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Home My WebLink About0009 WAGON LANE - Health q Wa �on t�tf�c , }�t�u's L00, � L 0 C A T N SEWAGE PERMIT NO. oQj: &3 AGnn) LAiu f-_ VILLAGE /;IrfS7S INSTALLER'S NAME A ADDRESS tv OUILDER OR OWNER DATE PERMIT ISSUED ® DATE COMPLIi1NCE ISSUED -311 4 yJ 1 .� .� „.,..�.� w - . N 0o w � o' cH � ` � � 0 0 ��. ,. �4 � � p l � c -. r� � ,° a �+ � � T � '+, Z • No. ....:.....v Fps.... ............. THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ..........................................O F................I......................................................................... ApplirFation for Uiipn i al Works Tnnitrnrtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal Sys V�iflding �... ' .. 0 ....... . .............. ...........................•-•----....----- ---••-------------•---•-..............---- -. ... ..ocati dress or Lot No. ..... -- -----•............................... .......•-•--•-----..................•..... --•-•----------_............._.............--- .. . . -- .er Address Installer Address Typ Size Lot............................Sq. feej aDwelling—No. of Bedrooms___..__________________________________Expansion Attic ( ) Garbage Grinder' A4 Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Pa O fOarnires --------------- ------•--------•- W Design Flow..... ..A..............................gallons per person per day. Total daily flow....... __ .................gallons. WSeptic Tank—Liquid capacit;rf gallons Length................ Width................ Diameter---------------- Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area . _,�__ � ft. 3 Seepage Pit No.../--------------- Diameter------�.......... Depth below inlet.................... Total leaching area. .".._A'!.._....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) '-� Percolation Test Results Performed by........................................................................... Date........................................ aTest Pit No. I................rninutes per inch Depth of Test Pit-------------------- Depth to ground water........................ rX4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a' --- O Description of Soil-------- P - -----J�- ----- / -•` - - -.- -- - - -- x w x ---•-------------------------------••-••••-•--•--•••.--••-----------------------------•-•-••----•••------•-•-•-------------------•••---•----------------------•----•-----------•------------------------ 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 Complian has been iss ed by th board of health. igned - •--_-- - - Application Approved -------------;=�--•---•----•-•-------•-••--...----• 2S D ate Application Disap ove for the:. ollowing reasons------------------•---•------------------------------------------........----.....----------••......------------- ............................ • ---- ------- ------•---•--•--....------------- ------------------ Date PermitNo......................................................... Issued....................................................... Date No. ........... Fps.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................................-...-......O F...........-........--..... AVVftrafton for Biipooal Works Tonstrnrtion Vamit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System al: .. ................................. _..._--•------.----.----•...______.•-.__-•• •••------•----..._.-.••_•• ... .. catio ressNo.• ....... .. .or Lot ..... O er Address -.------•-••-•......................••-•--•...-•----•-••-----•-...... ....-•-•--•--••.......•-•...--•••••--••••-......---••-•-----•---......._..