The URL can be used to link to this page

Home My WebLink About0097 LIAM LANE - Health qy 4 ,a -1 Ire No.....8.26..- �.� Fx$ J ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -----...1.D.........!...............O F................�T,r¢ly:... 1...........! Appliratiou for Diupu,i al Works Toustrairfiurt ramit Application is hereby made for a Permit to Construct (�or Repair ( ) an Individual Sewage Disposal System at: — r ..... .......---� •------•-----....0..........� ............................................................... Lo tion-Addre ss /A y or Lot o. (q -----•---•-... . W �ner � �� Address - �r z P�.. c-s..L,.,p /------------------------ :. .... -- .......................... Installer Address UType of Building �J Size Lot_ .[ ... (�......Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic "�^' Garbage Grinder ,( aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ...-----•---------------•--•--------.....-------•-----•-•-------•--•------••••--••--.._. W Design Flow.......................5-5_........gallons per person per day. Total daily flow...........'.J.3_0.............._....gallons. WSeptic Tank—Liquid capacity/P,Qf).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 by.................. _...._.___ t __� .......... Date....... a Test Pit No. 1...._.:...5.4_minutes per inch Depth of Test Pi ....._. Depth to ground water.. lfll_ fT4 Test Pit No. 2.... "4.V-74fiiinutes per inch Depth of Test Pit...... __. Depth to ground water...... (� ( ... O Description of Soil...................................................... �' .... �......-•-------------------. . ` -------------f'- .... ------ ................••-----•--------------•------------.....-•-•--•----•---•-•-•-•••-•-•- N -------------------------- -----------------------------------------------------------•-•L .....................-------------a -- -._..1l---•- 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 TIT: 5 of the State Sanitary Code— The undersigned further agre t to place the system in operation until a Certificate of Compliance has been ')ed by the board o iealth.` q Signed............ : ........ d .. Application Approved By---------- ` -- . •-- •-------•------------------------- --•---- i� hL'---....----- Date Application Disapproved for the following reasons---------------------------------------------------------------------------------•---------------------------.... -•--•--------------------------------------------•----------•--------------------•-------....--------------••-•------•••-------------...•--............................................................ Date PermitNo......................................................... Issued....................................................... Date LOCATION SEWAGE PEi".!J NO. VI L L-AG E INS m ER'S N ME i ADDRESS ON lit _ e�.-. � rQ1d iUILDER OR OWNER ,cuAoQ DATE PERMIT ISSUED DATE COMPLIANCE ISSUED h �� /�-`� --- �o�� . ` �. �� ,. , � a� '� �� i r � oa No.....3.L.:—5 ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Disposal Works Tomitratrtion Prrmit Application is hereby made for a Permit to Construct =( ��or Repair ( ) an Individual Sewage Disposal System at: � '" ;"" ................_.................... —`` -••---..../.. .! c , — - - : •/!� ...... ...... --••------- •-••--••................. -... OL�oc�ation�g-Address 4 r(� / or Lot,No. '�j_ ......................._._... ,�y--.�`. �u_i's:..�C_'�.'Y......... .....".:✓/.!'--•-- � �� .._�._��.........................t M,.rOwner Frp d ` ... aw�,`i'`.,7°7, '�� d U ........Address .......................................... Installer Address Type of Building - Size Lot- :r!...1(f.......Sq. feet Dwelling—No. of Bedrooms.....................................