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Home My WebLink About0290 ROUTE 149 - Health J7 t 07 o'z S LOCATION SEWAGETERMIT NO VILLAGE INSTALLER'S NAME&ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED 04 � S DATE COMPLIANCE ISSUED 'R1/5 1�` , �� v � THE COMMONWEALTH OF MASSACHUSETTS Aw/X~, ...............0r......^c��x�� ................. �x�� .�� x��»�� '��ww*» �� Worko Tomit4urfiv&t Prru4uit Application is hereby made for u Permit to Construct / ) or Dcnuir / ) an Individual Sewage Disposal System at: Address Type of Building Size Lot-,A-V-2.0......Sq. feet � Other fixtures .� . � ^ ---._--_------.-----_---.--.-'. - . .-- Dea4�o Flow'---��'�2-.........................gallons T ��_---' 04 S � I�o�--��u�� oct6'��-' VYidth'!�ZR.. D�moter-.-----' Depth--��--�� Disposal �u \�d� I�� I��u��ogan� ft. � ~� ^ "� Length ��-�� - � Seepage Pit YJo.--��----- Diameter....1.4----------- Depth below inlcc-. ........... Total l . ....0-.sq. ft. Z Other Distribution box ( \ Dosing tan minutesperinch Depth of Test Pit.................... De>k to ground watt --- � 0 Description of Soil _.-_---.--------------__----'-'---------4---_�'---.----_-_-'_-_._-------_--..----------------_------_ -_'_----.---_--_--.----_---'_-_'--_-'-----_'_------_-__'----_-----__------'-'-'---- � ~~ � Nature of.Repairs orAltccuboou--Aoswer when applicable---.-_.----------_.----'-_^-.-`--'_-------_ � ---'--'-----'-----'-------'----'-----------------------'-----'-----------'---'''-------'-'-'---- ' g -_-_-. T�e undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the ons of TITLE 5 o the State Sanitary Code—The d signed further agrees not to place the system in /? ion�74 . ... .. . .... ��. Daj A .... 15).- - .....S_ R... Da ^ | ----------------''-------'------------'----'----''-----------'-----------------------��------- � . ^ Permit I�o--------'-'----'_-_-----_---- Issued_-'_------'--'_--'-_'-'__--- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF............................................. ....................................... ,�.��lirtt�i�an fnr �i��n�ttl nx�� C�nn��rnr�iun rrtnit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal . System at: ................_........_...................................................................... .....-••--......----•----•--•-•-••-----------•----•---••--•-•---..........--•••------.........•••- Location-Address or Lot No. -----•-•.............._--•-•---•---.......-•-----•--...---.......-•-•••........................•. •............._..----•--•--•••-••••-••--...•-----....•-----------..._..........._..............••• Owner Address W Installer Address Type of Building Size Lot............................Sq. feet �--� Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) QI Other fixtures .................................. ... ... W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid*capacity............gallons Length................ Width................ Diameter................ Depth_-:_-__---.----- W 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 ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ LZ4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 •-••-•••-•-•-----•--•--•....-•-•--•-•...............•-•••---•-•--•-••.._.....-----..------•------------- •-------------- •---------- •..... ----------- •......... 