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Home My WebLink About0024 LIAM LANE - Health 7- ah tJ i No................. Fss.3.r........ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Ok* ......OF................. �J. j ................. Appliration for Biopooal luorks Tonstrnrtion ramit Application is hereby made for a Permit to Construct f or Repair ( ) an Individual Sewage Disposal System at: y .do Aw �w / ----- ---- --- Ar ................ L 'on-Address /� or Lot No. ......................_....---- ..l .b..4.� ,-••••-•••. (q a• ----`3•.0.,----�..!..s:)-__;- • ' Owner Address W ,rDl ate- ........ -.--�J'l•+f�;a ,-� xS..G �.. Installer Ad ress Type of Building Size Lot....�.� CiS .Sq. feet V DwellingNo. of Bedrooms.... .Ex ansion Attic Garba pe Grinder — PAD g "Wo Other—T e of Building No. of persons............................ Showers — Cafeteria A4 Other fixtures ..._.._ .. W Design Flow........................��- ---------- Septic per person per day. Total daily flow..___.___.__.___...............gallons. WSeptic Tank—Liquid capacityj..000gallons Length---------------- Width................ Diameter---------------- Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... .ameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing tank ( ) l '"' Percolation Test Res Its Performed by......................... ._t/ l_�f�#�_(��d .... Date..... 1 � Test Pit No. 1._ per inch Depth of Test Pit______ ..... .. Depth to ground water-_/4P0_./V- -. fs, Test Pit No. 2.....-��Iinutes per inch Depth of Test Pit.---r Depth to ground water.... -------------------------------- ------------------•---•----••_......_........ - • - - Description of Soil . � Pl._ ._ � .._.�_f_. ---------------------- w ------------------- } f r- .............y,,4�1) ------------------ x ...•--••--•-------------------------------•----•--•-----------._...•-•--•-•-•--....----•--••--•-••••----••-----•---------••-----••---••--••---------------------•---------------------•-......-------•-- 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 iIT!L- 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 1 lth. gned .............. -•--- Application Approved lor� e •-•-•-• ----------------•••••. Date Application Disapprovelowing reasons-----------------------------------------------------------------------------•-------------..Da.-••••.._..-•-••- ......................................•--•-------------------.....------.....--------------------••------I--••-••------•---•--••-•-----•---•-----••-------•--•-•---•-•-•-------•-------------•--...._.._. Date PermitNo......................................................... Issued....................................................... Date a3nSS1 33NdI1dw03 3111a 03ASS1 llwll3d 31110 a3NMO 80 N3011n ! IF sS3Na9v 30vm S. 11 1SN.1 9r`l11A 'ON liwv3d 35vm3s 1v301 �" �� J �o� . . � � No. ' ................ Fizz-?. .......... THE COMMONWEALTH OF MASSACHUSETTS _._..� BOAR® OF HEALTH },y� ' i ... � .r..... OF.................r� , ...�� ._._�5�................ Appliration for Disposal Works Tontrnrtion rnmit Application is hereby made for a Permit to Construct Al or Repair ( ) an Individual Sewage Disposal System at: _-r l ' Location-Address or Lot No. ......................_.......................................................................... -----.....-----------•------•--------------------•-•---.............._............................ .Owner Address -�- ... Installer Address UType of Building .f Size Lot............................Sq. feet .a Dwelling—No. of Bedrooms........._. ,*............................Expansion Attic ( ) Garbage Grinder (A/0 a04 Other—T e of Building No. of persons............................ Showers YP g ---------------------------- P ( ---)--- Cafeteria (----)- 04 Other fixtures --.;......--•- ------•---------•--•-----------•-•--------------•----•---------•---------------•-----•••-- W Design Flow........................_ ___________gallons per person per day. Total daily flow.............._.. 3.r?_...............gallons. WSeptic Tank—Liquid capacity... .0gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- iameter.................... Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box (,;f') - Dosing tank ( ) ~' Percolation Test Res��}}lts Performed by.........................{..._ ..�.._......,---_-•-----•----- Date................ - ��• -- '-ems, Test Pit \To. 11.4!S.-..minutes er inch De th of Test Pit------t_............ Depth to ground water_ Test Pit No. 2..... minutes per inch Depth of Test Pit----- ._.. Depth to ground water..... .Coo il b 'l.... ---'-.---^--------- ... ........................... J fl... I ......® Description of Soil........................... r- -U Nature of Repairs or Alterations—Answer when applicable............................................................................................... -------•------•------•-----•----------------------•-----•--•--•-------••--•--------.......•---_.....--•------------------------------------------------•-•--•----------------------•-------............. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with r the provisions of .m i..m� ,,. 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. % : _ p...... - --- �i__..... ..................-..•...�........APPlication Approved BY Date Application Disapprove or.�Ehe following reasons:................................................................................................................ ......••--------------•----...--------------........---•-------•••---•--------•------••---------....---•--••-----•--------•--•---•-•-------••--•------------•------•----•-------------------•----------- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........!...011i��......OF..................t '.1�.. s.. ......... Tntifiratr of Tontplittnrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed�(_ or Repaired ( ) by....... i } ------------- ,.r�.-t- c.-r�� ---------------------•----•--....----...--•---.......-----..e Ir�staller + (� has been installed in accordance with the provisions of TIiL�; f5,q{�% he State Sanitary Cod as escribed in the application for Disposal Works Construction Permit No..� .............. ............. dated_-.. __.°'�,.........x".............•-------• THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION � SATISFACTORY. DATE---------------------------••--./•-/1,l ........................ Inspector.............. ...................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 2. .............. 3. ,/r No......................... FEE._...................... Disposal Norks Twono#rnr#ion rrmit r, �l ranted............................��1*'f!-�S•--.. r " Y gr 1` --c!k _ t................................................. Permission is ereb to Construct (J) or Repair ( ) an 1ndiv dual Sewage Disposal System atNo................................................ ......... .....--- ��,;J�"� ... ............. � Street as shown on the application for Disposal Works Construction Permit Noi. ............... Dated ................•-•--•----•---------.....--------•-•----------•----------•------•••-----••----........._ Board of Health DATE................................................................................ FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS 4 -lop • f.�3it= : I-E AA av„G B LGT C— ELE�A4TC�t Zo. o0o s F.- ,f't, . S84°•42 4y'fE LT9 IDS Z7 DSO S,To F ^�sIRw w O A-eo" pfAT o� J sf 09, tv v. 0� ' �� L 0 OFIS, q3 d �y� c R CL� tY.29874 p FC/STB-Apt <:- LEGEND CERTIFIED PLOT PLAN EXISTING . SPOT ELEVATION ®,�0 P�'.\H DFM�� EXISTING CONTOUR --- O ---- �`` o I-o-r9l71AIPI LIq NE FINISHED SPOT ELEVATION yv, C, A/TE V/ L L E FINISHED CONTOUR 0 ORSE IN No.10951 O APPROVED i BOARD . ®F HEALTHlalaU FSS/ONAL�l� DATE AG-ENT / ��=So' DATE S 71IG�8Z .DREDGE ENCINEERWO Ca IN GR�Nt3R/ER CLIENT 1 CERTIFY THAT THE PROPOSED r STERE REOISY' � J®s.No. 8 0 / BUILDING SHOWN ON THIS PLAN IVIL LAND CONFORMS TO THE ZONING LAWS I V '� DR.SYl OF AARNSTAH E, /MASS. .712 AI N S T R E ET',:,. CIS. DY �J:T?.E. t' NYANMIS,. MASS�'' .. " 2 SHEETS OF ATE R 0. LAND SURVEYOR 20 FT. M/IV /Y07L� /F E/TNER SEPT/C TANk pR /EACH/iYG P/T ARE MORE 7-14/9.•".1 /2"5ELOiV i /G /�/N BRA OE, A 24'O/A W E TER CCr4/C.F'.�TE, Co vE.� S,"ALL 9E ®ROUGHT 770 GRADE.(:-;,v .E�'TRA i 9 wPVC PI PE CONCf3L'7E 1-IEAVy CAST /RON Co 5,A,✓,-q1,L 13.E USED EG elvl 5/.2 M/N. A/7 C q CoNERS AR/VE 1 vA Y 2 • M/,V. CO/V C&— :: CO VEP• C'L EAN S'ANO "Qu/D LEveL 2 LAYER /ICON PIPEGAL. • < o P a v OF //8"-'�/e" �4 MIN.P/TCPV p/ST. 1 • • • • • • • • •4 WASHED 57'01YE S.�PTIC TANK ' , s • • • • • • . , ='• BOX o 1 1 • • • e • • .•• • ?r': . ' i f y • 1 1 eEFFECT7VE • � • r 1VA SKIED/STONE AN rf • • DEFT!/ • • 1 • i v o , ¢•_. - - 4 1 • f • • • •I i pop :0 1 / • 0 0 • • • 1 O p, 4 7 O lD • • D PRECAST SEEPAGE' • a• Ie • o • e • 1 D • o i !A!�✓em? �eG E 1�i�7�'1®�/.� E4 79 x /�v = 7B G/D a t►e� • • • • o • • • • e •o P/7 OR E- VIV.. PiT eA n.4 c ry_5 q 8 G L.��s�� ® � c_✓ 4-Z.2 INXERT.AT &Vll-D/NCr� 49..2 FT. (� D/AJ-9. I,�rL PT�C r.�I��t 49.o Fr Fr o0.4M. jC,(5 E�w4BV"r)o/v� 40U7°L&=_ 7'.SEPTIC -rANo<. 46•.8 IAIL,Fr o157R017I0A/ SOx 49 �T sECT/®/10 ®F' GROUND W4TE'er 7A49LE ourLETDISMIAUTIONB��•4 F7P .S� �G� ®Ia�'I®�SI�1 �Y.��'��'P INLE7r LZACHINrx /�/T 48.2 FT. 'Tip l��s�'�l®N L EACN0/Na .10/r I E / AI $CALD�'5164V CRITERIA D/M�E�IS/ON �- 6 malwSER OF E'EOR00AIS 3 D/NPEIVGI®PI G 4 FT. M//v. GARAGE®/SPOSAL 4//1I/T IV'OAI SO/L. LOG TOTAL EJTPMW4"rEA FLOA�V 3 O G.4L.�DiOY cSO/L TEST.I�`/ SO/L TESST./ Z `�®�� MU148,ER QF 49B4CHtN4a POTS EEC . LE , PATE OF" S®IL. T'E-5T5` Z7 BZ SIDE L�*ACHIIVG PER PIT RESULrS AVMVRSSEB dY Jlc't� 1 ®OTYOM LES9CH/NG PER Pir 78 $Q. RT. Lo /'1 $ PEi�C®ZA'T/®�+ AA-rW Af/) L C-ss p'/A'//NChI TOTAL LEs4C"N/NG AREA 2 G 6 SQ. FT. 7o�sa/L I-�lEilCOL.gT/O/V RATE 2 T�^-^` MIN.1lNCN RESERVEGEACNIN6 AREA "2-6O � SQ. FT. � f � �' O /.z /z Zt1 0 j cD/v� Ssq v`P�ZN OF M,�ss9 SA n/D L °T �/ L f ;;,I Li'. /`✓G a 3o 8 � �/1_ Z. $ � ABA � CANT: =� � v o }( ORSE can 74 �o `✓A�No.10951�o EL.0 RED 0&EIV&I. SCR/NG C-0,/NC- OISTE�y�Q` A'9p �G/S7EP ��`` HJeL_E--v. 360 7/2 MA/31 N ST. • HY,4"MS. MASS, SURy�' �FrS/0NM-� NO G/40vv0 ;,Yo4MOR ArVCDUNTEREO . CL/ENT�REENgR�ER DRTE 7 /6 8z a GRO UNO WATER AT ELf✓E - .10a NO.• cP20 - Z OF 2- SHBE7'_-