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HomeMy WebLinkAbout0135 MINTON LANE - Health 135 MINTON LANE Mai stonS Mills (former: 22 Holder Ln, Cent) A — 174 - 018 i ;I LO C� T ION S E PE RMIT, NO. �' 8 ec- VILLACE °w- / INSTALLER'S NAME i ADDRESS w1�t5�otns ����s - e U I L D E R OR OWNER ee�n�ez,J�1 DATE PERMIT ISSUED ( v DAT E COMPLIANCE ISSUED .Z7 �d� � 6j �I 3 - 3� k �� 3 �: ,3 A 't 0 F — A F / C c. 4 E i r ft C l� 4- �� r 47 LI— Of 4 No-----5.. S.7 3 Fm:$....... ............ THE COMMONWEALTH OF MASSACHUSETTS BOARD O H EA T Q16 n .........OF.......... r�C1. Application is hereby made for a Permit to Construct (�r Repair ) an In i id Sewage Disposal s , System t .......c a T.. ...1...�. - -.................. Location-Addres r Lot No. ..-•----.. e ��:� r-..... c�.� `7� ..s... 4i?---....�c .vc . e---------------- ��Qwner Address FWj .�r}.G ....71F�.] 1:5.�Q .. ...........•--•-------• ................ ..1f--------..............•............------•-•----••--•...... Installer Address dType of Building Size Lot......... sq. feet U Dwelling—No. of Bedrooms........9...............................Expansion Attic (41 Garbage Grinder Other—Type of Building No. of persons............................ Showers — Cafeteria P� yP g---------------------- P ( ) ( ) p" g Other fixtures :: - ___.gallons per person per day. Total daily flow-...._.�. gal W Design Flow---•-------�---s:�. �-CS--•--•-----•--•--- Ri Septic Tank—Liquid capacityY. M..gallons Length................ Width................ Diameter--.............. Depth................ lops. W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. x Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area.........•......_.sq�C,/ ft. Z Other Distribution box ( ) Dosing t V )- / � �, '-' Percolation Test Results Performed by..._.�.� .r!fX-- .L._S �L_._/.Q �r1A Date......./ter --.A. . . a Test Pit No.e, ,;,-v;. L,.minutes �.�..--minutes per inch Depth of `lest P .: /..... Depkl�fo ground w ....................... Test Pit No. per inch Depth of Test Pit. ._...-...... Depth to ground water.. /7..10 - Rxi ...-••••-. ----•.................................•........................^......... P ......b r oDescnption of Soil- • - p � s _ TT ----------------------------------------------------------------------------------------------------------------------------------_5o . .;;�cItn .................................. 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 i o e State Sanitary Code—The undersigned further agrees not to place the system in operation until a e Comp ance has been issued by the board of health. Signed ------------------------ -----fit---- e PPlicationApproved By.................. ... -••-•----•--•------•----• ..... ......................... � l................ Date Application Disapproved for the f of ow g reasons-------------.................................................................................................... ..............................................................•----•-•-•-----••-•--....----••----------'••••-•-•---••--------......--••-•••-•-•-•-•-•••••••-••-••••••-••---•--•-------•--......----.--- Date PermitNo.......................................................... Issued....................................................... ------------ ��•V ___ _ _ _ ____ ___ _-_y No................_.....-- Fins.........................._. THE COMMONWEALTH OFMASS/�ACHUSETTS f BOARD O_ HEA H 1.....�' ..... ........OF......... ........... --- ........................... Appli.rFa#ion for BiopooFal Works Tonotrnrtion rrrnti# Application is hereby made for a Permit to Construct (vol or Repair ( ) an Individual Sewage Disposal System at: � / .......ZI......../k.. ........ ......( We ........... Location-Addres r Lot No - _. . 1� ►:ter .....� .f-. t ..:. �.�.;r�` ----------....... - caner -r-.•.••••.•.••• Address -- Installer Address UType of Building Size Lot_______.___�...��Sq. feet �. Dwelling—No. of Bedrooms........ ................................Expansion Attic Garbage Grinder #61) Other—T e of Building No, of persons____________________________ Showers — Cafeteria Q' Other fixtures -"-----------•-•----•-••-••••--••----•- - ,.w. W Design Flow______....___r _______________________gallons per person per day. Total daily flow_______ ....................gallons. 1:4 Septic Tank—Liquid ca.pacit,�/.Vo---gallons Length................ Width................ Diameter................ Depth................ Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area--------------------sq. ft. 3 Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ) `-' Percolation Test Results Performed by.___ _� _s''��! _ ,,..0 ✓!._..1.. t!"i1� Date______ a Test Pit No. 1,.a ,�► minutes per inch Depth of est Pit_. ______ Dep fti ground water_______________________ fZq Test Pit Nosy__ minutes per inch Depth of Test Pitl _______________ Depth to ground waterA.Qly.-C_ Description of Soil.___: -------- - I -•-••--•--•------•-----••••--J W �.exa✓..•-e �Ca� C U Nature of Repairs or Alterations—Answer when applicable-------------------------------'_;._______ ...................................................... --"---------"--""----------•--------"---------------"-------•"-"----"----•-------"--.............-----"._......--------------"--------•w..........................................................:•-•_-. Agreement: The undersigned agre to install the aforedescribed Individual Sewage`Disposal-System in accordance with the provisions o iITLL of the State Sanitary Code—The undersigned further agrees not to place the system in operation u i C r e of Compliance has been issued by the board of health. / / Signed _ �"t_s C ....--"-------"------..__ A. 7F Date ApplicationApproved By.......... .....:..........."-""-----------"-------.._..........--•----•---•-•...._....._.... ...................=-:.................. bate Application Disapproved for the following reasons:................................................................................................................ •......................••--•---•-•-•-•---.....__....-----._...•-•-•-•-•--••---••-•--•--•-•.._..__...----•'--•----•------------•------•-•---•-•-------••---•---•-------•••-•------••------•------....•--•- - Date PermitNo.......................................................- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH/ li ...............OF...... .......................... Trr#if iratr of TomptiFanrr THIS IS TO CF.t TIFY, That the Ind �1 ividual Sewage Disposal System constructed or Repaired ( ) by,....._..�. . .. r� :_. .n ---"-----------•----- -••.-."-- "-------------- ..:...---------.._....----------------•------•...-- Install A has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No.__2.__.....5.1 ______________ dated.....b_ _-%Z_1_-.----.-.-__---.-_----_____ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONS RUED AS A GU RANTEE THAT THE SYSTEM WILL F NCT ON SATISFACTORY. DATE..............�Q..__z.Z---------_--- ___ Inspector_..._________ n.�` THE COMMONWEALTH OF MASSACH ET BOARD OF HEALTH, .... " !................OF.... . .............................. -�- No.-•----•-----•-------._._ FEE... ....!',.+..---...... Biopoo Works Tono#r /ion ranfit Permission is hereby granted--• ._G_ ?_ �t _ _ /._ ------------- to Construct� or=�Zair ( an Indi�,jdual ewage D,}sposal System i C, / at No..... .......- E?........_....__ _n.----cz t/a--�--0 .l'.