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Home My WebLink About0094 SANTUIT-NEWTOWN ROAD - Health 03ft� �a-vas mitt � M�-�s��il � L 0 CATION DUI I SE AGE PERMIT Nq, VILLAGE v INSTAL R' AME !e.,=PR E S S e U 1 L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED � 5��-- � s� � �-� _ , � a l�S c THE COMMONWEALTH OF MASSACHUSETTS , BOARD OF HEALTH Tv , -. .........oF ..................... . . - -- , �--. Alipt ffor-D� i-spptu. �tt1 Works dT✓owitrnrtiun amit �Application is he m a Per pit to Contruct (' or Repair an Individual Sew a e Dis posal at:ystem /f ocation•A dress ....... r Lot No. �y Owner (((^�JJ -.- --••e�/Addddress W _�;;7e '" ..1_.... .1.l. -L.]_.f �.............. •-----......••-_.__.__..... F.•%`:�0;'.`.:Lr—................................... Installer Address Type of Building Sizg Lot...4 Z 0-0.,�.....Sq. feet U ...•----------------------Ex Expansion At rc� 1/ Garb e Grinder ., Dwelling—No. of Bedrooms.............. p t•..__(f _r g `4 Other—T e of Building ........... No. of persons............................ Showers — Cafeteria a Other fixtures ...............................................•. . W Design Flow.................... ..�................gallons per person per day. Total daily flow............_3.3..0.................gallons. W Disposal Trench No. .................. Width................ .. Total Length.................... Total leaching area....... _.........sq. ft. � Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth....._.......__. x Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area,.................sq. ft. z Other Distribution box Dosing tank ( ) Percolation Test Results Performed by .�� / ''v t' Fc Date....... L-- � . Test Pit No. 1---L1GS �minutes per inch Depth of Test Pit...._..I... ...._. Depth to ground water.._.. fs, Test Pit No. 2........- ...minutes per inch Depth of Test Pit......-...� Depth to ground water-----..... �`� a ........................................................ .1. Description of Soil.....................••-•-----.......................--------•--- .... t x r -------------------/-.:,...� yam{ 1...� ...... ; ��rCi►o w •--•--• -✓. � { x Z Z U Nature of Repairs or Alterations—Answer when appli ble_______________ •-•-------------•-----•------..•..........--------------•-•••..................---------------•------ ••..... T Z y...}3 ---------- Agreement: -� The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of iITLL 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 board health. le r - f/ .. Date t Application Approved $Y == ........... .............. ....••_........fi ...... Date Application Disapproved for a lowing reasons:---•---•-•.........................•---...•-----------..............----•-•--•-•---•------.....------......... ----------•---•----------•---•.....................••----•--••--------.....:-----.....----.......---...--••-••-••-----••--------------•-------••-----••-----•----•------........••-•--......•----•...... Date PermitNo..................................................... Issued....................................................... Date No�,C��/ S THE COMMONWEALTH OF MASSACHUSETTS BOARD OF AHEALTH ..........OF.............!�.n..►`._ 5...!/7.� �- ............. Appliration for BhiVo,ittl Workii Tonitrnrtion ranfit Application is hereby made for a Permit to Construct k-<Or Repair ( ) an Individual Sewage Disposal System at: L ..yam-. ...__.......404 ✓1 �.�.✓ / q ..... .. .--•-• ................ ............ -A dress or Lot No. ..........._C.12. r-n rtJ_. �......C ....... �--c�.. L .