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Home My WebLink About0047 MOORING DRIVE - Health "S 47 Mooring Drive °e� - A 024,-128 ,COtuit '," ' LOCATION 4-7SEWAGE PERMIT NO. D �e — VILLAGE O f-101e, ALL ER'S NAME i ADDRESS // _ �!?e d see 1*10 ,( d r i' C/ h uu t UILD/E R OR OWNER �ekes DATE PERMIT ISSUED DATE COMPLIANCE ISSUED ��7_ 1 � _ � "1 ` ' � �1 .,. 'S' a. 1� �. p. , ..,., c� JI No........' .: � 1�. " . j THE COMMONWEALTH OF MASSACHUSETTS � A , D �; BOARD F HEALTH -------------OF......... Appliration for Ili-spas al Works Towitrurtinaa ramit Application is hereby mad a Pefmit to Construe ( or Repair ( ) an Individual Sewage Disposal System t ....... ...-----• .... .... .. .--- .Location- ress �J or No. ........ .... ......... ......8. ........_....._ ....V s... -..._...............__ .. caner ress ....._......•.. Installer Address Type of Building Size Lot... .................Sq. feet U Dwelling—No. of Bedrooms........._°-.....................Expansion Attic ( ) Garbage Grinder ( ) a Other—Type of Building _ ...' . No. of persons..........1�.............. Showers ( ) — Cafeteria ( ) � Other fixtures .------_-------_- -----------------•--------•-••--------•-••••----•---•-•----••-•------•----.....--•--.........----............_-----_.. Design Flow................��-`___._......_..__..gallons per person per day. Total dailly. ow___..._...330__............._._._..gallons. WSeptic Tank—Liquid capacityA ..gallons Length._.'R..... Width..!Y'k. . Diameter................ Depth................ x Disposal Trench—No...................... Width.................... Total Length...... _.___�. ._.. Total leaching area.........__-....._,.eq. ft. Seepage Pit No............I-------- Diameter......9...__..._ Depth below inlet----- ..... Total leaching area....�A .-sq. ft. Z Other Distribution box ( �) Dosing tank ( ) ' // 01 '~ Percolation Test Results Performed b .. 5�.... ........................... Date...... Y /X/j Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground ater-------. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water..._-__...._......._.. Q+' ----- --- --------•---..__-......------......... -•---•---•---___------_... O Description of Soil.... ..��G�%! •. --------------------------- ........................ --------••• .. -......... - - - = - 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 under • ed further agrees not to place the system in operation until a Certificate of Compliance has been ed I the rd of alth. ne -•-- -• - - ...................................................... �� 1'� , ..._ ate /) Application Approved BY--------.... ... ��W.. ...-- .......� Date Application Disapproved for the following reasons: ------------------------- ...........................•-•---•--•---..........---------------•------------------...-----------.....---••••-•..............._.....------••---...-••-----•-•-------•-•-----••-•••-••----_--------- Date PermitNo......................................................... Issued_--- ...................... Date i _ v No..- • � F:zs..J THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appliration for Uiipnnal Vorkfi Tomitrnr#inn ami# Application is hereby made for a Permit to Construct ()/) or Repair ( ) an Individual Sewage Disposal System at• - �, ...................•--^-^'?^ -- -ly ................... / .......................•- . LOCAddreg, or Lot No. 67 .... .................................... .......................... / Owner ( �/`-A'ddress _ a ....... ....... Installer Address U 00P............ O U Type of Building Size Lot... ..t..................Sq. feet Dwelling—No. of Bedrooms. ........ ......................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ' "`_... No. of persons.........to............... Showers ( ) — Cafeteria ( ) Otherfixtures .---...----•---------------------•-•------------•-----.-------•---•--------------------- ............................................................. Design Flow.................,, ..`S ..........--..gallons per person per day. Total daily�flow.........�a. ......................gallons. WSeptic Tank—Liquid capacityl�)...gallons Length. ."I"�... Width.�q.)A....... Diameter................ Depth................ x Disposal Trench—No..................... Width....#........_...... Total Length............ .... Total leaching area......... ......—Sq. ft. Seepage Pit No...........).......... Diameter....... Depth below inlet......X-a_...... Total leaching area....-�. :.....sq. ft. Z Other Distribution box (/ ) Dosing tank ( ) ,lr a Percolation Test Results Performed by......... ............................................................. Date....... .11�� ............ Test Pit No. 1................minutes per inch Depth of Test Pit. Depth to ground water...../oC..._...__. f=I Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water...................... . D Description of Soil..(` ...... k t._.`l��'-,� -----•----------------•-----...-----------------------•--.....--------•-----......•..........-•--•-----•-•--••--------• UIr 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 iiT..� p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beenoissued by the.board of Health. gned --�'r�-,�r �,�.... .4.... f- �!�...' .. . ..................... ate r Application Approved By............ ........... G'" ► + "`� -.. ......... Date EApplieation Disapproved for the following reasons: ...•......................••---•--=--------------•-••--•---••. ••••.......------._ ...............t4r....................................................................................................................................................................................... Date PermitNo.......................................................... Issued..................................:.................... Date ', , THE'COMMONWEALTH OF MASSACHUSETTS. w i r ,.• Y;W BOARD OF HEALTH OF................it.....r�t1,..(L•�C.tc -� n.. T k9rdifirate of Tompliaurr oil} THISrIS TO CERTIFY, That the Individual Sewage Disposal System constructed (>0 or Repaired ( ) Installer at 1::�.../:fr_:...•----- -fLcn U_'u%: /.._� t • .. has been installed in accordancwrth the provisiol s of 5 of The State Sanitary Code as des ribpd in the application for Disposal Works Construction Permit iv -•_----14V 3__-f�1-.•-•__------ dated .7:_.I5.... Q.................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..... v l7'� -------------•--------•---------- Inspector........ (.� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH J' '. ............ 7e,�,� No.......:... t.-.- FEE. .e............ ,.,L._ �i��n�M•� �, �nn�#rinn rrntt� �' • � . .. �. Permission is hereby granted----- --------------------- ---•-----•=-- --•-- -•------- ---::�...------------ -------......... -- -� ��-�`> / to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at No............. . d! :....L. :. --,1... ..:.•== � � � . /� 1 l ---- J e - r p Stre t d 4 as shown on the application for Disposa9Works Construction Permit4Boar Dated.._�`'f-S ' ............................................... `�`J /[ ! Health DATE / ----------/wr— -,�_o FORM 1255 HOSES & WARREN. INC., PUBLISHERS - ''''4 • F.FL. ELEV._ FINISH GRADE =7n,1 FINISH GRADE FINISH GRADE - TOP OF FOUND. ,.�. OVER TANK= OVER PIT ELEV. CHIMNEY BLOCK ` 'A \ � 4" C.I. 4" V. - WHERE NEEDED BACKFILL 3 PEASTONE DWELLING 4°V.Cl/ .. o o o O O ° 1 ° d o CELLAR FLOOR � . 3 GALLON • ' • - " °l\' "' ° O O O ° 7 ° �! - 3/4" TO 1-1/2" ELEV. = `~ REINFORCED GONC. `� c d a '� ° O O O ° ° � CRUSHED STONE \ ° o O Q O o v �� b ° o o O 0 O ° � p ° o r o o ` q o ' o 0 9°1' • • DIST. BOX r � , ° O O O ° oe pvdi 4 1 ° O O O o a ° / SEPTIC TANK -� r (TO BE LEVEL a J v o n Q O o a \' BOTTOM OF PIT AND STABLE) 1j a ° O O O o ° ° 4 !�r ELEV. _ SYSTEM PROFILE ,of ( NOT'TO SCALE) LEACHING PIT DESIGN CRITERIA NUMBER OF BEDROOMS = w GALLONS PER DAY GARBAGE GRINDER z TOTAL DAILY FLOW LEACHING AREA PROVIDED = G Fi) + LL' 7-//Z) Xrrl G/X 7. 2 T 4'Z. �' = ySS GP�� U, D��J >: e ti Px a F.F.t ftxo v } SOILS LOG J:1 ; .v�r nx on ELEV. - Tb \ . �R!C.. l✓Ii/Li..N � sF r►� .AP®tir��r. I , 7.a`J PROPOSED SEWAGE ii kZ DISPOSAL SYSTEM A1" d'A72�.*: PROPOSED DWELLING INSPECTED BIY DATE �A�/ ��8LE(C MASS. PERCOLATION RATE NIN./INCH �,�'!''' `.ti�Yo OWNED BY SCALE: AS NOTED ^� DATE /y_MAk l`1 A Zm,--V47X.. V - d� ryOR,tiaAly Q GROSSMaN ! N, %�lDA1� ACES . �'=i�LTy Tk. Z. Zo-r SFrOLUh� OA .4� 4X I TG/,e r- /L 7 4 12705 � Z"� Z4 �,�'eA T PD Jv D 0,2. y A%T AL:x-?D ''olAl / Oil 1 NORMAN GROSSMAN PE., R.L.S. 70k`0 �� 226 HOLLY POINT ROAD 6 ��'��''• f G�'/ r' ZsJ CENTERVILLE, MASS: