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Home My WebLink About0077 LIAM LANE - Health 77 Liam Lane Centerville A= 167-016-006 No. ...� Fss..,l... ................. dDJUs THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 1� T :-.oF ............... �. ...... ................. Appliratiun for Disposal Works Tonstrnrtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewag isposal System at: • .............................................................�---- ... `� - - Location-Alss � or Lot No. ---------------------G. ._... _«......_►_.... ----...........�z?-�� C........._.- -- ... . ........... ................. ; -.- w Owner Address ................................... Installer Address �-" Type of Building Size Lot.......�.��.__ S y_�q. feet �-, Dwelling—No. of Bedrooms............... ___•----•-.-•••_--_-----...-.Expansion Attic ( Garbage rinder ^� a`4 Other—T e of Buildin yp g ............................ No. of persons__...____..._____._.__...... Showers ( ) — Cafeteria ( ) PA Other fixtures ------------------------ w Design Flow.................�.............._.._gallons per person per day. Total daily flow................ .__ __ .............gallons. Septic Tank—Liquid capacity ?Wallons 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 ) - 7 '-' Percolation Test Resul Performed b ________________ _ a y �z4 -----••--- Date----�'�.............•--1 Test Pit No. I___ � �minutes per inch Depth of Test Pit......../_�_�._._Depth to ground water... 44 Test Pit No. 2..........�minutes per inch Depth of Test Pit.................... Depth to ground water..................... . 9 -----•--•-•• ......... 41---- ----••---•--•----••••...... ................................................... C) Description of Soil..................... r ®�-� ®_ -- rf ....... (31,�------------------------------•-•------------- x r Z ------------ V=-= �J w 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 iITL LE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issu by the board of althe lgne ----------- ---- - - ---------------- Application Approved By. ••---•••-•......-----•------•---- ---- �° Date Application Disapproved r th following reasons:_...---•-------•-------------------••---------------------....--------------------------------------....-----••. ----------- -----......................................................................................................................................................................................... Date PermitNo.......................................................... LOCATION SEWAGE PERMIT NO. VILLAGE 1NST TLL 'S NAME DDRESS 9 U 1 L D E U OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED i r - t bn T ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH �:. 1': :........OF.................t. ...':.. Appliratiun for Disposal Workii Tonstrurtiun ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage�Disposal System at: ......................................................... ..�-fm'l �-- ---------- - -•-----. .... ------- �--.. �. !�--_•-- - .�^ Location-Addrress /� r or Lot�No. A Owner r Address W ` • /±� C .arfA r+ ra.................•-- Installer Address �- d Type of Building Size Lot.......:�.�._...