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Home My WebLink About0078 GUNSTOCK ROAD - Health la b6o c z5--s- LOCATION SEWAGE PERMIT NO. VILLAGE I 2 Ie �� ; �� R = I I �a INSTA LLER'S 'NA E & AD-D-RESS R U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED 5! cl 10 A19 THE COMMONWEALTH rOF MASSACHUSETTS .............:. "':.....OF........ .flhl... .... ......... --- ----------- ... A r rlirtt gun for Disposal Works Tuustr r iun eru�g# Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at: . � — - �.,�-........................ + tion/Ar ess o Lot No............ -------------------------•.•--••------•----------•--•---......---•--......-_.................••-- Address a �_. ..---•......................................•. AInstal Address ��--^^ Type of Building Size Lot_j47,,0 0.-Sq. feet U Dwelling—No. of Bedrooms................................ .....Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) Other res -- - -- - - - -----------------------------•---........ •--• •••• -- - w Design Flow_____ __ _________________________________gallons per person per day. Total daily flow____..__.:_______........... ,I._. ..gallons. WSeptic Tank—Liquid capacity,/& 6gallons Length:_I _____ Width---------------- Diameter---------------- Depth................ x Disposal Trench—No..................... Width__._-__�-______•- Total Length...... _/_...__... Total leaching area_.-_.:_............sq. ft. Seepage Pit No....../----------- Diameter----,�a_ __ Depth below inlet-4.. Total leaching area._.�0�..._.._.sq. ft. Z Other Distribution box ( ) Dosing to c ( ) ` Percolation Test Results Performed b Date--: /-___- .... Y •-- ,aj Test Pit No. 1... .. _.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_. ...... Ra O Description of Soil_r. Z �1� --- - -------- --------- - -- ------ -- -- - x c, -------------------------------------------------------------------- ------ - 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'TT:-:-:` p y' of the State Sanitary Code—The undersigned further a r es not to place the system in operation until a Certificate of Compliance has be i d by the board of I lth. Signed..... -- •. . .......... •-• ...... •. ... -- ... ... ... -•- � �� ✓ D e Application Approved By.......... /Xi: - - ------------- •. ------. . -•••- /f, `��-------•--- Date Application Disapproved for the following reasons_____________________�.. ............ .............. ........._.........._............................. ....--••.........................•---------------------------•-•••-•••••-••-•--•---•-.-•----••-•------••-----•-••••-••-•-•-------•-------•-•---•-•----•-•••--- -----•-----•-=•----•--------•-•••••• Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEAL - -- _....... oF........ z-�....... ApplirFation for Uhiposal Workii Totutrurtion "truth Application is hereby made for a Permit to Construct (, �. or Repair Repair ( ) an Ind�iviidual Sewage Disposal System /1a; /_.�.C...'��c,' /,.1 .:�1^.../.�- �`�_........... ' _� ':1er /.'?.!_•I_�C! "> __:__.._C.._.!._::!............................. _ /�"/motion-/Ad..ress orLot No. =--•--------------------- -- --- Address Installe` Address -^ Tv pe of Building Size Lot_/f l.%0.Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) p., Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) P4 Other fixtures --------------- --- - - --• • ---- ....._ _ .............. W Design Flow.....-: ................................gallons per person per day. Total daily flow............ -~-____.___.__ WSeptic Tank—Liquid capacity.. %�'�gallons Length_I . Width................ Diameter---------------- Depth................ x Disposal Trench—No. --_--------•-____... Width.................... Total Length.................. Total leaching area_ _--_-,:.__...____.sq. ft. ..... Diameter-___�`0-----__ Depth below inlet__.-..•......_. Total leaching area...../r ........ � Seepage Pit No..................... p gsq. ft. Z Other Distribution box ( ) Dosing tank ( ) — f%. r!%gift .`f�-Yc:a•. /� -'------ Percolation Test Results Performed by------- _��' _._ Date...______.__._----..--------___._f.. Test Pit No. 1.................minutes per inch Depth of Test Pit-----�__.`,.Z... Depth to ground water----------------------- Test Pit No. 2---l� _-.minutes per inch Depth of Test Pit..__....`____-__- Depth to ground water........................ P4 ...................................... ...........::----------•-----=..................e...............:................................................ x Description of Soil -`1 `- s+, ✓"r- 11(� _.F>d�._. C" ...._C'._:- ° .?. /` Ate._.: -®=!_ --- •... - U ------------------ • •--------...-------------------------------- -.......... •------ .--..