0 Description of Soil......................................................................................................................................................................... W U .............................................. ..........--•----••••--••••.........--••••--•------•-•--•--------•-•-•••........... ••••••-•-----••-...•-•-•••-••-••-•-•---•-•-----•-•--••-•---••....... WF UNature of Repairs or Alterations—Answer when applicable............................................................................................... Agreement: T e undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the �r visions Of TITLi� 5 pf the State Sanitary Code—The undersigned further agrees not to place the system in elyl rtificat� "f Co pliance has been issued by the board of health. gn '-•------------------•--------------•-------------•------------------------------------ -------- -----------------•---- _ D e vedBy-•-•.---•- •-•••-••- ----- ---------- --- -•-------•- - D to roved for th f Mowing reasons: ------------------------•-------------------------------------------------------- ...------•-•-------••...............••-•••--••••••••-•-•-•-------•-•-••••-----••.....-------•-•----•...••'•----------••--•--••-._....-------••••--••-------••-•-•••--•••---••••-••----•--•-••-•---------. Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ^"'--- ..........................................OF...................................................................................... -`� Tatifirab of Tompliatta THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) by................................................... ------- •••-••----•-------......--------.._....-•-......................----- Installer has been instilled in accordance With the provisions of TITLE j of The State Sanitary Code as described in the application for Disposal Works Construction Permit No....... _. -- dated--------- --$... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE t SYSTEM WILL FUNCTION SATISFACTORY. r DATE. .... , •--•--.......... Inspector.......... WU•-• • •. ............. .r THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH r' .. . No................. 3 FEE.--••••••.......•-- ..... �, -•-- i9 NPUInstnrlion pantit Permission is hereby granted...........• ------------- -••------------.........---•-----------------•..........----•••.................--- to Construct( or Repair ( ) Individual Sewage Disposal System at No. . ........-•••.--••••---••------••••--•••.._...----••-•--•----•-----••-•---•--•••••-•••-••---•-•.............. _.. ..... .._._-••..... . Street as shown on the applicati for Disposal Works Construction Permit No._.................. ._. Dated______''It•---------------•----•----.--- ......--•----------------••--••-............_ oa of Health DATE--- ..........7 .. .................................... FORM,-li55 HOBBS & WARREN. INC.' PUBLISHERS - 's coy ti��" L O T /o ) 04CIr 1 0 ' I IN ��CCT co , P { x! o.> ! o� IV. tj of- �� age\ a1��/\ �. �V ?L►i.�'�/ 3 tit ; t F n ALBEI IA. y ° ' Id . LEGEND �� d� . � �--Jsf "IGTING SPOT ELEVATION Ox0 CERTIFIED PLOT PLAN AM TINO CONTOUR -- 0 --- R141,0NED . SPOT ELEVATION "sus Q� MAP -7.9, t:6-r- 3y F I H Ff.0 CONTOUR ® QTE '`The location of any existing undergi-oiund sewerage, - \ wells, or other utilities shown on this plan is approx- fil �70,;,5 1N /►�,�.