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Home My WebLink About0315 PRINCE HINCKLEY ROAD - Health 1 1315 Prince Hinckley Road Centerville A= 171 - 122 L 0 C A T I SEWAGE PERMIT NO. lot 72 Prince Hinckley Road VILLAGE Centerville, MA. 02632 INSTA LLER'S NAME i ADDRESS Alfred Fuller 995 Catui t Road Marstons Mill .-,, MA_ B U I L D E R OR OWNER Alan E. Small, Inc. Box 536 Centerville, Ma. DATE PERMIT ISSUED 12/10/79 DATE COMPLIANCE ISSUED r � 11 No.._...... .._....... F�$.... .............. • 12,L THE COMMONWEALTH OF FH EACHTu TS `�` BOARD ' f 1 Appliration for Disposal Works Ta nstrurtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst�Jn at: "��, Locati dress Lot No. .... ...................... ................ ................................................ ................................................................_........_........................ Address . /I . Installer Address Q Type of Building Size ...Sq. feet V Dwelling—No. of Bedrooms............ - .........................Expansion Attic ( ) Garbage Grinder (0) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ................... Design Flow._._......-L.... _..._ _ gallons per person per day. Total daily flow...,....__. gallons. llons. WSeptic Tank—Liquid capacityf/".gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No............ ..... Width............. Total Length.................... Total leaching area....................sq. ft. Seepage Pit No...__60,- iameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosin ta ( ) '-' Percolation Test Results Performed by _. � -- � __.__.____ Date.............................` a 77 a --_.... Test Pit No. 1...,�_ ..minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ---•---- ---- ........... -- .•---- ..-------•-•-•---.------ O Description of Soil......-„--0 e`'' . '�- _' � ------- ' x x11 ------------------------------------------------------------------•.._..---•-----•---------•---•----------•....----•-----••••----------••••--•-•-••--•-----------...-----••-•-•--••---•-------•---•---- 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 TITi.;,,, 5 of the State Sanitary Code—The undersign further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board . health. 7Sied. ._ ................................•--•---...•--- ��_I-�......---.... Date Application Approved By--•./0 - - --- ----- -- . ....-------•------- +�� ' Date Application Disapproved for the following reasons--------------------- --------------------•....................................................... ---------------------•-----------._._........._---••......---...------.....-•---------•..._..---------•'•--------------------•------•------••--...-•----•-------------•-:.....-------•---•--....----- " Permit No.......... -------•-•------------------ ued.- --- `- 2,� -•--...... :- C �.w ��, �.__-_ _ __ - THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............OF........ Gr°.. '3 '+ -:--.......... Appliratiun for R-4posFal Works Tome rnrtiun jhrmit Application'is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Syst at ,g �+ � k �f Locati ljdress 'Lot No - 3 . • f ............................................ .................•----.. f •-- ---•-•---•---- Owner »� Address .................. 41)4 .......b.........f 1p' f... ^: *-----?---------------------'----•- --...._........__ .�.. —..Address Installer • ress UType of Building Size Lot___:___._e.4 t ...Sq. feet 1•-1 Dwelling—No. of Bedrooms.__________ .........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other fix.C11tures ------... gn i gallons per person per day. Total daily flow...... :..2__.�_........................gallons. W ------- Design Flow._.___._._ z-._ WSeptic Tank—Liquid'capacity 2t.-t-'#.gallons Length................ Width................ Diameter............... Depth................ x Disposal Trench—No.......... i....._. Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.___.e�?.*- iameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (J'') Dosin to�} Percolation Test Results Performed by.. ,_ 7 ......t.�.t f__----._.___..._ Date___..:�_�_ �~ ......... a Test Pit No. L. �" minutes per inch Depthes Pi pt t.................... Depth to ground water........................ 444 Test Pit No. 2................minutes per inch Depth of Teit ZPit.................... Depth to ground water........................ 0 ------- _... -----•-• -7-•--- Description of Soil...... ('_`..!!�..,," ... '',. � `, '� ��'��'c' __,_-------- x U -----------------------------•--......--••---------...-------•----------------•-•----•---•-•------•-----..._.--------------------------•- 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 undersigngi further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board f health S' ned .... ...'.�_ ..............................................................Y Date Application Approved BY �!✓ --••---=--...---• 7�� Date Application Disapproved for the following reasons:........................ -•--•----•----------------•-------•-------:---------........................ ..-•..............................•-•---......._..-•---•---.....-••-•----...--••----------•••-------•-----•_,.:_._...--------•--------•--•••------------------•-•-------...-------------•-•---....._..-- y �� Date /. PermitNo-----------------------=--------------------------------- Issued-------/ �'_.- Dat THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEALT , .......... 'J.........OF............ :. . irtt�e of (�u�t�rli�nr�e THIS CE IFYeiAat�e vidual Sewage Disposal System constructed or Repairedby •------- -•---• --- ---- . tlnaller has been installed in accordance with the provisions oqj f j f The State Sanitary Co/de as described in the a lication for Dis osal Works Construction Permit N ____ / PP P d dated /'Z /,a E� _ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT.BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................. .. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS~ , BOARD F HEALTH & / FEE. ................ iuruu�tl n Vantit Permission isb&reby granted...� --- ---=--- •-•- - ........... ................................................. to Cons�tr-/uct �0.r 1r n dvid al &age Dispo SXstat No.f. - 0W -- ...... el . - 2� ---. 6� ....... ............ Stre'�F .. ti••� et - - -•- ------•- as shown on the application for Disposal Works Construction Per i o. .___ ...... Dated:_. .................. C ........... ...... ......................... Boa o Health DATE...............................--•............:............................•--• FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS QO GArZ .�� E�rzI1JDE� ,�� b,2 t>,&1L�4 PLow = tIo 3 z 330 G.pt7. -ts'T'1G APE Is 1liit�`(AFLTJ G-"j$!G Co �'�VtT uS*- t o00 6A.L. �ISPoSAL_ PIT usi✓ loco GtaL, .----_ SurIl /4L.L A e--, = (5,0 S.F. -•� ------- ---�-_ .,_ 'Spr x 2.G. • �lS G.P.D. f 8rur�M r:,o ST-. So sue. A TOTAL fltsSIC�IJ = 425 G.RD. �� 1 TbTo L- 330 6.PD. N rO vr;fzc.Dt&TioQ O&TE : Clo Imlu' oizlE6S. r-1 ��4y^•~_ C Tor Fwo •�oo.o LOAAA 'd"P.ve loon Iw. 'A + 4"p,Pe aKf Iw• &AL. `�8 �V' SUii'SOIt..� / -Sox q&,6 Seep t Iwv. (OOO 9G o ( Iw• Iwv GAL. ��,Z 46,d. LsAGN Po T S4 VI/ w I rt-1 •; G1ZAIl�,„ was►xsv • /D� 1 0• I �, CSZTtFtED pLo"t' P1—/1t•.] Pt2oF-tL� LOGATIO" &=w �oL'k.s G.AL C— $56 32 AT t✓ (( NO VJA rr.>P. PL A Q I cwZTtt=,4 T►4AT TNT T--Oupt>b-TIDtj t4V;,L7 _o►J CCOAPL I-eG W ITtA T►-ti 51VE %-lWr �- - z Auv VGQUIi`EMZ'-uTS of -r►4C �o- Zow►.� T= A I?•h'�T -�164 LAWPS GATE tJ�(— ►�.1G- 12CGtStt_i:GD "WO ;UZva`(�1:5 'rt-IIS I7Lla,ti-! 1 JUT L'ASCL� Una ArJ oSTeav%L-Lr-- o /1iCl�SS. lWS'fC;.1I✓LC_t.!� ��t;./t=�( �- Tt{L: UFI=;�'i"�, ;I-1c,wt.D AN1�t_t C_A!•,lT y 1 br ac U4, cL ru t>L-rccM`��