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Home My WebLink About0168 MARINER CIRCLE - Health (�8 (wine ' Circe LOC� T10 SEWAGE PER T M0. � � 9 VILLAGE coT� i INSTALLER'S NAME i ADDRESS e U I L D E R OR OWNER DATE PERMIT ISSUED (�' e DAT E COMPLIANCE ISSUED 3 1, D►Jrq 0 e y 7 No07j'2_ Ficz..... .... .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA T --------OF.... Appliration for Uhiposal Works Tonstrurtion Prrutit Application is hereby made for a Permit to Construct A or Repair an Individual Sewage Disposal System at: ..... ....................................................................../..:1.................... ocation-- or Lot No .5p4_,V0F ....................... ..... . ............................ ....................... ................... wnerdres Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms........... . ........................Expansion Garbage Grinder OoAttic ( ) . .. ... Cafeteria Other—Type of Building ... No. of persons.........P.............. Showers Other fixtures -__--_.-.--•----------------------•-•-•-------•-------------------- ......*--------------------------------------- Design Flow.....: ....... " gallons per person per day. Total daily flow.......*......**.........................gallons. 9 Septic Tank—Liquid capacit;;'hio.gallons Length_jr.'�e*.. Width..Z/../Z�... Diameter................ Depth................ Disposal Trench—No..................... Width.................... Total Length_.. ....._.___.... Total leaching area....................sq. f t. Seepage Pit No---------/-------- Diameter......__..... Depth below inlet.;7.t..3...... Total leaching area-52 Z Other Distribution box (J) Dosing ta.* Percolation Test Result,,( Performed ....�Vr .. Date... ......... Test Pit No. I................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... --_----------_ ........................................................................................................................................................ 0 Description of Soil...jo.........Zx ... .................................................................... ------------ ------- --------------------------- 0, ---- --- -- -- ---/----------------------- ------- ------------ ------ ---------- ---- ----------------------- ---------------- --------------------------- ------------4.k� ...................................................................................................... U Nature of Repairs or Alterations—Answer when applicable............................................................................................... .............................................................................................................................................................................7--------------"....... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TIT I.;,;. 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 th oard o healt . S* d.. ..... ...... Si . .............................................. el...... ....... ate 010. Application Approved By.. ...2...... - ..tail..a4f ............................... .......... Date T Application Disapproved for the following reasons:................................................................................................................ ......................................................................................................................................................................................................... Date PermitNo......................................................... Issued... 7— 57....... ....... ................... Date cy') NO........... THE COMMONWEALTH OF MASSACHUSETTS ,�- BOARD OF HEALTH / /&Q............ /..... O F... . Q. ._. ...... .................................•. App iration for Dispas al Works Tonstrurtiun Vrrutit Application is hereby made for a Permit to Construct A or Repair ( ) an Individual Sewage. Disposal System at: ...5� -_ /yA�'-"JC/ ••---'• �Location�ddr�1�� or Lot No. .� Owner res Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building _f 4'!' . - f- No. of persons......_ ............... Showers ( ) — Cafeteria ( ) Otherfixtures ------------------------------------•-........--------.---•••....-------------------•-••-•-•--•--•---•..............•-------••-•------•......••...---- W Design Flow.......C 3 ............ .........gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacit ..gallons Length..g_..�./_.. Width.�_111.... Diameter................ Depth................ x Disposal Trench—No ....__.. Width.................... Total Length....... Total leaching area............_.......sq. ft. 3 Seepage Pit No_________ ___________ .....X..