}..STq. feet Dwelling—No. of Bedrooms.................... ...................Expansion Attic ( t)�/C3 Garbage Grinder aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixturs ................................. W Design Flow.............................................gallons per person per day. Total daily flow................. _. ............gallons. WSeptic Tank—Liquid capacityL_W:Ullons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No------------------t".iameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box ( ). Dosing tank �.) j� <+' }, f 7 a Percolation Test Results Performed by...--•----•---••+.= / ....�......... ' ------------ Date-----,; 2.. Test Pit No. 1............ __--minutes per inch Depth of Test Pit........��'_ --- Depth Depth to ground water--_,r'1 Test Pit No. 2........`. minutes per inch Depth of Test Pit.................... Depth to ground water...... .............. ' .............. i-._...... _.: ..K.... . ......................................................... Description of Soil..................... -----------------------------------•--•------------••----------------.....------....------•---.....--------•-•----------•-------------------------------•-•--------•---.....•------•----•-----•--•-••--- 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 TITL% 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 b the board of iealtht i� P P / Y ��, �r f �t grie l%f ��! 1 rit'/ o , 40 X" .. ......... .........-- .._....:-..--- -••---. z ------------ f. " to ApplicationApproved By..... ........ ---------•---- -----•-•----...........---•------•---------•--••--• ..... .. .... -- .............. Date Application Disapproved r th following reasons---------------------•-•-----------------------------•--•------------------------•--------------------------•---- ................•••••-••••-•-•-•-----••-......-•••------•---•-----••-----------••............-------••--------•-----•--•••------•---•--•-•---•-•-•------------------•--•----------------••--•-••--••---- Date PermitNo.......................................................- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........ ..:� ::`-...............OF...............!% .�t� �ti I . fV.................................. t (In ifiratr of Tuutplianrr THIS IS TO CERTIFY, That the Individ>��'l Sewage Disposal System constructed ,('�) or Repaired ( ) by------------------------------------------- _' _ Installe ----------------- r j ......... �......:... at..........................•--•••--•••••-....— ---t--•_............•..............---F--.. -----•.!.......................--..--...........-=." "........ .. has been installed in accordance with the provisions of T T r The State Sanitary de e ribed in the application for Disposal Works Construction Permit No. ........... . .................. ,`... _ ____.__._._._.._._... THE ISSUANCE OF THIS CERTIFICATE SHALT. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FU CTION SATISFACTORY. DATE.....- .-•-•1--...�.................................................... Inspector------------ -•--- ............................................................... ITA�d � s/�olt� ,THE COMMONWEALTH OF MASSACHUSETTS ' "� BOARD OF HEALTH �,�log �/y'1 ...... . . ��'".'.`-......O F......... ......: /t.,,'.`� U�r-'t....................... yf 11 . ............................... No................• ..... FEE........................ Uiapo al Works Tonstrurtion Panfit Permission i hereby granted = =-_... ---------"----• -......... ....._.....-----•--- to Construct ( or Repair ( }Tan,Individual Sewage Disposal System at No t - i .. ..............