The URL can be used to link to this page

Home My WebLink About0025 PLEASANT HILL LANE - Health 2� fqeasa.�,f 1-h'Il Ln ., �io��3 ASSESSOR'S MAP NO PARCEL PARCEL LO CATION ZS SEWAGE PERMIT NO. 4a 7#/ Z 12 VILLAGE 46o"n A4 INSTA LLER'S NAME i ADDRESS ® U I L D E/R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ��I 3 1 0 N � o 0 i __ASSESSORS MAP NO p •. PARCEL NO:: TH COMMONWEALTH,OF MASSACHUSETTSK4;,, BOARD OF HEALTH OF................................................................ .......... ...... pn a j..... 1:. , lirtt#ilait for Dhip ial Works Tvmi#rur#ivn Vamit 3 Application iVhereby made for a Permit to Construct ( ) or Repair ( %) an/Individual Sewage Disposal System at• ` 1 '... - -- - ---Location-Address or Lot No. i J8� �,JZ�L. ...................... ............ .•.. Address- •-•••• ._......._...._ W J .. caner .�`t -•. ..................................................... a -----^------------- '--------•-----••-•-----------•-•- --.....-------------------•---•-----••----•' i Installer Address !' d Type of Bytlding Size Lot.... ......Sq. feet U Dwelling—No. of Bedrooms..:_.. ........:...................Expansion Attic ( ) Garbage Grinder (/VP Other—Type of BLilding _..........................t No. of persons............................ Showers ( ) — Cafeteria ( ) Q+ Other fixtu-es --------------- --------------------------------- -- W Design Flow............... :n .................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity.-i--Gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width....._.............. Total`Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No..(Vx�P..-.... eter........... ....... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box Dosing'tank0-4 ( ) Percolation Test Results Performed by------. ................... Date........................................ 14 1.4 Test Pit No. 1 C��.minutes per inch Depth of Test Pit.................... Depth to ground water------- .............. Test Pit No. 2.................minutes per inch Depth of Test Pit.....................Depth to ground water---!.................. a ---i O Description of Soil......C) .wM_��✓7C�.. ==......................................................... ..---•------•----------•------•.•---- ----_.... ..................... 0 Nature of Repairs or Alterations—Answer when applicable---------------- - �t� u=---------.... ...... Agreement: ... The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with a t e provisions of iITL U 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in op on until a Certificate of Compliance has been issued by the board of health. Signed-------•--•• --•---. Date .�. _uf�,....-_... ---------- -•-•-•---------•- --•--------•-------- ............................ � .. r Application Approved By.......... ......... . ..................-- •------•-•---•--..... ; Application Disapproved for the following reasons:......................................................................•-___ 'i. ........................ Date k t> Permit No.... - - Issued-...................................... - Date .. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH - .........:........................O F'..................................................:......................................... Appliratiun for Dispusttl Works Tonstrnrtion Permit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at• ............1. � :..1.. Ply. : : - : t.l.... . ............................................ ---...._............._......_....... -LocationAddress or Lot No. ..................: ..'. :.... !. V.ZL.G::.......-•--•-----..........._ .................................................................. ..._........................-_............... •- ner Address a •---•-•----••-----•••-- "`-yn................. .L-- ........................ ...................... .._..........._................. Installer Address Type of Building _.M Size Lot__,__.........................Sq. feet Dwelling—No. of Bedrooms-___.. -............................Expansion Attic ( ) Garbage Grinder P Other—Type of Building No. of persons............................ Showers — Cafeteria G4 Other fixtures ---........-•-•-•------•--------------=•._.....-_.._... W Design Flow........... �.................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity_100Vlons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. 3 Seepage Pit N.o._Lp_ __.. e er.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (V� Dosing tank ( ) Percolation Test Results Performed by....:::................................................................... Date........................................ ,14a Test Pit No. 1<_�,r__minutes per inch Depth of Test Pit____________________ Depth to ground water....__._ __-............. (i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water... ........... a ------------------------- •••--•------••--•......... •----------------- •----- --- ----........ ••••-•••... •... • •............ -----•••---- D Description of Soil_..... d .l�?M --- ....••- U ..............................•..................................................•----......_......------ •--•-•-•--•--•--•----•---•--....._........._... W .......---••---------------- -•=-•-•-=--------•-•-•--...--------••--•-•-•.........