-------------------------- W •---•-••-•-•---------•-------------•-- •-•--•--•-••----------••-••••---•••--•---•-••-•-------•-•••--------•----•-----------------------•-------•--•-•-•----•---•--•--••-•••--• ......................... 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'TT LE 5 of the State Sanitary Code— The undersigned further a r•es not to place the system in operation until a Certificate of Compliance has been 1 su d by the board of 1` lth. Signed /`'�"? '" =' j ' 91/:t _' f /. =.. .- 7 1 ;-- - /� I/ �/ Da e Application Approved By---•-••-• r� _/--Y. ... :-- ..... . ........ �/f�,�`- ---------_- Date Application Disapproved for the following reasons:................... -_- ............ - -- -------- --r----------------------------------------.-..------- - ...........................................................-..................................................................... •-•----•-----•-•---------•----••-•--•-----•-••-•--••--•--•--......-•--- Date PermitNo...;..................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD, OF HEALTH ............................ OF.... C.................. J - Tnrtifiratr of Toutph anrr TIIIS „TO CERT Th t the Inu v Sewag s osal. System constructed ( ) or Repaired ( ) c 'E" ze. G c by---..,'r..:...j.....�.. .... ;. '`�.. _.../ _..... ............. .............. -- i at.......................... %''tl �' s`t�lle ..................i%'•_______•....................................... .,.:.....____......••----------•-__"__.._....._.........._. has been installed in accordance with the provisions of TITS_ j 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 CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTIONS TI FACTORY. . m c. DATE...........'----•--••-__.---•-•-•.......h. ...f.. � Inspector.................. 1... .�------------------------------------ THE COMMONWEALTH OF MASSACHUSETTS .4�� BOARD ®F HE�A�,LTT - ... N Gl/ Z: ..._ FEE...:,,. . Disposal ork . �/�n .fr ion rrntit Permission is hereby granted.........:`... ..::..`........ to Construct (X)-or Repair (:- _an._Individual 'ewage �f osai S ' ]. at No. :-== -`�`rrY - lit `• C� ° `-t fll --- ••-•--------......----- -'°�---------------••-----------------------------------------------•---•-•--........ Street as shown on the application for Disposal Works Construction Permit No_____________________ Dated.......................................... ------------------------- ------------- Health DATE ----------''......-••-•-•-• ...--••`J/ /J„/ ...'•-•----...... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS �• �f ��3 l� 5. 00 _ r p.t Dhs w �G69� a" caG�' el _ rA� Wy IL LEGEND M EXISTING.. SPOT ELEVATION- : Oxo kA OF Af.4 CERTIFIED PLOT PLAN EXISTING CONTOUR 0 G. � o 0 FINISHED SPOT. ELEVATION Q. �o� ROBE�r, ` S. FINISHED CONTOUR 0 - P. BUNIKIS I I APPROVED �,BOARD OF' HEALTH N0.2216AlUISI2.p o- a ' pF�S'pNAIE�a�°'' N / ` DATE AGENT hdr SCALE= / 30 . DATES LOREDGE ENGINEERING CQ IN GLI I CERTIFY THAT THE PROPOSED EaISTERE REGISTERED JOB NO. G BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS - ENGINEER SURVEYOR DR.9Y� OF BARNST 8 E, tNAS3.. rit 712 MAIN ST. CH. BY, � " % HYANNt$, MASS. ` SHEET-,L OF DATE REG. LAND SURVEYOR 20 FT. 41W. /VOTE il,: ,/F.E/TNER THE SEPT/G TAN/C LEACN//vG P/'T 4A& MORE THAN /2"49ELOw.' GRADE,A 24'O/AM ETER CO VCR.E7�0 COliER 11 SKAL'Z 8E ,BAO&a yT N .EXTRA Ls CO/VG4ETB �'PYC P/Pt IyAFAVY CAST'be OW CC{�E-OW SHALL. BE 4/S4. M/N. P/TGN O O 8 CODE /F,./N .,DR/V.-. WAY , : a• Ot7Q p MiN. C'O/VCRE TE A a .wE Co rER CLEAN SANG BAC.+CF/LL 1i _ L/Q[!l0 ZEYEL � 4`. «CAST - '. z LAYER e o . eo QF•. /�8 _ :d% MJN.P/TC// : GAL: ' +f • . ® • • ♦ a o -SIB SEPT/C TANK D/ST. o ° 4 • • WASHED 570NE BOX v o • � B • . • • � • .°° e ' b:, . e • • °EFFECT/✓L • ; r a,! `314 cI • •' ° • • • DEPTH • • • • v o bVASi'/ED STONE i LAO:% PRECAST SEEPAGE 1AI;e4 A"r ELEVATIONS e s ^+ /NYERT AT Ol//LD/NG 'G FT. y. INLET SEPTIC TANK FT VIAM- IC,(. E T�i8UL.4TioN� OUTLET SEPTIC TANK TT /INLET D/STR/D!/T/ON BOX GROUND N41TEN TABLE SECTION OF O/ITZETD/STR/B//'T/ON Aoox 4►1�l 9 FT. INLET LEACHING'/SIT FT, SEIVA.GE O/SioO�SA L.SYSTEM TABULAT/D/V LRACHI1VCW P/T / « L7lMEN.S'/ON. Ate,—FT se DES/6N CRI TER/A . .+tE /s a ! -o D/MHVS/ON .r$ FT NL/MQER OF BEDROOMS •r3' DIMENS/ON C '`y FT /�i'M GARQAGED/SPOSNL UNIT '— SO//— LOG ®ems T4r'ST T0Ti4L E1T/1v*47ED FLANS/ 13 G 0-4c./0.4V SO/L TEST#/ $OIL 7LcST NUMBER QF L,EACNtNZ P/73 gtE.Y SIDE L.EAGH/NG'PER P/T ' 'ELY GASTUEL OF SOTIL TEST dPT �Y h-1 i4L /^l OOTTOM LEACH//VG PER P/T 7 SQ, PT. �` { �`L!j PERCOLAT/ON RATE / lop r / lrJ/NCl/NCH 7'OTi1L LEi4CH/NG AREA ." SQ. FT. PWlC'64A7'1ON RATE f*2 RESERV4E ZPACN>N6 AREA SQ. FT. G o� ROBERT• „t S! g/' y//VP. Sul i o BUNIKIS A p No.221620. ' ELOFiE�GE E/VGr/N6�R/JIG CO,/iYC. 9o�FG/ST��'/ 2I2 MA/N.ST _ Ss'ONA`/ Af o G/gOUND YY,4TY'R, E/yCOIJ/VTEREO NY�fNN/,�' MAs6 f , _ Q GRO UIVO H/i4TER AT EsLE�/ x JOBEEJ F x