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HomeMy WebLinkAbout0027 MAINSAIL LANE - Health i LO CATION " -��'� SEWAGE PERMIT NO. VULAGE I:NSTA L ER'S NAME i ADDRESS a s le e U I L D E R OWN 9az Az&SCn DAT E S� PERMIT IS U E D i DATE , COMPLIANCE ISSUED to _ _ __ _ � <.' •O * �:},A` 3 r .�' -� 3 ' �' 0 �� �.� �, � �'�'� � ��(�`' �' � M � � � � � .. � No..Lam?.. J....... Fxs..�..,, ^7 .... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH l f TOtslh................OF.......I�.�.,nv�.S F 9!4? .................................................... App iratiou f iar Di-spuiitt1 Warkii Cfu�uitrur#ign "ami# Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal System at: ....J .1r.,��. ax� -L`e ... .............. ......m.A.................................................... Location:-Address A ......V !TSy?�._t s:...•5.... ......................... ...:®....f r.,._-a-o....F.�!�_1�x 2�z ��1��,.t�l_1�............ Ow r dress ...- Installer Address d Type of Building Size Lot...�.�.T. �,l`�.......Sq. feet U a Dwelling—No. of Bedrooms............... --------------------.....Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building .:.......................... No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures -------------•----------------------a;c+.cmw� •-•--••••-••--••---•-•-•......--•--•-•••••-•-••-•-•-•-. w Design Flow.........../..1a........................gallons per per"n per day. Total daily flow........3O 3ZO........................ W �Septic Tank—Liquid capacitylineV..gallons Length. ..4..._... Width--- �l.Q`'. Diameter................ Depth.s�'. `..... x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. r Seepage Pit No--------------------- Diameter..../0.._........ Depth below inlet...G.'-.4P...... Total leaching area_! a.'.?_.sq. ft. Z Other Distribution box Dosing t )' n 0-4 Percolation Test Results Performed by............®�.....!..!. ............_..../...................... Date.........84- ej ........... Test Pit No. I...0rn....minutes per inch Depth of Test Pit....42,0.-... Depth to ground water........................ fs, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ G4 ............... - • - -----------------•----------•-----.-----.-._....-----------...c ... 0 Description of Soil... Sc� x,_1....:........... -'�H y-.-.�f a&r�._ Jt'?xe.---- -e ..---.................... x 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 ofTL ITL% of the tate Sanitary Code— The undersigned further gee not t place the system in operation until a ertifi of C pliance has been is` d by the boar of health. ^� SSoca��3 _ IC'_Signed.._. _ ---• - -• - --•--------•--....-•------ -- I!r/�,f�:..._.... G , Dt �Applin of BY C� R Date Application Disapproved for the following reasons:---........................................................................................................... _ .....................................•••••--•--••-•...•-••-•....••.........-•-..................-------•-•-•.......-•••-----••••-------•---••---...••••---••••••••••••-•-••-•-••-••----....e.--•---•---- Date Permit No.... �J... ...�------------------ Issued_ .. Date ------....__a-.._.__- ------------------------- AU, .; No....................... Fps. .»....._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........`"7" ►r..................oF....... .*�:r •,�q�r . Appliratinn for Disposal Workii Tonutrurtiun Permit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: +n.��.w !.... re............................ ra„n a Q.� M? R. ,g ion-Address -•.-..._.... .A... ::.7..��/7.. o it - N i 1» .._........ {f ..... ...Zr_.� .. `i y� t.. ..... .. ---•-•....................... ..... .. .. Installer m ..Address Qi Type of Building Size Lot.... .a ...--..Sq. feet U DwellingNo. of Bedrooms..............a........................Ex ansion Attic — p ( ) Garbage Griner ( ) `PLILI Other—T e of Building ...... No. of persons............................ Showers ( ) — Cafete,is ( ) Other fixtures .................................... ..... p d J W Design Flow..-........j............ �c . ...... gallons )? llons per <per`4ay. Total daily flow....... ... 1 olds WSeptic Tank—Liquid capacity! ..gallons Length O.A...... WidthA /0-.._ Diameter...... .......... x Disposal Trench—No............. "Width r :Total Length r Total leaching area.._ .sq. ft. 3 Seepage Pit No..................... Diameter 4 ........... Depth below inlet.. !. �.......... Total leaching area:`� ".�:sq. ft. Z Other Distribution box ( r) Dosing t t? )e� Percolation Test Results Performed by........ .. ....... Date.. 0 � _ ........ .0 f y yv ......... Test Pit No. 1................minutes per inch Depth of Test Pit....4.._��..... Depth to ground water........................ f3, Test Pit No. 2................minutes per inch Depth of Test Pit...........--....... Depth to ground water......................... P" Ir r tt ...... O Description of Soil....O. t Gilrrw, S 6 •r� •. b/�.... ��••-- teat, 1'he a . ..... --------- t, .........---•-•---••-----------•---------------- -----....----.............._. .._ _.........------...•-----•--•--............_...... 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 Vbf the tate Sanitary Cod —.The undersigned furthers not to place the system in operation until a ertifi of C pliance has been iss a by the oard f health. i/` 1Ac1c`�'1 Sirled �Apn Approv BY• .._............................................. �F �..:..............................•--•------. ........................................ Date Application Disapproved for the following reasons:---•--•................•-----------•--•-------•--........--•--•---------•------•-------••----......-•-....--- --•-•--•-•--•-•----•--....----•................•--•-.........--•--.......-----....-----.......:-•--•----•.••-•--------..........•••---........----•-...--•.........................--•......----......._ Date Permit No..... 60 .....................................� ---- Issued_...................................................:. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .. ..........................................OF..................................................................................... Trrtifutt#r of Tomplittnrr TH S .S O CERTIFY, That the Individual Sewage Disposal System constructed (\n or Repaired ( ) by ....... � ....... ... .......... ............. ._...._ ..... ................ Installer at.... 4:_.....`.: _... .h- ..:':�?`�:...:..... C� nC'� .� "w� ' - has been installed in accordance with the provisions of TILE 5 of The State Sanitary C e d r'bed in the application for Disposal Works Construction Permit No------ '.-__.�...�?......... dated...... � f,= THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE .............� .-..2 ,�-..... 5..................._.............. , Inspector................ ----- --- ...................................... . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...............................0F.......................... Dtspnmtl.. urkn Tunu#rnrtiurt Permit .� �Lc Permission is hereb anted..........•.-....... to Construct ( ) oar R air ( ) an Individual ewage Di osal System ( ~� atNo.......... '.. t -` --- c,• •-•-•-- ............. Street as sho'Wri-on the application for Disposal Works Construction Per .�_L/.-..._. ated.......................................... Board of Health .� DATE..................-----� ....................................... FORM 1255 A. M. SULKIN. INC., BOSTON - t tt;'.. ce t t t3� �i e«r L f ; ' +�'� :"r�r'r �',• 5 rr�n. ✓;Pg F��a t��i < i{ e �,r' � �- %. �t7 t 1 1t � .. ry � . r ,��p s�.��, i��S E 's �t dY<Y it'��-.� I t .1,k ii s y�'• « v,+ � � i ,_ t..,."� p,, r a -ti s� r c S 4 rIi x �{ v k{1 a �3 ���✓�- g _ r ._t t � � y'Sq �4! 41 ? v9 iF $:r"'t 3 t � � .✓, t:Lt :� t ,, ,t 1 V yt.i nh �.k o--�.�ri t. �,;•vr r� r �` a 4 d r .,.' � - i r � /, /� ��VE�} 3 sr f t p'-.t�t i � e w.ar�� 1 � rt � , �f �r �t �� r � ' �. i�'" 0� / '.Cl ✓ i > .d t f �t {'y 4 1+1 -�' -'} d ,, e 4 u rX � 9 ' � �QA •, � ♦� �r 4 rt sad `til 2-si k,, ' e � •MIN / � J ` :� = 1 r ���, r LEACH/NG -�4 III 'Q • �^ �.TS t -�4 P t ' � (S 1 t,.:t i ) ,$'• r t `,4 J dt Vt S, A Y t e t -C7 x: s >• i°'1 ir<r t 4 4 r r F � 1 r:, rt �, t:<'. t �' � 'xL �1,� dd,, § "�f f, t� r 'J�✓!35`\ Y..r " K !t i * # �4 `A 4�'}�" ''r�,� d 1 } f, 4i'tt.4 - i x,y r is 'S t Yya t yg.,• � r :. �� p`„rlti } y`` �} x�t.t 1 ��f'd.- s k ��y wt� T t' lr Fi 1 i �l�'; )� l�a :tA r . , r4;,Y + k�,. r r t'� ` 4 > wd t 3 � a r NOTE i f t r A i EXIS;'IiNC� 8� EINAL�GRADE'S 'SHALL REMAIN;"TSSENTIAI.LY THE SAME r d: � � i •,{ ��,� ,! a , , 1 ^�* E�'E��..✓,FG t clr �cirt i�i.✓G ' IIII Y ' .7\^ y ts.'t t w✓ 'Ys. is .y t IIND EXISTING SPIT ELEVATIONS. EXISTFNG CO.NTO JR J A t t • ... i 4, ' FINISHED' SPOt� =LEVATIONS , - o , - PROPOSE© PL:C� T �PL �1N15HED�, CONTOUR —;�— N r �� OF �HEALTH � �AgLt�'� .a MAPPROVED BUARp �t �ARNS,1 _ , iVQ►� , iy � , a [' , J p t h t � i�llA iN S Al - t DATE tAGENT _ , 4 OF�ry�, `. H o�Mq 13 4.8 ROUT E 1.3 4 � 1 Y, T1 { RICHARA ��,. rr `� AST DENNIS, ,�AASS r ,n RICHARD , tiG OHE N H f� aHE�ARN DA'G'E Cl��'2 Q- N0� $� r r , ,,rand," r pR��� BY �� E,�z� h��� �in F r rt i,i - ur f: f l 't t1 b :7 j l Jtlr irk } SA 1