The URL can be used to link to this page

Home My WebLink About0047 STONE HORSE ROAD - Health (2) 47 Stone Horse Rddterville _ _ u 4 qj 9L- L O CAT ,ON SEWAGE PERMIT NO. �d% tfy Robbins St. 80-233 VILLAGE Ostervi].ler , MA. INSTA LLER S NA i ME ADDRESS Alfred Fuller 995 Cotuit Rd. Marstons Mills , MA. ® U I L 0 E R OR OWNER Alan E. Small, Inc. Box 536 Centerville, MA. DATE PERMIT ISSUED \5-_ 6-- Jq® DAT E C 0 M P L I A N C E ISSUED 7-2- -d20• l V l CS'IGU .Oc�l`t��" � �� . - � �-' 1 �,�, �� , s' �� , ti . � 00/ No.�.(....._ _-�-. Fps. THE COMMONWEALTH OF MASSACHUSETTS BOAR®.. F' H AL H � ----.OF.... .-- .__.....__. S Appliration for Disposal Works Tonotrttrtion Prrutit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal 21; -- ... .. .... ---•-•- -•-• Lo Address o Lot No. ..... ... `......................... ............................................ ow Address a ... ..............................•-••-•-••-•-•••••-----_......... Installer Address Type Building Size Lot. f � ..........Sq. feet U Dwelling—No. of Bedrooms____________ __________________ _Expansion Attic ( ) Garbage Grinder Other—T e of Building ......................... No. of persons____________________________ Showers — Cafeteria Q' Other fixtures _-------- .................................................... Design Flow.. . - __ ;;A.S___gallons per person per day. Total daily flow............................................gallons. W - WSeptic Tank I. capacity4. gallons Length................ Width................ Diameter................ Depth................ x Disposal 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.......................................................................... Date....................................... aa Test Pit No. 1... ._._minutes per inch Depth of Test Pit____________________ Depth to ground water........................ fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... p g_______ Depth to round water________________________ ---..................... r z-•---- -_--- _. Description of Soil--------------(�_ "' ___._ _ ___ x w x 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 TIT .;,�. 5 of the State Sanitary Code—The and signed further agrees not to place the system in operation until a Certificate of Compliance has b sued by the and of health. Sig --...... _'••. -• �-- - ................................................ G . :.. mate p a Application Approved By-------- .I ... ---- --- .. �� ------------------_— Date Application Disapproved for the following reasons____________________________•_____________-_________.._.._____________-______________.___._._.________.......:._ --•---...-•..................•---•-•-•---......_._...-------•-------------...--••-----..._._._._...._.................................................................................................. Permit No......................................................... Issued- - Date THE COMMONWEALTH FfWASSACHUSETTS r 440 BOARD �OF HEALTH t., ..,` OF. + +� FM1 -- ,gyp irttiio'n for Dis nsttl lurks C� is x r inn eruti Application is hereby made for a Permit to Co,�struct ( ) or Repair ( ) an Individual Sewage Disposal S stem at: { Loc tion' Address , Ze .:a�" `-;t_.... + a. _ m• / t'fr*Lot No........ ................................................._ _... .... Ownerr!:-"�' t Address .- ... ................... Installer { Address U S Type f Bu f ilding ;J ' Size Lot... s Sq. feet a r ` Dwelling—No. of Bedrooms.............................. ..........Expansion Attic ( ) Garbage Grinder (.0- a Other—Type of Building ........ No, of persons____________________________ Showers ( ) — Cafeteria ( ) Other fixtures .. ._. " -- W Design Flow__._ _..._` ..::` .. ef^ allons per person per day. Total daily flow...... . _..` .............gallons. WSeptic Tank y allons Length ............ Width................ Diameter................ Depth................ xDisposal Tre h—. o. ........... idth........e._.•._...... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No_________ __ _____ Diameter........... Depth below inlet.....a.......... Total leaching area..................sq. ft.,, Z Other Distribution bo ) Dos>rtank ( ) ri .. ~' Percolation Test Results. Performed byt' Date........................................ a Test Pit No:`I--- ._.-minutes per inch Depth of Test Pit.................... Depth to ground water........................ a fi Test Pit No. 2................minutes per iich`` Depth of Test Pit.................... Depth to ground water ..............__._ xN' •__••--------------------- 4 ._.. _.........-•---..._......----........ ...._..............._.._............_.... .... t� O Description"of Soil............. 1 W • •fA - -- - 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 iTTLL 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,bard of hea�kh. Sign `L�f .. ` Gyp , •_•_____ ..._. ') . .... ................................... ....... . _- - Date Application Approved By /Of {�' Datt Application Disapproved forle�fiolloli g reasons: �•✓ ----= ..-------•-------------------•-----------••--•--------------....-•---•--------------------•-----.....----•---•------------•---•....---------••-•-----------......----------------•-................... Date PermitNo.....................................•--•-----......----- Issued._...---•-•---•------------•=----••-----•=........................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .:,,. . .. .... ...........OF............. . �� rrt�ftrtt��e u�tt�rr THIS IS IVO C I hat the Individual Sewage Disposal S stem constructed (�t Repaired ( ) by...- :... . -----•--- Installer at...a;.... . -- • ----- "y , 4?4 has bee I iil a anc i i t e r rrG�6isidn of 9 a est-AA a lication for is o'sal Works Construction Permit No dated....... ...... . ........ PP, P "THE ISSUANCE OF THIS CERTIFICATE SHA Y BE�6dSTRUED AS A GSA � THAT THE SYSTEM WILL FUNCTION SATISFACTORY ;Lj_ 6 r DATE..;............. ..................... -_..._. ...... --•-------- Inspector ......_ ---- - = !- THE COMMONWEALTH OF MASSACHUSETTS -SOARD 'OF HEALTH ............ .... ..OF...:. .... ------*-- -- ...............11 ce.9 Nt FEE 1411p asttl kil it pamit Permission is hereby granted... ' - to Constrtic„'( r Repair ( '" Mual e 'Syst at No..._:. . -- . ... --- - as shown on the a ication for Disposal Vl�'or s C,onstruction.Permit ............. Dated.... __ ........... ..... ............ a - ' �'' ` DATE._r .................... ------ k FORM 12551, HOBBS &.WARREN, INC., PUBLISHERS rj1�CsLb .lr L1Mtt_�� . �®1ZDpN� (�( ' 80 00 ll.�( CLAW s lt0 k 4 _ 446 G.P•tU A�lrRl.� etc- TA>`itG = 4,do f Iz,c % • 660 6•P-0. PrCo/? LidRirs -� ]:�)ISPOSA.L PIT <;;, L a .PtT5 4Z&4r i. ,,UMWALL AZE-4- Iso s G.P.D. -1!�y N 99.3 /aLnP 8at-rz>�vt L)2EA= SP. So yam. t .c> = S-0 s-FV. 27 TOT,&L 1:;>ES16kl = 42S G.p . ,c Z= g l Ej f _ r t TvTot_ t�,dtL`f FLnw = 0 6.PD. /�iVImo? iz'r ,. 97 GE2GOL&TIOtJ zwTE : IU ShtIIJ 02 LESS. 4 Q N 94 I? -h 11 }�7kj J t., Tye„ 44 Ni,r!r v T>EsT L(h 16o Tor >-wb =to Z o ` - Iuv.•qg.o LOAM �'P.pe (Saco Iuv �+ SA . 4'ppp- VIST iw. G,o.L. .Z 2 fox 11.4 Sepnc Iwv ToNK (000 In HMV, Iliv. c. LsAaH F#T S M/6� W/4S►IRD STcwF_� g�,p ' '�•-� •-+1I � CE[L.Tt�lED P f_b'T' F=L-/S{•J P2o1<-t L_ LOCATI C)" 12; uo 4� 4 So ll o WA Tom- E G G LZ T t��( T I-I A T T N it �btJ i•lU��'�l�� 5 W�u pt b.�t�l R L�`V-E CEL NE.P�(rOIJ GraNLPI.�IS W 1TF1 TN �j1D� LINE- 44 A1JD SETCi�CIC �'C-QVI�'E�c1.1�'s OF T-IaE �� r � 'ro w IJ of �A�• 5T `�..�• � "' '� �� t g��afn � PA-TG df7 B1 XTCt2. �;. u�tC I G- JZCGlS[C_iZED 4..AIWO T1415 tpLAW I-t,, WOT Zb6GD 064 AN OSTE��/1l.t.G o 11rCAS�i• 144SreLmAtw 4,v.c�.1c,�{ �t TIA APPL_IGAt-J"T f.k71" L r ij�.e'� To u�rc -ml►4c- LOT t_Iw�� - --- A�Q S �1V�At,.�.._ ��g� �lG►�1 ,I7A'T•A. Qr.Lint LAC GAIZ7 AC-t -- Tj+dt t_�4 1:7L:oW n Ito ,c 4 = d 0 G.pl7. '\j go•D(3 % • 6.R t7. ,e�, 115� � �ISPoSAL PIT -Oa 2- ioc]o G .Pf7*., A 25 UP,V,/ALL fie = i c70 t�jO SF ,c 2.S 3'7S G.P.V. { A t .o - So S.PD. � sue. , ToTA L v c-sGI.1 .� • 425 � 5 T "T'oToL L-�( FLOW = 4AO &PD. Nil { „ 77 Pm ZCDL&TIO Q tZATE . t IU 2-m l kj.O¢ L1=',�. P 43 a 44 87 Tor V'wb =1 D Z,,A q. E IMl SilhCJ4,, 4/pp� DISC IWS`i•S ;; + Z f 'box 41.L r`• 3 LEgcH �' PITS �� WAS►•I�L� STo�.1� �+•P �CEQTlF1f�D PLbT PR_oF 1 L_� LoCATI Ott i x�LVit.t I CarzTtF-! TIAA'r TPc-- 1: tuwt�&'('t11�� 5t-so,,u►J Pt-A Q yEti\lca t-IE.Pt=t�W CC),Vkr'LVG W ITIA Lo.r 44 AWr:> 5(-=-ronLIC Vc-4UiCGAAE7"Ti; DF TNT G i UA-rG G f r2 Cr B,4XTC�Z. c`. 1.1Y� I4.sc_ RG G I S i'Cl:ED 1.�1-t G Su 2.va,I TI-115 C7�A+J t� L.IOT 2:A•SCL7 . OSTEt��/1LLG n. /bCA65� It,ISCC'=J.'✓�c-W< <,uc�.lt,� �� Ttat_. UFc=,�T'�, SI-rGes1L3� A�PLI GAI-..lT i _ _ _ ..— 1 ..�...'.. . . .. _. _____" !1 a �•� �AK tR1 f