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Home My WebLink About0018 MEGAN ROAD - Health �eVA ed., T�,S i ,� � N . LOCATION SEWAGE PERMIT 0 VILLAGE T-�- H/off Deis INS TA LL 'S NAME R ADDRESS BUILDER OR OWNER `,;dl4cs /lei Xt 4)d &Alr .5�ayJ /S' DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED mow#K 1�� THE COMMONWEALTH OF MASSACHUSETTS BOARD 9F HEALTH OF......10a4.1Pt,. ...................... ..............._1....................................... Appliration for Dispoiial Workri Taimumfilan Vrrmi Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: 71 -------- ............................. ........*.... -------RW..... .................................. 0 . .........7Eocajion-Addre.�s or Lot 0. 7. ........... .........tel t*712 --------- 4--y. ....................................... .... ..... .. /3" L_4 Owner Address .............................. __.A............1D.-Ok............................. .................................................................................................. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms...............I........... ��p U ................Expansion Attic Garbage Grinder*�_ PL4 Other—Type of Building ....J'Fk Z... No. of persons___-__-___--............... Showers Cafeteria Otherfixtures ----------------------------------------------------------------------------------------------------------------------------------------------------- Design Flow........ ...............gallons per person per day. Total daily flow.........;2.A-P....................gallons. 1:4 Septic Tank—Liquid capacity/044.gallons Length......-... Width.....6........ Diameter-------6..... Deptl<.............. Disposal Trench— _10..................... Width.._.. ............. Total Length..........Y..... Total leaching area..ZZ..1-----sq. ft. Seepage Pit No------I------------- Diameter.....jC9 Depth below inlet....... Total leaching area2__,r_._1.....sq. f t. inlet_._........_... I Z Other Distribution box Dosing tank 72 J7-_ 7[— -7 Percolation Test Results Per-formed by..... ........... ........... Date... 5—- �4 _772��_ --- Test Pit No. I................minutes per inch Depth of ......... Lst Pit_._.__._._.......... Depth to ground water----- -------------- Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to. ground water---_-______-___--_--__-. - . .......... .....f ................................................................................... ion ........................... .......... 0 D6cripti of Soil---------- .............................................................................................. -------------------------*-------------------------------------------------------------*---------------------------------------------------------------------------------------------------*------------------- _--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- 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 TIIT TIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issuekbby thybo rd ojhpalth. 01 - I �6/- -7f- igne ....... . .. . .....I. ..... ------ -------- ...I............... ate Application Approved By---.----- ,_. . . ................... .. .. ---- ii -Xat Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date Permit No............ ...7 ............................................. Issued_..... .Z::/ ........................... Date f { ` FEB........... ...... No......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH ..................; F........ .... .. .... Allpfiration for Bispaoal Works Tomitrurtion Prrutit a Application.is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ........ -• --.�:. .. . - ----------------- or Lot No ' -- - -----------•----. - .wn_Address /�` 1 .......................... .............. Ow r Address, g � -- ........�._... -- ----••-•------ O •................. .__..... -........---6. ............................. -...........-•----------......---......_.... ---.._.._...------.......-•---•--^---•--.. Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms.............'____.__.___________._.._Expansion Attic (-%. p Garbage Grinder 0) Other—Type of Building ____ ""'... No. of persons........._._........... Showers ( t) — Cafeteria ( ) Q+ Other fixtures __________________________________ W Design Flow........ ....................gallons per person per day. Total daily flow....__...;?AA.Q....................gallons. WSeptic Tank—Liquid capacity/t?60_gallons Length...... Width...._........ Diameter-----.. Z..... Dept14.............. x Disposal Trench—. o_ ____________________ Width___ ... ........ Total Length.......... " �_�__� ._ ___._ Total leaching area.. -.....sq. ft. Seepage Pit No...... .......... Diameter.._. Depth below inlet__.._. ____ .. Total leaching areap?