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Home My WebLink About0007 RENOIR DRIVE - Health No. .=J....®.... Fas...fl� .................. r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . ........................OF. ..... ..S 1...�L........ '....................... . Alip iratilln for Uioposal Workii Tonitrnrtion Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: " .�.........[...`.� .......................17�. - •• .................................................. Location-_Address or La,No/y 7 Own Address . �.s.......u .��rd..................•---•.....------ -•••....--•....._..----.........--••....... Installer Address UType of Building Size Lot../:(Z).-(........Sq. feet ----------------------Ex Expansion Attic Garbage Grinder�, Dwelling—No. of Bedrooms................. . p (�f� g ( Other—Type of Building No. of persons............................ Showers — Cafeteria n" Other fixtures ................................. . W Design Flow.........................;L ...........gallons per person per day. Total daily flow............rz__T.G.....................gallons. WSeptic Tank—Liquid capacity._0.0.4kallons Length................ Width................ Diameter................ Depth................ xDisposal Trench—No; .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other'Distribution box ( ) Dosing tank ( ) / / ~' Percolation Test Results Performed by.............. -;�!!^ _-.--i=^. _________________ Date.......... l_.l9/ 3 ,a Test Pit No. 1.....1--!�S$mmutes per inch Depth of Test Pit........�_,�.... Depth to ground (s, Test Pit No. 2.....1��'minutes per inch Depth of Test Pit.................... Depth to ground water........................ ----------------------------------------------------------- r.........4............................................................................. O Description of Soil................................................... ..'.. Z...r....... - - `' - -•--- U . -•.............•-......•••-----•----......•--•--.....------------•--.............._�-• '-.......•------s?il:.l ......-----------•---- --- ------------ ------------------------------------- - 7............---•--. s-- . ....................... 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 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. Application Approved By---1'hlellowin • .-•..........................•-•--•--------------------------------- � --•----------- Date Application Disapproved fo reasons:...........................................................•-------------------...._....._...................... --------------•----------•-•-----•-------••-----•-•--------•------------•------••-•--•-....._------....... Date Permit No...................................... ................... Issued.......................................•---.._..._...... Date - - - - - - -------------------- -- No.4:3..In?" .................. 10 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............-OF.................. .........4. ............... ....................... Appliratioll for Disposal Works Tonstrurtion Vrrmit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: —q-I- , 0'W� I ff�' ..................................!��7............/.......................... ...J�....... Itj.............. ....DA................................................................ .Location ress or o .............. ..7.A.S ..................................... ......................... .... Owne:!r Address .... .......................................... . ..I......0'4.arl................................................................................................. Installer Address < Type of Building Size Lot_/.(Z�.(.........Sq. feet U Dwelling—No. of Bedrooms.............5_�--—..___..___..__..._Expansion Attic (po Garbage Grinder -Other—Type of Building ............................ No. of persons........................__.. Showers Cafeteria Otherfixtures ............................................................................:......................................................................... <W Design Flow.........................)-Jr...........gallons per person per day. Total daily flow.............5.1..A....................gallons. 1:4 Septic Tank—Liquid capacity.f0_01tallons Length................ Width.._............. Diameter.___........._.. Depth.............._. Disposal Trench—No..................... Width................._.. Total Length__.................. Total leaching area....................sq. ft. Seepage Pit No...................... Diameter.........._......... Depth below inlet.................... Total leaching area..................sq. f t. Z Other Distribution box ( ) Dosing tank Percolation Test Results .........Performed by_ . ..........W. ..........._/5................. Date......... .3 Test Pit No. I-----L--.,;S.minutes per inch Depth of Test Pit--------r. ---- Depth to ground water.7 r14 Test Pit No. 2..._441.-niinutes per inch Depth of Test Pit.................... Depth to ground water........................ ...........................................................T.....**-------------*'**"*'*------------"-----------7------------------------*......... 0..— _Z_ C AO Description of Soil.................................................. ............... ............................................/................................... ................................................................................ ....... ..... ............4 U .................... ......... ................ ..................................................................................... .......................vn�-'V....?.0 - , . - :t...... .. .' ................ 