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HomeMy WebLinkAbout0248 HUCKINS NECK ROAD - Health 247 HUCKINS NECK ROA CEINTERVILLE 252-137 s , Afl UPC 12543 No. 53LOR ..•e�,Nnip NM -- — TOWN OF AR -STABLE LOCATION SEWAGE # VILLAGE ( ,r' 1��� ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility.(If any wetlands exist within 300 feet of leaching facility) Feet Furnished by FR&1'05EP wocvWOOPPECK �'r ^►I � Fx�rirr� � ,�O\\ \ t 15009a( I \ � l000d � I ------------------- -L---- fi NE r\ ROAD ..................... THE COMMONWEALTH OF MASSACHUSETTS BOARD F E ��. ;Ls �� -OF.... - -------- Appliratinn for 43iiivaml Works (futu trnrtinn runtit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal \S� Syst at: Q ---------- ---- - ----...---------•-----------•------•------------..... catio ddress - or Lot No. -----------•- -` ........ . - -- —------------ W �n Address a ............................... Installer Address_Q q d Type of Buildi g Size Lot_ -____ _________'----((//___S feet U Dwelling No. of Bedrooms....... ............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ---------------------------- No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -------------------•--•---•---------•------------•-•----------•-•-----• ....................................•- -- -`� W Design Flow_,..........�0.._._..___.._._ 'gallons per person per day. Total daily flow................�___�1�-__.___gallons. WSeptic Tank- Liquid capacity/gallons Length................ \�idth----------.----- Diameter................ Depth_.______.___._- x Disposal Trench—No..................... Width-------------------- Total Length.................... Total leaching area--------------------sq. ft. Seepage Pit No..../ j� ... Diameter.................... Depth below inlet.................... Total leaching area------------------sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date---------------------------------------- Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water.___-___-_--_---___�__-- w Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--------------------- a --••-•----------------- ------- ------------ ---------- O Description of Soil------------------------------------------ - --- x 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in ,operation until a Certificate of Compliance has been issued he board of th. S' ed------------- . •. ------- -----•......- Application Approved By.................. ;�" .-•-•• p-•-- - '........ Date Application Disapproved for the following reasons------------------------------------------ --------------------------••--------......••• ......---------•- -----------------------------------------------------------------------------------------------------------•-----•--•------------•-•••-----••--------- ------------ .................................. to Permit No........................................................ Issued----- ----7 - to ----- .5*--------- ----------------------------------------------------------------------------------------------------------------- No.... I ...... FEs.... .. ......... THE COMMONWEALTH OF MASSACHUSETTS BOARD FF HE s�...............OF. ... -.-:. Appliratiun for Uiipnsal Worho Tomitrnrtinn Prrtnit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal S at r _.yst . � Q ... ation, address or Lot No. r ......-------- -•- W n Address � ---•---••----•-•-------•-------------------- ----•------•-------•-•----••---•--------- Installer Address Type of Buildi Size Lot_ : _ _ _Sq. feet Dwelling No. of Bedrooms--------. �. ...•••______________________Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Otherfixtures .................................-•-------••-••-------- = W Design Flow_____________' ."' ............... allons per person per day. Total daily flow................. gallons. WSeptic Tank I Liquid capacity �� -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 ( ) Dosing tank ( ) Percolation Test Results Performed bv.....................................................--------------•-•--- Date---------------------------------------- a Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water_____________-_______-_- f�, Test Pit No. 2................minutes per inch Depth of Test Pit..................... Depth to ground water------------------------ ----------------------------------- ' --- ......