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Home My WebLink About0031 QUIET WAY - Health 31 Quiet Way Centerville A=208 —099 - 003 No&,5—.Im............ ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ........... z.............................................. Allpfiration for Dhipofial Works Tonstrurtion Vrrutit Application is hereby made for a Permit to Construct (/.,) or Repair an Individual Sewage Disposal System at: C_ .......... ...... .................................................................................................. L Lot No. r? 0 L*' ......EZZ------ ',=--------------------------------- -------------__---------- ........................................................ O(Fer Address ...........J.1j.\j....... ------------------------------------ ..............................0: ........................................................... Installer Address Type of Building - Size'Lot.... ....Sq. feet Dwelling—No. of Bedrooms ------ 3 Expansion Attic OJO) Garbage Grinder WO) aOther—Type of Building dmilq_ --------------N"o* of...Persons............................ Showers (,2, Cafeteria (M) Otherfixtures ...................................................................................................................................................... Design Flow...........:��. .......................gallons per person per day. Total daily flow_.__....,3_3.0......................gn1lons. C4 Septic Tank—Liquid capacity./#M..gallons Length....J,,O....... Width------4...... Diameter....14--------- Depth....k-------- Disposal Trench—No...AJdPW.-.. Width...Y.............. Total Length_...._.............. Total leaching area___.j_6.4...sq. f t. Seepage Pit No------------ ........ Diameter.............__.___. Depth below inlet.............._..__. Total leaching area...................sq. f t. Other Distribution box (/-) Dosing tank,( ) Percolation Test Results Performed by a.l.ewe e Date.... ......... Test Pit No. I...!4.?7�_minutes per inch Depth of 2est Pit----12, ..... Depth to ground /ater....M_0-�. rX4 Test Pit No. 2................minutes per inch Depth of Test Pit____................ Depth to ground water......_.__.........._... .........................F... .._..1---.......V.......................................................................................................... 0 lz�-0--L .... .. .. ................. .......................................................... ......................................... .......................................................................................................... Description of Soil,6::1.2 ..... ;YL ----------------------------- .. ................................................................................................................................. ...................................................................... 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'LlILLE 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 n Signed K ....IA�w 02. . ............ 7/ t Application Approved ................................ ---q/ ................I---- ---- Date Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued........................................................ Date ------- --------- -------------- N Fimic.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ...............OF...'B1_1A1 ............................................... Appliration for Disposal Works Tontitrartion "ernat V Application is hereby made for a Permit to Construct K) or Repair an Individual Sewage Disposal System at: A .. ............. ... .... ............ C ..................................................................................... Locayd 1 4-Add Lot No. .............. ............................ -------------------- .. Address s C. C .................................... ............................. ........................................................... Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms Expansion Attic 010) Garbage Grinder 00) aOther—Type of Building ---------------N"o.......of...P'e'rsons............................ Showers (1, Cafeteria Other fixtures Design Flow.......... ............................gallons per person per day. Total daily flow........3.31.0.......................gallons. 1:4 Septic Tank—Liquid*capacityJP1410---gallons Length----/.j....... Width.....4........ Diameter....!{._- -_- Depth...'....... Disposal Trench—No. Width...!'............... Total Length.__......_...._..... Total leaching area_.2.�.6----sq. ft. Seepage Pit No_____________________ Diameter.__..........__.____ Depth below inlet.._................. Total leaching area..................sq. ft. Z Other Distribution box Dosing tank 2, Percolation Test Results Performed ------- Test Pit No. I_ �._minutes per inch Depth of Zfest Pit.................... Depth to ground water......_._..._........... 0:4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water.........__.___......... M ----------------------------------*........................................................................................................................... 0 Description of Soil.............................................I........................................................................................................................... x U ........................................................................................................................................................................................................ 