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Home My WebLink About0107 ENSIGN ROAD - Health (07 Enr;gn pd CtAtt''V(IIf 14 7 07b /1! SMEAD No.2-153LY UPC 12934 emead.com • Made In USA SUSTAINARE FORESM WmAm c n�a dFlbw8 woaw r i L 0 CA TION SEWAGE PERMIT NO. VILLAGE i ST A ER'S NA i ADDRESS GUILDER OR OWNER DATE PERMIT ISSY E D DATE COMPLIANCE ISSUED s � �-� l .�j �, P, p� II No...� Fim$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ......OF....................� . .................. � .. . Apptiration for M-4p itt1 Work.5 Tnnitrnrtinn Vamit Application is hereby made for a Permit to Constructer Repair ( ) an Individual Sewage Disposal System at: G � �.. ................__....... ................... lv . � 1 ........... - ...-•------.............. oc "on-Address or Lot No. ......................-........... h..... ':`..----....C S? .................... 0................................. Owner � � ............................... Add�re.s.�� a ...................................................,).......ovef._.�... ... :e........................... Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms........... ...........................Expansion Attic (AA 0 Garbage Grinder (r(jl0 aOther—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) PL4 Other fixtures ......•---•-•---•-••---------.- W Design Flow... ..... .._ gallons per person per day. Total daily flow__.__........3....�_C2...............gallons. WSeptic Tank—Liquid capacity��-�Ugallons Length................ Width................ Diameter---------------- Depth................ x 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 Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1....�.minutes per inch Depth of Test Pit..Z:.��Depth to ground water.....A./C)w� Test Pit No. 2-: �-.minutes per inch Depth.of Test Pit -----.. Depth to ground water------�t '-�n�,... a' _ Description of _5�� -.Z-:.........•••. .!9 -----I.- -`��f � ---- -/.r!}.i` ............................... xZ 5 n�-------------------------------------------------------- -----•----------------------•---•-••--••-•-•--•---•------••--------•------•------•-•-•--•-••--•••------•------------•-----•-•----------•--•••-•-----•-•-----•-••------•••---••--•-••-•--•-••-•--•-..... 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 iss d, y the board i alth. _ !3 l r�Z Signed .......• -•---•-••-----•--- �._..... 1 --:.....t Application Approved BY :-" .. � .- ...................Date-----./..._.._. Date Application Disapproved for the following reasons----------- ------------------------------------------------•-------------------•---....._......-•-----•-------- -•---•-•-•-•------••-•-•-•-•-••••-•-•----•----•--•-•-•---•-••--•-•-•--••......-•-••-•....._..••-••-•••---•---••-••--•--••-•-•-••-••------•---•----•------------•---•••-•----•-•-•------•-•••••----•----- Date PermitNo......................................................... Issued_....................................................... Date No...49.4=1.r- '` Fim$.............................. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH .!r ).it/....'✓------.....OF...................f i rF.. �.... ............. . . . -.....-----................•-•......... App iration for Bispvii al Workii Taus .rnrtiun rami# Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: - ........................... _ -- -- ••..... 1. .............; c..fC'._.................................. ............ 6C ...-� j oc on-Address or Lot No. /f ......................_.......- - ' ..r.........:/(_ l..`................. � ....._............. �r .f�:: �'• "'�` d'- u�C Owner �{ ddres a ..................................................... , .... f'. - r c-•••'• ,- �.................................... .................. Installer Address UType of Building ., `'yP g �. Size Lot............................Sq. feet DwellingNo. of Bedrooms..............`�............................Ex anion Attic — p Garbage Grinder (✓.A aOther—Type of Building ............................ No. of persons.....................--.---. Showers ( ) — Cafeteria ( ) dOther _fixtures ------------------------------------•-•----•----•--•--"-----------------. W Design Flow....�� .' ...........gallons per person per day. Total daily flow................. .... . ...............gallons. W Septic Tank—Liquid'capacity�_ld v(�.gallons Length................ Width................ Diameter.---............ Depth._._._...:...... x 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 (--r— Dosing tank ( ) 1-� Percolation Test Results Performed by.......................................................................... Date........................................ 1. 1.4 Test Pit No. 1... ::?'s_"minutes per inch Depth of Test Pit.......... °...___. Depth to ground water...../k-'42�L-:�' - 44 Test Pit No. 2.-.�q," ..minutes per inch Depth of Test Pit.. ........... Depth to ground water..