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HomeMy WebLinkAbout0377 MEGAN ROAD - Health ni� u�l , SEWAGE PERMIT NO. VILLAGE INSTALLER'S NAME i ADDRESS 4- ALA 1)12V CoRlo. . 13 014 BUILDER OR OWNER DATE PERMIT ISSUED . DATE COMPLIANCE ISSUED 1 ail THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH Yawn......................O F.............Barn.atab,le..------------------------•---....__........ Applira#iou for Uigpooal Works Tom1rurtion ramit Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: ...............Map cm__aaad....................................................... ............................Lut---2........................................................ . Location-Address or Lot No. �. P....-------•------------- --------t . - �c. . �d_,x...._._ . '.7........................ O ner r Address eh�.1 SAA_ ---------------------------------- Installer Address 10 2 5$ q Q Type of Building `2 P hicH Size Lot........... S . feet Dwelling—No. of Bedrooms........................................Expansion Attic ( ) Garbage Grinder PO) Other=T e of Building ............... No. of persons......................... Showers — Cafeteria Q' Other fixtures .................... -:__... W Design Flow...............55_.__......_________.__.gallons per person pi� ...day. Total daily fflow _._.._33 _____.-._..._._._._.....__.gallons. WSeptic Tank—Liquid capacit} QQQ--gallons Length............. Width_4_..10_ __ Diameter---------------- Depth._4__.Q..... x Disposal Trench—No.•-----------------•- Width.................... Total Length________._T........ Total leaching area....................sq. ft. Seepage Pit No---------- _..__.... Diameter.........1Q__-... Depth below inlet.....6............ Total leaching area...26_7.......sq. ft. Z Other Distribution box (X ) Dosing tank ( ) '-' Percolation Test Results Performed Wa.L..pe---CQd... .ryey..-CD IAlta tSDate......1/22/19•...•....._... ' , `_l.a Test Pit No. 1......2--------minutes per inch Depth of Test Pit---------12?... Depth to ground water.Il e__.__..._.. Gz, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ s .. ---------------------------------- --------------------------------------•-•••-------.-----------------------.:_.:....... •--------------- •---.-- Description of Soil__ 0 8 ... _. -_..brown-•-.. •••7-,Q- . medw ------•---.._ ��ytN �FMgssgc ------------------------ ---- ----- ------- --------------------- ---- - ------------ --•----- -......... ' - 7ENWICK tiN U Nature of Repairs or Alterations—Answer when applicable-------_-------------- _______ ... o- ----------$--- .... /.-_`... ... ........... •...-CHAPMN C", Agreement: /� 7 .o p No. 27654 p The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in acc the provisions of iIT?. . 5 of the State Sanitary Code—The undersigned further agrees not to place the S�h+Ng1�ENG operation until a Certificate of Compliance has be l sue by he board of health. _ '��Si d '-• -•.................•---•••--•---•-------•--•-•---•••......---•-•_.. .... �� Date Application A roved 'B .... ...-- •/S-r! --- PP PP Y / �'�/� Date Application Disapproved for the following reasons.,................................................................................................................ --•......•-••••••------••••-••••-....------•-••••--•----••=•••---•••••••--••-•...............••-•••--•-•••••••---------••-----•----••-••-•----•-••.................................................... Date Permit No......................................................... Issued___l _'1'i� _7' Date ry��q f No.......... ; - FEs �.. ......... _. t. ' / THE COMMONWEALTH OF MASSAC,HUSETTS A ^` ,} BOARD OF HEALTH >> TOtira ...............OF...:........Barn►.� ble .................. ,� lima#ilaat for Uhippii al Works Tvastrurtinn ramit Application its hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: ` Location-Address fi A "fit o r t f'b " 1..3 .......... ..........................................Address............................................ Fner t �A kA W ........................ ....... p '....-----------------•--•- ---.•-•--•......._._...•. --........-••"`•-- ---..----------------------•-------------........_._....---..........-- a Installer e, Address dSize Type of Building ot____�O-M......Sq. feet Dwelling—No. of Bedrooms..........:................................Expansion Attic ( ) Garbage Grinder PO) '4 Other—Type of Buildin w No. of persons............................ Shower" �'( ) — Cafeteria ( ) Pa� Other fixtures -----------------=--------------------------------------------------=-=---=------------'------------------------------•--•-•------------._...-------- Design Flow...............55............•........___gallons per person per day. Total dail flow_.------330..........................._gallons. W s . Ts s st s ft WSeptic Tank—Liquid*capacit�•� ...gallons Length._$..6..... Width__. .._...... Diameter................ Depth.. __.Q.___. x Disposal Trench—No-••-_--••-••-_.--_ Width.................... Total Leigth................... Total leaching area....................sq. ft. s Seepage Pit No.........l.._._---- Diameter........3•d_t ,-_... Depth below'inlet..._6............ Total leaching area..2. 7..._...sq. ft. Z Other Distribution box (X ) Dosing tank '-' Percolation Test Results Performed b9Ay_e.:- Q ...Suiv y onsultaxi.t s Date__..•. 23/79--•__----_-_-. aTest Pit No. 1..... ........minutes per inch Depth of Test Pit .t..__ Depth to ground water 11Y3 .._.....__. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil• :19 .1Q . U Z.O.U.s•-10.77X.•t}a .t_.br4'►rx... �4 Ct e io h t g.. .$and. ._...------•--•-•....... •-••--•-----•-••••••-••......_....•-•`----••-•. V ........................... LPL SS W ---------------------------------=------- ya 9�y UNature of Repairs or Alterations—Answer when applicable._________________________________ _••__ _ ............._..... ...REpluvlCJC__. Gm B. ........... -••-----•-•----•••-•--•••-•••••-•--•--•••-•---••••••-----•--••........................................ ..-• ... .. .... .... ............. v CHAPMAN N Agreement: u� Z �/ No. 27654 The undersigned agrees to install the aforedescribed Individual Sewa e Dispos System in c nce ���� the provisions of TITL: 5 of the State Sanitary Code—The undersigned further agrees not to pia OVAL operation until a Certificate of Compliance}has been issued-by the board of health. S ed .... , -------• ` Date Xr __._ ?'_ /Application APProved BY •• ...... ... ...-' Date _. Application Disapproved for the following reasons:----=............................................................................------------- --------------- ............................................................................._.....-----.._..___.........._.._....._.._......._.....-•---......__....._........_...._...._..---_ .................. Date Permit No...................... _.__.......i.' .. ,. Issued•---........-----•-----• ..._....._..............__. , 1 Date O3` � ;. THE CMy+MONWEALTH OF MASSACHUSETTS 'M BOARD OF ,HEALTH . r ..Iv .... +SCV' ....... OF... ........... t K� k �rrxifirtt# .,alaf"f ampliFanrr THIS IS TO CERTIFY Thaat tphpe Individual Sewage Disposal System constructed ( : -�.or Repaired ( ) by.................................... y ..,. a � t Installer t f i4 4 f r0,� 4 i x has been installed in accordance with the provisions of T r j of The State Sanitary Code as d ibed in the application for Disposal,AVorks.Construct ion Permit-0No{... _......_.1_ ...:............ da.ted_. . .. *................ THE ISSUANCE OF TMlS C_�RTIFIar TE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTON SATItFACTTORdY InspetorDATE............... . ! , -. --...--•-------M..............--- ' ----- THE COMMONWEALTH 9 OF MASSACHUSETTS ��/��^ OARW OF 'HEALTH 6 • # !r ...........................``� ....._........ .................. �'7.. .O F... ..... f � i.., ` -. ' No...-..... 7Z...... FEE........................ :r .d, i� tt1rk Moni#rinn Vrn 4 Permission is hereby granted ~• -• :.,�! r°�.........---•-•----•----= ................... ............., ,:._.. - to Construct,( ) or Repair ( )'an Individual Sewaq Disposal System at No. '` ` Es' y�JYr f '4 ,' ') s� Q l""111..1 a ........................................---- .-- Street f c as shown.,on the application for Disposal (Yorks Construction Pe N ------ __. Date _ ...................... oard of I ealth DATE.......... - -•----------•---------------- t. . '- F� • FORM 1255 HOBB '!k WARREN, INC... PUBLISHERS 7k A- Y i� t 4 'y �L 'Y 0 SOIL - 0 G-.,� 'I A A-- 5�-OP PgA3TdkE 4j' T r 2. LOAi Fl LL 4%it U L -V, IA' 2� Zq V 's , �;. 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