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Home My WebLink About0098 LUMBERT MILL ROAD - Health 98 Lumbert Mill Centerville A= 168-106 UWAG 'LOCATION �� LZ.( yrBeR'r Po/ E PERMIT NO. ;VILLAGE INSTALLER'S NAME ADDRESS S UILDE R OR OWNER 1 u L `� ry tLt DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED �5) ?S r - 1 V` (? �:: �� U -o �o ��aw� � � - � 1 a�,� _ Fxs... C......... No..rS_......q . THE COMMONWEALTH OF MASSACHUSETTS _ BOAR® OF HEALTH 0'f V ---/------------------0F..... W. ....................... - -phration for Disposal Workii Tonotrnrtion ramit Application is hereby made for a Permit to Construct (V�!or Repair ( ) an Individual Sewage Disposal System at: `` ,,�,& / • .. t°l...l�r�az? _.S(l. .<!J �E V=r/l/_...�...._...................•----...--••-- ._............_. L Location-Address o/Lot No. -••-----•-- .....................n . . .............................................. Own ddress a ... __.... /.�r_._. 5 f Pq Installer Address Type of Building Size Lot............................Sq. feet v Dwelling—No. of Bedrooms..........3................. .....Expansion Attic (Aft) Garbage Grinder (0a) U 'k Other—Type of Building No. of ersons------X-__________________ Showers (� — Cafeteria (Oc t� Other g ------------------- P � Other fixtures -----•------- - -----------------------------.-----------•----------------------.._..._...--------�--------•-•-•-•--------•---...-----• 30..... gallons per erson per day. Total daily flow._....- _-,5-----------------•--_---•-_--gallons. W Design Flow.......... __ _ g P P P Y• Y � WSeptic Tank—Liquid capacit)IMV.gallons Length...1.0....... Width--------Co.... Diameter......4...... Depth...8 ........ 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 A Percolation Test Results Performed by.___...._ vxeln.e-•-_--_-_-•-_-____-•--_-••--_--•-- Date....... .a Test Pit No. 1._ _�-__minutes per inch Depth of Te it.................... Depth to ground water.._ ..-.- �, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil....... ;••-�•Q ��eJf?• -1--------------••-------------------------------------------------•-----•-------•---.. .. -..1.r2.-----•- ------------------------------------------------------------------------------------------------------ W 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 TITI.I 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 byte board of health. ned•-•__e:�� ..... ---•-----•------•-----•-- � Dat Application Approved BY---------- ---..`... ...... �j�l--1 �•------ Date Application Disapproved for the following reasons:----------•------------------------------•--------------------•----------•--•--•-------------...,--------•-_..._ --------------•--•------•......------------------------•------------------•---•-•--•----------------......---•-•--...-_......----------------•---•-------------------------...•---•-... ................. Date Permit No.......C. . .9 ....................... Issued Issued--------��- T-- 9--..... ... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........1... f-j�,-..........OF............ p, t................................................... Tntifiratr of Tantsitiattrr THIS IS TQ CERTIFY, ��h�the Individual Sewage Disposal System constructed ( \) or Repaired ( ) by..... ,, -'---'.