`:..... Owner a l/ Address C.......................... r 1.. :•-�-I-�..�.o.............. ...------•---•------••-----..............1.. Installer Address / Type of Building Size Lot_..L.2 0 .Sq. feet Dwelling—No. of Bedrooms.............. .....••_--••---__.-___-___Expansion Attic Garbage Grinder (/L4..-_ Other—T e of Building _..._._.... No. of persons............................ Showers a YP g---•-------•-•--•-•--•••-•---•---•---------- ---- ( ) — Cafeteria ( ) Otherfixtures . ...--•----------------•------•-•--•----..._...---......------------•----••••-...-••-•--•••-- ell W Design Flow....................�..Or.............gallons per person per day. Total daily flow.._.........�.3..0.................gallons. WSeptic Tank—Liquid capacity------------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........ ... 7. / 7. ,aa Test Pit No. 1___�� minutes per inch Depth of Test Pit......I..._ ...___ Depth to ground water.... -..i-,_ Gi, Test Pit No. 2........�_-_minutes per inch Depth of Test Pit..._......_ Depth to ground water.._.../..`... �`_.. 94 ........................................................ xO �� .`...�. �Jf�'-•--�------- escrptonoo ------------------------------•---------....................._....... ... - .... U •••••-•-------••••••---••-••----•---•-••-•--•••••-•--•---•••.............••-... •••-- fj---��....... ---------------- --------------------------................................................ -_•-��=#-(fi r--�:: t '� �r u U Nature of Repairs or Alterations—Answer when applicable............... ................... ._....____.J........._ ................... j1�--... ... - Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 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 board health. ed....... .......... ..._.... 2 !1.. .....� eeowing Date Application Approved By_--- .`.. ...................--•----•------------------------------------• � Pi �......._ Date Application Disapproved forreasons- ---------------------------------------------------------------------------••------•-•--- •••------•--....._ ..............••-••-•••••••---••---•------•••--•-----•--•••-•-----••••----•...--•---•----..._..........•--•-------------------•----•••••----•--•-----•••-•••••••••-•-----•--------••--•-••--....._•-•--- Date PermitNo......................................................... Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...T =am ..1` . GLJ/.. '`.................... Tatif iratr of Tontliliana THIS IS TO CERTIFY, That the Individual Sewage Dis al System constructed (�r Repaired ( ) by-------------------------- ........... -••---. ._.. . 1��LJ .............•-•------••-------------•------...---•----.............----•------•-- // �" In taller •-•-•- has been installed in accordance with the provisions of TITLE 5 of The State Sanitary Code sc 'bed in the application for Disposal Works Construction Permit No.. 1 �__________________ dated----- .. !....,�__.. ................... THE ISSUAN E OF THIS CERTIFICATE SHALL NOT BE CONSTRUED S A GUARANTEE THAT THE SYSTEM � TION SATISFACTORY. DATE...� ..................................•-••--•--.............. Inspector... . ............................................................................ THE COMMONWEALT MASSACHUSETTS BOARD OF EALTH �,. �_ ........... ( ......- No.. .....................` D ........Tq-��&..........OF..................• FEE.......?.- U .... MiVoiial Vorkv �onn#rnriion r i Permission is h reb granted...................... ------•---•- ............ .................................................... to Construct ( r Repair ( ) an IndvH I Sew a Disposal System '7i at No......................................... E: L� -�r� - �`� -•......... ---------.