HomeMy WebLinkAbout0044 PASTURE LANE - Health 44 Pasture Lane
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ION ��S / V�� 'C�3N� SEWAGE PERMIT N0.
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INSTA L.LER'S NAME i ADDRESS
R-,.0 I L'D E R . OR OWN ER
o DATE, PERMIT ISSUED - 23 1A
� DAT E ,> COMPLIANCA ISSUED
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THE COMMONWEALTH OF MASSACHUSETTS
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_ BOARD OF HEALTH
17y / ..........OF............... .��-..... ....-...... -...........--- ................_.-..
Appliration for Diopo,ial Wor Tontitrnrtion ramit
Application is hereby ade for a Permit to Construct ) or 'Re air ( ) an Individual Sewage Disposal
S at:
........... / ............. .(�- �.� .......
00
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Locat n• s
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............. ._... .. s
�.— ow e... ddre
a . �....1 ---... . ...-•-----•--•--•................. �, ... ... .------.........
Installer Address
Type of Building Size Lot..� •- _.--•_--------_._Sq. feet
Dwelling—No. of Bedrooms._._.__..___._ Expansion Attic ( Garbage Grinder (/2P
Other—Type of Building No. of ersons........ Showers
a YP g -------------------------• P �-•----......._. (�. — Cafeteria ( )
dOther fixtures . .....•---1](l-- .............................................---•-------....--------....................-------•--•-•---------...-•-•----
W Design Flow................ .__-•-•••_ --gallons per person per Jay. Total daily flow...........��._Q___.:.............gallo s.
04, Septic Tank—Liquid capacity-_/,gallons Length....XV..... Width.. ...-...... Diameter................ Depth.•..•-._:.
W Disposal Trench—No..._!7C ?e_C_Width.................... Total Length.................... Total leaching area..,c,)..&.6---sq. ft.
x
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
a Percolation Test Results Performed by._- .. __.._. ._ Date..........
1 Test Pit No. 1._. ...minutes per inch Depth of Test Pit...._---.f'�th to ground water.......
Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a --••••.... ---------------------•--•--•----................. ..............................
O Description of Soil.... ------------------
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 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 by the board of health.. /
Signed--- ; C ,F�f?
Date
ApplicationApproved By............................................:...........•-••-•--•--...--...----•--•-------- ---
Date
Application Disapproved for the following reasons:-------•--------------------•--•------------•--------...--•---------------------------------•••-----••......•-
...............•-----__.......-•--••-•-•••-•••--•-•--••--••---------------•-•-•---.....------.................------......_.--••-•----•---...----••-•-------------•-------•--•••••.._.----•---••--
Date
PermitNo......................................................... Issued-...........................•------ -----------
Date
.-.�...�..._.__W..����.�..�.���.. ...��. ...................................................
No........................ FRic..............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.......... ...........OF
_e
Appliration for DiiiVaiial Workii.Tomitrurtion 11rrmit
Application is he mad
e or a Permit to Construct (t�or Repair an Individual Sewage Disposal
System at:
0
........................ ... ..................... _s... 41...............
----------
Location- Lot
............................ .. .ice- ... ....... ...............................
..... ..... ........
om, e 4t -��_d'odr Z_4 �...............
or
X..... . ........ .. . ....
...............y.. ....... ................................... -----------------
...�a .......................
-Yns Installer Address
Type of Building Size Lot.).�.,_Y.17(0.....Sq. feet
U
Dwelling—No. of Bedrooms...........:5.. ......................Expansion Attic Garbage Grinder Wo
PL4 Other—Type of Building -------- ... No. of persons...........______....._ Showers Cafeteria
PL4
Other fixtures ----------- ...................................................----------- ........................
Design Flow................ -!�7 gallons per person per day. Total dai� flow..._._._._ 3��-.6
---------_----- .................gallons.
1:4 Septic Tank—Liquid capacity.Afftallons Length....e.,OV... Width..6.......... Diameter................ Deptl . .........