--.....Expansion Attic �(� Garbage Grinder.,(141ej Other—Type T e of Building ........... No. of persons....................... Showers � YP g --•---•--•-----=- P ----- ( ) — Cafeteria ( ) Otherfixtures . =--------------------------------------------------------••-•....-•--•-.••... W Design Flow...................... > _.gallons per person per day. Total daily flow.......... "_. ...................gallons. WSeptic Tank—Liquid capacityt !,.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 Rests is Performed by..................F. ............................. Date.......�j 4_./ . �........... 0` Test Pit No. 1.... .5 ..minutes per inch Depth of Test Pif - __._. Depth to ground water Z ,<� ri, Test Pit No. 2.._'� `iziinutes per inch Depth of Test Pit !._. . Depth to ground water Description of Soil .......................... .. ... ........'" V -- -------------------------•---------------•---...... -----------------------------------------•--..........................---•• t ----• y ,, �" .............. R `"`------------------------ �, 1, ►� ..� '��' 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 TIT ,z. p of the State Sanitary Code— The undersigned further agreed of to place the system in operation until a Certificate of Compliance has been,iss))u��ed by the board of health. Si g .................... I---. Application Approved By----------- '4 ..[.i! .. �6��'� �� tt'------------- Date Application Disapproved for the following reasons:..................................... ---------------------•-•........................•..... ---....--_.... ....................................................-.................................................... ------------------ Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS -. BOARD OF HEALTH .... ....... ............OF............../3.1:. r"••!�� . .............. Trrtif iratr of ToutpliFanrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (,,- or Repair ( ) by------------------------------------------------ =' " I................ .............................. -------- ..........�` � Installer ....at......... - has been installed in accordance with the provisions of TITLE; 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..... .............. dated.__..-.........-....--.-- ...................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISF CTORY. DATE................................................. 1� � �L ------- Inspector............ l L THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' t� i' j�!'f.OF.........................! i �7 r`r-1 `....... FEE1"r S .. No....8................ .. Disposal Works TwOnstnuttan frrutit Permission is hereby granted j-'em-44-------------- ... �...._�,�''......... to Construct or Re air ( ) an Individual Sewage Disposal System atNo................ =~ !`?.-..:a !..... '� ------ ; f� �------------------------------------------------ as J`4 f L �/ r ' er Street shown on the application for Disposal Works Construction Permit No..................... Dat d........................................ .. -- ---------------------------------•-------- Bo of Health DATE .....M_ /_I - FORM 1255 HOBBS & WARREN. INC., PUBLISHERS vF g ��t Fji 28874 S O/STgf�'p� Y� �h0 SUR��y `V 2 / 73 UT moo' �a, 966 .s%� zti pPnFp4 ( >t , tit A Yk WF.4't�dJ EG' , O Yl P �y 1'- .Y 25 w n-I ti-1 LEGEND EX1lTINO SPOT ELEVATION ` O,cO CERTIFIED PLOT PLAN EXISTING CONTOUR-- 0 --- •, A Lc?T z u LA NE FINISHED SPOT ELEVATION FINISHED CONTOUR 0 A ,QNo to,�st�q /5 f. APPROVED , BOARD OF HEAITM IN DATE AGENT 3CALE$ / �! S D DATEv J 'Z LDRE04E ENGINEER/NO G'Q uaRa �e Ci. ENTr�=-- --•-- `` 1 CERTIFY THAT THE PROPOSED REGISTER RE413?EKED JOl1: p0. ,, 2fl I l BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS GINEER RVE DI�:9Y+i4• OF SARNSTA LE,,-MASS. 712 MAIN STREET CK 0 H YA N N I S, MASS", SHEET4 OF DATE RED. LAND SURVEYOR /YO?1�` THE SEPTIC TAN.< OR 20 FT. M//V.: Z,Ei4CH/NG R/T ARE MORE 7-NA."