---- Street as shown on the application for Disposal Works Construction Permit No-----_------------- Dated'_:........................................ • --------------------"----.-.•.-..--------------"-------""-------------------------------....---•--_....� Board of Health DATE................................................................................ FORM 1255 A. M. SULKIN, INC., BOSTON � �, .h..F� .. k'.'. .a "i-• '.... ...'' . P 'r • •.F r. -'- Fes, /YO'TE /F EITHER ,THE SEPT/CY TANkK. OR RO FT. M/N. LEi'1CH/iVG'...P/.T ARE IVO.RE 'TWIN /2BEL0Jv r "' !O FT /►?/N GR.ARE� 24:O/.lMETER G'ONCRETE COi�ER 11 SHALL eF BROuGyT.T'O GfigADE.�A1N F.it'TRA - 4'PNC 9JPE' t:ONCRET'E f h'EAYy CA5T IRON CO✓rER SHALL. !3E USED M rN. P/TCN /J'/N ,DR/V—=WAY ` • ± EL 17$.:o :--- CONCRETE. AfIA. z CO VE`R BAC:+CF/LL _ LQ4I/D LEVEL _ q"Dips. - - - 2%—AYER - 4; SCHED this 4O .�2 ~i • • o • � n o �.. //8�._3/ff R. j . /A/..P/TCN /00 0 CjA1 , t • , • • • • o �•' ASHPD 57CNe :cf rf D/ST. W SEPTIC TANK , t . . ., . , . , • 1 . • +: • `• t DEPTH ' •. t • o WASNED STONE .. o o PRECr45 r SEL�F}4GE , ��D Gs+L.�PAy e •• 's_, • a .• . • • •.t o P/7. OR �V/Y. I AFVZKT &IL EVATION S F'/7- Cam+,-A C.4�S/ • s EL IMMERT ATQIJILDIJVG /7 4(,o Fr y 3 r tT. D/f1M. 2 FT GAAM• C CsFE 7YiBlJLdT)ON> INLET +SEPTIC T�4NK $73.8 FT. _ 0V-Y4E7 SEP'T/C TANK 173,6 i'T. ON 4 INLET D/STR/B!!T/ON BOX I7 3,9 F j SECT/ F GROLiNO Js�TER Ti4aLE O�ITLETD/STR/BN7/ON BOX /73.Z FT I"Zkr LfACRINIr oiT /7.3 0 Fr. SEWAGE 01SRO.SA J. SV.ST&M ?A6lJLATtO/Y ILEA CH/NG p/T DI 1crtLE %'. _ MEN.S/ON "A DRS/6N CNITERIA DINAWS/oN D fT• . DIMENSION . C �I FT M r�/- NUMaER bF•DED,ROO/HS 3 _ �. GAgdAGE0/5O0-S,4L-!!NIr 3Y63 1 SOIL LOG p_ 3Yo3 SD/L TEST T07AL.EJT/MA"r•ED FLOW 33 y 0.441-.IDAY SOIL. TEST 0/ SO/L 7LrS7-**.2 INUMAEA' lfACl!!NZ PITS / �E[EY. ��6-6 -AsLEY. 3s ° GATE OF SOIL TEST 3Z7 ��� SIDELEACHING PER PIT ! s s'Q, FT. r D = Z LIZ / RESULTS h/ITNESSED dY �� Gvnf�-�,r✓ d0T r0/►sLFa�tCNJNG P1�R P/T $q, ,CT. M2 r 6� zlel, PERCGLAT/ON I�AT�E I Z. 3 S /�►j!/y�INCM S�/3 r��/L Sum. �«- AEJlCOLA'T/ON RATE�2 Tip r/mijv. /NCH zc,� � TOTAL LFA.•N/NG'•aREA SQ. FT. /' z .�°ESERI�E LE54C N1..V6 AREA 2 64 SQ. F T. n-i�piu�� Sort-,'7"�s7- its�Yv3 I � _ 6',�• / ...�_.. 1.Ng V / ALEiERT v ' ' ?, ,n/h G 1� r. © �6s / `ej o A. MORS� -C Gs ,v tit- EL Lj DREDGE JN6-ff1AZ No. 1"9s1 f / Sri lei. Jeri'! y eey' a .$. o csl/i, 4�/ : .c/�.f r' / / / MAIN -Sr, HYA V .MA \9°�: ts� /.chi ��`l��`.�.v�ticu` -.ti TER fJVCOUNTE12Eo EL/ENT:GfZ /t3�2%G/�q.tTE NOG OoND h'A ® R�b L 6�� Q GM D UI1/O .yti..ei TER i!T EL L•Y! ✓OB ND. '� e'9 SI►fEG`T r �OIN t '�� ? ---'f o pru Ja7r PUr' �4 ", C-7 ©;r o o �t = L o ^^,- S. �; 1 ati,y .�3 ,r• O por \ S� 7 'C 'Y� i x c l 6 Is All r /&0 L.D 7- l z L N .. r ,e c 7i.73 A t -7 7 AL N0.1095'1 4 4 r, - .o�'AF6 i5 -:�U 'P/21✓ Gt/�F j op, a�. : .r,, FSSIQNAL� s LEGEND ,rEXI.S.TING SPOT"tLEVATICN OXO • F:A�,9,pr CEf� i!F^IED F L;1T PLAN Y EXISTING CONTOUR ;� , o PrISH:ED S'F�u"' ''��cvs►.s'I �d . ' �t N n� :.ROFL6L �`,i. �. !� '/ lfD�-nE L��/E FINISHED ,CONTO,UR. ,O eRucE a ELUREU. y� I APPROVED = ®OARD OF HEALTH I `SAATE AGENT SCALEi �'�� 4D DATE= v� t LOREDGE ENGINEERING,CO. IN G� ✓�x��z � l��s�v Z 8s , ,. --- — CLIENT' I CERTIFY THAT THE PROPOSED y; t EGISTERE REGISTERED. JOB-,NO:' C73 ZO BUILDING SHOWS ON THIS PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS E ENGINEER SURVEYOR DR BY: � r OF BARRNS:TABLE MASS. , 712 MAIN STREET. . CH. BY: 7z B.E. } H:YANN I S,. MASS '- SHEET.�L'0F Z /D E EG. LAND SURVEYOR L 0 C TION SEW d � . ACE PE R.MIT NO. _.. YILLACE INSTA LLER'S NAME i ADDRE.SS e //U I D E R OR OWNER ce.� z,J�1 DATE PERMIT ISSUED r DATiE COMPLIANCE ISSUED dl q� 3 '7I-i i I_