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Home My WebLink About0015 CROCKER STREET - Health CnckA< s+., {ItBannis 32.'7 � 2.te7 r- a a c Zrd - o a o - Z in IE _ � a N C v �y v N :0 w� X 1 y � � 1 � z o Lim' y._ J - - � � �_- ... � � �, � � i -- � 1 � _ may, Y r, ^� - .{ �, "' S r +;. 4 y1 ,. ;K� r / ttJ� b ; oj f r" 2 n4 .,y1 , + h• ! �'^ 4 + 1 •r r � p ' "� s �'' � ,r s &2 Xr 4 �" d 3� :5 i c 'Y �-f.,� �t7 r k rd. .y♦ ti S s 7. �, 4 r + T.'L7 u� r .y J!" 3��f v�1\� /�.r� -� .a ,. P ✓ �A '\i - * '�. rA F, 0. ROSiRT G P. Al BUNWIS Na 0w . O16TEa ♦ 44 Nl LG�c��E r n17s J� fit. .$. LEGEND, " !, I .ExLSTINq SPOT' ELEVATION r Ox0 :u CERTIFIED` PLOT' P"L14N Y' 'EX1,STIN0 CONTOUR — FtNiS@HuEO�. S�POT ELEVATION , 1. y Y //��/� r / FINISHLD `CONTOUR '?. O f i+k : # f �t /V t4I �} APPROVE. _ BO+ARD OF HEALTH ®f#TE ', 'AGENT `° SCALE= / —Z�� DATE 6 l0 7 D DGE ENGINEERING CQ IN OLIENT � I [ 11 I CERTIFY THAT THE PROPOSED) ' EGI3TER.E REOISTEREO JOB NO. 770 6 z—. BUILDING SHOWN ON THIS PLAN t.Gi'V"Il LAND, CONFORMS TO THE ; ZONING LAWS N�3[NEER SURVEYOR DR.BY OF ®ARNST B,LE , MASS. CH. BY 33 PIp,'AAAIW ST. ' ti • '' t,�712 MAIN ST. 0. 'YARM0t1TH MASS._ NYANNIS, MASS' SHEETS OF. Z , DATE REG. LAND SURVEYOR -N Arm ..< - - y ^}- .>,=1t `.:_ - `gip p-9. - •� ._. L. :, .y�.� .....,.,<. •. ... .,'W__l�- , :.i .d. a.a±` �xw�' 7 F-p`'+•S, ,�'�• _ _J ��RI�.:" r.:,- y. =3"t ,. °`,a.-i' _ F r _ .• :'@:•-v - � k.. Jw .1 ,r- .1. :. •mil .T„ -.. _.�.v iV - �_ ,y v r -o t :�.�-'� .:$..� -�,'. � -? SFR'�~ ��'^-L n, . �3-S � F�x�m �,�L��/r-��!_® ��ems• yc+x - - ' ON�4ETE: A � r A,. _"� 'StY c _A _ f COVED r �/qu/o LEVFL ait ••CAST J OLAYER /RON 9 € a Y t v o F aiP� l�D� GAc. 9 I vi M/N.oJTG/f _ °+:a s_• e • • 'e a�V► s .�e` H1cD S7YJNE -PT h. S,EP.TI'C �TiA/VEC, D/ST e,a B o s' a• e a a WAS JBOX z o -8 ie; � o • `o.ee o e,°ova " " ��* . *D °� s i° D�PTI+I.• e.•_ o 0 0 ,; "WASHED STONE . gab p p a PREG45T-SEEPAGE n x s �. ,'. p �� .d ,I • � -®-. -• e. • �.4 pep F f IA/V&W-r ier,4 T/BNS i_ Y e 0 •. • e o, s`.s e o P/T OR EQU/v.: a 1AWeR7' AT AVILDING 7.0 FT "r JNZET SEPT/G' TA'N/C_- �F.T,. ?` ;;t_ ` / �-�► O%AM C(SEB 7�9BULATJON� - 0.074E7 SEPTIC TA/VK ` 56,3 FT _ Y INLET OISTR/f3UT/DN BOX'"g6•�' PT SECTION 4F GROUND ytl,4TER TA®�E O`C/TLETD/STRIBIlT/ON BOX /NLETSEEo.4CaE '®/T 9S.S FT. . i ti TA�l�L. fio/NG SITS aiM�tis/oN� FT L��C 3 �l�N DFS/GN CR/TER/�1 . s FT NUMBER OF 9EAR00/�9S '_ _ . _ D/MaENS/ONE C GARBAGE D/SPOS41. ' UsII/r /YUMBER S/OELEAGH/NG PT ,DATE F SOlL .TEST `8 E TEST P/T �1, T�S_T T-W P/ ' 2 RL�SUL?'S N//TNESSED. BY Tt t T'' 13yoyl,ris- ®OTTOM LEACH/NCr PER P/T=—�,. �tT. , C3 ' ELEVAT/ON = PEfdCOL.�1T/0�4/ RAi.T.� TOTAL LEACH/NG AR—=A. RESERVE LEACH/A C9 AREA •ct1 OF A/4 41 so ry ROBERT F P. s _ BUNIKIS g�►ND v 6 7/2.-MAI,".S .. r r All A. 7tf6s 1 J+'YAUNiS ;E!1�35D.J"A .�7b/�y►fi s - SHEET OFc. rat 4 707 IA—, NoFss..... .................... THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH oF......: ----------------------------------- ApVtiration for Bi_gpos al Works Tnnitrnrtinn thrmit Application is hereby made for a Permit to Construct (A# ) or Repair ( ) an Individual Sewage Disposal System at: ....ell. �.11...�...... --------------------•--.......----.... ....--•--•--••---•-•••-•••-•-•---••---•-•... ...........-----•--------......._......-• . - c ion-Address o� t No. ------•---•------------------------•----- -•• � . �z�... _...... . 2?,------- Ow r / Address W Installer Address UType of uilding Size Lot........ .........Sq. feet Dwelling iZNo. of Bedrooms_._.