_>�._1.....sq. ft. z Other Distribution box ( ) Dosing tank '-' Percolation Test Results Performed by ..._ _----,. _°----•--• -• -------- Date__ r. r__"7j''� Test Pit No. 1................minutes per inch Depth of Test Pit_..__.__2l______._____ Depth to ground water..___+._.___.._._.. (i Test Pit No. 2................minutes per inch Depth of Test Pit............_....... Depth to ground water........................ Description of Soil---------------•�----�.:-------------••-----•--•-•----------..�............---=............................................................................. x ! .... .: _.'........-'--------.-------------------------------------------•------•----•---•----•-•• -------------------------------------------------------------------------------------------- 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(i1TL is 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until af,Certificate of Compliance has been issu y th rd>.o alth Signe '' ... R ate ApplicatioV Approved By----.--- !'. .........---....... __ . ------- ... .. - 71, Application Disapproved for.the following reasons:...........-• •••-----------------•---•••--------•-•-.._.-•----------•••••••-••-••-•-•---,.•--------••-------- ........................ .....-•--•---•----.._..----•--•---•--•-•--•-•--\,----•........:..........---•--• Date PermitNo...................... ..-----•-•--•-......__._...._. R Issued....................................................... Date r THE COMMONWEALTH OF MASSACHUSETTS _ BOARD F" HEALTH r .......OF........ . ... ..:=.......:...................................... Trrt firatr of Tome ianrr TH IS�10 RT That the Individual Sewage Disposal System constructed ( or Repaired ( ) by- ' ..... i'� ...._..__._. ......................... 1..._.._...-----•------•-- .. staller , evil has been installed in accordance with the provisions of C of The State Sanitary Code a described in the application for DlsPosal Works Construction Permit No... _______ __ _��-_______________ dated-_.- - '�...___.____ THE ISSUANCE ,OE THIS.CERTIFICATE SHALL,NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FU CTION SATISFACTORY. DATE..... .'_� ,' Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD ® HEALTH ! ry/Z OF........ f!! ' 'Z....+......................................... N0..._:._ _.,#- _ FEE.__c ........... - �t��rrr� �� n�#rat�'tirrn rrntit Permission is hereby granted--- to Con uct ( or epa ( an Individ e .a e Dis osal tem at No.Y a _' = Street as shown on the application for Disposal Works Construction Per 'f No.______ _ _ ___ Dated____ __L./._'_--------_�...... 1 4`4et --------------•--------------- v---. 1rlrr - DATE----,1� ...__` _`..7 -_ . FORM i1255 HOBBS & WARREN, INC., PUBLISHERS p, L07- 107 S Z. � ZZ 4�11� LOT 108 SD gD'�I rOD •.4 43•'� � .f. 0 o ►3,600 s D z o r.N. ^� • i z2� LOT 109 THOMAS E. KELLEY CO. ENGINEERS—SURVEYORS 0 346 LONG POND DRIVE SOUTH YA .MOUTH,MASS. 02664 � tN of QFsS�y THO"; '.H EARS GNP -- E. r++ KELLEY is KELLEY -+ 1&24261 y p A9 pFG Q�O�c� • FG/SYE��{�Q o�FSS/QNAI �D SUR`�F CERTI HIED PLOT CLAN LOCATION A&13 fq T L�F.(J A 1$). iq. 14,_' SCALE . . .I. . . . . DATE . . .78 . . . PLAN REFERENCE . CE THE ....... .. ...... SHO HIS PLAN IS LOCATED ON THE GROUND �{ AS SH N HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS OF THE TOWN OF /- L. . . . . . . . . . . . . . . . WHEN CONSTRUCTED. G 57 Moci-3-L DATE PETITIONER:- t�ZSiC�IS ' t,ILI�� ( REGISTERED LAND SURVEYOR ` Pi TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS •'' 4' CAST IRON 12"MAX. ` '" nmT PIPE (OR 12"MAX.EQUIV. -��► 4��ORANGEBURG(OR EOUIV.) PITCH P )— MIN. PIPE- MIN. LEACH ITCH I/4'�PER. PITCH 1/4"PER.FT. PIT PRECAST o' NV Rjj, i Q LEACHING INVE13Tf. INVERT o . _ w `D PIT OR SEPTIC TANK EL..... ..:4� BIOX' EL�77 ' ; >_ �; EQUIV. ,.a INVERT /�Q GAL. INVE p - j'� o; EL. Cfit'. EL •!. INVERT M ww �: :;�: 3/4'�T0 11/2' E 4 .. �0 ,;. . WASHED STONE Oil � � •• .. DIA. PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE . /ZS -o S TIME.�D..% D. ��'1 ��U�. U2 �� . BOARD OF HEALTH TEST HOLE I TEST HOLE 2 � i��S. �t�. ENGINEER ELEV.. . . . . . . . . . ELEV.4-A?. L°'4eA DESIGN DATA NUMBER OF BEDROOMS TOTAL ESTIMATED FLOW _ . . . GALLONS/DAY BOTTOM LEACHING AREA SO.FT. /PIT SIDE LEACHING AREA��.��.5D.G7�. SQ.FT./ PIT GARBAGE DISPOSAL (509% AREA INCREASE) 657 TOTAL LEACHING AREA .��T� �/.�_ SQ.FT 13U' PERCOLATION RATE. . . . ./..��. . . ... MIN/INCH LEACHING AREA PER PERCOLATI N RATE /.Q'/SQ.FT. I. �WATER ENCOUNTERED NUMBER OF LEACHING PITS !Ub� APPROVED . . . BOARD OF HEALTH DATE. . . . . _ . . . AGENT OR INSPECTOR . . � .��-vS Q 0? THOM.4S �gcsG THOMAS E.KELLEY CO. E. m .. ' ' ENGINEERS—SURVEYORS 0 KELLEY y 346 LONG POND DRIVE p Nc.24260 Q SOUTH YARMOUTH,MASS. 9o�<G/STE�6�`' s�/J' ' ' CE✓ 02664 sS/ONALFa PETITIONER