�5 °imate only as determined from records and/or verbal �A �\l��fAS�A MA � information. The contractor is responsible for the 16 9 t ,;verification of the existing locations in the field. SCALES = U DATE 51/9 1?N STn _�DREDGE ENGINEERING CO /N CLIENT. �'®� I CERTIFY THAT THE PROPOSED EOISTERE REGISTERED .�o 1/7 BUILDING SHOWN ON THIS PLAN JOB N0. CIVIL LAND CONFORMS TO THE ZONING LAWS F E 0 N ER RV DR.BY OF BARNSTAB E MA3 f L; + 712 MAIN STREET CH. BY 4AT �/ -MYANNIS, MA$S. SHEETL OF Z REG. LAND SURVEYOR >w A k, p 'A" F A-, _5EP 77/C 7A Al AC'. V 'f CO$,'4 Orr. tw IAI. .4- A ;P4",01AW A 74-e COVCoeF7.0 71 (Jaq 7' 770 4,TA P4C. /V 'irx7WA. -A V Y CA S 7- /IVO,^/ aF 41sz-�o CoNcot&rE q c 0 SY,4 L_ "/N. D.17V' AIV Z�PRI VIE"AlA Y' -2 of 1w. CO...V cle.,L 0�14 Z>& C Z J-FAN _'5'A/V 0 co KiFoq A .4% .,9A C.;, LL 2 I-AYE R 'it5.- ScmEo um 40 . ..... 1000 • WASHED 570ye -11 N. Prr-cli IS7-. AW D va,pry SEP77C 7A A9 0 Y !�� m 314 VZ' 'Zi 0 O -7 PRECAST 5�6.V-K6 r 78 P17 OR EVVIV. V V4-A-r 4erl.,EVA7'1,0N5 5o4t8 614'I.D.1111 a, Ar llVV,&)C7' AT 471114DIN,& .0 Fr 9 T)eA�) FT. 4PIAIW. C 1,Vkdff7'* .WPriC 'r4HK 0 U 74,E 7'SEPTIC TANK /40 GROUND P44 7 C.4W TABLE /AfZFr PIS MIANITION BOX odvrzrr,&,3-rq1,sL4p-r.,oN aax le)5-.7- FT IN4,rr ALCACHINCr 4:;P.17' 'Fr SEWAGE PASPOSA IL S KS 7 jff/n l 0411-AT1401V 7A I_dSACH11VCw c"/7' roA� A 3YCAI-E Y4m DRSISN CX17'&=_X1A do Af ArV5 6 Z>1,06.7AWSICH C, F7'.Mml'V' JV.&f SeR OF&ED"ro o^f 5 j015,0105A.L 4,Nir /VO A(,E .SOIL 7le57- 7-07-Al- &zvrrAj.Cr.-,j> FLOW 3-3 0 o,4 I.IpA y SOILTE57- 01 SOIL 7Z-ST**R P/7 i Z/&- AUM",e 0,9- .-ACMIIV.- -3 50,11, TES A A-4 AFAV OA 7-,E 0.4gr SIZ>,r A,-ACAfJMo PER PIT 81' SQ, FT. y kgr-> Co t2 Z2 0 _ __2__ 7/7 0 - RESULTS *V1rAl&SSZD 0, 00 r-rO^f Lr.4CH1Al* PERso. Ar- /Pi A&WCO,4^710" AA7Arj01 LC-7ES MIAIVIJINCH 7-07AL J_Z4CH1,o1'Cr AREA -2-6 6 Sip. P77 )=Wle CO3LA 71 ON RA:rJF MIN.IIIVC#y R ES.ERV-'r LPACNlAr(S AREA SQ. F T. r 0, 6 j$1 C-7 a R V 4a OF e) 7 A POD=IT _D3E IMAICRIAZ 1.,-- 1(9337 cwr� 7,2 MAIN Sry HYANA115�. MAss- { D9 1,?.17 GG 9 Z_ I 4&L I.AcAl_r I ` GjAZ 0 jiV,0 W,4 7,i!:--R .9r EL&V. JOB Aoo L _ ...._.._.._�....".__.._.._.._w_-.. ....__.�,. ��._,..,.....µ.�.,�._....�... ..._. .._._._� _._.._ ..__--.. gam. �� S • I pp2�yro'"' ( LOT /� � .. Nco T vo , axe aac). ( N z►0 of CA oVE L7 3 96.3 t GprE ,� �0� P��G•`7Dn1 �1L /-}n�i t�'�fl�....., ,pEo G T � O �' ia6.Atlu ',p• �. t • t� ,, 11 t r r \Y '� •Al[ Lhl `,� � =° .i ail � \. LEGEND EXISTING SPOT ELEVATION Ox0 EX"TINO CONTOUR --- FINISHED . SPOT ELEVATION CERTIFIED PLO PLAN KIM SHED CONTOUR 0 — MAI- -fir' DOTE: The location of any existing under tells, or other utilities shown on this plan nisSapprox�� mate only as d-termined from records and/or verbalIN nformation. The contractor is responsible for the �� /h!c �AA J..,, ,`exification of the existing locations A A_ 8 ons in the field. SCALE, 1'/.D A"ED Gam'' LNG/NE'E!/lN( C .. - DATE f� IN fl��rSr�,�:� CLIENT. IHIOZo�ti OISTEHE Reni�•rree,@.�, �""-"'— ° CQR i IFY THAT THE PROPOSED CIVIL �v�v � �""' JOIS NO. 5-0 f SUILDINO SHOWN ON TH S PLAN NO NkK!! RV ND D ^ A ' CONFORM DR. i S TO THE ZONIA - LAW- _ '7 1 � •. . .• ---. - .- .. - 10F p.d\W&A o r A r,. .... ..