The URL can be used to link to this page

Home My WebLink About0017 FOXGLOVE ROAD - Health .r s c]n 1 `-tG � I1 ° r� i LOCATION SEWAGE PERMIT NO. VILLAGE / I N S T A lER'S NAME & ADDRESS e i N BUILDER OR OWNER n Co 8/PC 1.41 9b e R F�fS a 4 Aj Ae �0ATE PE MIT ISSUED / , DATE COMPLIANCE ISSUED l I 1 �,�V �f' �AO�ISP �� F'aY�� y V e �� a Fas... THE COMMONWEALTH.,,OF MASSACHUSETTS -- I I BOARD OF HEALTH TA�I E ...:......0F............... ....�..•---...............-----...................... Appliratiun for Uigpuuttl darks Tuuitrurtiun ramit Application is hereby made for a Permit to Construct (� or.Repair ( ) an Individual Sewage Disposal _ItI stem at Y......... xQu` 2o« p ... .. .........`. �. .....:1�'! vcranc s .._ .�l.-�s - - . -- . --- 6ocat+in Add or t No � Owne Address a �. ,... ..............I-'�---------------------------------------�• --............------ !p?]]�t�G�Va:�.:W. .►.E ....._. --- Installer Address QType of Building ``'' Size Lot...1_.0 00 0--......Sq. feet '; Dwelling—No. of Bedrooms...........3......... Expansion Attic (lam Garbage Grinder (fiP Other=Type of Building No. of ersons...................... ..... Showers — Cafeteria a' Other fixtures d ......,...:..................------------------ ----............---..........._...._............ ...... Design Flow.......... :.......................gallons per person qay. Total daily flow...........r�s�...._..................._gallons. Septic Tank—Liquid capacityl4Q'D.gallons Length.8.._......... Width.�l�.../.d..... Diameter-_-- ....... Depth.....�e....... x Disposal Trench—No...................... Width.................... Total Lengih.................... Total leaching area....................sq. ft. 3 Seepage Pit No........I........... Diameter.__....8......... Depth below inlet.... Total leaching area..ZP�Q....sq. ft. Z Other Distribution box ( Vj Dosing tank �n Percolation Test Results Performed by.._.....IA.�.--4.... ...6..:.{--_..i!'�..... L'S Dat .... Test Pit.No. 1 ....L_._minutes per inch Depth of Tesf Pit......1.3 ....... Depth to ground water.!Py r. G44 Test Pit No. 2.._...........I...minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ............. .........:.. ...:...................' ......-• .,... -..... ... 7 --- ------- 0 DescriptiorYof Soil----...0..-..2...........��klfN. � .��1�t-�S�1-1..... �•.---��...-----•��nl(,h11t1....:�1�JQ V W UNature of Repairs or Alterations Answer when applicable................................................................................................ ------------------------------•------------•----•--••---•--•--------.......---------•-----.......::::............------.•-------•------------------------------------------................----......... Agreement The undersigned agrees to install the aforedeset•ibed Individual Sewage Disposal System in accordance with fT If1''_E' .. the provisions of .•11. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has issued y the•bo d of health. Signed.••••. ......... Z.. ! Z Date Application Approved Bye�� - �� L' `�rV Date Application Disapproved for the following reasons:...................................................:......................................................-_- 1�A •'�'4k1 k-.�.�....v . Date N� �.��$..... FRn 5.,-4,.............. • THE COMMONWEALTH OF MASSACHUSETT'S BOARD OF �,-i ,EIALI H bf1.--.......OF.............. 1 !�!. Appliration for Diliposal ,arks Tonstrurtiuu rrutit Application is hereby made for a Permit to Construct ( or Repair ( ) an Individual Sewage Disposal System at .......... ....x. l'Qu ._.. .�'� I ...... -...._....... .L .�... - 10 v ne ?..;Ll�s t;ocat n-Add -- ` Y 4� y.... o .... 1�� / r t N� awn Address a ... ... -®��` .......................................... ...................................... ]E?1�& t !g.61 Installer Address U Type of Building Size Lot.._ _4 00 Sq. feet Dwelling—No. of Bedrooms........... ............................Expansion Attic (kfq Garbage Grinder (qo> Other—T e of Building No. of persons............................ Showers YP g P ( ) — Cafeteria ( ) Otherfixtures -------•---•-------------------------------••---...---------......-----------------•--•--•-••-----•---..........---•---•---.................--------- W Design Flow..........J 5........................gallons per person pier qay. Total daily flow...........r�_��----.............--.... lons. WSeptic Tank—Liquid'capacityl9.�.gallons Length.R_.`6.'-...... Width.Y../0._... Diameter...._........ Depth.-.._4"_.. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. See a e Pit No..._....I_..._._.... Diameter.......8..._p g i ..... Depth below inlet__._�g........... Total leaching area..,2®Q....sq. ft. Z Other Distribution box ( 1/f Dosing tank ( ) _ `" Percolation Test Res is Performed by........W._C ._11�1...I:,..._{.....�-..._��°�!�S Date........... . .. �.. ,Wa Test Pit No. 1 ......2_._mmutes per inch Depth of Tes Pit......[......... Depth to ground water.6v�e_..,7i! Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ o - ------•. .......a.............. ........--- Description of Soil Q --•-••---...�►41P�...._... ul l .._._� � ............... l_ld l � 9Yt+ W fJ --------------------------------------------------- •------ •------------------------ •--------------- •---------------------------------------------- •------------- •--------- .------------.------- 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 TITS 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ued y the bo d of health. Signed.. iss ll�� ..:-? ... Date .. .... Application Approved By. ...... . ..... .. Application Disapproved for the following reason .......................................................................1---------------------------------------- ........-•----•--•--------•----•-----•--------------------•-----------.....------------...------....----------------------------------------------------------------------------------...-----••--•-- Date e Permit No......................................................... Issued• • ................................ �! --•---------------Datee THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........® 1 ..............OF........... �_S-.r-Ae�.tc................. (Irrtifiratr of Tautpliutcrr THIS IS TQwC. EFjjFY, That the Ind vidual Sewage Disposal System constructed or Repaired ( ) y;. ` aller at. ? �-o Q11' eS f 'I Zl.e� ----------- has been installed in accordance with e provisions of TITL: 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit iV'o...... ...................... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALLOT ?L6_6NSTR ED AS A GUARANTEE THAT THE SYSTEM WIL 40 CTION SATISFACTORY. DATE......2-Zk---- - ---------•-----------------------•---------------- Inspector.--• ••• -=..................................................................... 5►NGI.L FAMILY - � F36.ORooM �•• �`I , F.lo GARAGE �jt2.►tJpEstZ � oA►LY FLOW z Itox 3 = 5F-PTIG TANK = 330915c>% =.49l6.P o / u$C ►000 GAt:. — `• 0%5P05AL PtT vsE t000 GAL. / I . ?S'.cu — — 5►DIwWALL A2GA IS BOTTOM AREAS , So 5.F• x 1• o ¢ ��o G.P.o," 'ToTA L. 'roTAL T>A 1 L.%( FLOW = 33��•P� a I I PE2cot_ATION RATE+ 1'IIN VAIN 0s��55 0 9 Vwal.la6 000. i jN OF M4s�9c`y o 4P`SH Of WILLIAM GJ, �c� ALAN �` IZS•DU I / ! C. W. . � rI r E N � JON ES . � •i; ry K..CeL-G�/(✓ / no. 19334 a ," No. zs V., It ' SUR IMir 1 4 • AGO ToP' FNa= G1•o ' 1 NV. �. u�ft7j/ logo INv. II 0+6T Boy. SrPT►C6 Ooo INY• $8,I •rAN K i i E LA TN INV. INV. 1 4 WITW 5'1•') Sl`� WASKG D �{ ;I 5TC 4', GE2TIt=tGD PLoT PLAN p . • l.oC4'tIo1J I�A�SZ Q L.A.N REP EIZEN GIc 1 O� a•f I F Y THAT '�H E ��• Al�k?�.II�.SNc 4YN NG.RE�al•l GOMPL`(5 1nI1TN'LHCz S 1 o�t_IN� �,�-•r --I , , A► P sr--15AGK R.6Qu►R.�MENT� of='tN� . 70 W N AND If, Nam' PC L�1.� 'Fv�- M.I e H P�Z. D • O Ue91.�- LOCp.TGD WITNIW TNfz FLOoo PLAI''N11 pp,T� A esl-) DATE �N gp►XTEtZe WYE INC �fcQ6v ►AWD15uR.vr6t SZEG I S Tull PL WCOT o►4 AN 05TC-9-ViL.LE- • MSS• Iu5TR.uM6N'1 sw9-vay 'THE oFr.6F-r5 swi uuO 1 LIo%-•r je.r_nTd 0r--Tr-;*-MIN1& LC',T IAPPL.I('-P W