HomeMy WebLinkAbout0010 NOTTINGHAM DRIVE - Health 10 NOTTINGHAM DRIVE
Centerville
A = 172 - 011
S M E A D
No.2-153LOR
UPC 12534
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LOCATION SEWAGE PERMIT NO.
VILLAGE
INSTA LLER'S NAME i ADDRESS
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BUILDER OR OWNER
DATE PERMIT ISSUED l -7 Y
DAT E COMPLIANCE ISSUED
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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
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SUNROOM i
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MASTER BEDROOM 1 LIVING ROOM
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BATH I
DINING ROOM KITCHEN
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BATH 2
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W.I.C.C. i a
FAMILY ROOM F \ a
BEDROOM 2 BEDROOM 3 I
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W.I.C. ^ O
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it FOYER
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SMOKE
O K E {D Imo. p+ TREVIEWED ' \ 7 r V
V i 1 S,. L/b'I B.. L GARAGE
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T t UILD14G 7EFT. DATE i z
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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
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SUNROOM O
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MASTER BEDROOM LIVING ROOM 7/4
BATH 1
DINING ROOM KITCHEN
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BATH 2 _7�L
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""` w a FAMILY Roots -
BEDROOM 2 BEDROOM 3 u 0/
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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
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D�WII BY: CBH
DAZE: 9/15/14
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