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Home My WebLink About0051 PASTURE LANE - Health a yg - aloe V ,! s� Ch c g z w _ , m 33 r N C � C a v T w N N W lik oc� � g 0. 74 S � � Q c��' �' , „ (,,, -r -_. � i p r No......6 FEB :rT E COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . :-...OF.............. .................................. Appliratiun for Biipu,ial Workii Tonstrnrtiun jhrutit Application is hej y ade for a Permit to C stru ( or Repair ( ) an Individual Sewage Disposal System at: .............. ........ ................... .................,1. .. -------••----•----•----•------. 16 r ac o dd ss . Y-•-- t xo. ......................- - ..•-•••-•........ .................•-• •--•-•. ..._... -......_..... Own Address Installer Address Type of Building Size Lot..... feet U Dwelling—No. of Bedrooms.................... ... Expansion Attic (/p Garbage Grinder/!� P4 Other—Type of Building ______. &r __. No. of persons________________ Showers (� — Cafeteria ( ) a' Other fixtures .__._...._� . .---•--••______________.-----_____-..--•----.._------------•-••----•-----____-------------...__......_.._..._......._.. W Design Flow...............��...............gallons per person per day. Total dailyrflow._._.___....___�--_d..............gall ns. WSeptic Tank—Liquid capacity. gallons Length__�L1___.__._ Width..__(._._._... Diameter________________ Depth__ ______.__. x Disposal Trench—No.:_.1_Y'jOZ__.. Width.................... Total Length.................... Total leaching area..� _ ---sq. ft. Seepage Pit No______________________ ameter_____..._......_.._. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( Dosing tank ( ) 4 _�47 _ Percolation Test Results Performed by. ... ..._..: ..._ ;... �d ...... Date._._..,�.y�,l_! ._._.. minutes per inch Depth of est Pit..-_7�s.--. dam-F. ,..1 Test Pit No. 1.��__ p p __.. Depth to ground water._.__ .._ _ __ - Gi, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ �+ ............o/------ �-- ........................ O _ __ Description of Soil --•� _ / '�1 !>•!ts :___ . �.... ! ................................................... 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 issued by the board of health. Signed------- Date ApplicationApproved BY-------------------------------------------------------------------------------------------------- ........................................ Date Application Disapproved for the following reasons:_....-•--------•....................•--•--------------••-----....--------------...--••---- - Date PermitNo......................................................... Issued-....................................................... ' Date '...•...•..•..............•.•..•.•..•......••.....•.••...•.•.•....•.•................•......................•.......••.••r•.� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH /....Or' ........................ (9rrtifirai of font liattrr THIS IS TO CER F at the Indi al Sewage Disposal System constructed ( or Repaired ( ) --------- by---•-•-......----•---•-••-_•--- I �� _ / nstaller / at.... _l f• � l y_... �IJI......................................... has been installed in accea�rdanc if�$�e'provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...............................•-•-...._.........----...__......------.......--• Inspector..................................................................................... - --- - ------- -- No......................... Fmc.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -------OF.............. ..................... Appliration for Uhipatial Work.5 Tomitrurtion runit Application is her b made for a Permit to onsVuct or Repair an Individual Sewage Disposal System at: . ........ .. ................. .................... ...... ............ No Location re s r ...... 1�11_ . . .................... ....... r6 e�s vey j. ........ Own A Less ................ .. .... ................................... ........................try ......................... � Installer Ad resd�!�s Type of Building Size Lot... feet U ...... Dwelling—No. of Bedrooms.......... -------_------------Expansion Attic Garbage Grinder ..... No. of persons................a........ Showers Cafeteria Other—Type of Building .......I-Viov, P4Other fixtures -----------) ............................................................................................................................. Design Flow..............jr- K ,�r-—----------------gallons per person per day. Total daily flow..............--J --- - -- -------------- ons W �!_3 6 gall 1:4 Septic Tank—Liquid capacity./ gallons Length_./. O 4/.. .... ...F. Width.._._.!.... Diameter................ Depth Disposal Trench—No. Width.................... Total Length...__.............._ Total leaching area..,:.>__t,/,.k.sq. ft. Seepage Pit No_____________________ Diameter.._................. Depth below inlet.._................. Total leaching area..................sq. ft. Other Distribution box Dosing tank Percolation Test Results Performed by. Date- Test Pit No. .__-minutes per inch Depth of Vest Pit.. ........... Depth to ground ter.f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water................... 0 ---------- ... ....... --..... . ------------- ---------------------- ----------------*........--------- Description of Soil...... ...... ......�e, ..................... ..................................................... ................................ U ............ ........ ........ ..................................................... Z ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ..........................................................................................z.............................................................................................................. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of T I T LE 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 the board of health. Signed....... )Aez: ...... Date ApplicationApproved By.................................................................................................. ........................................ Date Application Disapproved for the following reasons:................................................................................................................. ......................................................................................................................................................................................................... Date PermitNo.................................................... IsudL............................... Date ....................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........OF.... . . ......... ............................... (9rdifiratr of Tantlifiaurr THIS IS TO CER 7�#t-the Indiv#al Sewage Disposal System constructed (L,-Y'or Repaired by........................................ .. ..14_1-15.-�q---------------------------------------------------------------------- .............................................. / * Installer 4 - at... - ly ........ ................................ - ---------- �4RT T t.the....... ..... - 4 1 e I has been installed in acco Al I IF provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated_...___.._._..._.........._.._........._...._... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE...................................................................... ','ctor.Inspe, ................................................................................... THE COMMONWEALTH OF MASSACHUSETTS fg- BOARD OF HEALTH ,.............OF......... ....................... No. .................... FEE........................ .... Permission is h b granted-----. .................................................................................................... T, to Construct or R an Indivvjual Sewage Disposal System ....................... at N011.y...... 0.. ---- -- .1��............. S as shown on the p ic on for isposal Works Construction Per 0.......... ........ . ....................................... .......................................................... .............................................. Board of Health DATE--- I .... .. .... . ....................................................... FOFM 1255 A. M. SULKIN. INC.. BOSTON 1 C IDpant/F(�f Ili z. Y2sc� �DWL / !Aw¢ '1 rr,� A PRo_x LOCHTIDu 3 AP r n, /P, �p1ZH OFPfr to phi 1p Mq�� 4 1"Ot'r" /4 $ 'WEI.NBER13) X ANo 366 �". 03 'ice 900 of Te /ONAI EN A+cED oN 9LAtjS .4y C LEGEND CERTIFIED PLOT PLAN EXISTING SPOT ELEVATION OxO zN of EXISTING , CONTOUR --- 0 -� FINISHED SPOT ELEVATION , [Q '� �� .„ �� '-�- l PL-h� gk, S� FINISHED CONTOUR 4 --.. eoRU "' 4 24( r' ROVED � BOARD OF HI;ALT1� I N AP PROVED JDA Lgohl ASS1 PATE ". AGENT i SCALES. A0 DATES f 113 �S L D RED GE fi*NOWEERING CQ tl10 vs c' I C , NT_ I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED `?,: OQo;I�10. $ .o�z BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS E DR �Y f . E G NE R URVE R ',. x ` ^- O F BARidSTABLE, MASS. 71 2 MAIN $T R E E`T'; CIp1. N.YA N N I S,- MASS :° SHEETS:;OF'Y��-. ATE REG. LAND SURVEYOR IVOTF /F E/7W.&M TsIE S PT/C TANK OR zEACN/wG .O/T ARE MORE TNA,"J /2'"5ELOJ•V' /D !e7! M/w/. iR.40E� Ai 24'O/AME7ER COryCRETE COYER': S1,1ALL BF ,9ROuriHT TO .6-TA oE:�A/✓ EXTRA 4'PYC PJPL GONC.RrTE t1E.4VY CAST /.VON COVER Sh1.44L !3E uSE� -rtF✓. 105•15 "/N. P/TCN COYEI4.S ® FT /I=IIV .DR/VEN/A Y 2% M//V: CO/VCRE TE =� y GR•wE COVER CLEAN S'ANO L L101/0 LEVEL 2`4AYE'R. JIB ".a MJJv:v/rcr+► GAL • . . . . .• . A. •4� %4 PER P•T. SEPTIC Ti4NK D/sT, o • •.� • .. • • • r• a r r r WASHFO S72�NE BOX. o e e • � e • r. e • • � rr' �' w a or / • • . • • OEPTH • •• • • v . WASMFO STONE a 00 r s• • • • e. o e • • • o r p PRECAS T SEEPAGE.. ts((s'rS Xs5 = a .e . • • • • ••.. •e P/TOR EQUIV lNY�RT L'L�YAT/oArs /7/ GGb • At *79.X 74 /IVYERT AT BU/LD/IVer :10 3.0 FT. 6 FT. D/A/�?. Ab INLET ;,WPrIC T.4/1/X. 10 FT_ x [ l C� FT. O/�11►1. �� C CSEg TABUL.4TJON� OUTLET SEPTIC TANK .1 3__Fl,' , INLET°D/S7MO& ''/ON BOX roe 3 AT_ =' SEGT/O/V OF.r GROuNO P4 7, R.TitBLE OtlTLC'TD/STR/®1/T/ON BQ� 102-t• � - INLET L.J<ACM/JvG.ICI 7' 101.9 FT. •r EN/AGE l7/.31v4dS'.+4 L .Si�.S`TEM LEACH%/1/G.. Ip/T_ 7�BIILATID/V N.EN /ON /� DES/6X CRlTER/.A r` sc�L.E.: %4•.=, i' o vJ NUMBER OF dEGROOMS i2A 3 OJMENS/ON.' C, y FT. rt�A eaA�.E v/.SPosa1.Uw.,r Noah SOIL.., TOTAL EST/M�CrEO. FLOI'{l �� GAL.�DAY SO/L TEST A/ So/L r�sT 2 r f �0/L TEST NUMBER O✓=L,EACN/NG P/TS IO�ELEY. - !�-EL@•Y, / 1'AGH/NG PER P/T ILLS- Ic .D� S/OE L TE.OF,SO/L'TEST /�/ ' fT. RESULTS WITA/ESSED dY J @COA /Oi6O7-rOW 464CNINC, 10Jt PI.- WQ. e T . . / � NA ror,44 LEACHING AMOA aG 7 SQ, / CK :1 Ir Toysa PERCOLATION RATE RESERVE LE4CNIIY/6 AREA og 7 SQ. FT. ! /•S — /' �491�! .bola._ TEST REF. Al,, `7::;�- ;L0`5_ OF k4s. c 2��tt� of MRs, _ 5� , f 6ck�� -1j7- /� /�/ .�1� d 11 11 /f J>t� ROBERT 6G�� PHILIP BRUCE y�1EINBERG 12 c ELC�F:�� w o \ No.see L-e;, EL DREDGE ENCHIV.EERIAlcr C49 INC. IFLo,� OIST ` •�" 1. 712 MAIN ST. NYA,VNiSONAL , lJ' 4NO stvy - NG GROVNO ;-tlA `!P E/VCO4/-1v PATE y C3 GROU/VD kvATER AT-ELE1! _ .JO.B NO: JUG 2 SHEET r[.`�.OF %1