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HomeMy WebLinkAbout0010 NOTTINGHAM DRIVE - Health 10 NOTTINGHAM DRIVE Centerville A = 172 - 011 S M E A D No.2-153LOR UPC 12534 onmd com - Made In USA fol�Zo 0 Its US®N M{PIODUCf l!E jF1 � MLSFOWAr-MAKOW 5iD \� LOCATION SEWAGE PERMIT NO. VILLAGE INSTA LLER'S NAME i ADDRESS a BUILDER OR OWNER DATE PERMIT ISSUED l -7 Y DAT E COMPLIANCE ISSUED M a � '� � ,� ` � � - .� - - � �� �� �� ' r>►►.�� Lc-,ter tits �c 33o G �b • .s it-�c -r�_�4V- = 3 �J i�c % - 4-95 6.P0. IVo'T`111�C� 1� Ncx.a.� E�►T - �sr= logo Gal-. tt '' ! /` :,� � f'/9"' ' t tc/At: AV-EA = lSo S•F. C' n 1c'c SF ,c 2.S 3 s G.PD. ao e-A r -moo ST-. C:AD ys- t .o _ So r=>.PD. 4Z5 7rll ,6l 2.a►L_`f F t L��ti/ = 330 6.Pv. .9 Q \�- .. ' cr�r�c_>J�a-rtc LJ ' V&TE ; ++,�J 2kt1u ors LASS. 0 35►t- i ti V C.GA� �f r�p� IdoO INV. ' A 4'PPS �►s7 Iw, �s O l. Sep 8 'sox Sc--Qr•ic i C '. Wv. To�tK , 1000 4G Q tlNv. Iuv.�Q �• LEAc a A MEDIUPA FlT was+�srs saute STo�� qo.o C_C.Z T Vr%alD P L C)r Pt_ A." 1 c�tz T t t-=�{ T►--{�T' -�1-1 G ��P ix�'G-�. S taaru►J tit. u,w R t=1'�=��►•1 c_1� Pt__`l5 v./ ►TN Tt-li� 1 D s t_1►-1E �,O'er• 84 `rl-11�, C't_A►-J ir, -JUT L4;CL7 0t4 /3►.1 oST> �'Vtl_LiY v �,CAS7. siJy(�C'_;J;+/'li=►-1i• fji)i��ll .�' �- '(►-1L �.�Ft-:�i='("ter �1.11UE„J117 A.4�{=�l_l �l�.t+JT J' � ,� t:1. U...t._, • T�, iir_l`i��=M►►JI_ 1�"'C' t_►W��� � _ --- tr(aMNtt.�fJ►?�'� PI�V{?CrS�t'.7��i_�. ccmac- No...........(.. LF�s.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD — -----------OF.... Appliration for Disposal Works Tnnstrnrtinn Frrmit Application is hereby made for a Permit to Construct ( Y) or Repair ( ) an Individual Sewage Disposal System at: �oglo1E.!�:.1o.Q1"T1A�1 F pM p!�.!.fl ..+ o L.D STA6 �oAD - 1.07 1. CE nrTEK 1►►LL .._-••--•--•----------- ...................... . .... cation Address I or Lot No. RoPER so ..... _ . ........4) .?,141.............. n Address , . :.....- C T'u r"i' R P• M Vr g�'�w M,� ................................ Installer Address Type of Building Size Lot.... ........Sq. feet �., Dwelling—No. of Bedrooms-_3......................................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ___________________ _______ No. of persons___--_______-__._______-____ Showers ( ) — Cafeteria ( ) a' Other fixtures ................................ w Design Flow..... .S............................gallons per person per day. Total daily flow-------- ..........................gallons. WSeptic Tank-[Liquid capacitylAOD..gallons Length................ Width................ Diameter-----........... Depth................ x Disposal Trench—No..................... Width ....... Total Length............ Total leaching area....................sq. ft. 3 Seepage Pit No..../............ Diameter.... ........ Depth below inlet....... Total leaching area._- ..4_sq. ft. Z Other Distribution box (✓ g ) Dosing tank ( ) aPercolation Test Results Performed by--- *..tN,Y.�.......kNA_•........................ Date...... ........... ,.a Test Pit No. l.l..'. _._minutes per inch Depth of Test Pit.....(2............ Depth to ground water--_§�:................ 44 Test Pit No. 2.1 ^._Z...minutes per inch Depth of Test Pit....!L�......... Depth to ground water...:•............04 1 ... .YS •-•--------------------------------------•- ----......--•--•......•--••-----. -•.----•----------------------•-_...-... � Description of oil_.....��'Q4.�►�...-...��E1.I,t.Q.__�_..�_.--.._.,�-.� x w 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 TIT1E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beet 's ued by, he bo rd of health. Signe . .......... .............:............................. Application Approved By....... .lam . . ••...••• .............•• -- -• W..� ��t_ 7 Date Application Disapproved for the following reasons---------------------•-------•---------------------------------•-----------------------..._............-••--••--- •--•---••••------•-•-••--••-----•---------••-----••----•-----•-----••---....-•-••----.......••-•--........-•------•----•---•-------------•-••--•-•---•-...-----•...................................... Date PermitNo......................................................... Issued---- ........................... Date FEB.. ................... THE COMMONWEALTH OF MASSACHUSETTS BOARD F I—IE L OF. Appliration for Bhipas al Workii Tomitrn.r#iun PrrutIt Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: . , 1 M6 ►I►� t oL.D �7'AG'L�'/Qoa i,.' - C N L E C.a ..:Location-Address- or Lot No.. +� ►_ry: . �a e~. r!_ s W._._.... 1C��ncT__-. . . 4V........:...... r� Address a .. . . .... it � ................ Installer Address Type of Dwelling—No.; Size Lot............................Sq. feet o. of Bedrooms..:....................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons........................_... Showers ( ) — Cafeteria ( ) P4Other- fixtures --------------- -------•-•--•-----•--••--------•--•••.------••-------------•-••••-•-•-•-••-••--•--•-•-•-........._..•-•---......-----............---- W Design Flow... =...�1�...................gallons per person per day. Total daily flow----------3.3-d........_............gallons. WSeptic Tank Liquid capacity.L4GO.gallons Length................ Width................ Diameter.___-__--__-.._- Depth................ x Disposal Tr nch—No. .................... Width.................... Total Length___...._........... Total leaching area .../..____sq. ft. Seepage Pit No.. .............. Diameter._ ,-------.--•--- Depth below inlet_ ---•-------_ Total leaching ar --...._._._......sq. ft. Z Other Distribution box (✓) osing tank ( ) Percolation Test Results Performed by.......__.1�$A?4TG!�_. "a;� _._.�iwC_-,_._ ��^/J 7 Date ------• . --- Test Pit No. 1.f. ..?--:___minutes per inch Depth of Test Pit...lx_f.__,__._.. Depth to ground water...:14 ".............. GL, Test Pit No. 2.1._'Z-_..minutes per inch Depth of Test Pit__!_L............ Depth to ground water__--............. •--------•--------••---••-• -•--- ..................................................................................... D Descrittoo `S _ Q.u.M�_" SalJ•Q._...... ....... x - ---(� --••-•-------•--------•--------------------•---•---•------------------------------•------ .---------------------•-•-------••-•----•---•-------•-------•-------•------•----•----------- W UNature of Repairs or Alterations—Answer when applicable_..-.,._._________________'::................................................................... A :,.,.. 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 operation until a Certificate of Compliance has bee ed by the board o health. ,07 Sig f = � r - Application Approved By. . . z---- ............... -�: .... . . .:.................I.. ..w---.... ........................................ _ Date Application Disapproved for the following reasons---------------------------------------------------------------------------- --------------------------•------- .........-•---•-------------••-----........--•--------------•-------------- ..................-••------------------............................................................ _ V0 Date Permit No............ - Date Issued ------------------•---- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. ag.- OF............... -:. .. ,!,,, t,,..,................................... t�rr#tfiratr fif Tautphatt r ^ THIS IS TO ERT F he . :vidval S age isposal System constructed ( ) or Repaired ( ) by .... ..... ..•.•... ----- w+ ' T - at.. - =y/i ��.- ..... has been s al ed m accor a e' i"tl1/tlze pr sions of TI S��°°f T S( to Sanitary Code ��s,s da r ed eftt1e application for Disposal Works Construction Permit No..............L..._+�... ._....._. d-tad---------- U......_._._._.____._._.!.................................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL.FUNCTION SATISFACTORY. DATE._...... ' ,1......11' :._ ................................... Inspector_.. i TFOE COMMONWEALTH OF MASSACHUSETTS ` BOARD Of' HEAL' r ✓11 :.. .-...... ..._............_.....-..:............. ... ...................O F. J� No.. ....../.. FEE........................ Raposal r r ' Permission is hereby granted................ •- to Construct ( )�I�epair ( )',an In ' i�3u�1S l ei isp� j�j�— _ r � 71- / ✓(/3,v ' �' - Street �' /4, _;,, — ;74/, • as shown on the application for Dis orks Construction Permit N __': Dat,�ye�., kA oard of Health DATE-• t� FORM 1255 HOBS �& WARREN, INC., PUBLISHERS w � a/j N o0 W N o0 ooI � O O w.I.c 0 SUNROOM i I' 4 I t MASTER BEDROOM 1 LIVING ROOM ® I CL V t 's BATH I DINING ROOM KITCHEN is Ld BATH 2 t-� PWO � x W.I.C.C. i a FAMILY ROOM F \ a BEDROOM 2 BEDROOM 3 I t � O W.I.C. ^ O I I it FOYER !CIO SMOKE O K E {D Imo. p+ TREVIEWED ' \ 7 r V V i 1 S,. L/b'I B.. L GARAGE 2y� T t UILD14G 7EFT. DATE i z - O FIRE DEPARTMENT DATE FLOOR PLAN QATE PORCH BOTH SIGNATURES ARE REOUI.REE FOR PERMITTING � I SCALE: 1/8 if _ 11-011 DRAWN BY: CBH DATE: 9/15/14 I r W � N O oo N [� °O o0 lil N N oo; H 2 SUNROOM O O MASTER BEDROOM LIVING ROOM 7/4 BATH 1 DINING ROOM KITCHEN L d BATH 2 _7�L a CL PWD ""` w a FAMILY Roots - BEDROOM 2 BEDROOM 3 u 0/ rT� W O w.I.C. O Q Q I FOYER O NOTES: I. REPAIR AND RENOVATE EXISTING GARAGE HOME PER SPECIFICATIONS AND PROPOSED PLAN O 2. NEW MA5TER6ATH LAYOUT PER PROPOSED PLAN z PROPOSED FLOOR PLAN PORCH tt I I I s D�WII BY: CBH DAZE: 9/15/14 i