-----•---- --- -� --------------------•--------------------------- ' O Description of Soil----------------- ------ V -•---------------------------------------------------------------------•--•---------•-------------------------------- -----------------------•-------------------------------------------------•----- V 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 Article XI 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 he*board of hohlth. ied at Application Approved BY• ........ f --. _ c Date Application Disapproved for the following reasons:________________________________________________________ _ •---------- --------••-••------ -------•------ ...............................-............................................=............................-----------------------------------------------------------------------------------........... Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD ® HEALTH- - � ...............OF....... .................... Trr#ifiratr of T antplittnsr THIS IS,,TO C Y That the Individual Sewage Disposal System constructed ( r Repaired ( ) by----------------- t --------------------•-•- - Ins ller at has been installed in accordance with the provisions of Article XI of The State Sanitary Code a described in the application for Disposal Works Construction Permit No.___.__-_fig '_._ ,___________ dated_..... ___O .__ •-.•--_•- THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.........................................=-•---•-••--•••-••----•••-•-•----•---• Inspector..................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH , - ..............OF......... .a +':- t r No...... •---•--•---- FEE •----. --•---•--- �i�p>a��l rk - �rttr�inn rrtni� Permission -s h reb ranted______ Y g t ............ ................ ................ to Constru ( or Repair ( ) a?/Indivi 1al Sewage Dis'o al Syste No. �I �t� ��` 4 `' ------- at ' Street as shown on the application for Disposal Works Construction Permit Ni :S __.___ ...... Dated___ 3 . ....... Board of Health e . DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS i V 5 o c N G r • I I M, I 4-4 " cS BALC PW " II 11 z tl II --------------- ---------------- O .�+KALL © ; � O2 ----------—__-___- LL i I I O ----- -, ? II I I II I II II HEDRooM m Jill,, {I R d■ p i i STORAGE © �70�¢�AA BEBEDROOMROO tt3 i 65 � 1 I I WT~M STORAGE 11 1 $$ II 4 I 1 I! H j l 1 O� II 11 1 1 II 11 IL________________________________ IL J Q n -------- LL -- ----- -------— -----------------—JJOCp r Y _s• e. _!r• _r J Z Q ~ .,►u Z � _ 5 5 5 W $ Q�{- N _ neaoecD SECOND FLOOR PLAN COKTRAcr-To V.lRIK ALL WNDOW�UG0 I "..arm.m.To oRDa L wN011 NOTIK....l Or ANT MMAS OR OHIaAIONa. [R, 0 a NOT 7.*L WMOR RA US SHALL W mca i . •N „O.O.UKUM OTNC MIS!NOTLD. �.GOKTIIACTOR MULL ylRIK ALL MIMN34 'ROUGH OrD•/INOB►ILIOR To ORDOUNG WNDOYis. — p . A.OOIiT11ACTOle/HALL VOIIK ALL dMO/MON6 CI Z `Y ►RN„!TO OONOTRLIOTION. CONTRACTOR �. - AaeU19Cs RCarONMpIIJTY T A/K�yIseING OR _ MCAIe' dMQIB10Ka NOf eROVGI(T TO . TN!ATTOtTK>t1 Or TNC DCMG/CR. O DOOR SCHEDULE O NO MANUFACTURER TYPE SIZE REMARKS A i PANEL 30" ,/2-tZ SIDELIGHTS B ANDER4EN FWGiOipR i'-Czi'-i' RO . C 9 LT 50" S 2'i'xi'-3. vs - 5 0 i'-o'xi'-e' GLIDING DOOR ll 6'-O'xi'-i' GLIDING DOOR . GLIDING DOOR us O WINDOW SCHEDULE NO MANUFACTURER TYPE R.O. REMARKS I ANDERSENDECK 2846 2'-10 I/8'x4'-8 7/8" c Y ANDERSEN 2842 2'-10 I/8'x4'-4 7/8'. s ANDERSEN, 28310 2'-10 1/8'xW-0 7/8' 2.4►4LL O s' 11•. 0 a' O s ANDERSEN C155 2'-0 5/8'x3'-5 5/6' d f56 - O 0 6 ANDERSEN A3I 3'-0 I/2'xV-0 5/5' NOTE. ALL WINDOWS TO NAVE Ix5 CASING was1r.drew W/GRILLES 4 INSECT SCREENS tTSTts 1 q Darr. ii O HE=5�s d 5 FAMILY.RM- - I iew II �a VAULTen O 2.4 Ip� A • I 1 r,. Tn o.a wnLL moty. WT. O I `-------- Tkp-- M R 1 LDIVING RM_ 2. a eR4.IULL HIM S FIRE DOMpgFll y � up Iei �1K �� pyQ I I pN, � I n a CL INST. OFFICE III Q IL i Y Q Q Z - W LL 4- 4 'iYWUJ A e a 6 q clu 5 .5 5 LL 2 PROPOSED FIRST FLOOR PLAN ryrY �{ I caNr rTo TVO�OIIOCR�INr.WrND0Y10• 110rm N orlrY DeacNDe or ANr sRltoles Olt Q•IlssaNs. 1.16 . �u.DcrERaR wu.Ls sNALL°!bN < . � .a o.c.uw.es.onlERwrie norm. q c 1 j_L l i o L"° It 2rN a ImVG IGiµ/1 R TOr MrY�RlmG WANOQ'18. ` p . - a. MALL V WrY FINon O C.1✓sTRAJCTION. CONTRACTr71t Aseunes ftEpo1'CN.1°Iw FOIL ANY MI°°ING OR ITT rffak;OFOF THE C1ZWQQNRR TO . p- I ' 14(o PROPOSED WORK LI Mai;Ll Nf- ` AL ONES EX 5T I NC ED6E OF CLEAR I \ i 50 l I PROPOSED Ir WOOD DEGK���, I N-1 AZ io©o / 4(o ), c � \ 9 TEVEN �yH \ i a X 5�-�1 0 JIB m \ °0 3 1 TE PLAN OF SAND \ C LOGATON: 248 H KINS NECK RD., GENTERVII I E, MA \ \ + PRePA;?fp a=cR: DONALD SELL & JUDITt1 L.EVEEN_SELL \ DRAWN 15Y: 40 TMW ll- �Zlzl / \\ x Q J O \\ 50 JOf5 NLNMR: DATE: 5f1EET: 03-085 AUE U6T 5, 2003 SP-� \ VVELLER & A�5�500 I ATE \ E� 1( 5 FALMafl-H RD N SUITE 46 CENTERVILLE, MA OU-:n 4 TO (505) 775--07-,55 FAX: (505) T75-a754