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Home My WebLink About0048 GOOSEBERRY LANE - Health Ln2 i I i i S M E A No.2-153LY i UPC 12934 smead.com - Made In USA �r SUSTAJNA F FOREM wffWRA Certified Fiber Sourcing wwwAprogrem.ag ASSESSOR'S MAP NO. D Z PARCEL LO, T N SEWAGE PERMIT NO. VILLAGE �� I T LLER'S NA E L ADDRESS B U I L D E R OR OWNER n= AJ 0 DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �! � ,l � -1 r �i . �' o l a� � � � -� ' � r�, a � , . - � � �� _. �� 1 �a 0�s -- THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH i! f1�........ ......O F...... ,7 L .--------•....................... - � Appliration for Disposal Works Tons'trurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: _ ...7-. ____ 032-kf ..................... ......... C r.. .- `a ...... - .......... Location- ddress y, _or Lot No. !WING ��a�lJ�' Owner Address W VY_I I Installer Address Type of Building Size Lot............................Sq. feet U ��/ Dwelling—No. of Bedrooms................._ _......................Expansion Attic (( Garbage Grinder 6110 a4 Other—T ype of Buildin �g __.____ 4._________.. No. of persons_____._._1�A=--------- Showers (�l{=�/;-— Cafeteria �(� dOther fixtures -------- A................................................................................................................................... W Design Flow___________ '12.....................gallons f)�er day. Total daily flow......... a a._____.__.__._________gallons. WSeptic Tank—Liquid'capacityJO—P—gallons Length__6'_6_0'__ Width__d1�=l!?`� Diameter¢- ....'_ Depth__�."_a." x Disposal Trench—No. ...../(A...... Width....., (!�__.___ Total Length._.__._.__.__.__._ Total leaching area....................sq. ft. Seepage Pit No........../--------- Diameter----ZQ......... Depth below inlet...... Total leaching area.... ...sq. ft. Z Other Distribution box Dosing tank (�OF) Date__._._ .`" Performed by...A .5� ---t--- - Depth to ��r........ W Percolation Test Results 4 Test Pit No. 1................minutes per inch Depth of Test Pit..... p ground water_____./ Test Pit No. 24--- .....minutes per inch Depth of Test Pit----- ........ Depth to ground water...___A1A--____-_. P4 •-•••-....-••--•----•---------•-•-•---•--••---••--••---••--••••••...--------•••••-•••-•------•-•.............••---••••--•-••----•....••••••-•••-•-•---.....-- Description of Soil....... ��S ' > �S " c _-1!1 -:Sr1 ---._S�Qq 4r_. 1 : 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 TITIZj 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operati until 4aCertificate of Compliance has ben issued by th board of health. Si -in-•--••-•----....•--••--••- ••-•_...__ ...�-�Zj- Q'J�� v� D toApplicatio Ape _ -•_---._ ..__ ... ___ (�- ° S _ � ate Application Disapproved for the following reasons________________________________________________________________________________________________________________ ..............••----•-•-•-•-••-•---••-----------.....---••--•------------......_.....__..._._.......--•--••--•••••---••••-••--•••••----•-••-----...•---•---••--•••-••-••--------••••-•-•--•••---••-•---- Date Permit No........... = .... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................OF..........6A. I7 ..5MSZZ----------.----.-..-..-----..----- Apli iratiun for Disposal Works Tonstru tton rrmff Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ... .5..... s�� .. /j ..................... r_�r - ..................................................... Location-Address or LoS No. Paz-r��s1------------------•-..-.--.-------------•---- 1=',�mac-S.j;.:..ST r�r r rt��u�.r.. A....... 41.6 (� Owner Address a ...........!!•�_!_ -.....----•--•----•-•------------------•------.........•....•........... --...............------........... -•--•-••---•-•--............................--- Installer Address d Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...............�.......................Expansion Attic ) Garbage Grinder 4/0) p.I Other—Type of_Building ......MA............. No. of persons........./_VA.......... Showers VA — Cafeteria,4,1}) POther fixtures ........ (r,-------------------------------•---......----------------------------------------•---•--------...--•--------•----------...........--- W Design,Flow., � day. Total daily flow........930........................gallons. WSeptic Tank Liquid capac>ty/000..gallons Length.&_•r6a_`.... Widthj''�__: 0`). Diameter-�--r'-... Depth.5._'=7_/' x Disposal Trelich—No. •.__/_41A....... Width....A(A....... Total Length.................... Total leaching area....................sq. ft. Seepage Pit 'No........./----------- Diameter...JD.1........ Depth below inlet...... •-.-...... Total leaching area...Zdv4----sq. ft. Z Other Distribution box (L,.)'" Dosing tank ,1 ) X Percolation Test Results Performed by...PLC../,S.