----••-•-••-•-•--•----•• Installer Address UType of u' ding Size Lot............................Sq. t Dwelling—No. of Bedrooms........_____..........................._...Expansion Attic ( ) Garbage Grinder Other—Type of Building No. of ersons____________________________ Showers _ a yP g ----------•--------•--..._.. p ( ) — Cafeteria ( ) dO ft[ires ......................... --••-•--•-•-•••--•••••--•-•••••-•---••-•••-----••...••••-••••••- W Design Flow,....._...._____________________________gallons per person per day. Total daily flow.._._.................................gallons. WSeptic Tank—Liquid capacity!'.gallons Length................ Width................ Diameter................ Depth.............. x Disposal Trench—No_____________________ Width __.._._._.___ Total Length.................... Total leaching area....... q,/11 sq. ft. Seepage Pit No /._..-_-__•._.._. Diameter_______ _________ Depth below inlet._._._._.__________. Total leaching area_f_....________sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ W Test Pit No. 1'................minutes per inch Depth of Test Pit.................... Depth to ground water------------------------ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......................... ••••.......---•------••......•-•-••...---••----•-•------_•---•-........................................................ O Description of Soil_..______""'___ �__ __� : _ U -••-•-•••---•••••••-•••-•-•---•••••-••....--•••••••.......•••--..._._...-•--•--••••-•-----•--••--•-•-••-......•--••••••--•-••-••-•--•••---•- W 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 TITLE: 1 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Complianc has been issu d by the oard of 1 alth. r• ram`.-•Application Appro7ved ----- -------- .................... --- .� to ............••-•--•••-•••-•---•--•-•--- --••--• = Date---....._..._ Application Disapp�• r the Mowing reasons:•_________________......................................................................... ............................. -•---•••-••••---•-•••-•--•---•--••---•---••-•--•---••••----•---••••-•-••-•-•--•--•-••••.................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................I.................OF..................................................................................... T rtifirat e of ToutpfiFanrr THI.+ , ;✓ O RI FY, That the Individual. •wage Disposal System constructed ( - or Repaired t ( ) Installer... at. ..••-• --••-•---• ._.. ± --•- has been installed in accordance w#11/the provisions of TI" 5 of Toe State Sanitary Coil a es the application for Disposal Works C�truction Permit No._._ �_.`__ _______.___. da.ted.._.__ _.. ................... THE ISSUANCE F THIS CERTIFICATE SHALL NOT BE CONSTRUE® S A GUARANTEE THAT THE SYSTEM L-FU TION SATISFACTORY. DATE .. � ••• .. Inspector......./.. -----' ••-•------ / I THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH gg ....................................OF........................ ........................................................ No..._ ..t............. FEE........................ io roo 1�. rk optr ion amit l ef� R- - t. Permission is eby✓ granted........... !.. ..........._��__-----------------------------------•---•---------..._....------.....---...._..........----- to Construct - 2f epai ( ) an,'Ih ', alr e isposal System at No = ' ------...--• "" �.� Street as shown on the ap lication or Disposal ti rks Construction Permit No.......... ;;� °I d__________________________________________ •-----------•-•-•••-•.................s_._._. -..................................................... g/ Y� Boa. of Health DATE------ �------------ ------- -------•--------------•---- .......... FORM 1255 HOSES & WARREN. INC.. PUBLISHERS 151►JCsLL— FAMILY - :5 BSIDIZOOM ' Nc GA�I3A.GE Ga�ND�cz : I IDA►%-y F1-0W s IIDX 3 = $3o6•Pp NOFA9 SEPTIG TA►.