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Home My WebLink About0025 JOAN ROAD - Health 25 Joan Road A =228—088—002 } Centerville No. 42101/3 ORA p f Cori ESSELTE 10% a A o 0 r LOC - TIOtJ : SEWQCaE PERMIT MO. VILLAGE — — — — Im T E 4,: ADDRESS ,ADDRESS rye Dt-sT,E PER" T ISSUED is-_�`�DATE CONAPLI &KICE ISSUED . 9- i r � , L 4,1 No THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TD1rN....................OF............... Appl ration for Disposal Works Tonstrurtiun 111trutit Application is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: glen-Address or Lot No. .......................I.... U... �� ......) 1_.............._ . ._... .._......._.._..............._.........._.. ...... ........................_......... Owner Address Installer Address Type of Building Size Lbt.4fA4SCaC?..Sq. feet U Dwelling—No. of Bedrooms.............. ._......_.__..._..........Expansion Attic ( ) Garbage Grinder ( ) '4 Other—Type T e of Building No. of persons............................ Showers G4 YP g -----•--•----•---•-••----•-- P ( ) — Cafeteria ( ) 04 Other fixtures ......................................................................................•----•.................. Q W Design Flow..............1.1.0....................gallons per person per da.7. Total daily flow............... ...............gallons WSeptic Tank—Liquid capacity l.`7� .gallons Length....10.fo! Width:.`J_,_�5" Diameter................ Depth.....S;t4 � x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.. jaCU... Diameter.......1_ :;__..... Depth below inlet............... Total leaching area.53'10.sq. ft. Z Other Distribution box (Y,) Dosing tank ( ) Percolation Test Results Performed by...... _...... Date........ Test Pit No. 1.....G2...minutes per inch Depth of Test Pit...... �...... Depth to ground water....1Q. jA....... 44 Test Pit No. 2------LZ minutes per inch Depth of Test Pit.......1Z...... Depth to ground water......N.Lt^. ._.. O Description of SoilTit�-1:._.Z��...l-C.?Q -- ..5 I�n;....IQ.S�...�(..�F. ....�1.. . .__M l..l ......... I.T�-.._8,A►11s...--CPFq ..l-4PA.+.l... FC�!.4��... W .�l.t.`�.....�i..�s�..�.�Fc..--Alt.�'t�41....�Fs►.1L�...lr�i=-C't�::��? ...C?�._.G�r.... . �.L::....._.. 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 LITL U 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation�irt2ifiZf C p ' s iSsuedby t board of health. . . .. ._. .. Application Approved B 6 t PP PP Y .. 6 Date Application Disapproved for the followin reasons:.............:............................•---•-•.-•.-_•---._.........-•------..-..•--..._...._................. .....................................•--------•--....•-------.....•-•--••---------------........---..........--•-----------.........--•....----••..._..........---•--•••---.....•-•...................... Date PermitNo.................•----------.....----------.............. Issued_...................... kkL Date � No ...._....._ 8� FEB....... THE COMMONWEALTH OF MASSACHUSETTS �- BOARD OF HEALTH INJ.....................OF............... � � 'Tl ..:�.......-----...... Applirttiiun for Disposal arks Tonsirixrtiun Permit Application�is hereby made for a Permit to Construct (x) or Repair ( ) an Individual Sewage Disposal System at: Location-Address V I ) 1 or Lot No. • ----•---.._..- -L.. .._... -----•------•---••--•-•.............•.._... -•----•--•--••---------...................--•- W Owner Address •................•--........................:_....-•----•----•---•--.._.._........................ ......................................................... _.••-••---•-•--•--•-..........•••••---••�.•---.......:_..•--------••-.......................... Installer �h= L Y Address-1 ,j Type of Building of V ''� ..Sq. feet y t Size Lot. :.... ..t Dwelling—No. of Bedrooms.................................... ......Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ........... No. of persons........................ Showers `= Cafeteria fl' Other fixtures -------------•--••------------.......------•---......_.-----•-•--...-- Design Flow.............. `....................gallons per person per day. Total daily flow...............44(2...............gallons. Septic Tank—Liquid capacity.!-.`�a- gallons Length....P'(""- Width_.5J3" Diameter................ Depth...�4" W Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. x 3 Seepage Pit No...T5-tA.C?.. Diameter........!. .... Depth below inlet........Cn..... Total leaching area.-'�--�.-5 .Qsq. ft. Z Other Distribution box O Dosing tank ( ) a tZN Percolation Test Results Performed by.............................. . .................. ........ Date........Z.:. Test Pit No. I...... ..minutes per inch Depth of Test Pit......).5....... Depth to ground water....Aj_�Ar,....... Test Pit No. 2.__.._GZ-.minutes per inch Depth of Test Pit....... ........ Depth to ground water......!u:/A...... W ....---•--...••--•-••••-•••-••--•--••--•--•-•.......••---•-•--•---•--•---•------•-••---•-•.............