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 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. td.............................I------------ D Application Approved By......._... ........................... ............................. ................ --- Date Application Disapproved for the following reasons:................................................................................................................ .......................................................................................................................................................................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .......... ....................................... TI(IS,IS___TO CERT,Ty, That the Individual Sewage Disposal System constructed or Repaired d by------U..�tz�....!!�? . 0 .....&..... .......A..............)............................... ............................................................................................... In at . ..... ................... ........................................................................................has been installed in accordance with the pro4sions of TIT. 5 of The he State Sanitary Code as described in the application for Disposal Works Construction Permit No------------ .......... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY.DATE.................S........)....=_!�............................... Inspector.—.------- ..................�--. , ....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH W-7 6-s- /�R ............ .........OF....14A,.P............................................................ 4Z�A No......................... FEEA_u............... Diaposal, Torks Tonotrudion "prrutit Permission is hereby granted....\ , ., .P.................I_.............................................................................................. to Construct ) or Repair n Ind I'vidual Sewage Disposal System at %A4 -4.*No.....La't.........C............&aj.. . ......k.) .. .. ..... Street as shown on the application for Disposal Works Construction I�ermit No..................... Dated.... K/-(.Y/# .................... ................................................ Board of Health DATE................................................................................ FORM 1255 A. M. SULKIN, INC., E30STON ao� -- 4a -3 L0CATION �3 SEWAGE , PERMIT, NO. L 64 C VILLAGE INSTALLER'S NAME i ADDRESS - Z^ v, A rs4o"s Doi)f S T° R U11DER OR OWNER i r �c�S idr_ J�c i �C�,►'►'��t l_U . DATE PERMIT ISSUED b DATE COMPLIANCE ISSUEDp � V HO05�f- R Z ' 1 L OF A J ROB l3hRJCE ��= PHILIP A :: .UDC✓ rt WEINBERIG �' / I. ��" +✓ �� M //; / �\ P U/ONAI q . ; /` A h �/,'Act 9 _> ego o 2r0 02° F, Y IVI` sir y v� G't o 'r aP Zq t. C o,— 1 for 00, K �J �( -�. �T C r znivc r /ODr WfL>7f-/ 'Z✓r/g� ZO PjZU 0C�7 A n R p_ ��1 A , VIA (�A 4- t LEGEND .EX.ISTINO SPOT ELEVATION: OAO gXIETIMG CONTOUR — p --- � CERTIFIED PLOT PLAN r 11N11HE0 SPOT ELEVATION (� L G�vrC _o-rT .0 xRT- way a 0.9MED. CONTOUR 0 C—,E—V77�1;�' 1%/ [_. L 5 N(3Tt The location of any existing under round sewerage, `we`lls, "o.r other utilities shown on this plan is approx �N imat.e only as determined from 'records and./or. verbal information: The contractor is responsible for the verification of. ,the existing locations in.the :field. SCALE� / "=`40� DATE + YA. 15�DF t .DREDGE ENGINEER " CQ IN . � CLIENT._ I CERTIFY THAT THE. PROPOSED EQISTEIiE REOISTERED Joe No. Y4' ._. BUILDING 1SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO 'THE ZONING LAWS 4. ENG EER R DR.BY�.,. OF - BARNS.TABLE MAS' /71%, 1. 12 -M A I N STREET CN. 8Y' ;` /2 *AE MYANNIS, MA3.S. 9HEET,,;L. OF g.. REG. LAND SURVEYOR ` ti. K �O'FT. /a/N• N07'E /F hrl7W&R THE SEP?7G TAAI k. OR. LEi¢GNI�tiG PiT ARE MORR TNAJV /="AFAMoiv MMI.:. aTAP&E .4 24',0/AME7EK CONCRFTL COVEA! Q"PVC PJPE' SWALL BE 0-V0&aoy7, TO 4jTAD0.(�4,V ZrrCA CONCr4C'TE MIN. P/TON hre-4Vy CA ST/RO/Y CO SHALL BE USED COYERS ��pERFT /F'//V GR/VEj1/Ay 2 MIN. CG/VCR4r7 AEr A a AOE Co✓ER CLEAN .SAN0 L1,9411 O LEVEL .. 2•L/tYER IM/JV.,P/TLN G/lL411 40 mob •• • . • •. • •�� SEPTIC TANfC D/ST. •,•sox lip . •. e ► Wits STnNE i y • t • • 3/4. /.:m - , i e •• GE�PT//• •• • e. 14445N-=O STONE' k •go.�. / l� • • • • . .r. o - x.. /-o = //3" .. :� • r Q T[.AST SEf.R�iGE f NV&RT CL ENAT/GW S per cs�-ns c e T Y ��. D A� •. • - � a; t '.• � s- �L..,- fir+ e A "' �... y..�' /NYERT AT Ol//Ld,ING .. �,oa b Fr '` 3371 JkL�T SFPT�C' Ti4NK 5 9.8 JaT FT. Oli4M : C(SgE r tst/LAr/oitr� OvTL.ET S.EPT/C 7ANk y 9,19 FT, FT G LE�'!)I$TR/6!/T/ON BOX y 9.4 ROuNo /41TER T/ //V tdL E SECTIO OF -� - ) o_u1`LAE7 5 Rrovrionr eca�r /NET: ACN/IVl /�I T _g8.g FT, SEyWA6,ff O/a�S'/9 k 6�IA L.S V.ST CM, , tAC fo� v �r,��tv T d..� raa, r DESI6X CfZITEJ�IA JCAZ-ED/MEIKtsON 01NAWS/0/4 90' o/MRvs/onr G+Re aG.CvisPosAI-llw r.Lt/o-^�� SOIL LDG . O T TOTAL EJ'T/N!A?'ED FLAN/ 3 3 n GAL.1D4'p SO/L TEST SO/L 7l�'ST*2 . S L o S 8/1/UN9dE/P QF Y,8��4GN/Nl• P/TS / LSATW OF SO/ _ TEST %1, � • L r - - - •.:.: S/QE.C�ACH/A/G PAR P/T l�S1R FT. �,.. �'` 7 g D-Z LTS IVlT SSE d 90T•TOM LEy4CN1NG PER P/T Rl�SU /N D Y S4�` RT. L D6� �RCOLATYON RAT�F / Less JyJlkfl/NCX TOTAL' LERfH/NG. AREA' z6 6'. SQ,_IFT: o %101 :A[.7N�x.Gh' 1lhCOLAT/0I1//�A)'� 2' RESEI�YEL�dCHI/V6 AREA' :�6 SQ. FT. u/�5 /L N�.wAr�+ F-+✓� a Z: D 2':_ r Warms ��r Noce sa��-c T P�3 6 g9- Off'Al>J�M.. t�SVkOF � � N'o „$�..w 87� l_oT c Q�/�T way - � s � _ DJv T� ERT mum p 41 _ ��p�. p](/��(►//{�No. 366 /�� /n�di+ cf-I EY 90r 8. _ + + Gf. ISTS t� � ti �z•�. ..�-.:�,�^r 7 �i -:..�Y 8�i K t` ... ...t rt. �."�. e.... '.,.a ,F�e w~1'd'.!•'.. Y A. ._4. t_ M,t:. YY aj 'l. Z:, 'wd... '