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Home My WebLink About0142 ENSIGN ROAD - Health I4-7- Rd ctt,Tg v"f le I �� o6s ril � LOCATION S A C PERMIT NO• P VILLAG " _ IN i TA 11 R'S NAME�2p DDRESS BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 0%� / nT��' �_ �, .�� -�-- � �� --- r- No.r�1 Fzl ........... ... THE COMMONWEALTH OF MASSACHUSETTS _ BOARD OF HEALTH .......... ...........OF_........-... 1•w-�- 5............................... Apphration for Uiupusai ?gurku Tanstrurtiun Frrutit Application is hereby made for a Permit to Construct 05� or Repair ( ) an Individual Sewage Disposal System at: �t__ �� / ........ .. ..__..1.. ........ w.s...��.....�_.. .. cy .. - ....................... o t on- ddressC y� or t No. - d 1' .._•.......... .........f .- f ...T :', a Installer Address d ® Type of Building Size Lot_______.__..t.......r�........Sq. feet U Dwelling—No. of Bedrooms...... ............................_...Expansion Attic ( Garbage Grinder OV JD Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures __________________________________ W Design Flow................. 457...............gallons per person per day. Total daily flow____._._____.________________-________._.._gal Ions. WSeptic Tank—Liquid capacity__1.00gallons� Length................gWidth................ Diameter____--_____._._ Depth................ Dis area x Seepage Pit Trench No._ _�_�..................... DiametWidth_•- Dept Total belown nlet__________________ Total area_.................... -__`�..._.s ft. � �-------- � �_ q. t. Z Other Distribution box ( +oj Dosing tank ( ) >�/ Percolation Test Results Performed by-_______ _ _l._ _.f�_!=...... _ ....... Date..............1.�1_�_1 �...... Test Pit No. 1... S s__minutes per inch Depth of Test Pit_____ Depth to ground water._. �� y , Test Pit No. 2 7�i!__ -x�inutes per.inch Depth of Test Pit.__ Y_______ Depth to ground water___ N.f_ol ,.-. ��-114 a ................... ---_••-•• ------i{ Q i•••-•-••--•• ._-�•-------------------------------------------------------------------------------_-••-- o Description of Soil - f�-----------� e --------------------------------------------------........... '-'�z' ..._..a�.r p__. __. w�-•-----------••----•---••-•---•-•--••---•----------.......--------•---•- 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 TJIT TLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of omplian e has been issued by the boar" health , An" Ze Date ApplicationApproved By.. ,_._. . ....... .•-•.........................•--•-•-•--•----•----•--•-••--_.._. .... _ll...y�•-•--••••-_--•--- ate Application Disappro d r the flowing reasons_______________________________________________________•______________-__-_______..___.._._..._.._________.._._._ ................................ •--- ............. ------...----..__.....-----------•---------._...--'•-•--------------------------- -----------._..---•-•---•----••-----••------ •----....----- Date PermitNo.......... --------------------------------•------------ Issued....................................................... Date NoV...J, � F ........................ •' THE COMMONWEALTH OF MASSACHUSETTS _J BOARD OF, �gHEALTH .............OF.............. t,.-,17f..... -1------1-.. -------------.- --------------. Appilration for Uiupusal Works Tomitrurtion runfit Application is hereby made for a Permit to Construct A/ or Repair ( ) an Individual Sewage Disposal System at: _ - ....... - ......... .............. v... ........--•-----_.... . . ............................... /'/� i-O L f ation- ddress �r or t No. -- OWne )/ Address Installer Address Type of Building Size Lot____ Q_S 4..Sq. feet Dwelling—No. of Bedrooms___..................................Expansion Attic (0/0 Garbage Grinder Al 0 aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) tsa Other fixtures .. -------•-•••_.-•- WDesign Flow................15 .................gallons per person a per ...----•--•---a . Total dail flow.___.._ ......... .... gallons. WSeptic Tank—Liquid capacity.1.pgP.gallons Length............::. Width.......... Diameter................ Depth................ x Disposal Trench—No..................... Width,_,._......_._._.. Total Length_......._ € Total leaching area....................sq. ft. Seepage Pit No..........I-------- Diameter...._ ----------- Depth below? inlet....... Total leaching area: .0�......sq. ft. Z Other Distribution box (✓f Dosing tank ( ) ff aPercolation Test Results Performed by '.,._ ._ ._� � �' ./ -_... .�....... Date._........q.l.+. . _ __._... Test Pit No 1 . . ...minutes per inch': Depth of Test,Pit Depth to ground water,+f,AsQ.,.... Test Pit No. 2Teq�..Z--_--minutes per inch Depth of Test;Pit ........ Depth to ground water-_' AZJZ1Z1' O Description of Soil............................fl"" ! U •..U i x ----------------------------------------------------- ................................................................. ..........--- VNature 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:ILL 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate o omplia ce has been issued by the boayNf health I `� a'sl gn(X/ Date ApplicationApproved By... L. . W.................................................................. f --�...................... X Date Application DisappPaved or the ollowing reasons:............................................................................................................ Date PermitNo........ ---------------•--•----•---••------••----•-•--• Issued_....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..... ..............OF............. rr�f� Trrtif iratr of Tomplianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( or Repaired ( ) by .f!r - -••--- . . .'.5..1 A l#.................................... ------.............------------...._ .... _......_ .........---•....._ Insta er •.... ............ ........................ has been installed in accordance with the provisions of l m� ofihe State Sanitary C. ej '0 /ribed in the ' ?ll application for Disposal Works Construction Permit No.___._...�______________________________ dated, _21- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. q . , DATE.. .�Q��f g Inspector... ,.. ..lr............................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Nob!' ...........OF................? � -.. ..... ................ ;Bispomt Works Tonotrurtion fryfit Permission > hereby granted. _ P. 1.!�4..... 1 57 ........ ...... to Construct �,k) or Repair an Individual Sewage Disposal System! at No........................�-• 1 y .� .r: .i� ....... .... Street .l as shown on the application for Disposal Works Construction Permit N,661%0.�..... Datedr/??�1- ............................................................ Board of Health DATE............................ ' ,,! FORM 1255 HOBBS & WARREN, INC., PUBLISHERS W AV 21,o:5Cj, s. ,l' ,t -1EsrAr_�� .� b', LOT 1-7 / ry, TT 98 p. i 98 9rlo sue° LET ` 1 L43 ,o J i icy AEBE 2F, ant l DTH o�zs _ s5 F P-c:>ti T -s r3 /Lp -� .LEGEND ��>{�q;. EXISTING SPOT ELEVATION Oro �� CERTIFIED PLOT PLAN.. EXISTING CONTOUR 0 -• o� JOHN FINISHED ,SPOT ELEVATION �`'`. C - t�l.slE tJ PEA r ROBERT . �► T Ems/t LLB' FINISHED CONTOUR 0--- 3 ELMs y �T 4 IN APPROVED BOARD OF HEALTH w( Isle (3A�1� s-rA C3r�: stJR`� • 2Ev i Sf<t7 ; 9.t 7•Y� DATE.ET AGENT SCALE, =4�6, DATE= EL DREDGE ENGINEERING CO I CERTIFY THAT .THE PROPOSED ' RE CIV1L RE E LAND E JOS NO. $----j.•. BUILDING SHOWN ON THIS PLAN ENGINEER SURV YOR pR,BY, J.�:fir CONFORMS TO THE ZONING . LAW$ OF a4"J ,A M AS 712 MAIN ST. CH.9Yl HYANNI$,MASS. I '2 SHEET Of.,._,. DATE 0. LAND SURVEYOR 177 . -ram-• : ., 4 A jo or. PI/iV.` /YOTtr: �' E/'TNtR rI/E SEPr./c T.4N� `OAr � Ls�CN�ivG PST ARE MORE TN�1 N /2"sElOIV` , la Fr` /K G/tll0lr p A a004V/AM ETER CO V C rF7-AF C'OW&AP M---! �•PyC,I/PR XNACL eiF 4NOuQr yr TO ijewpl.64,v MX'7RA: . . CONCJIRTa'' �.J/N. P/TGI�t MEAYy CAST/RON GO i/C/r ,S/'/AL L BE USG:O E1.=f 01: COYEJ�S pr. /�/IV 404felVAFWA Y w1i/N. CIO/VCRlFTE 0 aE co vER CL EA/V sA/vo ( T f BACkF/LZ As�c„sT G/ST. WASHED S7t�NE . Bay • •• OEPTN• •• • .. JVi4SHE0 STONE v • . . • • •.• f•o ON I$8.5 A.2•S . a= 4-►1 e P . i s.• • • • • • • • .• • •� Pi?ECAST SEEAtiGE ,AfMA,r ELEYAT/ONS � ►• • � . • • • . . • � e PIT OR G9QU/V �'14:5 x t.o � '►8 v:P.p. /NYERT,AT 46//LD/N6: �•�F�' i�' DYAM. EF i-- _ 9 2 0= lA/LET jmvpT/1C T�4NK ITT. f 5 49 ea-P.D., F• 10 FT. PAAM. •� (: SEE 7A&ILAT10Ne- ON7LAT gffe7 F lC 7AAfA-C ```AT. 3 qg,4- FT GRDlINO J4�ATER Ti4�E //VLET DISTR/a!/]r/ON BOX .SECTIO/V 4/� 0072" /STRie&MIO r 6oix �S.2 f7. Se�,yi4GE O/SI�ASA L SYST.EFM 1,W&M LEACHING /a/T 9n.4 FT. LE�4CN/NG PlT 'TA /"T/DN O'. D/MENS/ON A 2 ITT. !�INSI V CRl TER/�t. OI�N.E,wsl o N 8 FT: N/lM�R Of eEORoOMs 3 D/MEIVS/ON C 4- PT GARQA6EB/SPO.Sv4L UNIT O SOIL. LOG ,: TOTAL &ST//►9d4'TE.D FLO*V 330 a4L./a 4'v SOlL.TEST 0/ SOIL 7,WS7-402 MuMBER GF' le'ACN/NZ P/TSB_ f`erLEY. 99.9 ArLEII, x>A7,L OF d01L TEST sEPr 9 . tom$ 1 S/DE LE'AGpi/N6 PER P/T ._.11A /T. lmrSUA rs h/ITNESSED &,y J -e/6 i Fr•QRP ®OTTOM"*4CN/NG PRE P/T '72 .�i. R r = Psoi� ��. •� wAw.y:: Ag,'/l COLAT/OM /lAT! 0/ L.I�SS M/I1�/INCK TOTAL LEAN/NG •4RE�1SQ.: fT. T, P�F/KOL/4T/�N R.�1�►'E2sJ REsi'RYE L484CN/N6 AREA (s+ .Q. FT. AAME>vM. LOST l C.o - ENSt G�t.1 �qAt� 31S/ c \y ALBER.T. S� �Nvt. n c O o. iassi o ELORED6E E/11�CslNIE A/A%co,/NG. t,►p wAT��- 712 J►III/N ST,. NO GITOUND.W,�47X EJVC0lhVTfREO IIYANN/3 y MASS GROIlA/O LATER AT JsrLE4! 43,t023