by.......................................................................... Date........................................ aTest Pit No. 1....4.f(__minutes per inch Depth of Test Pit.....' . Depth to ground water--___ Test Pit No. 2......•-••Minutes per inch Depth of Test Pit__ _...•--•-•••. Depth to ground water-----tT6�_.e{rY • -----------------------------------------3...____._..._--------'....'._............... _ O Description of Soil 2------_= =��!....+... -----D�.. .. ................................... ---------------------------------------- ----------- ---------------------- 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 TIT1,E 5 of the State Sanitary Code—The undersigned further agrees not lace the system in operation until a Certificate of Compliance has been issue the board of health gned_•--........... - • --•-•-------- .......... ---•....-••-----•-••...... ...... tZ— ApplicationApproved BY.... `......�--�� ------•-------------------------•------•------..._.._...--•---------- -._...... ......................... Date Application Disapproved f r t following reasons:•----------------------------------------------------------------------------------------•--••••--.....••..._... .............................•---•-••-------•-........-•------....---._...-------•----...•...-----.....--•-•----••--•-----•--•-•---••--••---•---••••--•-••----•-•••--•--•--••••--••-------••••--•-•---•- Date PermitNo......................................................... Issued....................................................... Date qv_ fir........... THE COMMONWEALTH OF MASSACHUSETTS �- BOARD OF HEALTH ApplirFatiun for lliipusFal Vorkg Tunitrnrtiun ramit Application is hereby made for a Permit to Construct (,k)or Repair { ) an Individual Sewage Disposal System at: � ..... -- ....... .. ............. `�.....� ............................................ I Location-Address y f� or Lot No. t/l •..•...... ................./•�t!rA �........ ....... O»» .. �" wner (Address a � " '. ......... ?r.. .. �'� �._........ ___.•-•.....--••••---........... Installer Address Pal Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..........,.,.*!...........................Expansion Attic (,04)0 Garbage Grinder �1 Other—Type T e of Building .............. No. of ersons...._..........._........... Showers — Cafeteria a YP g --------•----• P ( ) ( ) a' Other fixtures,--------------- --------------- __.. W Design Flow................ �'-y-----••-;__----__gallons per person per day. Total daily flow......... t ..................gallons. 04 Septic Tank—Liquid capacity 4_ {_ 'gAIlons 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 ( t-`)' Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ �_l.1 Test Pit No. 1...4�f 5__minutes per inch Depth of Test Pit--- �?........ Depth to ground water..... t . ?.`. Test Pit No. 2______—_- ::minutes per inch Depth of Test Pit.. ...(_...... Depth to ground water...... .. Pa' -�--•••---•------------•-•---•••...............•---- --.-•-- -•-••••••••••----»•.......................-...................................... O Description of Soil.............................................0.- c" (- Leff,"'' _-) /-- 0. ' `.. ".`.' --------•--------•--•---------------- W ---••--------- -------------------------•-----------------------•--•-•-------------------•---•-----•------•---------•-•--------------•------•--------•---•-----•--•-----------•--•---------••--•-.-•---- UNature 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'TT1 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,b y the board of health.° f Ite gned ...............�, . •• •-•-......•• - ...... ............• aA lication A roved BL..._�`_ i�..............--------------------------------------------------------------- PP PP DateApplication Disapprovedowing reasons----------------------------••--•------------------------------------------------•---•-•...._Da--------------- --••••-••••••....•--•----•-•••••••••--•-•-----•--•--•-•----•--••-------•-••--•---••-•••-••--•---•---•------•--••------••----•--••---•---•--••------••-••-•-----•--------------•-•----••---•-•-•...•••--- Date PermitNo--------------------------------------------------------- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD JQF HEALTH ...............................OF........ ........................................................................ Trrtifiratr of Toutpltttnrr THIS IS TO CERTIFY, That the Individual Sewage )isposal System constructed ( ,) or.?Repaired ( ) by...................... ..1............ j---•-_--•-••-•-•-•-. ---;-----------.--------- ---- �..- � at...................................... r.�r... '. ,, �''`� 1�'" ..C.....---•-• -•--- --- ••--•- --- - has been installed in accor ance wit' kie provisions of TTT__�. LW' j of The State Sanitary C de s scribed in the application for Disposal Works Construction Permit No.71.`.°�� ............... da.ted_._��_. -___------_____-___-. ---- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIO SATISFACTORY. �f/F Z:.....•--•.... DATE--•-•.....................4?.-•---.._....----�---.... ---• Inspector............-l•`-•---4--••--.................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l�.j!1G1„ OF............ '. '.`-. .. . .. ......� 1'r ............. r No._._.2..�' , .._. r FEE.3.1............ Disposal Workii Tonstrurlion ramit. Permission is hereby granted.......................... �.J/ r ................................................, I :.. .....:....... to Construct ( 4 or Repair ( ) an Individual Sewage Disposal System atNo.. . .................. Street � ff as shown on the application,for Disposal Works Construction Permit No� _ %__ Dated.t,Il,AF-L" ---------------•--------------------•---.............................................................. �J fJ DATE....... /�(.�-------------------0----v_......----._._...-•-----....._..------------.. Board of Health FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS Q N. 14,0 W L_oT ` w jo LoT fl N S' - 7- 11� CIO 29874 � �Q/BTEa�p� Na SUSt�F'�Q Lc�T 22 2 � i CERTIFIED PLOT PLAN L u 7 NEW CONSTRUCTION ONLY : TOP OF FOUNDATION IS 3 FEET IN ABOVE LOW POINT OF ADJACENT �. �' �� "1' .�. •� + ROAD. SCALE: / ' 4...) DATE : b/i / 2 LDREDGE ENGINEERING COIN G2'E---'1113 r' 'z I CERTIFY THAT THE '-oemo)A-7' u —� CLIENT SHOWN ON THIS PLAN IS LOCATED EGISTERED REGISTERED JOB NO. �'L o Z ON THE GROUND AS INDICATED AND CIVIL LAND CONFORMS. TO THE ZONING LAWS ENGINEER SURVEYOR DR.BY, A" ' M OF BARNSTAB , A�A;SS. T12 MAIN STREET CH. J. R. H YA N R I S, MASS. SHEET OF DATE R,Eb. LAND SURVEYOR 20 FT. M/N. /VOTE : /F E/TNER THE SEPT/C TANK OR �Ei'1GN/wG V/T ARE MORE TH.9,y /2"BELOyt/ /D FT. M/N _:rRA OEM Al 24'p/A M E TER GONC'R E T� CO YER _ SHALL BE BROUGHT TO */TAL>4=- ;,v EXTRA CONCRETG' `'� PVC P/PE JYE,4Vy CAST /RO/Y COV4= Sf1,,4LL OE USED M/N. P/TCN /F/N ,URJVEI•t!A y Z,S. COVERS /B oF.P FT - 2/C M"V. CONCRE TE CC) VER CLEAN SA N7. LEVEL i' :::•. �: z 4= .4•.CAST u ,� 2 v LAYER /RONP/PE / 000 ••b M/N,P/TGII G.4L.. • d • � • • • • • � � e •4v SEPT/C, TANfC v/sT. o • b • . . . , , Q • WASHED 572 JNE BOX o Y • • • B • r • ► • .r• i b o r r • I •EFFECT/VL t . • 3�4 - �2•• • ° • • DEPTH • • I • o WA5,gED STDNE iY 0 v .'v. � • • • • • • • � p •p v PREG45 T S'EE.PAGE lNlieJtT CLEvrIT/DNS 2-5- = 4? • ►'• • • • • • • e • o PJT OR EV411V, 79- x ID 79 AVa EL, 9z ,2 _ //vYERT AT OU/LD/NG °99 6 D/AM: /O T. /AJVLET SPT/E T4VK T �S3 M CFE T118411-4T10N,) OU74,ET SEPTIC 7-A V I< 99• / FT. r- Meth. T OJSTRJBUT/ON BOX 946• FT. GROUND WATER TABLE SEE'T/O/V O F Ot/TLETD/STR<9tIT/ON BOX 98��7 SEN/AGE O/SPOSA L SYSTEM JN1.ET LEACH IAla f"/T TABULATION LEACH//VG P/T DES/GN CR/TER J.4 SCALE D/MEN.SS/ON A -3 FT. D/M.ENS/aN is ICT. j NUMBER OF 9EDRaOMS 3 D/MENS/ON C- FT M/ GAReaoEo/5Po.s,4L uw/r NONE SOIL LOG T4pT.4L E.?T/M.�TEG FLOW 3 3 v GAc.1DAY SOIL TEST A/ SO/L 7l�ST**2 SOIL TEST MUMBER OF 40ACXIVa P/TS_ �_ f^ r4 /00.2 -ELFY, pATE OF SOJL TEST SIDE LGACHING PER PIT LS-9' SQ FT. O -.F-- RESULTS I'v/TNESSE 8 L0� ^! D Y BOTTOM N P /T 7� - LE�4CN/ G ER P S4. F'T Sd3 Sr7�L f't/tCOLI►T/ON /IRTE / TOTAL LEACHING AREA 26 �' SQ, FT. PVVC01-A-r/0N RATE A2 �� M/ 1JNCH ;QESERVELEACH//VG.4REA--- F.T. 7H OF M'4S �yt11 0f sqc j-A/t/� y� LB R tiG o , _, R Eco c/) p No.10951 O C 4��. Ago `°Cl TE�`�� EL DREDGE ENGINEER/XG CIO,/NG. s.y p� gpQ ONAL�a� O:LV. � .Z 7/2 MAIN ST. fi�YANNiS. MFisS. ® ND GROUNO y1447-4-R -,VC0UIV7-.-R60 GL/ENT: vei��Ert DATE 3 z �€ Z o Q GRO UNO WA.T'ER AT. ✓OB NO.' LOCATION � S G E PERMIT NO. C VILLAGE /via , I N S T LLE NAME & DDRESS • Esc a� D�-.,..r`� BUILDER OR OWNER � c DATE PERMIT ISSUED DATE COMPLIANCE ISSUED LOW, L� t G A T G