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HomeMy WebLinkAbout0040 PEEP TOAD ROAD - Health 4 Peep Toast Road Centerville A = 173 062 Slll ,14O`"`� 0 ® ti UPC 12534 ' No.2_ 1_ �, � HA8TIN08,UN t 1 1. NO' THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH TOI.II/N.-- ----....0F...... .•��t/ �.� �� App iratilan for Uhipvii al Works Tomitrurtinn thrutit Application is hereby made for a Permit to Construct (✓) or Repair ( ) an Individual Sewage Disposal System at - �EC_P TOAD � L ation-Add ess r- No. P .. ..�L v , _Y.... ..... 32 l�oG��/ii� LV'. �vo jL 2/9 /V,A1�y/�iri/s�'0Zr --- ................... ..... - .....•--- Owner Address W ..........-•------- Installer Address ©� Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms--------------._��.................-------Expansion Attic ( ) Garbage Grinder W4D aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) PAOther fixtures -----------------------•------•------....-••--••-•---••------ W Design Flow..............-•...?......................gallons per person pgr day. Total daily flow.........-•'__.-�'...0 .................gallons. WSeptic Tank—Liquid capacityf00O.gallons s Length -_6��_.. Width_� .�0�. Diameter De th.15_�.._.. x Disposal Trench—No. .._/..... Width...- ......... Total Length.......... Total leaching area.2� _.......sq. ft. Seepage Pit No---------- ------ Diameter...........`...... Depth below inlet................ Total leaching area...............sq. ft. Z Other Distribution box (✓) Dosing tank (—) _19"' `" Percolation Test Results .Performed by....�'...-1.... .. � .._........_P.�....'.............. Date..,�.r2-�8� P ���`� Test Pit No. 1..�..2'.....minutes per inch Depth of Test Pit....Z ......... Depth to ground water ---------- (z, Test Pit No. 2................minutes per inch Depth of Test Pit.... 0......._.. Depth to ground water........................ O Description of'Soil---------��•�=68 _7�/n/� .SA/ psi: ;• is�� -- --•--------••--•--•-•--......................... v ----------------------------------------C-�--•-- ----------------------•--•----------- ---- - --- 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 TITLE 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,by the board of health. gned...................................................................................... ------- ---------------- ApplicationApproved --• --•-••---------------------------•-----...-••-•-----_----- .... -------------- Date Date Application Di v r the following reasons---------------------------------------------•-----------------------------------------.......-•------------•--•- ---------------------- -- - ------ -...........................................................................--.........----- Date PermitNo......................................................... Issued-...................:................................... Date i o. . .. sy.... Fss............... ............... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Dispntial Works Tnnitrurtion ramit Application is hereby made for a Permit to Construct ( � or Repair ( ) an Individual Sewage Disposal System at: ....._...Pic P Tore ROAD CEO .z UrLc.� Z.o T 6 --... . ---/-••--------------�--•---------- -------------------- ----- Location_Address o Lot No. . ��u�,rc/ 32 Doi </ilv �O s< 2 15' t1J. //.�trv,✓�SPoZT" ----------------------------------------•--------..-•-.. ...-----•-•-------......----.............---...................--•------------•-•--•--•-----•- W Owner Address ..................... Installer Address U Type of Building Size Lot....3303 l Sq. feet 1-1 Dwelling—No. of Bedrooms...............--7...................__..__.Expansion Attic ( ) Garbage Grinder aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) d Other fixtures .. W Design Flow...............-r..5-......._.........._._gallons per person per day. Total daily flow--__.....-�3 ._........._........gallons. WSeptic Tank—Liquid capacity hODOgallons �Length..&� .- Widtth__.,4._2Q."Diameter..`�:__�_�.._ De th..s. x Disposal Trench—No. ......I.......... Width.................. Total Length..-�.�—.-......... Total leaching area..z C.......sq. ft. Seepage Pit No.........--_--_-- Diameter.........__."..... Depth below inlet........--........ Total leaching area................sq. ft. Z Other Distribution box ( ✓) Dosing tank � �479 '-' Percolation Test Results Performed by.....C.�..IZ.�. SA/O/ZT TIC_ Date...��...................., ` Z ........--•- .• _ T..._.._.. .04 Test Pit No. 1...G..2-...minutes per inch Depth of Test Pit.....