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Home My WebLink About0010 WHEELER ROAD - Health (2) . 64 Race Lane Marstons Mills A= 104— 009 d l �I II { HNo...G•......_/„./ s Frms.............................. THE'COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ........................ ........--...OF.......................................--...-----.---------......---•---•----------...---- p � Appliratinn for Utipnaa1 orkii Cnnnilrur#ion amit 3�'� Application is hereby made for a Permi,t tg Construct X) or Repair ( ) an Individual Sewage Disposal System at: �a C�� . / ...... ......................................................... .................................................... .�.............. Loc tin�•�d-�dress > r Lot N a :.... — . Add .. ....—O -------- ...... Installer jAddress Type of Building Size Lot..4 4��......Sq. feet Dwelling—No. of Bedrooms..............-�,.........................Expansion Attic ( ) Garbage Grinder ( ) `4 Other—T e of Building No. of persons............................ Showers — Cafeteria Q' Other fixtures ---------------------------••••• - Design Flow..................VC...............gallons per person per day. Total daily flow.......... ....................gallons. WSeptic Tank—Liquid capacity .gallons Length................ Width................ Diameter------:--------- Depth................ x Disposal Trench—No. ......: Width ....... Total Length..................... Total leaching area.........._.yy......sq. ft. Seepage Pit No......(_____________ Diameter.......j_�_--__- Depth below inlet_._............ Total leaching area---,�-�r_....sq. ft. Z Other Distribution box Dosing tank ) Percolation Test Results Performed by----- �� ,��t'"V..li..................... Date................... _.. 14 Test Pit No. 1. __ ...minutes per inch Depth of Test Pit.....1. ......... Depth to ground water...N.............. Test Pit No. 2................minutes per inch ' Depth of Test Pit---_.-............ Depth to ground water........................ 0 0 0 [O Sv$ o�c G P+O�dt $ Description of Soil ------- •••--- --------------- --------------------- U -•--••••---•-----.....••••••-----•••••------••--•----•-•••......•••••.. �� j- 0-9--ft.......7 '-----A ��-----S�$.....................---------- U W ------------------------------------------•-------•------------------------------------------------------------------------------------------------•--------------------------------------------....... 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 iITI1 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 b a health. a Signed-- .... .......•.......- -......... ................................ Date Application Approved By--... 4--• . • . ............... ................ .......... ..... •f y--••••••--- Date Application Disapproved for the following reasons------------------------•-----------...------.......-----------------------------------------------...........-- ....................•---••---•••----------------....-----••••-----•-•••--•••-•--•-•--•----•-•---•--•-•----•---•-•------•-----•--------•---------------•--••-•----•------------•-•------------•--•---•-- Date PermitNo......................................................... Issued....................................................... Date � � . Fins.......................... - ' ^ - ' Tes oommomvvsALTH OF MmssAo*uSsrrs U�� U�� U��U� �~��" ." ~�~ �°" " "�~"^~� " " " --.---------'- 0F........................................................___............................ ��`� #.~� ��o� x� °� ��«��u��u�wwu» q� xo�� 4gurkf/ Tontitrur4Kon Permit Application is hereby made for a Permit no Construct ( ) or Repair ( \ an Individual Sewage Disposal System at: '-'--'-'-----------'----------------'---'--'-'-'---'- ------------'--'---'------------------------- �"��" '�o�o" m �� m" | vX ^� ^ Address | -°°�`~' ............................................ Installer . Installer �a�,� Type of Building Size Dwelling--No. of Attic Garbage Grinder ( ) � . Other—Type of Building ............................ No. of persons............................ Showers ( \ -- Cafeteria � Other fixtures , ~� -... --_----.---------._-------_-------.----_----_---------'----- Dca6go Flow............................................gallons per yeruno per day. Total daily flow.............................................Z Other Distribution box ( ) Dosing tank- ( ) The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITL, 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance hasP issued y the b2a ,pd-of health. Date Date ------------------- Date Daft THE COMMONWEALTH OF MASSACHUSETTS BOARD OF,�HEALTH THIS IS TO CERTIFY, That t IndivApal Sew e isposal System constructed or Repaired Installer has been installed in accordance with the provisions of TILT of The State Sanitary Code as described in the TH/SS PANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED A GUARANTEE THAT THE 4E IS � THE COMMONWEALTH OF .MASSACHUSETTS Permission is hereby granted.................e&.., ............................................................................. to Construct or R an Ind.vidual Sewage Disposal System Street Board of Health FORM 1255 HOBBS & WARREN. INC., PUBLISHERS .c 77777 ' LEDGE o _ PA✓E/+'I�N I vo ,r 4 - !b8 } .. \lp 91 } 9 8 NOL- p , Ll 99. 0 �17 �� wf4_ k 91 \ K�44S�� _rCR SCE✓I cl r �o 9 8b 3 G { -7-2 �* o ,ac.•.r 4. �� oF ,,s . CERTI.FIED PLOT PLAN 3o�is�iS S - } ucs A !�Slip�/s �1 /L.L S s' No 10951 0 1 N SCALES /"_ gip ' DATE, S-1/ K LDREDGE ENGINEERING Ca"IN CLIENT._ ,.:..�. ..CERTIFY THAT THE'. PROPOSED Ed,ISTERE REGISTERED 3 a,� �l,Q� Np. , 8 UI L.01N 0 SHOWN . ON THIS PLAN +�.a ws •�GINI L=� � � '� LAND� ��,:, f Se, fit.. +�"�' ZH, .��` ie5 i �",� . CpNFORMS :;TO THE, ZONING:I LAWS 1NEEBARNSTABL-E MA � �` "`§� ?12 'M'AI N S'TREET;,��,w� G1�:�8Y}�" •' x.�,, 3.. H::YA NN i 3•',�:MAY5g �k 0 F 4' :-REG. 'LAND' SURVEYOR " yy I4 R s �{El .i * Y •'•.£ " r "i*, t ',, 4 t � � N0 : ` tF EiTNER THE SEPT/C TANK OR 20 FT. M/N. iEACNiwG P/T ARE MORE 7NA.-V-/2"BEL0J',i_ /p fY: p!!N uRAOE, A 24'!7/AM ETER' G'®NG'R.FT� COiiE.� .S A O / CO/VC/�t.'T'B 4"PYC P/PC A Y®^ST/ N C O�/ER Sh�.q L L O FO �• EL. I�.ZO CDYERS 'P/TGN /F//V O.Q/VEJV.4 y e. .: . /�►w o ITT I 2% MAN. CONCRL�Tom' ,• 7ei11 �. CO✓ER CLEAN .SAM O •� -a_ YQt//D LEYEL - / . 4�'CAST� �_ ._ , ,• 2"LAYER /RO N P/PF /O D O o 0 0 IMIN:PJTGI GAL. , e • . • • • • • A •4 WASHED 57VNC %4 Peres'err. TANK , . . . . . • • , o Amoy v e • t ® e • e • • ♦ .• .<<�� • • EFFECT%YC � � s , 4"- f �2~ ... .041 t o eel:e � i 0 •• o o a 1�V. 5NA=D STONE /3.t x: ,:� = 1/3 i se e • • �� PRECASTSEAww4j;z, f�tT CifPilCrTO DAy a • • • . • ♦ • • • • a o O/7 OR �V/V, .J II�IYB'i!T` �LEYAT/GUYS . Y : ' Ar /NYERT AT fV1 D/NG 9 v •orr. D/AM. INLET .SuEf�'I'/C. TANK 97•0 FT,. FT. O/.4M: ,H C(srE7A"AAT)Oei/,) ,40,/744=-7-SEPTIC 7A- NR. 96.o FT,.. INLET D/ST/�/131/T/DN_BOX` 9&,Cp Fj GROVNo WA'rFIW TA&L.E 6�lTLETDISTeq/Bv7Y01V BiQX 9 ;• .FT SECT/ON OF �w1 T' Lg.4c%rriv� -;o0v-r 95.9 SP;VA ME O/.S~A J. .SY.ST�M EGi4tr'HIMS P/T 7A�IILAT/D/Y DESl6K' -ScAL.E 3 IrT CIN TER D/A1.Eevs/aN' �_�FT. D/MEN$/ON G _F T. • nro'N� SO/L.- LOG.. c4�reu5C alse��awn- IOTA. L EJ?IMIATED. FLOW 3 3' G.4L./DAY &O/L TEST 0/ SO/L TLCST#2 ®/1 TE$T �} v: l/UMBER,QF LEAGNlNr. P/TS t EGEK 98.9: �ta�Y GATE OF SOIL TEST .S/OF LEACHING PER PIT �.5-� PT. RESL/LTS h/lTNE•SSED N.V./� 13 E `'AA cO 3'/ BOTTOM LEa4 CN/NG PER P!T 3 .a i9E♦QCOLAT/ON AA rat TOTAL:LEAcN/NG .A,gRA- E SQ. 97. , .S V r3�o L JcW1VCOLA7'/ON RATE RESERi�EGEACNlN6,4REA SQ. FT. Wl-7-P .GZAY 2-.0 II A 4 or SS Al zi2� A � 'T� G U�!Sc /sr'? r=�- �c' ,S''i t� �1✓J � ✓'�.L..•� o ROBERT ^, (t BRUCE LORE u RSE �, D REDGA ENG/NAVRIAW calpVc. No.10951 0. EL f o 'PF MAIN STD P)-ANN/9, MASS. �oFFSGONAL [ NOG�OUN1 yY,gTEl� EJVCOClNTEREo. GL/EKT': swc-rtsr/ p.ITE:S /-I a GROUND' LVA`,TErR AT LPL:£-4! k_ t JOB MO. e93.0 6 s BEET ,