<2s2f.'5.C..d..................................................................................................................................................... Installer at..... -......... Gt......... r....:-•�....j.....S._..........................__________'-•-•--'----------•-'-•---'---_.._...-'-"......-_......--•-•--'---""--- a- r has been installed in accordance with the provisions of TITLE, j 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 SATISFACTORY. DATE...........)- s.L ? Inspector ---. ....... ..... .......... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH I OF....-!' `` <............................................................ _ ............................ . *+ Elisposal Works Tonigr tdilatt an it Permission is hereby, granted 3 _. a '._ .� `"'_..0 -_V---------------------------------------------------------------- to Construct 0 .'Kort,Repa�r ( ) Individuay:Sewage Dispos Sys � at No...__... Z = = ./Q.... 17. Street ,, as shown on the application for Disposal Works Construction Permit No '_ `�? �.... Dated---- 1-�L. ..................... /"' Board of Health DATE--'---......'-•- , FORM 1255 A. M. SULKIN, INC., BOSTON r- THE COMMONWEALTH OF MASSACHUSETTS -- BOAR® OF HEALTH /--- ------------------------OF....� .......... Appliratiun for Diupu i al Works Tonotrurtiun rrutit Application is hereby made for a Permit to Construct (�f) or Repair ( ) an Individual Sewage Disposal System at ..... ? .. .........> ---------------- vi ...................................... -• -- ....... Location•Address or I- No. ............. .................................... -- �2;�.L.. .. _. .. ............................................... W ( ! Own �) Address ........... ....... .... ............................. .............................. .: •• : .... Installer Address UType of Building Size Lot............................Sq. feet �., Dwelling—No. of Bedrooms......._5..............................Expansio Attic Oda Garbage Grinder Od) p., Other—Type of Building .........0.................. No. of persons.-___ ___.___-----_--__-_ Showers Cafeteria O6) a' Other fixtures ........................................................ WDesign Flow........ .......................gallons per person per day. Total daily flow.__._.=•`._.__......................... allons. WSeptic Tank—Liquid'ca acit�l v ..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 ) J 0-4 Percolation Test Results- Performed-by....... � ° .,_�_!''.................................. Date___-__ ._ , ___.- i Test Pit No. 1.1_. -....minutes per inch Depth of Te�t Pit.................... Depth to ground water.. & r._._.. rZ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water____-_------_-.--_..___. Description of Soil..........'.. ..j.... .s' e :{ ..__ .... : �! �' .............. v ----------------- W 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 TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in - � _board of health. P p g � operation until a ertificate�of.C�""""�"Si neds ed b .the--------- ------•-------•-------------- ----- ---------_.....,_....._ -. '14'irDate ApplicationApproved By.....-- ----------------••....................-........i..........7----..-. --------------- -••-•-_•...I... ...k ............ Date Application Disapproved for the following reasons:-----------•------------------•----•••--•--•----•-----•--•--------•-----------------......................... ..................