•_-t..jWVL,.-OAJ--,- .AJG............... Date.,V1.i 5r.11?.1Z/1. Test Pit No. 1.........."___minutes per inch Depth of Test Pit....j r.!---__•• Depth to ground water-----J►(,A......... Test Pit No. ?.G.Z .....minutes per inch Depth of Test Pit----/_V_....... Depth to ground water......!N6---_--___. a' •-•----- ---------------------------•--....... ••••..........•----•...........---------•-_.................................. .......................... 0 Description of Soil------Q' �.5.�...L.- S �... 2•S "" --d� 1-.SA-AV.....SUM[.- 6PAW-A..,.................... 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 TITIi, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operati� until a Certificate of Compliance has b en issued by the board of health. c ` to � pplicatio Approved B .._---• z:__..__ =� ..---�.••••................••-•. - •------- ---------- 7ate Application Disapproved for the following reasons----------------------------------------•---------------•---•---------------------------.._.........--••--......- •-------------------------------•---•---.............----.....----------------•---...........---.......--•-••••••---•-•---•••-•----•----•--•---•--•••-••••-•---•---•••--••--•-••--•----.....-•-•-------- Date Permit No....................................................... - .. Issued--•----......_.. -----------------.._....---•------- Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OFF HEALTH ..........................................OF............ .. --� I4 C.,z�- ................. Tntifirtt#r of Toutpliatta THIS IS'T:Q CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by !1N._.�r..JJ ................................................. -----------------•---•--------•-••--......----------....-•--•--•---•---.•...-•---...------------......-•-- Installer at _= -L--� M Installer has been installed in accordance _with the pr isions of TITLEF 5 of The State Sanitary C de a d crib d in the C- `_.row 'dated._-..-- -------- appletion for Disposal Works Construction Permit No._._.:''._.._�............ ..__.... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. --- DATE.-------•---------L 1.!J_Z�6...................................... Inspector........................•---••--------------•-•-----•---•-----------....----•-...... THE COMMONWEALTH OF MASSACHUSETTS BOARD— HEALTH 1' L— I. w.....OF......... .—.....�..�... "�7 l^:C................. No .. .. FEE. .: .:: io�ru vrks nstrudiutt rrutit Permission is hereby granted.................. a..............••-••-••-••-••--•••-•----••••••-•-•-•-•--••••••--•••--•--•.......--•-••-••...........•......._.... to Construct ( ) or Repair ( ) an Individual Sewage Disposal System �•••=�•• at No.•- =C C:�1`�r 1 C--._fl....-rn,kh...-------------------------•----•--------------------•--•-------•-----------••--•--•-•--•----•-•- Street �/_' as shown on the application for Disposal Works Construction Permitt N ._��".3�'� Dated`;Z.z--A-5 ..................... C> r Board of Health DATE i `.FORM`• .. M. SULKIN, INC., BOSTON A r DESIGN DATA STRUCTURE Ste' �1=SIDi^1�1G� L1JT IO � .. �T �O G•.. L.OS" ,b I � D3 IxNI FLOW OG P Bi BD�n� 33o G�t� T.W VAGAF�T -r-�I - 330x1 •S a `+GS GAL_ _ I a5.75 SEPTIC TANK L.ISC MIN IOdOG,OI_ q iv 6 i LEACHING RATES= SIDE AREA Z''S GPD/SF BOTTOMAREAI OGPD/SF Zo. 12ESF=JIVE LEACHING FACILITY 00 � N ��x Co'Li W f 2.1 STO>JE A.QEA 10 2/-- X-I T' = 7S �TF'Z i I c I I SI L7E fiZE'A d X TT-X Ca =188 S1= --- ) C-AF=auTy � � C7>3�C l•O�� rC Z,S� = S48 GPO 3Z I PLAN REFERENCE: LOT �`� B"t ZNs. 2�ksTe.Y 8k-158 I�G ZS T w a N sE_ Q v�GA►JT : I-�S C. PI M EI�ISI Q1� DST', - 0 ASSESSORS LOT NO. M %O `r r-3 q�x1s "' NOTE: +I I. ALL MATERIALS AND CONSTRUCTION METHODS N '` 70 CONFORM WITH COMM. OF MASS. TITLE m _ ENVIRONMENTAL CODE pa <f LNG $ND B22 r=0L1Nc;- S 03 �• ° A 822.2► �_ _ _ o _ �f+Z:i4 3• Au_ Ys-TL � P��1 t.�c� To aE " �� : I o 5.7 S qq - —� sc-H •40 �V G p T6M. - NA 1N POLE 582/S WQTeTZ Tp Fss GoNF�l1=LTFp EDGE PvnT-r 01w �. L 5 sr --- --... . G�act s�E3�.P.�Y. �.►mil� , ��\, H OF 49q�s DAVID 9C'y cP�tH �t f'+S C. Ln G o TH N OH , -�oF= �►.�d" . - PLAN _ P-.�+z I I v No 976 o R.S IIjO '' EXIST. GCZ-_ SCALE I��" 3o TEST PIT NO. l TEST PIT .NO. 2 rO ct` !� w� e o. 25874 ao PP_0P...__....fs2...._ ELEV. 99 ELEV. 98_ �o ER �� a I M AX, 69(eOIL OBSERVATION PITS 7.os �6.s5 MCD SAND DATE OF TEST MA.IZ4•H I5 198S __ � ,� __4_.G.P_A�IEL .o Q l ENGINEER P . T{-lL1LaNJ B.O.H.AGENT J • G4=0`4 L-.oi-I 256AL< 15 NA EXCAVATOR DP-FSGOL_t__ PERC RATE IN T.P. NO. 2 AT to FT.=G'L MIN./IN. SAMa - .. TEP�TIG TP I f�aeNSTAC3 LE C M H M b.SS 'S9 SAN S�. --._ _ Fp2 J CSt--I N B�/�.TL'�I•S ELLIS T v ID' H 3 LAND SURVEYORS AND CIVIL ENGINEERS _ ,. EAST SANDWICH, MASS. J54=>T.-NG7 WA xe T- SECTION THRU SEPTIC SYSTEM p2 gY o�T �p� to i985 8s-037