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HomeMy WebLinkAbout0097 CONNERS ROAD - Health q 7 con ors rd C�nter��� 1� 2S1 -p33 EA S M E A D No.2-153LY UPC 120U cmead.com • Made in USA 2TJ-k?f.CYC4PA f SU®NAB6E INITIATIVE c rotd ftwSuw„q Y�HorY I I i -7� __ f LOCATION 07 S E W A.0 E �A PERMIT NO. VILLAGE I N S T A LLER'S NAME i ADDRESS S U I L 0 E R OR OWN ER {.=` Atc c, a 71ZY w'L LL..,.. =c��- DATE PERMIT ISSUED 7 l � D_ATE COMPLIANCE ISSUED �y /i0 AFT ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ..................... lrzttion for Bi-w ............................................... . .. ..........0 iml Workii Tonstrurtion rnmit pp ication is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: d / V 6r......L_&... ... .. ..... .......g-.,57A .............. Location- ess or Lot No. .............. ....... ............................. .................................................................................................. Ow r Address --------— .......... . . ....... ...................... .................................................................................................. Installer Address Type of Building Size Lot../j,..U.3...Sq. feet U Dwelling—No. of Bedr s............................................Expansion:3 Attic Garbage Grinder P4 Other—Type of Building ............................ No. of persons............................ Showers Cafeteria 1:L4 Other fixtures .................................................................................................. ............................................... Design Flow.........33.0...... ...........gallons per person per day. Total daily flow......3.3-D......................gallons. 1:4 Septic Tank—Liquid capacityt/ !qgallons Length_...._........... Width................ Diameter._..._....._.... Depth....._.......... Disposal Trench—No. .................... Width.................... Total Length..._.............._. Total leaching area....................sq. f t. > Seepage Pit No--_----------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. f t. Z Other Distribution box (V) Dosing tank .......... Date Percolation Test Result Performed by.... ....................... . ......mi Test Pit No. 1.... nutes per inch Depth of Test Pit.................... Depth to gro��wate:- --------4j.re,< .... ....W_ r- -Ir S Test Pit No. 2................minutes per inch Depth of Test Pit._.................. Depth to ground water.__..................__. --------------------*...... ----------------- ---------*---------­----------------------------- ................ 0 Description of Soil...........................................................................................................7------------------------------------------------------------ x U ........................................................................................................................................................................................................ 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 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 b t r eard of health. -7 ed... ... .........N2- -------- ------------------------------------ ate ApplicationApproved By....... ........................ ............................................................ ........................................ Date Application Disapproved f the ollowing redsons:........................................................................................... .................... ......................................................................................................................................................................................................... Date PermitNo......................................................... IssuedL.................... ---- ................................... Date — -------- - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ��° �� � Appliratio�K ��� ]���pasal Mirk.5 Tonti]rurtiouV "trutit Application is hereby made for u Permit to Construct N') or Repair ( ) an Individual Sewage Disposal System at, � Location,AMess or Lot No. Owner Address Type of Building Size Lot-J:jV11.3...Sq. feet � v�� u`�oo�mubox Dosing tank \ /| ~~ Ierchludoo Test Re�lt� Performed bv-------.----. �� _ �» ° Test Pit No. }.-' -.'mioutesycriuch D' of Test Pi�..'y------- Depth to 87~L ^ watec. .'�A]�—C4 | �4 Test Pit No. 2...............minutes per inch Depth of Test Pit------.--' DopthtogrouoJ wucec----------.. _ Ix -.__----_-_-''_''-...__'_____'_---'--'--'_-'------'_---------'-----_---_ 0 Descriptionof Soil........................................................................................................................................................................ ---.—_---_-.--'-----------'---_--_------_---_'-_'-_-_.-_..__..___-_'--------___-.'------ ---'—''--..-_._-_---'----'—.---_--.--__--_-_...---__'__--_'----.._--'_____. U Nature of Repairs or Alterations—Answer when ---.---_-.----_--___._.___-'__.________.. ---''-'''--.--'-_.----_..-----'-----'_-__.-'-__'------------'-_'-_.----_.--'-----____- \ ''°'--m--'. � The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with | the provisions of TITIE 5n6 the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance 6u /te Application Approved ........................................ »=" ApplicationDisapproved the ................................................................................................................ ---..-----..----..--.-.-----------.--__,-'------'------_------_------'.-_----_----_-_----------- ` Date | ��P�ro / ...... Issued Date THE COMMONWEALTH oFmAssAoeussTTS | BOARD OF HEALTH � ..........................................OF.-------__......................................................... nstaller S is C t the Individual Sew e Disposal System constructed ( ol"or Repaired alled in accordance with the provisions of T has been in t, he State Sanitary Cod s in the application for Disposal Works Construction Permit No..& ............. dated...7............ .... ......>............ o THE ISSUANCE 0 T�NS CERTIFICATE SHALL NOT BE CONSTRU S A GUAR T�EE THAT THE tor THE COMMONWEALTH ormAssAoHuscrrs BOARD OF HEALTH ' Pv1 .0 F at Street r3 ............................... of Health DATE................................................................................ ponw /uss A. m. suLmm. INC., aoorow S Y`S' 7•4EM �•p Off"/L E NOT TO %rCA7L E TOFF FO/V. F/N/Sf/ (;R_440E Ic'/N/SN G.P•40E OVER X �D• O F/1V/.S/•/ GA-A?0E O VER• E�.. :5'I.