-!..........................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building ............... No. of persons--------_-__-____-__-__-____ Showers — Cafeteria a Q Design Flow............................................gallons ----•---------------------------------------------------------------•--------------•-----..__.......__. Other fixtures .............................................. Wr person per day. Total daily flow..................................:.........gallons. WSeptic Tank—Liquid capacity------------gallons Length,--------------- Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area- _------------__._sq. ft. Seepage Pit No..................... Diameter.................... Depth belowZii.nl _ ___..._..._. TpLal leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) ® ' %� 7-7 Percolation Test Results Performed by...___s-._._ _"444.. ......................... Date........................................ Test Pit No. 1-----�minutes per inch Depth of Test Pit:................... Depth to ground water-----------_............ �14 Test—P t No. 2................minutes per inch Depth of Test Pit__ :_.............. Depth to ground water........................ P --------------•- •--•--•----•--......._....----........ _ 0 Description of Soil-- Veo�_ ___7_ ----------------------------------------•------------------------------------•--- x., ----------------••-----•---------------•-...••.....-•--••• -•-•- ----- --------••---•--------•--------••-••---••------••------•••-•---•--•-•-----------•----------=•---••-------------- x -----------------------------------•--•-----------------------•----•-- --- -•----......•-----•------•------------------------------•---------•-- ----:--- ....................................... U Nature,of-Repairs or Alterations—Answer when applicable�Lt��47�----� ------------------------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITi U 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 e board of health. Signe ._- � 'd�- -- -------------------------- Date Application Approved By---'A�55" Date �- Application Disapproved for the following reasons-----------------------------••-•-----•-•- ------- ---------------•-------•------------•--•. - --------••••-- ...........................•-----------------------------•-------------------------...------------•-----.--------------.....•----••------------------------•--•-----•--•------------•-•-------........_. Permit No....................----------••------------------------ Issued �Q� '47 Date 2 _ ..... ------• Date .. fir. NO..--_._ ......... FEB... .................._ F ,►t'r THE COMMONWEALTH OF MASSACHUSETTS Y BOARD 'OF HEALTH ^ t :,... . OF.......00 . , Appliration for�Rsvos rrani Application is hereby made fora Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: t ... ter.." Z4.. --•--- •-- --------- ------------------------•---•------•------. .................................................. ��II II ti � 44, ress or t No. ......... r _ .. Owner , Address W - -•••••-•-------•- •-_•-- ••--•- Installer Address �� Sq. feet U Type of Buildng Size Lot._.__..:.__................ a Dwelling;. No. of Bedrooms.__ ..........................Expansion Attic ( Garbage Grinder ( ) p, Other—Type,of: Building :_ .__. p ( ) — Cafeteria ( ) No of ersons__._________ ....__.. Showers PL4 Othersfixtures .................... --------•--- ----- _ . -------------•-------..._..---•---------•-- WDesign Flow.... ........ ..............._......._gallons per person per day. Total daily flow,_c.. ____._._.