�0._..._.. Depth to ground water..___.��.,._...__.. f4 Test Pit No. 2... ..Z.._minutes per inch Depth of Test Pit-_-_� ._....... Depth to ground water....._�d.._:...__ O ........................................................... 0•`_ LOLJr� � Sv�35oiL Description of Soil..........-n- .�68" 7::'�M� �^1p . 0 84" Fl^vE ��V x -------•-.....•••--••----...-••-•-•-----•••----•••-----•------•--•----•---•••---•----••--------••-•---•--------------•-------•---•_.. U "'-/ZD"...1/E_iz/s-�n/E 5�1 3 "'/2G?"..1/E-zX.............................. 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 TITU 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 by the board of health. lf.- S ned......................................................................... Approved f.. ZIX --•-•------ - -....-----••-•--•--•-••------•---•----•-••-•-----•........................... Date Application Dis P f the following reasons---------------•----------------•----------------....--------------------------------------...--•-----...-------- ...----•-----------------------...-----------------------•---- ----------------------------------------------------------•-•. Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7-O G,11\1.........OF........ ?/3?Z/V STD t3G.E. .............................................................. (Intifiratr of Toutpliattrit THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( _1010"r Repaired ( ) r Installer has been installed in a .ordance with the provisions of TIT I 5 of The State Sanitary Co.......Mc .... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED S A GUARANTEE THAT THE SYSTEM W � UNCTION SATISFACTORY. DATE-_�. ------ ...................................................... Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............. . .....---......................-••................. NO... .�...�....^�.. FEE..t�............... Disposal Vorko Ton#rnrtion rrmit Permission is ereby granted...........,�.. ...... ... .... _______ _____ __ __ __ _ _ to Construc OF Repai )_ai /Indio' ual ge Disposal System at No ....._�.... *" ---- Street - ��..�� as shown on/theapli tion for Disposal Works Construction Permit No._:,.rx'__- ___..._ Dated..�................................... •-•---------------------•-- ----••• --=......---•----------••-------•-----...-----•.................••--------•-••-•-•----....----•-•--•-•---....••.... Board of Health DATE.._.. -- �� FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ' 725Sr110Z_6S /-29-gc AsNI PEEP T44y T .TOHA/ ,?ACOB �k�s-rl(J src, - ' -/320000 r-C•55.0 � �i 2 � VERY P/n/6 SAIvD q �2 , �a Nam► �''' �,,�<; ,< � �� Y"LAC.. 6�.7 /`�S L f • U � � �,;� P� 'i LOA/l t S'ua50/C_ j ,Gawp V7 PE z c < 2 n'li„a•iAZH r of L. �� 3 84 L. 53.7 / 6o s9 �'' 40 o{<. VEiZy FiN� SAn•/D { � � � ti /20" A / ��. 5D.7 2 I } �\ S�Gc/aRK ;T.sq, r CIP4,7 �j v 19 gz — ti < 09 1 1 _ ACC cr'� �•s�• IN MINIMUM O JIUM1 J G�kl,� _. s FtZotslT /0 ' r o .F oU 1�A � AN O ti, To x D © —-- -- -.- o f.L VfiN15N GRADE M►Z 2 /o W/rN114 ONE. FOOT OF FI1J I614 GRADE OVER 1..EAGI.1 AREA ' to - - 'T - l OtyfK�Butiorl z�� OF NGA S-rowe Foa .25 ( 'M�nl) I 2A vw. GovEK Box 1 N►PER V I Gv S +oovV4'2. TU . .%4N/roofPrrc�+ , J2LEV Y ME-see-M r r#►J61a 1FIZOM NE. ' CA�•f 1Ro�J MIN1�2'' IPI. �N• 1 C.H , - :: ,,,:, = _ Of SW,40 rtt 'Yet;-- A TF ovu 224"�do7loM FCbT /f 72�'�• s ' r,�--1YiOLA S9.7S ! /000 -}- i S 1 IEAGH ' p WAsHEV (tRT GALLON ! INVarRr �e / .�� TTZE�CN ST0NE GITY 4nnlrl 8.9,5' 4NDMA. PV.C,RT f�T f, Ltl p' 3 7:t-0 AROUr�D I SE G TANK i u Di�F 50es kfO INAT^EgS�03L�T?� i �NV'ERT 2'SrWE r/ tNy0 AGL/}rLAir� ND GARBArlE GR►IIPSP, , �� 8',c z8' .tio 11l a v r- I -- 20 MtM.l � i� SEPTI G 5Y5TEM CON SYRUG?loN '`' .. S ALL CONFORM -TLC THE MASS. ��` . 3 I; v1 RONMI✓NTAI. CODE 'TITLE g EL . F NU/V�� of �I��ROOMS: — ---- — ORaAVRvED �7 2, THE TbWN - ; `t r DE.51Catil Fl.o�l : — 330PD 7- 1 of S►t-''k REc L4kA-n0n15 L EA GN I Jul Ca RATE- L �'/'v' SEPTtGTANK, �IST'RI �lTi0N poi! ; y' Ttwv a� 8 L;- — AN O I.F.ACH lf4* VN T ?'O t3E oF' "� �, R1✓��FoRcaa7 C,oNGi2 E. '� ,t R EQ''O. LEACW. GAc A G i M�IM . C-ONt.� EXF, �5T�r4CAT 13o=PSj PR0VQ5 D l.EAt.H CAP,RCtTY _�D� GPD 12DDO�O P5l 7 z H 10 LOAoi Ncq PR�v_WAy Nor -F-o DE Loc rmv � ov R 5�/S•rl M UW Lzss 1- 20 Y LL CEn�T :-2VAA� 6 )A A V1 PE.��t'o p� AT 'ti ��' — : . 5Yr�--PTF.M Vo 0S apt F19M Sk, 5, Rom. REa, OF vESDS '�E E'S C,p►�' Rod OiZ PfZ�-CAST e. ' _2�E TE,Z J• L US�.:y' _ DAB. ENGINEERING C. R. DESIGNING BUILDING EA LTN A� 94'r APP90VAL SHORT INC. L DENNIS MAS S. 385 ,2831j, S. t 3-Wb