••----•-...............---•-••-••-•----.............. O Description of Soil:C :ti%-.Z,f ; --...... U At T ••1, I'��-1 R1 . 1[ _._.. ; ��I. '". T+-I--2- `- ` l_ ( 6111A W Gl t......... l srR, .. ( v.ill l ��.!i. SA1 ...�,. 1'C"+-__. 1�l �-R \� 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 TITL; 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until ertifi te`"of C fnp n.e as issued by t board of health. r � ed. .V. �:__.. ................................. Application Approved By......................... ..!_1...... ......... .. .............. 6. `1..,. .��... Date Application Disapproved for the f ollowin reasons:................................................................................................................ --••----•-----•-••------..•.................•----............._...---•-----•------------•----•-------......------------------------•-----...----••-•---•------------............---••-................. } Date PermitNo......................................................... IssuecL....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH f � �N 0 F...........< (� `.......................... ..... �....... a, ................................ (Inrtif irate of Tumpliana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (_Y,�) or Repaired ( ) by........ '�'b.. r_ ... -•............................•---.------...............---......�i.i f yam' �a •y Installer . I. -e at.------•.. ...........lc ....:............ .... has been installed in accordance with the provisions of TITLE 5 of State Sanitary Code as de ribed in the application for Disposal Works Construction Permit No..-...... ?.`........................ dated........... • . - .�s..........._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAR T E THAT THE SYSTEM WILL FUNCTION. SATISFACTORY. •--�--��'�" - 17 DATE................•----. ............................. Inspector------...L�...---•-•-•--•.............................................................. C) ehy A THE COMMONWEALTH OF MASSACHUSETTS /1 BOARD OF HEALTH No......�---------------S FEz........................ Disposal Works Tunstnutiurt 11ermit Permissionis hereby granted............................................................----......------•-------•--------.................---............................ mow, to Construct or Repor ( an Individual Sewage Disposal t atNo.................................................................o .......----..... J n Tom( - v. �\ ...... ...... .....••---------......--•jam •.---••-•- °•-••• .................... Street as shown on the application for Disposal Works Construction Permit No.._�6..��'��Dated & .................................... t Board of Health DATE ti.. ASSESSOR'S MAP N0.�1;4 PARCEL - LOCATION SEWAGE PERMIT NO. VILLAGE 4,Af.4-,-71:-YL u,/ %/- r, INSTA LLER'S NAME i ADDRESS 1 + B =-4R OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �� f/ r � g i3 r SECTION - SEWAGE E , - •� G Q SEPTIC TANK - - "D"BOX - 8 I - LEACHC��N'fF� l.It�lE E �' r-�D'U-� TOP OF(,F ON W C�I�� i [ ^ 2 OF aT0 4z COUEI� WASHED STONE i` - - - r IN• OUT• IN• �(L �f OUT• IN• L _G SEPTIC ANK 7i / f S�VU (V 1 4�1 T 4 QUA ELEV. ELEV. ELEV. ( I ELEV: M ELEV. ELEV. 9 c d .�• i 1 ' �I WASHED STONE I' f } TEST HOLE LOG FSOI� a pp� -� NIc4� ,1 CB•o + .� �t✓EU• 370 , ��, 1 I\ TEST BY }L TEST DATE WITNESS DESIGN BEDROOM HOUSE ® ✓ r� ' ,2 T.H. 1 T.H. # 2 2 ' -JK ELEV. SO'O ELEV. NO DISPOSER ISPOSE PER ( 51 11 S aL ( CRATE MIN/IN. h 3O 3D 47.7 FLOW RATE `d�(GAL./DAYY) SEPTIC TANK 144 (+S)_ REQ'D SEPTIC TANK SIZE �O� ``,,r /r' '°''J fly • jl(J 3 Y V- 4 1 I A I,� M LEACH FACILITY �- I' / O,r' �' �•°` % r I Q�O� � .,. I EJ W•:'�J SIDE WALLZ = 5,� (�•�) _ �� Z G/D. - 7�,5 G/D. ,/ 6 O� G .� BOTTOM TOTAL ?0 'O ) �4q, �-�D 1 / `✓ f' . f� V / � } 2 x2(�c�• Pam) 534/osr - ()O�`�'�-��D ' � •� �� -'� ;. /J �� f " `� G,, � � /� 38' J!'U USE: - ��lO LEACHING l0' OFF' DIAME'r�R x -WATER ENCOUNTERED NOTES: (UNLESS OTHERWISE NOTED) 1. DATUM(MSL)L TAKEN FROM SL 'f''�I,�[!\,6,1J-_____.__QUADRANGLE MAP M4 �� C�� ] G t� ----- i - J 2.MUNICIPAL WATER_______�_ __________________________AVAILABLE _3.PIPE PITCH: N"PER FOOT { -�./\ Uf 4. DESIGN LOADING FOR ALL PRE-CAST UNITS:AASHO. tC L/ -44 ,I ARNE H. RrJ�C'. I_\ &u1�I� 5. MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT. p .6. PIPE JOINTS SHALL BE MADE WATER TIGHT _O JALA Ri SITE -7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. TE p{ A STATE ENVIRONMENTAL CODE TITLE S - _ IL - - ._-__-_ -- ti f_L A -- 8 r.,)OY 3' :J � FUR PRD�� LlkJe �i'hKlr�iC, •� s I �S - *_16,17:2, ON�i ��g/s Locus: ��tt 4 OF Mqs� �a 31St9�d:. `�o I' I l� _ REG., A INEER -- i - _ �p� ARNE �.yG .: _._ a.: 6 Lc(7# _ / n :- lD J �� . REF: - - Wown cane e y �� H 7"r . � �� PREPARED FOR: Cl 9P� INEE •fi BOARD OF HEALTH Q , OR II I (EXISTING).-----------• �i, 1'� ✓ 926 Main St. � ��gI�LAND 5,�. REG. SCALE__ CONTOURS (PROPOSED)-O-O-O O- APPROVED DATE ��' " �' 1IX' MA d Y 'Jf� DATE