--... Street r.. as shown on the ap ation for Disposal Works Construction Permit . bated.......................................... .......................................................... v_ v Board of Health DATE--------------------------------••----•--------•---•-------- -- FORM 1255 A. M. SULKIN, INC., BOSTON y o L i7_ �h • .7 i 6T' LOT 5 ro z L) 3 , F. o qDot's s 2 2 o ;'. GQ Of �p lI U �� * L�AcH. Up a n r '07- 13'4- 16 VI/ `' OF Pr`° o� ALB o SE No.10951 O = �O �GISTG��\� _ �Fsp/0NAI-�a� LEGEND . °>s,.w<. CERTIFIED PLOT PLAN ' EXISTING SPOT ELEVATION Ox0 � ` T EXISTING CONTOUR --- p ——— ;.a LY.�s.�rGl c v T Y A N7 u/7- IVIF W? X FINISHED SPOT ELEVATION ,fY ::,� 1�0 R / -J,, J�S -� �,' {/� LS FINISHED CONTOUR 0. i �t3 /c.:c , t EWRE I N APPROVED , BOARD OF HEALTH SU�� v. l I .3 3. DATE AGENT SCALE' `_ Via ' DATE 1Rm / RECW�R/ a L DREDGE ENGINEERING C__ Q / CLIENT -�--- �--- i CERTIFY THAT THE PROPOSED t EGISTERE REGISTL�RED, ,SOD No, S 3 � BUILDING SHOWN ON THIS ' PLAN CIVIL LAND CONFORMS TO THE ZONING LAWS E GINEER BUR DR.BYo L# - OF 8 RNSTA®LE, MASS. , . 712 MAI N STREET , CH. BY, HYANNI S, MASS. z 4RE SHEET—L OF A E LA D SURVEYOI {� ,�" � i".:R 1•"'�,� - ,}r �. p :.._._s, �r. �iyMyypo- 4� '.a^k-�t �✓.Y. 'h'!ss t.. }". r. r��•s4 t +�-^'� 20 Ia7: I M//V N07'Ar /F E/7'sfG,i' 7`l-VFPTIC TANk �- /D P7: M! LEAG//i G PST .4RE MORE 7"AAN /a!"e91P1A.0JV G�AO6#,4 24 DIAMETER CONCe 7-,S COiGB',P 1 ! CONG@C7 Er 4"PVC p/pF S-VAL L Bdc 19 JP006H7- 7'0 6/gA Olc.64N EX7`R'/i 0Z'0 COVERS Alf/A/. ?/TCN h'EAVY CAST/,4l CO{i�*,P S' LL- BE U. EO OR/VEyV,4 Y G of co 1eE14r CLEAN SANG 4 - L1Qt/!O LEVEL BAC je,= L -0-CAS7 ` 7177 , IRON P/PE p Z*LAYE'R b M/1V.OITC/!I --- — G/1L, o •a a. � a o� QF `��-'��B %4'Plait/T SEPTIC TANW D/ST, o • • . . . . •• . o 04� • s • • • • • . • • • � e 4 WASHED 572�NE BOX o • e • � �o a o • • � �•e 04 0 .�., • • a r s• Dt"PTt! • • • ' • I 1V.4SHf0 STOiYE / Yx ZS 377 S / � e • • •• • 1 loo • � ••� • • • • • • • • • o. o_/ 13 40 o p p PRECAST SEE.fDgGE l NVPRT e'L EVAT/D/V S. P/T. CA-PA c.f T y t 9�v ��t L�t��Y 0 r r • • • • • • • • a •o P/7 OR E4lJ/V.. /NYl AT oU/LO/NG 9 9_0 FT 6 FT. D/AM.. . INLET .SERTIC T,4/VK —9 7,5 FT ! Z 4 f• C SEE 7NAVLA77OAO Ot>TLET SEPTICT�4NK 97.3 FT, -w .LET D/ST R/f3 !?!O N BOX •�-1 .. , /�T. OUNo- G T OlITLETD/STR/B!!7%ON BOX - .SECT/ON OF' R /1C4 ER' TABLE FT / T NL.E LEA N/C nrG v/T 9 3'.0 Cr ^� GE OI A LEACHING AP/7- 'TA4W1-AT/D/V DES/64V CRITAR/A SCALE D/MENS/ON, A 3 X7- GN.,U,qMBdAEGRE OPF/S'BPEODROOUMNS T 3 • OD//M••f.EENNsS//cO NN �C��__ /11iA0l StSOIL. �I S /L LO G 7"ll AW7/I-4TEO G.4L. AY SO/�O L TEST '/ $OIL TEST 2 SD/L TF$T it(UMBER QF l,EACNlNG PITS ELEK /oo,C ELFY, S/ �/z 3��3 DE 4&ACHIN6 PER P/T l S/ jig fir; f DA TE OF SOIL TEST 807TOAf L,64CN/NG PAR P/T /3 �, �* U — l ® ' j i RESULTS iVITNESSED BY 1 Lp�fi /Y? d or.� PERCaLA7'ION RATE / L c�S TOTAL LEACH/NG �4REA 26 SQ FT. r� / - 4 7- 4 1, >�P S ''� �RCOLi4TlON RATE2 Ml/1�//NCa{ t X47 FT. . .5'vT3 �o r c. RESBRYEGE4CN,IN6AREAM!N /NCH ' �' M mil.'. .S•�ni'r� � ?-•� �+O F�:s'� �A.a,� ��G l��-✓�� G 4` y �Sv r� �-�s .�-• f _ 23 �1- &- 1 �.�. of � Q`r'•.f Q 4 � Et �- fr z 9 S O 7- -57 .5A N j'V/7--N,c-.v'7 v w v Tt ROBERT BRUCE A: n57t> l.S' IG_�,S" ELDRtt7 MORSE No*10951..�Q /'. DR�C D ya 9 �GISiE2` `` E� s7.r G.EEMP/N6�R/AZ C.O./NC. . o �`� E/ F-7. -z 7/2 MAIN ST., HYANN/9, MASS. SliRN� LB) NO601TOUNO yYATi�'A' JiICOIINTLr�C'Eo CL/ENT O.ITE: GMO UNO YV.4 TER AT EL L'•i!. eo Cv✓ 1 c 2. -� JOB ND, Ff3 22c,A SHEET' zOF �'-