-- a ..................................................................................:................••......••-•- --------------------- *......... ® Description of Soil.......................tom-"... .............................-- =...... ?:a -c.�. r" r� ''�' �"" 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 THM,;� 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 board of health. Signed ......................... a , t 1 ` F � FG --,----------------•---...--- ,`C --.'.Date ....�--'--•- Application Approved By........................ f ............ Date Application Disapproved for the following reasons:....................... ...................•. s �• y Date PermitNo......................................................... Issued........................................................ Date I THE COMMONWEALTH OF MASSACHUSETTS . BOARD OF HEALTH .- .o.!G�r!r`' .......OF................�� '.** .tl>� -:`? ............... Trdifiratr of Tompliatta THIS IS TO CERTIFY, That the, Individual Sewage Disposal System constructed (_10 or Repaired ( ) by........................... C oil = ; Installer + �) ,.. r� .... ....... .................................. ../ ..... at. ----- -- -------- .__... 1 has been installed in accordance with the provisions of TITLE�3 ` of The State Sanitary Code as described in the application for Disposal Works Construction Permit No _•-8_44-_.1:_2__...... da:ted_._..__.._..................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE " SYSTEM WILL FUNCTION SATISFACTORY. DATE............................................��.�• ......... Inspector.....A��............................................................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �' �~�.c....,.°'af.�:�.......OF.. . 7 E Iw...--J. ...�.........��....... , No...........:.. '.3... FEE....... .... Rapooal NorkvC� #r� tmrn rr�ti Permissio is hereby granted..................... to Construct ( or Re air ), an Individual Sewage Disposal System ..................... ? Street as shown on,ttie application for Disposal Works Construction Permit No..................... Dated ...r-......,.`............................... Bo o Health il DATE................................................................................ FORM 1255 HOBBS & WARREN. INC., PUBLISHERS O T a s v f r O oe w ��a �- OF Mgss40, o ALBE 7; 000 S.F � 111/1�TN 1DO ' No.1095.1.4 4 < F1201,�r s,25. •. 20 j �FSSIONAL�a j EGEND OFMss EXISTING SPOT ELEVATION Ox0 cr�� q�yG CERTIFIED PLOT PLAN EXISTING CONTOUR --- 0 --- : L07- FINISHED SPOT ELEVATION gig Cc—NT / FINISHED CONTOUR 0 0 FQI• �� I N APPROVED , BOARD _ OF HEAL sR��+° . J DATE AGENT SCALES 3 c7 DATES /�% 9/ LDREDGE ENGINEER/NG Co IN CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED J08 N0: 8 �0 �3 BUILDING SHOWN ON THIS PLAN ' CIVIL LAND CONFORMS TO THE ZONING 'LAWS a' ENGINEER SURVEYOR IDR.BYi. OF BARNSTA E, ASS. 712 MAIN ST. CH. 8Y 20 FT. M/N /YOTF /F EITHER 7,We SEPTIC TANK OR LEACHAIVO ,O/T ARE MORE THAN I2"BE1.0. /O /�T• M/NriRAOE, A 24"O/AM ETER CO/CRETE COY . SNALL eF BROUGHT TO 4JTAOE.6.4N EXTRA - CONCRCTE 'i"PVC P/P� h'EAVy CAST /RO/Y COVER 5'N,fLL a-- US,—O M/N. PITCH /F/N OR/VEN/AY C7COVERS �gIVPFR FT. 2% M/N. CONCRETE CC) VER CLEAN .SANG 8A C.k L L LEVEL �^ 4"CAST J ,y: •'. •q o ER Y :i IRON P/PE /Q.�a v a o 8 :8 M/N.P/TCM. G.4L. o e • • • • • • •• • e 0„' WASHPD 57ONE Vq"Po/r P'7. SEPTIC TANK D/sT. 4 , • . . . • • , G :-'{.• BMX p • t H • . • •• • . p ° - , 4 (oPnoNAL-) •r sD 1 • •EFFECTIVE • ` • •r 3/4 - f �2 :r•:; • � � • • DEPTt� • • • • � v o WASHED STO�YE OL k`'"' ° ` • • • • • • • • • p PRECAST SEER4GE IBB,Sx 2.s = 4�1 v,P,D. •�p P/T OR �V/V. � INVERT ELEVATIONS a o r • . •. • . • • • a o ' Ig P. D•. • a EL = BS.o INVERT AT Q[/ILD/NG; 92--.0 FT. • INLET SEPT/C. T.4NK 9I:•g FT PirCttprK(T-( : 54`1 64,P, D. �O FT O/.4!►�J. C(SEET/'1BUL.4T10N� Sol 0tJ71-E7--SEPTIC 7AW K 91 IA/LET OISTR/Al/T/ON BOX q 1 4 FT GROUND Nl�ITE TADLE ' SECT/ON OF' �. OtITLETD/STR/BUT/ON BOX 91 •2 FT .SEyyAGE O/SPO�SA L SYSTE/rl s INLET i rACN/NG cxj7- _`�.0, pr -rAJULATIGN LEACH//VG A/T ' -SCALE : �s.. _ !•.O~ O/MEN.S/ON AFT. € Z%FS/GN CRITERIA D/.yiF/vs/aN 8 FT• NUMBER OF eEDROO/NS 3 D/MENS/ON C F7 M ^� GAReAGEO/SPOSAL(/NIT � SOIL LOG SD/L TEST � TOTAL EST/MA7"ED FLOi�(/ 33 G.4L./oa.v- sO/L TEST- So/L TEST 2 NUMBER OF 4eACNING P/TS ( fEtEV.T'9 • �~ELarY, PATE OF SOIL TEST S/OE LEACH//VG PEit P/T -Trff- 54t' FT. / L tl a1 .•,� RESULTS WITNESSED gY`/12£ BOTTOM ZA4CK/NG PER P/T' 7 - SQ. �T. r S v/�S i L PERCOLAT/ON RATE,*/ L s S TOTAL 4E4CN/NG AREA 2 to (O SQ, iT. S 7�r P h C P.. PENCOLAT/ON RA7'&Ik 2 MI N f INCH RBSERVELEACNlN6AREA SQ. FT. 2" r1 M -%N OF of Z-f & L T 7itfT I_L `k� y MORSE No.29874 A p No.10951.�0�� ELOREDGE ENGINEERING CO,INC. . �FQ OQ flO��GISTEP��' �L 7�`7 7/2 MA//V ST. f �N� Rv�yO Fs��ONAI EN NO G/�OIJNU kV,4TLeR ENCOU/VTERLFO HY.4NN/J� MASS. r3 GM UA/0 W-47-E.Q AT ZZ- Poa NO. / U Z3 SHEET?-OF" Z i.