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Home My WebLink About0508 MARINER CIRCLE - Health C . Oe q °,gy No\�.1.L}...�-./ 4. ... F�s..�. ............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF H ALTH ...../ --------------OF.. ) ._..-.... ------------------________-_____-____-- Appliration for Dispiial Works, Toustrnrfinn 11truat Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal syein�t: -00) ALocation- /Q or No. .......... ........._.......C.:.'::mac- --.. -- .....C........'_...-•--•--•---• -•---.... .. /� ... ... ....... ............... Owner° / Address _... . ------------------------------------------•-----......-- ----------.._..------------------•-------......----....._......------.._........--•---......------ a -� � Installer Address UType of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms _______ _ _____________________________Expansion Attic ( ) Garbage Grinder ( ) aOthez Other—Type of Building ,� 'No. of persons____________________________ Showers ( ) — Cafeteriafixtures ------------------------1-----._...------------------._...-----------------------------------............................... W Design Flow....... .......................gallons per person pyr dray. Total d�;il flow____-_ __gallons. - --_----- WSeptic Tank—Liquid capacityl408gallons Length__2-__Y_.____ Width._._ _.._ Diameter________________ Depth................ x Disposal Trench—No..................... Width.................... Total Length.____.__...____.____.Total leaching area................ sq. ft. Seepage Pit No--------/.......... Diameter......,-__........ Depth below inlet___ d�__.1�____.__ Total leaching area._ ®,_ ..sq. ft. Other Distribution box ( / ) Dosin. - ( ) Percolation Test Results Performed by- — Date •�� Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground ater_._. 1 4i Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ O Description of Soil G1.�.a........��: ...............................•-------...........------._....---------------•-•------..__....-- P ----------------•----•-_...:--••-••--•-•-..__....-••-•••--••--••--•-----•--•.....••---••-•- x �.. W - ------------------------- -" 0.� .f°�t-�1....----_.......... 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 TITI.j 5 of the State Sanitary Code— The undersig ed further agrees not to place the system in operation until a Certificate of Compliance has bee ssued by the b of lthL Signe ------- -----------------•--••-•-•-...••-•-••---• �. te ApplicationApproved By.................................................................................................. •••--•---•-•--------•----------•------- Date Application Disapproved for the following reasons:_______•____________________•_______.___._._..________________-_________-_------:-..__-.--..--.-----•....-•---- ..............................................---••-••---••--••-••••••••••••••-....--•-•-•••-•-•••••-••---....._....__...-------•--•-----••••---•----•-------•••-•-••---------•---•--------•-•-•--•-•-- Date Permit No......................................................... Issued.... �— Date 1 No..........�_Q•4_ �y F�s.. ............ THE COMMONWEALTH OF MASSACHUSETTS �-'"" BOARD OF H "2 TI-� , --------------OF.. .................................................................. App iration for Elispaiiai Works Cnnnitrurttun Prrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal LI Sys .. -_..... .... ------------------------------------------ Locatn A� /J�C or o ..... ......... ......... .•- W . ner* Address Installer Address Type of Building / Size Lot............................Sq. feet �. Dwelling—No. of Bedrooms `'�.'___________________________Expansion Attic ( ) Garbage Grinder ( ) pa., Other—Type of Building No. of persons____________________________ Showers ( ) — Cafeteria ( ) al OthaL fixtures .. , W Design Flow....... .... .......... gallons per person r y. Total ap ow...... ........................gallons. WSeptic Tank—Liquid capacity 1gallons , ;~Length_. ...:. Width__ ... ..._ Diameter________________ Depth.............. x Disposal Trench No .................... Width....) Total Length Total leaching area..... —sq. ft. Seepage Pit No......./.......... Diameter......0_. ...... Depth below inlet_-. ... '.._._.... Total leaching area.. �'�_.:sq. ft. Z Other Distribution boxDosngc ( ) ~' Percolation Test Results Performed'by. ... ._ _._:,+ ....: ............ Date..... __ :.__ _._.... a Test Pit No. I................minutes per inch``Depth of"Test Pit.................... Depth to ground water.__.�f Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water-._ .___----_--__.._-..__. P4 ••------- ••----•----------•......----• .......................................................... C) Description of Soil _ ...............................-=----------------- ---------------------•-=--------------------•.......------ x V ---------------•--- .... -- ......... .. UW ----------------------------« " r -------- - --------- -----------------------------------------------------------------.--- 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 T I T 1Z 5 of the State Sanitary Code— The undersig ed further agrees not to place the system in operation until a Certificate of Compliance has bee ssued by,,the b of alth% _. Signed -------_. ---- --------- '1------------------ --------- _ d.. F to ApplicationApproved By.....................................................................................-............ ........................................ Date Application Disapproved for the following reasons--------------------------•-••----------•---------------•------------------- ------------------------------- ---------------------•----------------...------•-------------••-----------------------.......----------...-----•--•------•---------------------------------------- ................................... Date PermitNo.......................................................... ',Issued....................................................... Date THE COMMONWEALTH OF,MASSACHUSETTS BOARD OF HEALI=H .........1att` ........OF....... . . ........ � . ............................... C rr ftritt4 of Toutpliatta TH IS T Y, That t.h individual Sewage Disposal System constructed . or Repaired ( ) by - ... ------------ -- - -- -- ---'--------------------------- ---------- at — taller . r : _... has been installed in accordance with the provisions of T 5 ,%f Th State Sanitary Code as des ib d in the application for Disposal Works Construction Permit No,_ .. .......' :__..._.._ d-ated.._p _". _:""`.. ............... THE ISSUANCE OF THIS CERTIFICATE SMALL NOT BE CONS UED AS A GUARANTEE THAT THE SYSTEM FUNCTION SATISFACTORY. DATE.. - Inspector ..................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD;OF EALTH /. ........... ..;4. ....OF............. y�"'R---Z' ..'�.....-----.....----------------......... No._._......_ �Gis FEE ........ & .. ........ Permission is hereby granted...............(4 ........... ... .. ._ ..................... to Construct ) or gRe air ) an Iif'divld"Sewae.Disposal y atNo........ .... ...... .. -_ ---•--{ ': ..................... Street as shown on the application for Disposal Works Construction Per i No: 4�td.....�"`- � ��--...... ....... ' f. ' -----------•-- Board of Health DATE---- . '. FORM 1255 HOBBS'& WARREN, INC., PUBLISHERS �, LOCATION SEWAGE PERMIT NO• '\ VILLAGE C�rc%r I N S T A LLER'S NAME i ADDRESS SQL�o Ti�C�ff�9�i ail U ILL D EAR OR OWNER -PLza VI--P c il-= DATE PERMIT ISSUED c- S � DATE COMPLIANCE ISSUED /�� 37 i QT 7J C(olc t C - .+Tar+^s'.fwMmw,+'+Awv4+w�n..lf_zfuM#r> rwb-.v..a...aa,. Maniuid4WlA+`1RMf-.f4rle.a*++f,TR � F.K. ElEV.2 I FINISH GRADE % FINISH GRADE . FINISH GRADE_ TOP OF FOUND. OVER TANK = 4r1Z}?,, OVER PIT ELEV. CHIMNEY 87. 4" C.I. 4, V.C. \ wI+Er3e NEEDEDBACKFILL EASTONE Q I p 9 t o O p CELLAR FLOOR l!100 GALLON �`L9�� J ,' aQ a' ` , o (D I �1 ELEV, _ REINFORCED LONG, + a + 1 `.+ O �� O O ( � ° A r GRUSHCD STONE DIST. BOX ; r"' o i l --=� — - o n t O o 9 Cf 0 4 $$ (TO BE LEVEL .p f� t� (l BOTTOM OF PIT SEPTIC TANK AND STABLE c o (> C. o I�° ° E-E . _ _ !• •75 SYSTEM PROFILE ( NOT ro SCALE) LEACHING PIT DESIGN CRITERIA NUMBER OF BEDROOMS = 3-- --___ � `+ 1p � s• � GALLONS PER DAY GARBAGE GRINDER - LL', TOTAL DAILY FLOW LEACHING AREA PROVIDED = 7 JAo ra,7CSEPr cI SO LS LOG `, 4-- ON ELE V. ;77-7 9 = r 40' r` a 1 PROPOSED SEWAGE DISPOSAL SYSTEM INSPECTED BY, L M u PROPOSED DWELLING DATE II/�� -,( 7�_ r� �QTUf"'i MASS. PERCOLATION RATE G Z NIN./INCH tt`, ;A, f AS -NOTED DATE �C�! i I i { � c)p., M • S• L• ��+.♦~�?f� �Q NOF. AN �`Ac^ 6/fCif�J.f7a � 7WJi 1 � g+IRN � F ZC a <_ NORMAN- GROSSMAN PE , R L S. t_C�V• _ , °*U � y ,r 226 HOLLY POINT ROAD GENTERVILLE , MASS ,