__..... Depth below inlet_]..__3..._... Total leaching area- a : _..::sq—ft-- Z Other Distribution box (/ ) Dosing tank ( ) �� aPercolation Test Results Performed by______ �� e!nti Ut..(r � '�'�- !Date__ .-��/�------------- a Test Pit No. l................minutes per inch Depth of Test Pit.................... Depth to ground water...._ - ------------ (14 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground ..................... a' ...............-------------••----•----•-----............-•-------.......---------••••••-•-•--.........--•••-•-•............_..-•-...........•-•.........--- O Description of Soil--. ._.tl.. !? 'v!-- ... ------------------------- •.......................................................................... U - ---- 4. -••-----------------------------------•--------------------------------...........-----•-•--•-......... 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,'LIT1,17, 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee issued by th oard f heatt . .� �i �� ,y. Si red- --._ ....- - ••-•---•-•...................................•- -•----�----.. ...... ._.._.._ ate Application Approved By----- -�= l.�. - .... -•--•----1�... .. -- Date Application Disapproved for the following reasons-----------------------••---••--•----•--•-----------•--...-----•-------•---•-•--•-------.._... ---------......» ---••--------------------------------••-•-•--•-------------.........---•-------------------•---------•--.-•---••-----••--••---•--...----------•----------------•---•------------•-------•----•.....----- Date PermitNo......................................................... Issued-.------•••-..------------••••-••••--•••-•-•........_. Dare Mom: THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEA T -yam ..........O F..... .................................................. #j '_6Zr (9rdifiratr of Toutphattr�eS T0. TIF That e Individual Sewage Disposal System constructed''(��) or Repairedby----- -- -------•-•-•---•--........---•------•----•--.........----•-•--•--. s ...... .......at.._.... �- ...... ' fitF has been installed in accordance with the provisions of T /1'N,7' 5 of The State Sanitary Code as described in the `�' application for Disposal Works Construction Permit No. .E_"._...._.__s�"�"......_`_..___ dated--- ....................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE....................................•--•----•--..................-•--••-•-••--_. Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -7 ..................... .OF..... ........................................... r NC ... )......... ... FEE..........••-•......... irn Work Tn _.. -uorn �erttti Permissionis hereby granted----•------------------------ •-..........-•-•-----..._....------------......-•-------....-•--•---.....----.... to Construct X or Repair ( ) an Individual Se�wa� Disposal System at No. r2t` ...` y4C' .• _... �,�. ......_.._._J. Street as shown on the application for Disposal Works Construction Per mg Nor.,. ___.. ; Dated_.// �" �r�.................. Board of Health DATE....... --- ------------------------------•...... FORM 1255 HOBBS & WARREN, INC.. PUBLISHERS A, M -41 }g'J F.FL. ELEV.l7'Z,, 5 , FINISH GRADE _�; FINISH GRADE FINISH GRADE-- - --. TOP OF FOUND. C OVER TANK : x^ OVER PIT = ELEV. i . , CHIMNEY 9�Ucrc 'C'I' 4" V.C. WHERE NEEDED BACKFILL TV" PEASTOPIE ---- - 4 V.C./ — • . , . + �• ��i •'i �;► _—;fir-__—_ „gib;; �� `J O O P p d v 4 (/^�) CELLAR FLUOGALLON R ` _ p, e o 3/4" TO I-I/2" ELEV. REINFORCED GONG. - o O O o 1 ° i CRUSHED STONE 0 0p 0 o 00 •_ ♦ .o� o . .• • • • DIST. BOX b ' v o o Q Y a I o 0 � O O o n. o o a • .. o 0 Q O ID SEPTIC TANK -.* TO BE LEVEL r a 0 0 O O o a o ` BOTTOM OF PIT AND STABLE 1 �� o O 0 O o 4 ELEV. = SYSTEM PROFILE 8, o t NOT ro SCALE i LEACHING PIT I UE51GN CRITERIA �;, L o T ► ` � � 1 GALLONS PER DAY iv GARBAGE GRINDER TOTAL DAILY FLOW LEACHIN AREA PROVIDED= _ "Ity (4)2- t lta 6 PC> • as Ci 5 G PU ._ 0 ^- � J a a 411 N o SP-nc 9 SOILS LOG — }.,, ® •�;, c .N�. 0" ELEV. PIT -10 Lv T 1 -41 PROPOSED SEWAGE 1 5-"& DISPOSAL SYSTEM INSPECTED RYA ' t,�L W�� ;, gyp, .� PROPOSED DWELLING DATE ;- L c 61 .CQZ&a ) MASS. I PERCOLATION RATE NNV __ SCALE: AS NOTEp 4_BgTE� �- - uC3T'cm ZN OF MAgs \\A Uf AJv DMLcp 8r � �.L.�'+1�+'"i`i C�I..a°S, �. � 1�1t Sl. QATI,,hJ1 :t`-��'''�AC�. `�f1' '�'!•: T�-� �Cj L..� ��'.?'��.:-.Jt,_.'� 1 �I-,.� L...�.'1 _•_'. 2 - �L.oT sN�w N o•a PL.,�n.) -T�� I�� :.��c_E.�T' t.l '� ;�.no��;J `Gam• NORMAN 24 &eE.aT Po&.)o v I � GR�JSSP}AN a :;Ro�SMAn � i27 s .Y,•,. K�e-5 v-rH r-�T, lfaL—r_ !• NORMAN GROSSMAN PE. R.L.S. 226 Hn+_L.Y PCINT ROAD I ,: `" CENTERVILLE, MASS .