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HomeMy WebLinkAbout0052 RED LILY POND ROAD - Health 52 Red Lily Pond Road Centerville A= 227—054 S M E A D _j No.2-153LOR UPC 12534 smead.com • Madge In USA �CYC(� No........... .... Fps......... .................. THE COMMONWEALTH O'F MASSACHUSETTS BOAR® OF HEALTH /1 ..........0 F...... -.....---------------------- Appliration for Bhipoii al Workg. C onotrnrtinn ramit Application is hereby made for a Permit to Construct or Repair ( ) an Individual. Sewage Disposal System at: ......�....._...............�....�.., ... ............_...... s ....r:._.._. e _......_._..-//........._y .D �9� o�iv NrS G.� � Loc _ s00 C> m Lot No. d Owner Address r •• a ----------------------------------------- Installer Address Type of Building Size Lot../, .....Sq. feet Dwelling—No. of Bedrooms............���3.......................... Attic ( ) arbage Grinder f 40) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures __________________________________ W Design Flow.....,�1. ..........................gallons per� z p-et'day. Total daily flow................ �a_:C >_..........gall 9ns. WSeptic Tank—Liquid capacity/DO..gallons Length---AA__..__.. Width---�,f........... Diameter________________ Depth.._`, ,,--_--_-- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No-------f---------- Diameter._/0.:__$,.... Depth below inlet___��t_Q�.. Total leaching area.. ._...sq. ft. Z Other Distribution box ( Dosing tank ( ) Ste. • 04 Percolation Test Results Performed ,............. Date........ �. - _.... a y..- 04 Test Pit No. 1_ a::.:�_2_minutes per inch Depth of Test Pit---/_1.�.Y... Depth to ground water...... ®fir (3 Test Pit No. 2................minutes per inch Depth of Test*Pit.................... Depth to ground water........................ a --------------------------------••-- ................................ ............................................................................... O 4 .___A—*—I..... __._. _______ �_.Description of Soil_----C�-"'----4�---iY-------=�------..._._ _ - -------�/-�---------- -------------- W ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- U Nature of Repairs or Alterations—Answer when applicable....___......................................................................................... -------------------------------------------------------------------------------------------------------------------•-----.._.....----•-•-•-----------------------------•...---------•----•-••--••---••-- :1 Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iTlj., p 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a C rtifi=0fpliance has been ' sued by t b rd of l lth. 01 Si ,ned.•... ..,_ ._... ---------- ................................... !f ate Application Approved By y --- �b � .,1/-ate Date Application Disapproved for the following reasons:.............------........................................................................................... - •-•-•-••--•-•-••-•--•--•••---•-----•-•..................•-•-•.......-------•---•-••-••.....:.---•-••--------•-•......-•--•-•-•--•....--•-•-----------------------------•------------•-----•---•----•- 'Date PermitNo:........................................................ Issued----- ................................................2. 41 Date rj}y t 1 THE COMMONWEALTH OF MASSACHUSETTS f, BOARD OF HEALTH ; .� } ..................................I.......OF........................ ..........................................._.............. Trr of iraU of TotatpfiFntrr THIS IS TO CERTIF , That the Individual Sewage Disposal System constructed ( ) or Repaired by....- -------------------- +.. ---- `... ---- Instal er at has been installed in accordance with the provisions ofT L; j of e State Sanitary o e as scri d m_the application fo.r+Dis osal Works Construction Permit � 72t PP P ----- --------------------------- date - .-�----f�---/-�-l�-� ----:-- � .. THE �SSIJANCE'OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUAR TEE THAT'THE SYSTEM`WILL FUNCTION SATISFACTORY. DATE......... —A .d................-•------------------- Inspector... �..,..------ ..... .....----------------------------------- THE.COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................0F...�, �.''1 ..�.................................................... —' .. .............. FEE .................... Uiopooal Works Tonotration Vamit Permissionis hereby gr nt ----------------------------------•;------------------------------------...................................................................... to CWtr ( on 4�i. 1 Sewage Disat ±l1 "' '�° L' ..4'm '� r. Street as shown on the application for Disposal Works Construction it No__.... ......... Dat d`---.