�' L_ -t ✓ ................. Street �'f� as shown on the ppli tion for Disposal Works Construction Permit No.............. . ated . ____ _....._........__._....._...... -'� ........................................."--- . -�......-......................................._ y ............•...._..... B d of Ii fh DATE------- ---�--��----------------•---......... FORM 1255 HOBBS &1WARREN...INC.. PUBLISHERS L �T.f'JM,C -roPo�� • 3 �` (� 2 nloTta: Cei n Pic to �xcAvA1E FoUQ FeeT EF-ow l3oTloM PkoPoSEZ LEA--Ntuc- Pi EL= 1`�.0) To INS"�c NO 6QsxtD Wh1CQ IS 5YSZEM ^ f AAlb E —f Zd 1N OF AfAs �Cso `\ Sf2 S,/3 �o sum LEGEND ACERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OAO ��,c�+ orhr�SS EXISTING CONTOUR --- 0 --- •�- AZ FINISHED SPOT ELEVATION �'' AAA` ul CENT�RV/LLB rn FINISHED CONTOUR 0 0 ORSE ,p No.10951 O � I + o �i c� A APPROVE® BOARD OF HEALTH ) 90,E GIs 6�� A;J�JJ j A - z5o5� FSS/ONAI.Ea J DATE AGENT SCALE: i''�so' DATE oy-oy--83 LDREDGE ENGINEERING CO. IN CLIENT I CERTIFY THAT THE PROPOSED LEN ISTERE REGISTEREO JOB NO. 8Ea!!_ BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS GINEER URVEY R DR.BY _., OF HARNSTA LE , ASS. 712 MAIN STREET CH. BYj M' 2-- _� � H YA N N I S, MASS. 04 05 13 .....= _ SHEET-J- OF DATE G. LAND SURVEYOR lY07F /F E�TNER Tt/E S�PT/C TANK OR 20 FT. MIN. �EAC/.tlwG P/T ARE MORE TN.q,`J /2"BELOri/ !Q pr. M/a „eApE�g.,4 24'O/AMETEK UGNT CONCRETE COVE.P _ SWALL F'6A?40 TO 6R oE A .�� '1/ Eit TRA GONC,RrTE 4 Pv4r P/PZ J-/E.4Vy CAST IVO/Y C0VFR .Sti,4LL 3E USEc? M/N. -- EL= 43.5 COYEJtS - �9'pF,p FT. s CONC 2E'TE 2 J• M/N. /�` GMADE / COVER C•L E,4,V SA/V C� 2'LAYER .d'CAS „ • . a GZF ��8 _-��8 /RON PIPE GAL. • • �� i • • • • off e •• MIN.O/Tl.I✓ D/ST. • • • o . WA SHED 57i?NE Pon Jrr. SEPT/C. TANK ' • i t e • BOX o • • tt • • i .•• • • / / _ . • e i • •EFFECT/VC ', ` • y 314`- � �2� • • • • • DEPTH ' • • ' • 1i�,431/ED STONE o t • e • • • • s � �•o , • • • tt • • • • • t ► 40 i s• • • • • • • • • t p ••p PRECAST SEEPAG E /L.S = 4-71 G/fl ♦ '. • • • • • • • • • o o P/7 OR EpC//V. - _(161YEAT &A VA VON 5 78,S X 1 . 0 '- �8 LAID - ' ' s EL= 23. 0 3�.5. G F7: D/AM- lNVER,T AT B IUD/NG lNLE�' PTisC TANK 32• o FT PIT CAPAC I-r-t. FT. O/AM. j C t!SE�TABULATJON 04171.ET SEPTIC TAN.A<. 31 . S FT., GROuNo iTER TA8lg } /A/LET®ISTRiBUTION OOX 31 o tT. SECT/ON OF odTLETOISTR/®t�T/ON e0�x SO-15-,F7- SEWAGe OISPO-SA L SKS7WM IVLLZ7' LEACNINt"s P1T 0 Fr. LEACH/NG .40/7' TA46lJ1.ATlCM SCALE �4 D'eSlG1v C1aI7EA1A OJtfFws/Div S FT. 4N[/A9®ER OF BEDJ�00/`9S � DJMENSlON C FT. CNt�l�l G'i4RQA6ED/5PO5A1- U-Wr No,cE SOIL. LOG 4 seeuo� TOTAd E )'t/' TE® FLOH/ 33o GAL.1DAY SOIL TEST / SO/L 71�ST P SO/�. TEST NUMBE.- 4F 4EACNI/V6 P/TS 1 f`ELEY. 5 �"ELFY, oATE OF SOIL TEST M�'� �"� ' 198 y S,(DEZA-ACA41M6 ®EltPJT 18.8 Sa PT. , LOAAA ec RESULTS PV17'sVRSSED dY JAE I Gii�yRb 3 o TTOM La5"1 CN/NG PER P/T a8 S4. -- o-i6 7. �'�' PERCa.L/4T/O/V RA 7-0At/ LESS /•1//V1,rvcH FT TOTRL LEACH/NG AREA SQ. FT � ''� IgFRCOLA7'/ON RATE'*2 -� EY�vPt'T'E 4 F iaET S o REsBRVE4S4CNI/VGARE/► 2�cCo $Q FT. ��' BEaw P—TTOM OF n ,A�^ PRoCo�f�CEPCH u�AT �F ' �t L II G�T KF'M P- l(Loa N'C1� (I.E EL= 19c� To:hS.RE �1�OFMq 18 " i2 LoT IL IL L+AM LAQE— 4N�� P� S,S .i':. •e S�N� NO V'hl'�- Pt=E�E�iT lstrc�t q �� luSrrkLuuG�i C sv5i'EM ALB ` rn H 09 No.10955 N EL.DREDGE ENCx/A/.EEI�/1VG CO,INC.1 O � FGISTE � CL= 24•S 712 MA//V ST. , AlYArc/N/.S• "IQ su �FSSIONAL� [ --,Vo GRouNc7 y✓ATL•R ENCOU/VTEREO CL_/ENT:GPEEWa1 E- DATE c�4 cF . s3 y Q GM U/VO WATER AT •EL.Et