••••---•-•---••--•--....-•••----------••----.._....•••--•----------•-------• ................................. VNature of Repairs or alterations—Answer when applicable________________________________________................ ...................................... -•-----••--•-----------------•-•-----..........--•---------..._...__......_.........------------------..........._..---------•-•-----------•----.....--•---------......._....._•••--••••-------...---_.. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Systemr3in 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.................. ..... D ie. ..._.... Application Approved By.._..__..........��.-- y ` 3 ._....... bate............. Application Disapproved for the following reasons_____________________________________•__________.............-_•_____________•________.________________._..___ ••--------••----•----••--•-----------------------------•--•------------....---._..............----•-----•.__.....---•-----------------...-------•-•--.......__••-•••--•---•-----••-•--•.....---........_ Date PermitNo...................................................--- Issued.....................------------••---........._..... Date dux THE, COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH t a,."'',,, OF......+ !A!i 'N.S .?`k? �. � ......................... .. ............. ....................... .... Tatifiratr of Tnmplianrr THIS IS TO C'ERTIF hat the Individual Sewage Disposal System constructed (--jor Repaired ( } by.............-- 9::1::16 A-----ZA r t............ .................s abler .L.�..........................._ ._........__..................... •_.... at........l.pr:�-'t----- .n�..................-1-.------------.......-----......---------------=---------------------••---------------••-•------•- has been installed in accordance with the provisions of TITLE 5 of The State..Sanitary Code as d scribed in the application for Disposal Works Construction Permit No----- a:. _ ........: dated----- .{.,Q_.t ................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANITHAT THE SYSTEM WILL FJJNCTION SATISFACTORY. }� DATE...............b �� .................... Inspector....----......---.................................................................. THE COMMONWEALTH OF MASSACHUS'ETTS f - -- BOARD OF HEALTH-,-' ... - t.....?.�r!V...........OF........ ? .-sz- . SLE......................... Fig.No .. ...... Rupusal urku (9 ,trnrtiun Permit Permission is'hereby granted---... 6 d o.....n(` .. l............................•---..................._--•--•-•-•...................___.. to Construct ( ) or Ppair ( ) an Individual §ewage.Di ppsal System }t No................�„ =�-- L.... ` �'c Y�_�...._.._.......... L_-.L(\____----•--•-•--_________-_----___...... _.._........___....... Street . - as shown on the application for Disposal Works Construction Permit No................. . Date � !..__._.___ .......�............... ............................. .......�:_0XJ ........ ..................... Board of Health DATE................................................................................ FORM 1255 A. M. SULKIN, INC., BOSTON - ,. ..• ,,;' "{ °... , ;,r., ,,,L:'."'i/ y.4i'.��1' .a, ..' " f: •,& "d�' ¢a'- ati., ,.'�,., 'qa' ', "r , ^r, 2 ,,'P ...+•w, : SOIL LOG w� D. t SITE PLAN I—, , E G 1 4 :x 3i i , / , t i i ' 9 u t ; 4 4., fo , TOP OF fOUN G A , 93 P'� r I , 9 ° . IN El10 , c j Et.99 t E , p a �,A� -1.._k._..•,,,..._:6_,._,- 1. •( y a r INA R A+ 1� t N,E[• �.�.� `�.�..._ t�"'�,1-F� � Cat --�., U,- ,p .�». � ..: .� z �..� ,..�._ �pol�� t� �d i� �`�$�tD ��.�G �;- ""`v"_ 12 15 i - ._•.,[__..a. •^ a _ .._,_P___'._ — - ERC TEST RESULTS �, � P T E R T S r PRECAST I " ANh WITH e` � , d L ; � � � EI'#C RATE AS ? AND zaz- e-�� ti,-- I _ ``t.� _ - .; . t , WH TNESSEO BY Q Il T� E � `� � � �. � �� .`�tom:. `t � ;��, ��,' � �.:.� . � e _ _• _ __, _, _ DAD HEALTH r , : DATA . it r -, .5"'^t , "., ":;.,,',. Ju', ,."r .. •EC.',"Y,why -:.Y - ,,..-. -_-.-.:__.,.___•....... .. 1 f.. Ita 4 9 q Sry a PROPOSEDP P(D�) F 11, E.. OF , ra .,.d :; .t . ,�� 3:" 1 ;rCr-,t' x� � >n� . a�.' t e �» r�' I � 1SEWAGE ., .> SYST S s THE � OF � _�.� __. REGDlATIDNS AND t : STATE It 1, V f0iSUBSURFACE DISPOSAL' OF SEWAGE , SCALE : 1I4"=- 1 D•, 1. ALI. P i 611fS SHA' I, Rt BARE ' E 4 � SEWEH P � �E 1�w�c�c.l,I�;' �� ,� � � , t ii Z. ALI P ES SHAD, BE , E I1A F GDT EXCEPT FOR � �� k� � ; � { THE 51 2 T OUT Cf THE V R 14V HIt C H s, H At L GE E Ei ► � pp 3. DESIGN FLOW BE'OLRODIVIS AT 118 GALDAYE R BR , GA ?'U A #'Jw �1 `% ,Z�� fi °,;� •`° i SEPTIC TANK SIZE A _._. GAL44 . t USE _ ?_ G'AI. Wf, .,?.r GARBA rE MISPOSAL LEACHING SYSTEM: 0. - r 1 EFFECTIVE AREA : S1DEBOTTOM -i� - , _ ►, _` `;` _ �.. � - - Tf'ryO ! A L T �iI R .._ ... ., f F L w _ h 1SOTpTAI HEM `D FLOW ., � W e vll GARBA E DPSAt RESERVE 4` 4 7/ py4 J I r t : o�/� 1 l "t C! K i �_, e iJ "'•... l..j% r .. J •eA N ra 3'" _.. S�L „,r + , _ i y r , r \ S a Fi 'Pr ID REFERENCE PLANS ► I14 , • . — 4J,ram Tw,� t 9. 1 ; ?Q I r i 'A4r rZ� : to �` t.r J 43 C 60 3 �a _ PROVED BY : A� t BOARD OF HEALTH _ P • t�� 1, � ,. '. � '' ,. �t.,v 1 w, • • Y _ J it PROPERTY OWNER , �" � I L ..4- )z �/ 1 � A � V �— C�br.. r_ v mo a4 r 3E'� .� Slfrtvl_ �"`�M /��f «1. l iluC. , .4 Y - k I y r per a { 23 11MC"A A R.CJ L1�LlC f , cr ST/a13 3