/ /2"BE40JN /o fT.,.M/M.:, 1RAOEj A ?4"O/A)4,F74 CONCRETE CDliER SHALL BE 90006N7 Ta 4MA0E.�.�iN EXTRA GONCRCTC 4vPY4r P/PZ h+EAYy CAST /RO/Y Go�/�R Sf/.4 L L G3E USED COYERS MIN. P/TCN /F/N DR/V.-. WA Y YAP"oh 2 MAN. CO/VCRFTE A _ GAOE GO✓ER CLEAN .SANG . . . 45A C.+e L L UQl!/0 LEYEL �•, ; 2 LAYER M1iV'P/TUII GAL 1 • .' • • • • s •e' f • D/ST. ' o • • • • • • s • WASHED 5727NE /a P/r/r fr SEPTIC TANK • 1 • •. - w BOX • 1 $ • . • • • • . .e • 1C, at r ..� .F a^w �:�hx' r K .1 ,sy i rt r � �Sif' � � } i x ewe� e�+`i t +y q:. r� �� i- � EFFECT/VC • • • i 3 i • r ` " 4 �r /;� a ;� �� {`. •o • 1 •• DEPTH • • • • o yVASXED STOiS/E .�� ...:'t Y •*; 'e' �i y ^t^. � . L��.�jx,.A�r'tx�-�v ��.�u-�1:.",�:r j«'y F;''^' �...k ,<9 1 � 1 • �.,,•�• 1 O 0 • _ 400 A' ;� `�°.� � s �. _,��' :r�' F�jQ� ..Z.S: ,+,. .�. ,��1. ,.� `; - s,�` .Ii! •, `o'+ � RECAST SEEPA E. .. r �;� '�' i -.,� ..,�'w'�...rx�a-;..a• •e •r''§z r. a / P� 6�_ ,y, r�r...34� `E c" ,�F.,;{ � .5.�.:� - - - • F;A' • l- • ..�,. •i �. . s o P/T ORL//V. t Al— EL- 'L'o .. ,- 4.. : �• 's k e it �' DI�� :z t •:'*.::•h..:G=v4.-O r.-" ..:;?- 'Ys ...:r t.''f-.. AV f IIEz 0li�LD�N�r<;;. , .,..::... .. ..:.. . e ... m..,r, t t.. -s..• i...w, ;_ ,.v.., ,1' ...7. 9 s.«.. .c ,�'i ar '!°. +t`t .4� .: ..ems. , .. . . «4 '- ,., ,., �...�1Vr' •.. ,,...,ttr. �;k a ti d �•www��A. a :��, F�T�VL�T .. . .. :. :.. ,i., .:..�'� .4 .... .;..-;4 q. . Y':CZ...'h�•°'t`"'Y. "�+_..;x �z '„F,Y'#yS ��.� Ate'- � ��/I7I'�_''**�� b T� ",Yri.?.:-tk;F:�'f..Ci�»:; s._ 2. h�{•sel �:'..,�°�.t,,.�.,r,�,.t �.� '.�' xrc.. t. .zq,. u,.-•�"ls �:'s e...9"j-`. __— +-err:. .� r; :�,i,,.4:� �'a. - lNLET.:,•SE/�TK� /1/K. ....,.._,�F7�',. � '-.� •'^'" �.. '. '. r ..:+.. _:.m,,, ,j;J�-(.`�' �3µ•y �x`.w3 ':�� `'T'^ :.,l..w. q- a � �s.:.•'�r•. ,�1«--?.:��z vr.. '.. p...a.+'a✓s-y a �. �.':� s +sK � `�-, +t..s ,e- -� �� ..>3 _+A#,ra. .-+•7'.,.:..:,8,. ,-tt:..� aa.. 9:. 'B'.>i�T.t - -sx`i ... .>.,.i.�.�..,{f,. _�N� ...,ar.....rt i4•f• i� s.F'-v ..s v,t+Y !t_��. � '.4 :�sr '-'�..,'•c, �'. '.. .. -:L• LAM 1'di�..Y, x Y.,-':.._. *., .+.yyr `}.... :i`y..,•'t. +::.,s' ?' dP..�°_.�jx_ rE: l _ .#' �'r t T"„4� tiiyl. pt/TLE•T..=,.SEPT! TANK , fT',_ _ [� . . ' r�s. i�. s.. ,:,.,...,, .1•r �..' ..,,... ...r 5yr,'�a'rk•. ..•" : ,. F _ .._ . ... .. ram.., RD ND TER ADLE4 .... � : , . ievTiar✓ e0. ,. �..Q; Fr y , .r k'., .. � rG #� a INLET D STR. X .t _-,.,._..3 i. k.F,;.,..,• .t.,.,r 4:ekt. EC— , '�* . , ... ,�•<. `✓+ r'�y i:'�f':. `� is x.".r i... [,, y�e.rt.•'-: r ;.:'4xt', sia'• :?Y h<rc.�i?,1� y'T:S;... .f.•r ' .2.�: K ..F-Y* is:i,�. ;"') cb°i�'"'9 s vp: `''+ � + 'W'a�•L:s4•,sc !,� _ •y L-`i y a .K, O(/TLETDISTR/Bd7YON ' a � 2�,a .SE1��4GE /S/o'GRSL SYSTEM T 7N1.E7'LEACN/NG I�,f7.� . F u>,` : .+ZT 8!✓LA, TlD/1� �. "...',. ,•. �'+ f J. ^r k' N Y:. .,.3'' ,4.Si_' }'i - "t :. •. `. a r:T4 '•�''r�t�r x _ Ys.`r t-' s•, .F ,..y :a Aye?' ,} ,tf'�,y^;♦ DtMEN.S OI1!- _A, ' DESl6/�l,.CR/7'EI�l�I `� 2. :.u'� )T�.s,a,, :. '++ i? + `:,''e•'4 :: •k r f._` OFr 's, a2', •'w.,.� ,re `t/'I .. t tiS,;l, 'Y F4-, !l+1»�"'w �' �"r...'I^�' �.{'; s rY.•5 �6 F.8-' 1 •�/!�I•GI`�/ I�fi v NUMBER.&C eEDROOMS r G,+Re tGED/sPoswL UNIT ,V o vc A SO/C LOG°.k TOTAc tst/�TED FLo#v 330 G.4c.IDAY SOIL: TEST.*! , SOIL lr 02~ SOIL TEST _ ,25�.` NUMBER q 'l,E.acN/NG P/T3 f` LEY _ �`-EL!•Y OATS`OF>SO/L TEST S/OE LEACNI/VG PER P/T �7 RESULTS iV/TNESSED dYJR� CiGFa�Az/� O .z BOTTOM t-6+�ICN/NG PER P/T SQ: FT 0� f� PERCOaCAT/Oly RgTE At / Liss M/^jI/NCH TOTAL Ll-ACH/NCr AREA T4P ' SQ•: FT. Tv�S� L FWleCOCAT/ONRA7'F/(62 'may M/N://NGH RESERt�EGEAC't//N6 AREA Za'b SQ. FT. a • Z.U CN OF,y� � ,tN�F M, 9 "i� R � 3L D T ZJ .L/A �'1 L Aa No.10951 Q �F �� EL DREDGE.ENG/NEEX/)va Co INC. 9o�FSS10NA Ew�� ELE-!/ 13 S 7/2 MAIN ST.y fi�YAiCtNIS, MASS. i ♦ Np SURV ® .NO GRO[JNt7 Y{G4T4R. ENCOU/VTFRBG CL/E/VT;cREEN/jRlE z v (r DATE ' F' 3 �] GROUND h/ATER AT ELE(/" - .IOB ND: a. v/J SHEET ZOF `-