�K a 3 30 x 15 0'/• _-4 9 5 G.P. R � �P�. Rr I U Sc— 1 O 00 l A L. c, RICHARD ..At-AN tiN A, W. I uSE 10,00 64�I-• BAXTER y JOKS o%,S OSAI_ PIT No.21048 Nr O o No. 2516041, � 5%p4w/ALL A¢.EJ► 150 6.F 150 S.F, X �•5 +�9 3?S G.P`q rho sup too R �j•o b.P�'y 'TOTAL. p 6,516N * ,4.2 5 G.P.D. ToTAt. pA I I-Y FL•�I►'� : 330 PrMCOLATIOW RATES 1''IN ZMIN o�LC 55► ,``.'•' ,. Vrr 5 y 3 too f ' N >rxP. too 99TO FV40 3� 'Tris¢T. 1 - y6• No I-b� �:: r. Ioou INS• ,. s,,I�SoI� BiaX` INS' iPTiG, 9�'3 - L Ti►N; Gl�uQS� ICAO INY••- �. !� . . � � LEA�u 97 s •: • : . Geti/E�-- PIT (INV.. QINV. 5' WITLI /7' 1 7�• I - WAS>ASD Sa*JTJ 6Toµ6 .-'•� C 6 Q.T I F I Cz 0 P L oT P R.O F I LG 1,o 4'T II o N 1-1�IA AAII..5 87•yL (.l O193 P�.A N REF 6Q•EtJ Grc ` R6otJ GOMPI.`(5 Y�TPooH SNMO FsWN � • AI.ID SEaTeACX 9-F,CRVIR.EMt�N'f5 oF'fN� P�-�/. ?.f37 /mob. •�9 'TcvWN OF 73ke-NSTA-9-s-%-SAND I OT' LOGp.TED WITNIIJ TH PL.A.IN -�.�- 6AxTEcta WYL INC• R.EG I ST��mr'D:� 5;EY�>zS Tuls PLo.N I�� Nam' old AN os-rE Y11. aPP I(• I>J. 5'T'Ru MEN'1' S V 2V G`( .-TVAG DF�'SE"r'S suou� . OC:Tt:.t�.M1►�C �.n't' ti„ING�� 1.. (_A►„I T i 51NGLr FAMILY - BEORQoM No GARgAs�. GIN°�cz. o�►�y G�oW s I10A 3 - a3�G•Pp, Np Y S P�,IOFM,� SEPTIG TAN 00030x15o•/. ALAN CHARD yam. �r� . �y� I , tJ Ste' ► A. w. 13AXTER JONES N� ; o15 GSAL PIT vbE 12 CPO 6AL• No.24049Q .o No. 2516041 ' 5 I DG v+/At.1- AV-SA O 150 5.r+ 4 QiSTV-*t � t5o s.F x �•5 a 3?5 �.�'o. No su94 BOTTOM AREA a« � ' pF'b.PD'. . So S.F X t•o �i i� 'ToTA1- p�.51GN * �•a5 G OG,PD, PEz2Go1~ATI0N RATE, 1''IN Coe-" rr 5 , It 1:548) 59 �� '.• 0 too N R Q 0 ' � 99 To P FNp' , 'Tra VT Ft � H°1-� �` • �� ice. 98 j 5v $o L g1bT: INS. €+�P�' ✓ f1 L6AC.1I INV.. INY. Gsw/El._ PIT 9�•9 5 WITW 1'/3/4•I Sa�►I: (,Tar16 PROFILE LoCA-t►oN 1-1114A1'v1.S 8 7"T I,,I p� 5 GALE 5 cA t.E /'�L�[p .- ✓1�� p L A N REF r=v-sm C C— GE csT1FY ?MAT Ra So•D BSc.SNoµ1N c�7- .ZS ALP 6. _SOWGOMPt-YS YJtTN"TH� S►oe-LINEz � 3 A1ip -5sN5AGK R,6RvIR.EM�N'TS oF•"fµE -TOWN OF �3p.�.NSTA��-EAND. I� I.lo"T— Locp.TED WITHIu THE F%.ODD PL.4M4 pNT E� 3� 0 �. I°1 cast/ BAXTE ,'D' N YE INS• T EQv�1.•�.DIV�ASS.EYo2'S O S r= Tuts Pvara t�i I•lo1' as:y g - HE DF��'SETS suoul� ' I• I N STR.v M E N'1 5 v 2V G Y A P P L I<_A N'T' ��e• 4T��,aG�. /N� NoT t".r)-tC Or--Tt* SINGLE FAMILY B�ORooM , I ► O GARAGE C��up�'R' p�1�.� Flow : 11ox 3 - a3oG.Pp SEPTIG TA►uK = 330x15o'/• =�97rG•PR � Hf � L1s♦c I000 6AL, c� ALAN" RlCHARO yLA I ` A. W. V SE I y 00 l5A1-• BAXTER y JONES CA No. ?51Gt) x. O15PDSAI- PIT No.M48 y' I O .o S 1 I)SWALL A1LSA ° 15jO S.Fi Q/STS*"�.�• 4` O �50 5.F �•5 R 3?5 G.RD. rho su��y BOTTOM ASMA a l�O F•- . . vewv `+v:�.� + S o S.F x 100 -TCVTA L. p 6.516N * .g-2 5 G.P D• 'TOTAL. DA 1 LY FL.ov�! = 33o G,PQ PiziZGoLAT10�1 CZATEi I•'IN 2M1N OV_L6's55 '" i�•��' ' y , . .. IA , P too .,. ; 99 TOP F1409�601� I • � ,ate��, � 1NV• q8•f 95.3 PIfT- ODA • �i� fi - IIo•oa INS• z L loao IN �..I Y!►Nl ,. . LEAG9 , Gew/EL_ PIT" INV.. INY• w u T 1, s 9 _ _- - IkEa. WASKGD cav_lCIPIraD pl.oT P1..AtJ T 87. N p' v AT'E 3•,.34�� 1p L.A REF r=ZSN Gfc � C1~ RTIFY114 AT OMPI. SSIDE 1NFsWN Al P SE:-reACX R.6QVIR.EMENTS �F'T4�E' 'TOWN _OF T3p-Z.N5TA-V_5,%-SAND 1 PO—r_ PL�/,I3✓ 2f37 / �9 L.00p►TE > WlTH11J TNr 'G%-o0o PL.AIIJ T o ce RE eWYS (NC-•DI u G IEI•A l DS -V EYo Tull PLAN lfi wcOT 4A'S�U Dld AN OSTES2.VILLC' em s• I•, IN51-RuMr--Wy SuQVG-`( 4 NoT I3G- 'vet.[a-ccti pC'T.c:.c�-MINC L.n't' L,ING�� Ilk PPI-1<_AWT