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Home My WebLink About1310 BUMPS RIVER ROAD - Health /59 o p a x r— No......... ....�. � rile- « FEB.._.sl THE COMMONWEALTH OF MASSACHUSETTS J :BOAR® OF HEALTH .%V.4?...........................OF......�!�r�S. Appliratiou for Big naal Marks Tanstrnrtinn Vantif Application is hereby made for a Permit to Construct (—) or Repair ( ) an Individual Sewage Disposal System at: ..........._.......... • • .......................................... .•I--•-•--`--`..---- -- ---•--......--- Location-Address f or Lot No. ,� Owner Address Installer Address U Type of Building Size Lot_4© ©�jq_...._Sq. feet �-, Dwelling—No. of Bedrooms.___��.��'____________________Expansion Attic (� Garbage Grinder (� a`4 Other—T e of Building ��u�%� No. of persons 3_________________ Showers YP g ------ -=---------------- P .._(�)--- Cafeteria (�) Otherfixtures -------------------------------------------------------••-------•-••-••--------------_...._---•-----•-•• ---------- W Design Flow..........................&a..........gallons per person per day. Total daily flow.............. .................gallons. WSeptic Tank—Liquid capacity/�G0G_gallons Length................ Width................ Diameter............---- Depth................ x Disposal Trench—No_____________________ Width.................... Total Length.................... Total leaching area____________________sq. ft. Seepage Pit No-----------_-------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (✓ ) Dosing tank ( ) ~' Percolation Test Results Performed by......................................................................... Date........................................ a minutes per inch Depth of Test Pit._._63__._..___ Depth to ground water... O Test Pit No. 1_____.�__..__. �/ Gr, Test Pit No. 2..._............minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •------•---•-----------------•--•-•••-•--•--•---••----•--------.....--------...•-------•••-•---•--....-----•--•--•-----•--•-----••-••••-------•---•--••_•---. 0 Description of Soil........................................................................................................................................................................ 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 1I.1L% 5 of the State Sanitary Code— The undersigned further agrees not to place the syrr�_ operation until a Certificate of Compliance has,—Liken issued.by the board of health. x Signed=_�_______ ---• ..----•--------------------•. .......................... Date Application Approved BY '._ — ............ Date Application Disapproved for the following reasons-------------------------------------•--------------------------------.......................................... . ...............................................•-----•---•--••----------••------••-----•....------••----'------•------••--•------•-----------•----•----------•-----•----•--•--•----------------•-•------ Date PermitNo......................................................... Issued....................................................... Date <�I►�GL FAMILY( - ;3 BCDROOM ►.JD.rGARgAGE GWNDER. . DAILY( PLOW .: 110 X 5 x. 33OG.PR ��C C /:-1--4N 0/1/ 5EPT1G TP►vK = 330x15�% = �9%G.P. �`�.4G/� /�,�-�E4� T U51✓ 1000 GAL- ' o15Po5AL PIT U,5 t000 GAL. 'S I DSWALL AeCA = 15O 6-P t5o 5.F X �•5 - 375 G.P� BOTTOM AREA= , j0 S.F,_ 5 0 $.F.F X I• o 5 p ^T oT A 1- p 1✓S I G N II .g 2 5 G,P. D. -TOTAL. DAM( FLoC>W = 33oG.PD. PF-- ZCOLATIoN RATE + 1''IN 2MIN oPLLE55 tN OF t �;' DAVID s� ' N, Sf C. {Cy -a(z THULIN `= t RLCHARD G No. 29976 ii Z A. 1 #J BAXTER n `A I� 24048 OAS ^i II �•'YD � I� I To P FNU NoLrr O 37ay ^ I wv• .3G jl t000 INV• G�3f4/C_ DUST. lN�. Gay. 3G• 3 I; 5ti`P-riG z IOoo INV. 0UX .�G./ •-rartK y LE•Acu • PIT INV" INV. wITu -3S1;7 - 9 WAS4IGD 6-rC-1HE. CE2TIFIG0 P►-co PLAtJ TPFRUFJLL 1^oC4.7l0N ', •.s NO' .SCALE ScALG ASS✓ �AT � �/,3/�� I` t CE R"(•IFY THAT 'TNE `{E2EoW LoMPL�(5 1nlITN-THE S►o of TNT LAN U � A► E> SET54GK rc-GQU12-eMr-N4 -�c>w►� of 3A,?N.5-rAi34LF AND IS NOT* 0,47-,52� LOGP.T D WITNIIJ THE GLDoD PLa.IN DATEs3t �`T 1I . .� . . �t BA7cTEiZe Wl` e INC. I! QED l s-i>GQ��'►�.0 D s u V.v EY�eS Tlll�j PLAN 1 �j Nor• 4n5V D oId A Q OSTE2VILL - " MASS �' (N5•T-R•�MEr.1T Sv2vEY � 'rNE o1=F,SETS Suoul,D , NoT D� ugEDTo DeTEFZI�IN� L.�T I- 1NE5 APPL►CA,t-IT e �y 0 x 3 , 1 aF i A p JS 37. y = ' s.T. �. 3sSGi is �3UN1.pS .G ivy` .e1� All ,b� 13-�-+%—ECG/✓�!'_; iNC, RICHARD 4 A. j BAXTFR w No.24048 rsT�V`{� i, •DS41K � w:�.