________._:__.._._____gallons. W: - Septic Tank—I igtu capacity __.gallons Length............. t Width..............._ Diameter___________.___. Depth................ x Disposal Trench No .:____. Width_. ...... Total Length.................... Total leaching area -3 .sq. ft. Seepage Pit No....... .. ......... Diameter.___._._. ...._..._ Depth belo inlet__. ... T al leaching area_ ......._ sq. ft. Z Other Distribution box ( ) Dosing tank ( ) } Percolation Test Results Performed by-*-.,-"F~,__ 1.4,14.!_ _ � ............. Date........................................ a Test Pit No- _1._... minutes per inch Depth of Test Pit•........ ........ Depth to ground water........ ........... (s, Test Pit No.-2.:..............niinutes'penr inch Depth of Test Pit............. Depth to ground water........................ a WO Description of Soil �"" � "' �'" ----------------- rJ •---....-••-•••-•- -----r-- -----••--- --------•••-•-•-•------•.................. .............................................................. ........................... W ................................................. ......................................................... U Nature'.of Repairs or Alterations—Answer when applicable,F ;/q.i V ___. _ ................................ -----•--------•-------- ---- --------•---•------------•--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TI-T'LL 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 e board of health. Sign .. . ....c...f 1--- f+� Date Application Approved By ---- • ........ ..... . .. .__ Date Application Disapproved for the following reasons__________________ ..--•----•--------•----••.............................................................................. f ......................................_..........................................................._.::........._.................................................................................. Date Permit No.__. ............................ .... Issued--•-- Date i � v THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH y . c��........6F.... .... ' .............................................. , �f .. (Irr#ifirab of Toi tli$iFatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed or Repaired ( ) by --------------------- •--•----••- ............ caner • -- -- has been installed in accordance with the provisions of ` of the State Sanitary Cnode as described in the application for Disposal Works Construction Permit'N 'l..s'............. dated_-. ............. THE THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GIJARANTEE_THAT THE SYSTEhA WILL FUNCTION SATISFACTORY. 'DATE............. ._....................................................... Inspector.:A Pc THE COMMONWEALTH OF MASSACHUSETTS. BOARD OF HEALTH {� r .....-''r -•-•..................:........ /S` 00 �/ ........O F..-: ........ No........a ��..... FEE........................ Disposal Works Tomikurtion rranit Permissionis hereby granted .........._..-•--------•-•------•-••• -- -----------------••----...---------------•....------........-•-••.........••....... to Construct fir) ..or air ( ) an IJ avid 1 Sewa isq�d System 4, eet 7 as shown on the application for Disposal Works Construction Per • o.._... ! ,,�._,e Dated. ............. .rf ..... f .� ..3_................#...... /o 41 7 7 Board of Heal%� e DATE.......=--.....................--••--------•------•...........:...............: - :-- FORM 1255 .HOBBS & WARREN, INC., PUBLISHERS ~•`. - :s �, - : a