W Disposal Trench—No. _�70e_C_Width.................... Total Length..._................ Total leaching area..cz,�4.4...sq. f t.
�4
Seepage Pit No.---___- ____--• Diameter.................... Depth below inlet................._.. Total leaching area..................sq. f t.
Other Distribution box Dosing tank
Percolation Test Results Performed by....;��;64A' .a .... ...ZA Date.....
Test Pit No. ..minutes per inch Depth of Test Pit-_--..ef../?...... Depth to ground water.......e ......
rX4 Test Pit No. 2................minutes per inch Depth of Test Pit___...........__.... Depth to ground water........................
P4 ............. ................................................A..;........................................................................................
:: ..... ............ ........................................:.........................
0 Description of Soil....40-- �l---------- A—A.r
�4 0 J;4
U ............................... ....... -----
........................................................................
--------------------------------------------------------------------------------------------............................................................................................. ..........
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 TITLE 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 by the board of health.
Signed.
. . ................ ...........? f......
ApplicationApproved By................................................................................................... .......................................
Date
Application Disapproved for the following reasons:...............................................................................................................
.........................................................................................................................................................................................................
Date
PermitNo......................................................... IssuedL.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.
_....OF...... .............................
(Intifirair of Toutpliatta
b THIS IS TO CERTIFY Tha he Incliyiq� Sewage
p isposal System constructed (__r0_rRepaired y..........................I.................. V"I�_ _&=_1 I.—_� ' .......... .........*---------------------- ......
- -------------------------"-----------
at stall
v v ---- -- ----------
............................
ions of TITLE 5 of The State Sanitary Code as described in the
has been installed in accor a�' wi tl e provisions
application for Disposal Works Construction Permit No......................................... dated_..--_____-__.._.._......___..........._........
THE ISSUANCEPF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A- GUARANTEE THAT THE
SYSTERI WILV%.0�TION SATISFACTORY.
DATE... ....................................... Inspector------ ..... .....................................................................
YLP
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH............... .........0 F.........
No-h-M ............................................ FEE...... .........
.....................
Uispasq Works (go pr,n..v- __ 4.strwtion " rmit
-eby granted....... '0.0�... ........ ...................................... .....................................................
Permission is I ...
�or
to Constru% (L,-ror epair an I IV Dis al S
at
ewa PQS S........... ........... . ...............
... ------- -- .............. .....
Street
as shown on the ap, ti n ispo I Works Construction Permit No.. ated........ ........
......... .. .. . ....... ..............................
---............................... jgl�
DATE.... .. ....... ..... .................................................... Board ealth
FORM 1255 A. M. SULKIN, INC., BOSTON
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O olSTEM �X / j
Fss/ONAENG i TOP'C�
I P• DATA IS (� fSL�D aN P�-/1N
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LEGEND 'CERTIFIED PLOT PLAN
EXISTING SPOT ELEVATION' 0x0 taOfAt
EXISTING CONTOUR =--- O kS�' Sim
FINISHED SPOT ELEVATION ROBERT y�� )_O`i- I(:. PLAO g� aq5 PG IS'
FINISHED CONTOUR 0 SRO E �• I
ELDRE ^ IN j
APPROVED BOARD OF HEALTH ISAJOIA S t ,A b L o ASSO
IST
DATE AGENT SCALE3' 1 40 ' DATES 13 k3
_ ►���.�_""
LDFtED6E ENGINEERING CO. INO CLIENT ._ I CERTIFY THAT THE PROPOSED
I
EGISTERE REGISTERED "' JOB N ? BUILDING SHOWN ON THIS PLAN r
CIVIL LAND CONFORMS TO THE ZONING LAWS
ENGINEER .,SURVEYOR DR. .OF . B.ARNSTABL , MASS.
712 MAIN STREET CH. By
HYANN I S, MASS. SHEET.L" ,'44. DATE REG. LAND SURVEYOR
�___. ---
/1/OTF /F E/.TNeA? THE SEPT/C TANK OR
20. FT.. M/I1R LEi4CX/iYG P/T A�@E JJ0RE TiSl.q,."/ /2115E40rt/
/O PT. M/N. c;RAOE�.Aa 2a'O/AMETEK GONCRET� CONE.P
�Z SJNALL B'E BROUGHT TO 4,gAOE,6';Al EXTRA
,oyr GONC.4t'TB 4"PYC P/Pe h'EAVY CA-ST /RON CO!/ER Sh�ALG (3E USEO
M/N. P/TCN
COYERS. �g'OFiQ FT: /F AV 17R/V.EwA Y,
2 1 M/N. C®NCRLrTE
G1q•44PE CO.✓ER CLEAN SANG
2*LAYER
4 CA004
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MIN.P/Tt�► -1---- GAL / • . • i i > •
plS7: WASHED STOYC
%4 Pc�t IT SEf�'T/C TANK', e e / • • • • • • i i i e s •
'- � '- " y'. e T ,,•+`.,.s 80X s,'t e • / B O 1 0 •• � e•.�e y
•E?EL'T/1�� t • //4 — �2
• • i • DPPT'H • •1 ' . WASt/ED STONE
4 � • • • • • • • • •• i O o• r r t c ,_ .. • R
rr � a so • • e .e. • •'• • i o ► /, PRECAST Sl=.AM4 GE
i S x a N P`f T 6 h /V.
lNi�iE'RT 4rLEYA7'!4&S / i / • • e s • • i o 'e . . P/7 OR EQ[/
'
/NYEItT
i` INLET .SiEPT/C.Ti4NK %/,S FT f� O/A C(cca W�� 44TJ
F
r 007"=7 SEPTI d TANK t ilVGET OISTRI®�/TION BOX l°%`1 ` FT •r :``� W :. GRO.uillo.PZA7, TABLE
SE 0 .Z. CT/OJV OF
007ZETD/ST.q/BIJT/0/li BQX /• FT
/NtE7r,,LFACNING PIT, al• FT SZWAGE O/S.400 AL SPI&IFIEM
!/V6 /T LEA
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CH
DES/6K CR/TER/R .sCAJ-Z %4' _ /=o D�/►9 ws/ON A ST.'
`-
Nt/JdlBER.OF BEOR00/�1S :, D. vs/ON C. T. ilJ
TOTAL' E.?T/MATED L SO/G LOG
Cr�RGAG,EO/SPOSAL GAL.
F-tow 3 3 /D.a y SO/L TES T A/ So/L TAW7702 S�/L .TEST
/{(UMBER L,CACK/NG P/TS I LEK /03,D of�-ELFY, OAT,- OF SO/L TEST
S/OE 4&ACH/N6 PER P/T Z,&"L 5.S* PT. _! S L� RgSUtTS H//TNESSED BY ✓4r ✓• ✓a ��
0,0TTOM LEAGN/NG PER P/T 2L _". &7' PERCOLAT/ON R.�TE At/ M!/V�/INGN
TOTAL LEACH/NG �4REA SQ. FT. -ToQse� I AEh COLA 7/ONRATE/k MI�V�lNGH
.QPSERVELEACNI/Y6AREA 657le 7 $Q. FT.
• SCE/L TEs .�CF# —Z O S,�
ZN OF 1yASs
ROBERT
V BRUCE P L
A` ELDRE Rc ' . El-O RED GE ENG//VEER/NG CO,/NG.
o. 366 O � Ar
F?�, g11S 71Z MAIN ST. , .VYQ"All- MgSS.
(�NG GROGWO kK474 —,VCOU-,VTLrR:�O CL/ENT;
1 hD $v��' �SS�ONAL ENS\ Q GRO U/10 1-/ATER AT ELEI/ P DRTE /
.
JOB ND.. dG SHEET�OF