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 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. cr S' ned. .......................... A. ... Application Approved By..... ................................................................... Date Application Disapproved for her lowing reasons:.........................................................................Q..................................... ........................................................................................................I............................................................................................... Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS T BOARD OF HEALTH/ . ...................OF................... d...... Trrtifiratr of Toutpliaurr THIS IS TO CERTIFY, That the Indi)vidu�alSew'ag iptdsposal System constructed It' JT or Repaired by------------------------------------ .................................................................................................... Install at-----------------------------------------------C-6...T-------/------------------ ...........O..tA-------------pn------------ -.1......................... 5 of The State Sanitary Co 'c ibed in the has been installed in accordance with the provisions of TITLE r 6/() a d application for Disposal Works Construction Permit No._�rj y ..V --------- .. ................... ated .......................... THE ISSUANCE F THIS CERTIFICATE SHALL NOT BE CONST AS A GUARANTEE THAT THE -SYSTEM U TION SATISFACTORY. DATE..... ................................................ Inspect.or ........ ......................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH rA ....................... OF................. ..................................................... No. . ........ FEE.. ................ Disposal Works Tuonstrurt ton'"larrutit Permission is hereby ranted------------- ::)4.................. ....... ....................................................... to Construct r Repair an Individual Sewage Disposal System at No................ tl ..................... ....... .4........... ................ ............. on the /lican Street -- -- ---------------- as shown on the a licati n for Disposal Works Construction Permit No .... ..:......... Dated... ..................... .... .................... .............................................. Board of Health .... ..... ... DATE............. ....... .... ......................................... FORM 1255 A. M. SULKIN, INC., BOSTON LO ATI04 SEWAGE PERMIT NO. 4111` LAGE INST >A LL ' S NAME i - RESS S UILDE R R OWNER DATE PERM ' ISSUE DAT E COMPLIANCE /X /XO/4 �� i p � I W q , !'�°L t G "� � � �� g��.. �. �� _C • III - r, (. /T.•r�;/ /�c� >`r, fwe�,,-,r M?eo , zU r 9 ,Q, CCU UT 7- ror✓ N Ul per �— , w �// iqm yA' d o is G o tj Te s r, 16, 2S6 f 01 /1/ 85 `3? rya�Vc/ OF p+4s, � C*1 SE � f•l /G/��'P/4 y 0-0 No.10951 O A99FG/STEP��'�� _ FFSSfONAL��C . LEGEND - EXISTING SPOT ELEVATION _ OAO � ��H oF,M,� '^ CERTIFIED PLOT PLAN EXI3TING CONTOUR -- 0 or ROBfRT y�� L• u T FINISHED SPOT ELEVATION � � � 6;I'57 ETA vI BRUCE � FINISHED C 0 N Tt1 U R ® p ELDRED Y Y IN APPROVED , BOARD OF HEALTH c,STEa`�p� DATE AGENT SCALE, l�r� 1-1) DATE I 513 ll�g 3 i _LDREaGE ENGINEERUVG. CO. IN CLIEAIT, I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED J00 NO• �Z BUILDING SHOWN ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONINGS LAWS DR.BY�' EIWOIMVEER SUF�V.EY R OF ® J, ARNS'I'ABLE , MASS. E r .?1 HYA NIS `Pd1 A 1:N STREET_ CH. SY 83 IJMI AS.S . �.. —. SHE'E.T._.1 OF ..�� ATE � RfrG. 1,011) �t.JRVFYOR `� NOTL� /F E/TNER.Ts1E S:caT/G TAN.IC OR a0 FT M/N• Ct//wG Z�/T AR,6 MORE TNA.V /2' BELOJM r — !O Ji�T M/M. 1 QA L7E� A 24 �A01AM ETER CONCR.ET� SHALL ®F 9ROCJ6H7' TO G/TAOE .FXr,C i S+�PYC Pi PP CONCRLTL' v 'Li e,4 V y CA S T /rP 0/Y C O y/ER SHA L L, 3.E U s E.0 GLZ'V 3 4.� COYERS /F/N DR/VEJ�1/A y ;- - 2 J�J• MiN. CONCRL�TE :d G1�.40E CO NER C EAN SANG +tom LQt//O LEYEL -•�' • _ � 4.: 4-�CAST - 2 LAYER -�.-,-•-.�-.-►-.-+ems .0 ! P/PIS - l o 0 o GAL. . o o � J�8 _s/B MIN.AfM-l ST o • • '! ' • •• •tD e WASh'ED STO/YE . TAAIX o • s • . . . . . • , . , g • ► • • DLsPTiJ • • • • v o WASXED STONE �7 . . PRECAS T'SEERAGLr /T C/i/�•9CiTx S4'� f- y s • • • • a s • r•`• o p PIT OR £QU/Y. I INN&A'T &AZVAT/oNS . �. • a �� .7,. /KY.ERT AT BrU/L®/N6r �.O . FT /HEFT 'PTJC. Tr4N/�C 3!,8 - FT. 1 D � O/A1 M. �' C SEE TABULATION, 40Ci71.E7'SEPTIC rANX /IVLET D/STR/BYIAOM 490X 3�� SECT/ON OA . GROUND J�(/4TER_TssBLE O�/TLETDJ�i'TJtt�tlT/ANd'�A�X 3/,Z /cT. ... /NL.ET LEACNtNG OJT •d ' FT s��arAG� OesJ=SAA. SYSTEM Ti4Bt/1-ATION 1.EACHIIV& 1p/7' Z �- JC.4LE : �4. a /•:O' DIMENSION A DosliS Y CRIT"ER/A Ot FJvstoN 8-�-fT Nt/MBER OF&EI DRO®/`!S 3 , CARaAGZ p15POSAJ- Uw/r �or✓E SOIL LOG �olL VEST TOTAL ESr/I�sTED FLON/ 3 3 o 0,4L.IOAV .S01 L TE5T At`/ SO/L TL=ST�'2 ' �4fuMBgR QF L1`ACNIivG PITS / f`fLEY. Z gS -ELgY, 0A-rE.of so i- TEST S/DE 4eACH/N�i PER P/T ��Sys /TT. � - Z i RESULTS jt/tTNESSFD $Y �fZ�• �.9�t?'?� BOTTOM i-Z4CN/NG PER P/r �� $p. FT. G, L0 A- �. PERCGLAT/OJ1► I��iTg�E/ G c Ss ,/,rJJN�ILIVGK TOTAL LEACHING AREA zb b SQ, iT. T o i>s o/L AERCOL/4T/ON RATE 2 .Tta fr Ml N:�lNCH , RESERVELEACN/N6A.?EA b SQ. FT. - z. p M Al 1N fi g OFMgSs se9/✓1� Z T RC7•C7/1c <2fflc cl ROSERT G 2� z r �/�v/L i + s ALB; BRUCE MOR Cis 7- / S " o f4bRSE NO.10951�o�2 EL DREDrs�ENCr/N,EERIXG'C®�I NG_ 11 y' �y Q/SSfOt �Q Dc G/ST IS:P �� f . 5 7/2 MAIN ST. ArYfii"I.- . MASS, Ap 50`;V ESs/CNAL�N� Git�NBR/ ® NOGRO[JNc7 kv,4TER ENCOUNTEJZ�O CL/ IVT.: [� GRO[1N17 <t T_"Q AT ELEY ✓06 Vo.. 8 z z o 6 :: SNEFT_2-0F �