�•O f"/N/5.4l GR.4GE OVER O/ST. BO L EACIr,//NG f�/T �D. O T/C 7-,9NK •?O 411 /77:- _777, e7 i/a/i!� /i77/iY7/! ,v��Ao M/N. COVER /2 ��PEC.9S T CONC OR . a i'o v o ' ..36 j�1 RE/NFORCEO BRI CA- � MO.P 7".9iP TO •�.` • • Y s_ O� A.o� I.�. L'd o0.o.a.. 0 .�e 's / • •Q r-j .T /_ CONC,pETE COVER 64 o /2 • BEL OW G'�P.40E 1 M/N, h/T. /OO L BIT. � .G p� ` � � OC/TG ET P/OE LEVEL >L� v o e•o IL Ivl. .v .ao 'o:a v .rI ov0s. �'0 •O�AI. W 47CC9 �. p° d • ' 0 c s•�a�•1a•i '�I' f + °�•0 /0°o j�l C.I. .4 ze6j o e K C. TEES .a' ij '� . �• V• 1 l A 0� - OUTLET I r lk I , b 0 A. .y o ° o00 �9'L G D/\/ Q/STR/BUT/O/1/ BOX •EL. /n/.5'T.QL L ON LEVEL AS A7.5'E' -/-0 TO /�z'A , ' t PRECAST v I o. as :' � °� ,o.QEC�7ST CONCRETE . ° j✓,gs/,/Ec� `.AJ. ° /y �O RE/NFO�PCED Q• s ron/E� ° CONCiPE TE • V 1 o q � �o A11 l .• ,�.t,A-.�•os lD'00��•• •i` ' -pCG� • � 1 1 ,. ! d 1°••. /y- /O APE/N�' °fl SEA T/C Ti�7/Vi� .,.:•.;, ,°, •, � . .. �`°I /NS Ti9L L ON L E✓EG B•9SE NOTE' E)(C•S7Vi4TE TO EL.E✓. •37C r O,Q �ti,a, , L ✓EROMOT AM OR CZ Mf7TER/�L BELOW T/-/E LE•�7Cf✓/NG iST.PEA. ,pE.oL.9CE EXCI4V.QTEO M•�7TER/AL. W/TN 2� O J 6 � _ 6 � � CG CL.S7Y-FiPEE G.pgVEL. • /D=6" EFFE T/✓E O/gMETE.Q GENERF,�L NO TES �O /O f7GL ELEV.'S S.A/O�✓NB•oSEO ON /y8L LEACH//N�i I /T O ,,7L L /.oES /N .SYS TEM Ml/S T B E CAS T/UPON 8 OR SCf/EO C/G E 40 F�V.C. '/NS TqL L ON L EYEL B.�7SE Q �Q0"74D / +- O T.A/E BOs7R0 OF TN MC/ST BE NOT/F/EO W,4/EIV CONSTRUCT/ON /S COM.=14E7,--, ^R/OR TO 46/7Ch-F/44/Nq. OBSERVi�7T/ON .4>/7- C o/J� 20•' zR��- So E O ANY CHANCES /N TN/S �L i7N MIDST BE f7�.o.PO✓EO TEST w0. P'2/-9G 3� eY Ti5/E a 4?A7.P0 ,PS-RCOL/7T/O/V R.QTE �9° 9 36 W,4'0SE S'TiQM.o ON ;rAoV,S' ADZ,07^/ < .CL M/N.///1' / © M.9TER/qLS .9N0 /NS7-g44f77-1ONSA1A?ZL BE/N )V17-MESSEO BY /7CC OROA7A10E IV/Ti4/ 7-AIE S T.4 TE .S'.17A//Ti4R Y M� J. 147CO-f/ C00E - T/TLE ✓ .17N0 L O GOC•Q /T�.oL/C.57BLE ES LOT IGN D�T� R4/L ES •07N0 RE G l/L.�7 T/O�/.S. .B°�•E�/�-'S BO. OF f/E/gG Tir,/ 51 /3, 9 9-3 Y S.F DATE �/UNE 23 /9 B3 6O. NORTf,/ .9RiPOi✓V•S NOY TO BE U.SEO FOR ' %Vl/MBER OF BEDROOMS 3 I � O SOLNR �uR.oOSES # � C d P/T / .o/�'" .2 GA.P6�7CE O/S�OS•+�L /AID TOWAI WAITER ., TOAD.60/L O.S7/LY FL ow •33O G/7L /2 s � SE.oT/C T.57N.f" .PEQ O. 31�1eo p r 34; "� •ysF L E.9 CH/NCB REQU/�PEO to Of 4 Gq,E, �.F'EC•�7ST CONG', a;,��,�lx"a / S/OEh/AL L ARE19 /96 S.F. x2.� "5��•�G•�O \ ��• 0 4 o✓sr, B O T TOM /7RE"/�7 &7 -T F. x/O L c5'7 c.00 ,430 EGENO L EA7CA11A/G 1PRO V/.O- W G F.POADOSEO ELEVgT/ON $ //O, 715 S �3 / � OB SE.P✓.9 T/ON .o/T /qc,�t" h':/ s,'''f'.�,' l ❑ O/ST.P/BUT/ON BOX _ ��s✓���.CE '�4�q\\, ��P O.o OSEO %5*4 q�E D/S�'OS�7L• SYSTEM M/N/M4JM COOS 40/S7-f,7NCAE- RICHARD v1 l0AES ' • ! BERTUND c9/�RNS, •�'Ery. OF' .OEE.O S Oo E No. 29894L � tjlSTER 0 o SEP T/C 7-/7N.4jr }SSfONAL E�`�� f- '•9R,8 Off' y'/E Y✓ co/�/*s 7;' G'c�. ILL O T �L i9N '�®DD •O/RE /ivVERT EL E✓.�7T/O/V ; 4DAVID 4Cy ��/elV I�' 7"�•-�Toa L.4Eo _ 0441�/7-4E-AP 111-�.�" CHARLES N SANICKI 78085�4 H OgTE� t/!/L.Y Ih/,9�.� C14.oE /,S'4,C7IVOS .Sl/.QVEY/N�� //VC. \�yQ�/ST 0 SCA74E� •Q.S /V07-EO A>O. AsOx .93� SURyF+ TEAT/CKET� M.S7.S`S. Mgio JEC ,qCG 40T