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Home My WebLink About0079 WAGON LANE - Healthr 19 wagon (.ant, 9 NVnhi s , ��o / ► S 2019 Correspondence Received _ www D p P i .wbmason.com 1-888-WB-MASON LOCATION SEWAGE. PERMIT NO. VILLAGE INSTA LLER'S NAME ADDRESS R U I L.D E R OR OWNER DA T E PERMIT ISSUED o9 <6 ` DAT E COMPLIANCE ISSUED ®` , r 00 0 No..... E Fss.... .`............. THE COMMONWEALTH OF MASSACHUSETTS a BOAR® OF HEALTH ------- ^ -----OF......... ............ .. ................... Appliratiou for Disposal Works Tomitrurtinn Famit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System ate-, .... oc do Addres / or t j 'D W ........... .. ...... . . . ... caner .....Cflr/!/.:. .xd a Installer Address Q Typ Building Size Lot-- ----- feet Dwelling—No. of Bedrooms.., .......................................Expansion Attic ( ) Garbage Grinder ( ) p., Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) a Other fixtures ------•------•-•--------------•• W Design Flow..........1.0..........................gallons per person per day. Total dail flow--- ......_.....__..........gallons. WSeptic Tank—Liquid'capacity..-(JV—gallons Length-----V.... Width---- ---- Diameter________________ Depth�-=y-".. x Disposal Trench—No..................... Width......._............ Total Length___..........j..... Total leaching area....................sq. ft. -fyl(� Seepage Pit No. O_.. Diameter...... ........ Depth below inlet......6?.......... Total leaching area....��a.....sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. l---j"-Z—.minutes per inch Depth of Test Pit------/.Z........ Depth to ground water.__Ma 9. G4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a •----------- 2 r-------- .......................................... ............................................=........ ........................ 0 Description of Soil...... --...............-JOA ...... 2 "" d..... ' I ..G i ...... U -3. �...7-0..•... •---••••-•-------•--•-•----••-------••---•-------•-•-----------------•---------------------•----••------- 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 . sued.by the board of health. ned... . ................... ......--.................................. •---- l/ Application Approved By......•. ........... ................................................... -...,l •--- •-- ---------------- - Date Application Disapproved a following reasons:----•••------------------•----•-----•--...------•----•----------------------------------------•---........------ -------------------•----....---------••-....-•--••-•--------------------•------------..........._.......... ...•------•------------------------••-------•----•-----•---- Date PermitNo......................................................... Issued_..................................---=---•------------ Date No........................ ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD QF HEALTH ApplirFatiun for Dhipoual Works Ton.strurtion Vantit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at 9 oca on Address or t .....4.1r. a a.... ner .: , 9 ress..._:__ 60 Jt 7�y � �Installer Address d Type uilding Size Lot_.f !../�A Sq. feet U Dwelling—No. of Bedrooms____________................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures ____________________________ _ W Design Flow.........f__1e�...........................gallons per person per,�ay. Total d�ow.... _ gal lons. WSeptic Tank—Liquid capacity.__j:(f?gallons Length______ ______ Width................ Diameter---------------- Depth_�`�Y''-'.. x Disposal Trench—No_ ____________________ Width.................... Total'Length..____.__._._ _-__ Total leaching area....................sq. ft. Seepage Pit No...� .C?^?" .. Diameter.___. ....... Depth below inlet:.......:........... Total leaching area___.. ..... sq. ft. Z Other Distribution box ( ) Dosing tank ( ) `" Percolation Test Results Performed by-----••••----•--•-....---••....•-------------•--•----.....--•------------- Date----•---••--••------ Test Pit No. 1____J Z-minutes per inch Depth of Test Pit......../A r____ Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Description of Soil........ _P9 ___ ....__.____ 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 TITIL- 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been sued b the b and of health. at ApplicationApproved By........ ''{ " - --------- .................................................. - � - -----------•...... Date Application Disapproved f following reasons:..................................I.............................................................................. ......................................................................................................... Date PermitNo......................................................... Issued-......:................................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........................................OF..................................................................................... (9rdifi,rFatr of Tomilli anrr TtHIS'- 0 TIFY, That the Individual. Sewage Disposal System constructed ( r Repaired ( ) by ..._.. --------- --•-----------------------•-•---_-•-•- . ----------- ---•-----------•--- Installer ate? f = ---- `'` ; •----------------------------------------------------------------------------- has been ns led in accordan _ wi�lI the provisions of TIT 5 f e State Sanitary C de s d > in the application for Disposal �Vonstruction Permit No.__. ��--_-_- _____------ dated---- -.... °.'_-- :...................... THE ISSUANCE O IS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM WILL)FUNION SATISFACTORY. DATE......_.% --7F• V-----------------------•--••----•-------___-•---- Inspector----- --- --•---•--............................................................. THE COMMONWEALTH OF MASSACHUSETTS BOAR F HEALTH r 4-01 ""....OF...... �................ 06 FEE........................ iu�ou�al Turku o� - anti# Permission is h y g anted------............. . ----- .......... . t;--•-----g ----•-----•---•••---•----•.......................................... to Construct o it a idual Sew s osal rlfi atNo...........�1�........... ....... ......... -•-. --;.. r• Street as shown on the appl' do or Dis osa corks Construction Permit N , _ _______________ Dated.......................................... Board of Health DATE......—---- :•- .. ................................................. FORM 1255 HOBBS &]WARREN,. INC:.'PUBLISHERS <)I►JGLa, FAMIL%( - ;3 B1=0R0OM \v IJD GariOai�E (�wNDE2. DA�L.f Flow : 110 X 5EPTIG TAr.�K = 33ox15o% = A97G.P o v5c loon GAL. /98 Ivo0 o%5Po5AL PIT v5E S DCw/ALu 97•1 150 5. . x 3?5 G.Po V 50TTOM AREA. ,• 50 5.r, ' 5o S.F x I`. o -- 50 G.P o. 973 Q •r I 'TOTAL. pE<�IGN = .425 G.PD. 99. a -TGTAL. DA I L'( F�oV( = 33o G Po p �XisT �o.s.T. D Q �✓ )NQ . PE2coLATION RATES i'�IN 2MIN oP_LE55 ;V",w 7 ` '1 I•- Of OF M9 97 L Q8,y RICHARD yG o AWNA. o BAXTER v o JOKES u NQ 2.1048 Nu. Z5 /7 8 F TQ��b4 j SU I ` 7 E'/1`#P•232.c� �G, = 9.6 Top F N u t 10 0.o yr Y/`Y 4 1000 e�ntYL t aba lug/• G 6,L. 9 � P 1.T r WI �' T o �S•� WA,u6 D Gov,P�c' {,TvNE / Gai4TIFIG0 PLo-T PLAN &4!8' 1,o ►o gGAL� �jcALG �.,_� �AT� / IlzI F E ZE N GE ti C E RT 1 F Y 7 N AT T N T Fig5►t►.!(s- Gci a'7, 5 N0 4Y N �1E2Eo►-1 GOMPI- � 1�ITN -TNE S 1 of LIN 1✓ ��- /B!3 q D -(a W N O F C34�N "3�-� A,N D 1 S IJaT` LOGt�,'TED -WIT ►IJ 'rNE G�-oOD F't,�iN REG 1 S�E.Q6D LAt�0,5 u TI115�i PLb►JNT N 2V�E5c -rNE nt=FSET s SUOU� OST'E2VILL� � N�'S5.INS-T-R•uME S Y qo-T DF_F U5EDTd 0e-T /�IN� t_•oT �_INE-�j �PPLIGA►`�T �/`j�'�QT�ASj�G��/�� +►�G�c-: FAM«`! - '=5 BCORooM ►.Jo GARpAGE- 69jwDE2 o��LY FLow z 110 x 3 = 0306.P�? SEPTIC, -r,& K = 330x150 /• - A9/ 6.P. o u5c- loon GAL. /98 • o+5Po5�L PIT V5E IvoO GAL. S DGW,4LL A2Ca 97•1 150 5,F x 2.5 = 1 0 5•F, BOTTOM la2EA= ^TCTA1- DESIC+N = .425 G.PD. 9.9• O,S.T. O -1 cTAI DA 1 LY. FL-ov( - 33o G.Po Q �risT '° qIr/ Li �0 1 I sue- 0 97•Z Qe,NOF k4S, �► RICNARDo AL.AN Mr A. C'. V W. BAXTER v o JONES N' 1 Na 240Q F Nu. 'ts' /7 8 F C - PSTS *0 SUM r I -roP Fwu--+00.0 ';e ?.c�P.23 N 0 L a/i�/e3 97 S 10 0 4V I IJ J• I Sv So✓ .: b,l ST. Z!3 c 1• �:,,p:�,�'•:;� ��X INS. 'e, � G24✓Ei, LtACII IN�1, IuV. •P IT � G' ITu 1` 9So %25 L Cvv,?�c � GELLTIPICD P1-oT PLA.W .{ioLk/,a�e P R U F l l..� t �s!8' L o C AT 101.1 NO SCALE SGALG /"_� SATE 911ZIf3 - p L.P.I.� R E 6 2E►� c.� CE RT+ Y 'TNAT "f H �S1��.& IrWa"�, 51dbwN NE_REOW C.oMPL\(5 WITN'TNE SIoFLIN� �pT /Q3 AI.ID 56T�GK (L6Qv+R.EM`cNY> of -To w N o F olea L-5-c,- A N pt- LOC�TED•�WIT 11J TN6 GL04D FLAII�I D AT E c G� B AxT E Q e N1 Y E I N C. S'T fG26U'i-Au D 5 u -Tu15 PL& J i '> KAOrT (3n5c D d►d AIJ G73TE2VILL& II IN5-rR.VMEN-r Suevey -TNE n S NoT DI;_- U5EO "Td DETE [t1^I►1E �.oT �_ INE-�j APPLICANT 4QT�ASj��//�C