•-•---•--._.....-•-......---•-•-----••-•--------•-•-------•-••--•--•-----•----.........._..-•----•-------•-•-••...0..------•-••.....•••--••----••...•-•-•----•••----•---..-•----•_.._.. r Permit No.---- G1.=` - '------------------------ Issued--.----C-)-----I------.Z• "f_•-au•----- Date FT 4 t z �S v , r o( aN j v 2 2 D A'✓�,' v J. fS/ v7 �R \ l 0 l �o to o r c !s 0 of 5,t. L R / VA 2311� r _ �F�� g3�RTv � ��G ��oFMgss o� AL E O sE No.109 1 yr S� GJV� O A'pp FGIStEP��' i 'x �$ R(a8Ek7 Ilk LEGEND '`" C3R U — �ONAI �. TI ® P A J+ ELDREU cn r EXISN 8 OT ELEY TION 0,�0 *" E9tI TWO CONTOUR --- O --- � �' „� � CERTIFIED PLOT PLAN FIRI-SHED SPOT ELEVATION U �I �; NE® , CONTOUR . .0 u v E" "We 'he ;location of any existing un_der found sewerage, � }v ls, :or. other utilities shown on this plan i approx- IN �ma,,,e only as determined from records and/or.verbal . SAJ - \ r—,'fogrmation. ;The contractor is responsible for the '�� '��r , � �• - ayvri'fcation.of,the existing .locations. in'the -fiel.d;.. SCALES ��= 3v GATEIo �.RE`®GE EN�I�iEE!?lAld� CQt //Y CLIENT --- i CERTIFY THAT THE PROPOSED a w � E01STE•RE REtIsISTERED JON NO . 8 BUILDING SHOWN ON THIS PLAN u* ; 'CIVIL'' ' LAND m'` CONFORMS TO THE ZONING LAWS E.NA EER' RV 4 DR.¢®Y' '�' OF-BARNSTAF3LE , MAs t 712 MAlN` STREET: r . CIl wo r HYANN i S, MA93. —_ �� SHEET OF D E REG. LAND SURVEYOR 20 FT. MIN. IY07E. /F E/TNER THE SEPTIC TANK OR L--ACH/rvG P/T ARE MORE THAN /2"BEL01V " COP,", /d FT M/�/ c'rRAOEj .A 24',01AMETER CO/1/C'RETL= _ SNALL 8E SR006MT TO 4MAG ..r.� N .EX77A '( CONCR�E '00.4-va P/PE 1yEAVY CAST/RO/Y COV-"R S/yALL BE USEO �. DR/VEwA Y 2 MiN. G'ONCRLrTE �y, ,gpE CO iiER CLEAN SANG �- L/Q[!/D a LAYER r MJAI.P/Tcf/ GAS.. ' a i f • • •• • ? ,e WASHED STONE �4 r PB%4 fT SE�/C 7AAIX 0/ST o I 6 i i • • • • • • • !!b BQX , • 1 �.! • • .• � . !� / �IC s f ! • 1 / • ! .: • I • • • DEPTN • e • • p v o wA5N.FP STONE Z��:47 a e. ! • i o • • • •• • p a w 'x a PRECI4ST SEEJ�4GE 70 .. a• • e r • • • • • • p � loy S4g .�•''--L�Os • p. • • • •. • • e • • e o PI7 OR ZVVIV, INY�ERT AT-�//!LD/NG q S FT, I/YLET ,SEP77K' TANK. `� .•S FT. /[7 FT O/.4M. C�S&�E 7a48llL.AT/ON� . ' OU9LET SEAT/C TANKfT /NLET Dls►rR/B!/TIDN;BOXY FT. .SECT/ON.OF G�DuNo fTER Ti1aLE OtITLETD/5'YRSBIl7YON�X y4•:2 FT. ' ?/NLET LEACH/e�G Pi7- '3.7 FT, •S��V�B�x� VISA WA to SI�.S�'�/►9 Tj��(JLi4'T/�I11 A PT DES/GN -CR/TERI.� st�etE %s" D/!•9RlbPS/ON 6 PT.s. ¢.. FT. M NUAl4WER 64F BEDR-OOMs s4R45AG4.9r,PISPo5AI_uivlr- `No'KC- SD/L Loci TaTAd EOT/M.47�EO F•Low 3 G.4t./DAr s0/L TEST / SOIL 7S72 ®�l' Numoze ag-4eAc-v/AeL P/3i5—L_ . f`EtEY. �7 �`^RL�Y. DATE OF SOIL* TEST S/OE LEACH/A/G PER P/T ! S44 AT. _ RESULTS PV/T/VESSELD BY��E SrFfo eP� ®OTYOMLEa�CH//VG P�1?P/T �g W. Ano; p ,ef f cc PERCOLATION RA7-0,0/ 'ss .MIN�IINCH TOTAL. LEACH//YG AT--A r. SO FY. Su 3 So I/-- PEhCOLAT/ON RATE lk 2 MIAI f INCH . RESEI�YE LE,4C///NG AREi4 6 6 S4 FT � _ r Z �, ... �-3 6 4-•4 <SD l L TG�SZ— o�yj �t' rd.v � LOT �f ftf?3ERT tra JCc uy - c ELDRE v RSE y r Na.10951 O G Grs�6 7fF MAW -9-rj, NY a)lNl3, IMQ wjvDSUS�yfl ScrONA��\ L �3,•7 Ty. IIE!flT.�11?4., lac-:'`PR49 S .lc; ci $ .- YYA7Y�+FP �/COUNT'Eh'L• �. {:.,` WIN ' "`e.• R }. .../T Yi h'. M .y •9i�.A ']-t.A'�,.W f:.-x.R +t-Er ul .of •7` L A C +„S4-9 k. �":... .s,`::.. may. _ :, w„�r �.: ?'` ♦nfw.;:a ,:8.-6r+k `F'-Y.'.�z};.i..�' +'c>� ' T��Z�.M.Y�,t •j F'