----- --- �,J ••• ..... ................................ Health r f DATE..- =-•------�-=-------�•---- -------•---------..----------------------------- .. FORM 1255 HOBBS & WARREN, INC., PUBLISHERS 4� o,_ 7y---------- F�s...��...................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® 9F HEALTH _IJ.............0F... `. .4444----...........------------....---=----......_----. Appliratiou for Uh4paii al irk Tomitrnrtiun Vamit Application is'hereby made for a Permit to Construct , Repair n PP Y (� ) p ( ) an Individual Sewage Disposal System at _ ...�' ---- •-----------------ri: ....--_. ....---�----:...... �- - Locyi�o •address ..�- -or Loth No. � Q .... loll " -- �y -------------------•---•----- Ow � �` �7 / , Address .....__ Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms........_...................................Expansion Attic ( ) Garbage Grinder (NC) Other—T e,' f Building a YP '.o, g ----•-•--•-------------•---- No. of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures _._.__... air ._.____._..-•--•------------•---- W Design Flow.....✓�_�__________________________gallons perTersun ev day. Total daily flow______._________-.-�_.___`"'___.________gallpns. WSeptic Tank—Liquid ca.pacityf`22?,gallons Length___ ___________ Width._........... Diameter................ Depth._%_`_......... x Disposal Trench—No_ ____________________ Width.................. Total Length.................... Total leaching area...... _.........sq. ft. Seepage Pit No_______ __________ Diameter.!.q.'.:5.__._. Depth below inlet__ ........... Total leachinV .... ''`' sq. ft. z Other Distribution box ( Dosing tank .., `" Percolation Test Results Performed b -------------- v-------•• Date - - -- ----------------- Test Pit No. 1} �__?.:.minutes per inch Depth of Test Pit__... Depth to ground water__:__`u' _N 44 Test Pit No, 2_...............minutes per inch Depth of Test Pit.................... Depth to ground water........................ O : c� G t.r�, rk r 1S��s� ---------- Description of Soil - ------------------------- -----••-----•---�?±°-----'-"--'••---------•••-••-- F�l b 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 l: t 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation'u it a C rtcifig of mF liance has e► issued b h, ooaa" o ealth. r>: igned. .................................... 6 ..... - ---•----- Application Approved By6_._ - ^ yat�e '� 1 Application Disapproved for the following reasons:----------- ---------------------------------------------------------------------------------------------- ---•-------•-•-----------------•----------------------------_...------------..--------------- Date PermitNo......................................................... Issued_......................%. Date -;�LdC C 10 �0 7 a . 0 Z2g.9• 21S 24, O Exist. Q Dwell. p 30'4 of /U EXISTING FROM BOH SEPTIC RECORDS I o s /o �\ ST Exist. - A PROPOSED Deck ALP, NEW DECK / EXTENSION / Exist.Garage LOTS 43 & 44 19,088 SF± 66.52 L "' T P LAN OF 52 RED LILY POND , ROAD CENTERVILLE PREPARED FOR DOUGLAS ERICKSON fox 508 362-9880 OCTOBER 5, 2007 OF M,gss9 down cape en gin eerin g, in c. °� ARNE oyGN 1 Scale: 1 "= 20' Cl VIL ENGINEERS o H. ALA � r LAND SURVEYORS 2634 939 Moin Street - YARMOUTHPORT, MASS. lv ® 0 10 20 30 40 SO FEET 07-257 DATt sikj A, P.L.S. G+ 0 C.1 t-7 d. z _ _ iT Gt?vA "r"o ror P v Fl - . 50 1 0-a i �,.5rsr2 2 c> 1 I . ---f- _'Ea ,-,fir -. _____ -- ---+- o ;- _ ashe.d f one c - _ _ .__ _, ...—. L>t s c r;?� `T---+-_P!M� o c3 A k.F 1� E. ►s-r � { 7 ; k 3g.0000 z _4 .... ._._. _ e 1�rst1r7 rlrourtol A , ., „ Ho, / SCALE / _ /O C_..► 7I OI' .1 * . o--o-o-- . .proposed c�rout-�d Profr/e SCf{ED ¢D P V C. 0Fc? FL C)Al y 2" / k E uAL T'D SEPTIG ! o f �8 " /2 washed ` sfons _ „ G>/577 B O x lrz. l sump {� a _ 7' 2 5 1 - /oo o 6,094. �' of /4 i - 5. 0 4 • m 7 `l `h °� Flo X` �` - - - � a t� ��' ' LDS / G /t./ T� T Hl� . O < v , 3 E�,eoo / �3a So G�/ . GV�e-L& e q X 8 M„ /. ousE O�9T.E T�S7" BY ' t 01 ' C "o disposer 5 E' ' GL�ea SATE /lJ�/t1 G / r_tl //Ti /ES5 mod. nF HCCe,1fh A i"i� 7,�Gr ' `' OR TuM M•S.G.t t 0 0 5 E f,T/a Tel AJ/c: 3 3 o x TEST f-/OGE / TEST HOLE Z .�.A�, T�9/lJk � _ A e 1 i Ga ah k 0 \ EFF. oE�rH ro.0 24or ' AY B©TTOM '• S.F. /, 0 .," . rr„n. Z•� 7'07-,9Z_ a '.J /• GAGS. OAy' t77CalrU USE I+ GEAGH f'/T C_0mrc Sar-rd a P70 1'.)0-74er- e/-7coUi74-eP-e.d GE,t�T/FY 7-H,97- THE 'Bt//C.!OlAJG fa ?0f?05E ON THE ,A-_OUNO r95 SHOWN O AJ 7-H/S f=L F?n/ Lt!/L L GONFO�'M TO THE- SUlG..©/n%G SET- �� i! f3AGk QU/,EEMEn/T5 O, THE- ErSTf/7`E+ 5 Town/ 57`/9 e G_E C G• 1 Z. Y Pv AjJt ,C L� L �ti/ S T H Y�1 Ally/ F�n,e T t3 L OG SETBAG� � 7 i2EQUl eC-ME n/T5 M/g55. 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