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Home My WebLink About0132 WOODSIDE ROAD - Health --, v P7 - 0 ASSESSOR'S MAP NO. / PARCEL !10 "?_ �f7J LOCATION SEWAGE PERMIT NO. 1 ,7 0 VILLAGE ael I N S T A LLER'S NA- E L A0DRFSS r OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED __ � �, d� % 14 j 1 ASSESSOR'S MAP NO. oZ '7 PARCEL � I V LO ;;lj,l �� 7 SEWAGE PERMIT NO. ` VILLAGE U �tg�s � lea k L.�-� I N S T A LLER'S NAME i ADDRESS N E,Z�� 2n� • �"O�v� R U I L D E R OR OWNER 1�v G. (� 1oY'l� t g®S+t DATE PERMIT ISSUED --7 L& DAT E COMPLIANCE ISSUED f01z�� i � . � ' � ST®�,p , No.. . ........ Fa ............ THE COMMONWEALTH-OF MASSACHUSETTS 011 BOARD OF HEALTH a� Appliratinn for Biipuaal Works Ton,itrur#inn rantit Application is hereby made for a Permit to Construct (elror Repair ( ) an Individual Sewage Disposal System at: , Ad r or Lot No. Location ---.............---------------- .................. LeisOner C3p,USTa2e/��io Address ..............•........--.........-----N --••-•-•-----------•--••----..._...•..----..... ............--••••-•--............------... Installer Address UType of Building Size Lot_17r31 .......Sq. feet ,.. Dwelling—No. of Bedrooms..........�...............................Expansion Attic ( ) Garbage Grinder ( ) Other—Type T e of Building No. of persons............................ Showers W YP g --------•----•-••-•------... p ( ) — Cafeteria 04 - Other fixtures ................................. w Design Flow............................. .....gallons per person per day. Total daily flow..... 3�O .......gallons. WSeptic Tank—Liquid capacity.-. ad -...gallons Length /`6.!Width....�_-`t'. Diameter---- Depth.5.1ye..`..... x Disposal Trench—No. .................... Width.................... Total Length........-........... Total leaching area....................sq. ft. 3 Seepage Pit No...........f....... Diameter......if_.`___._.. Depth below inlet... ............. Total leaching area...gk4r7....sq. ft. Z Other Distribution box (V) Dosing tank ( ) a Percolation Test Results Performed by....... L. y.e=...•..:............... Date_... .:3.-.��/.....-....... Test Pit No. I444.�.Z.minutes per inch Depth of Test Pit.... Depth to ground water........................ Test Pit No. 2...............minutes per inch Depth of Test Pit..... Depth to ground water........................ R'+ ...................................................•..............•-••-•--•.....----------.... ---------....4....----•--�-------..... --------- •-----••-- Description of coil..... ._.....__ _ fG ... .. ... x w VNature 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 TITi U 5 of the State Sanitary'Code The undersigned further agrees not to place the system in operation until a Certificate of Compliance has befissd by&theoard of h Ith. Signed .. • u Dat Application Approved By-•...............................•----•- -•-_. ..--•- ' D to Application Disapproved for the following reason ............................................................-...............................................................•---•_.... Date PermitNo.......................................................- Issued_...............-.................................... ... Date i No......................... -FEB.......................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............ ............................O F......................................... Appliratiun for Diipuual Wllrkii Tonutrnrtion rprmit 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..3 7,......93.......Sq. feet aDwelling—No. of Bedrooms.._........3 3.............................. Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ------------•-•-••-•-----------•-----------•---...-•------------•••-------------------------------------•............._-------••........••--•-..•---• W Design Flow..............................6z!r----_gallons per person per day. Total daily flow----- 3 .......gallons. WSeptic Tank—Liquid capacity� dd_gallons Length... l`r.'Width...�r� "_ Diameter._._.." ...... Depth_ _.__. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area-__--_-•----------•-sq. ft. Seepage Pit No............. Diameter......Z�9........ Depth below inlet... . ......... Total leaching area...z 7....sq. ft. z Other Distribution box ( ✓) Dosing tank ( ) ~" Percolation Test Results Performed by...... _! •._'-L r-�' ! ..................... Date.... '3. �_............ Test Pit No. 1.&!_$_.minutes per inch Depth of Test Pit.... Depth to ground water........................ 93l Test Pit No. 2.................minutes per inch Depth of Test Pit.....l.. _'_.__. Depth to ground water..........:... ...... W ------..-•-----------------------------------------------•••---....----._...........--• ----.............------....-----------•-•--•--•-••-•....---.----- O Description of Soil..---- rii ... =- i................................................r _. ": /cJ .......----•--• 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 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 of health. Signed ' !'' r Dat Application Approved BY........................................._..... -•-• . •-•---. ....... --...... D e Application Disapproved for the following reason ....................................................................................... ...........-•-•-----•--------•--•--•---------------------------------------•----•------------------•-------................-•--------•-•------•--------•••-------------...-•-•------•--•----•...--•-•_.. Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS 1 BOARD OF HEALTH �J......OF...... .,:: .......................................................... (9rdif iratr of Toutpliana THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired by.............j ......................... = ... at............ -- -- --------••-...--------••-•--•-----------------•-•---•---------------•••--- --••--•---------•••--••----••---------•---------------•---•-..........----••......-----•---... has been installed in accordance with the provisions of TIT F 5� h ate Sanitary Code as described in the application for Disposal Works Construction Permit No...... .6. ........ dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE..t........••-•-•-•-•� / �� ................................ Inspector........... AA......................•------•---------...---•••----------•••..... Az. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH e � '9` ......... .............. ...............OF.......... ........' ? '� -._.................._............ ..... A Diupuual 30orkuJuno r r#ila rmi# Permission is herebyanted---------------........................... �� Y` .....__.._......... •--------•--. ... to Con ru r e air an Ind•vidu Sewa a Dis System at No.... .".) 3 °' .. ..•---•-•.................•--••-••• . ----.......................................... Street '^ as shown on the application for Disposal Works Constr tion Permit No..................... Dated.......................................... i ' - - -----.......•..•••...yl. l4�' L.._ ' 7`--�-• Board of Health DATE..............1'2--- . ---.._.. .......................... ', FORM 1255 A. M. SULKIN, INC.. BOSTON 'ledt; r Q-25S j �Utit. �� MU/tILGr' STK STK ! N wate�a encocu�ehed � \ FN° w_.... _. _ __. r.._. _._.__ . _._.._._ - �`� ; . .�� 2 � -.:._: is ._ _ . . ; . . . � . . 9,.� i top_ .• p , I , A,G -_cope.:M 9-g2"k z i 7_ '9.5 �9� i . !? I 49 /da26o21oad :0-26 4 f -to "-40 6-25 486. .' i 7/ L 5. , 1 , t. 1 N PRaAOSEO l .tee ,'; N �� ) 35• - 7 -6 ��. 6 /Pit _ lz _. . _--•. : ._.._. :`��2_�_:atone .�_.... __.__. _. _ ___.._. __.__._: f soo,_ .:%o I� __.. -- --......_ - .... __.._:�. -- ! _ / C, 6 t - /So' 7% .`.JELL TP 116, ASAmeov►D 1 1 $3.5 �ps/ No Ica e2 - .I W/2 ! .ne. QV 73, ; 1 �l. _. ��. .. . STK, �° Q ._._ 74.9 7414- V _ o 1 o ' 1500 +Voodai4 !?oad i 1 7- + Noie -- - rQ:' cvcound::p•rt, aul �tep�aced ' , i 53.E I I , : j SkacA J?tan: o _-Pa'� Mat t� rvd.F fU dl /pia. I 9ot, NBC Rnt' od t L 1 "7...ai...1h.own on..a_ .tan.. oti..Jdo mod. . 6tC.N. � cw" ;�na. ;and �teco : .in b�239 'p�. 137. 1 .. v� t Ft wait i 6nd, shown cue on an addw -d datum. I i'�ocvuZ-o -jh----- I f i JF./y !Q { T fr O wiLLiAm: yf s H.,r 'FARq'E ti 8995 O r" , t �,cFSS 5 . ' QNAt i I 1 , i 1 I - L - Upper Cape Engineering P.O. BOX 616, EAST SANDWICH, MASSACHUSETTS 02537 (617)362-6281 E C f `�- I az �fi'1 O U:G ci G� , �I p 1 T led t pat riade. .�!-3 8j-2SS '� !111 t. Paut mwucay $TK ST.t No waste t n_neow tehec� \ .AND r< .eod4 than 2 min. p e't Sh`I 9P 2 -------_14 - - - 91.7 ` top ,op 4UG �S dub A1.C:Cape 7R� 49 katibo�!noa i n�ed�,us� rsecGtwrF Idyann-vs., Mom, Q2�� ' ,to to 5ca,Ce I"-�10 I Xo t 7 fine �.rne date 6-2S=86 77, 393 59 4and a.and At .6 OY l o 8 �. CC,0 -wc to t ?i.z y�. • : N j a2Y 1-6 'X 6 'Pit _` F_x15 1 IrJG. F� /500 i _ - iso' ro WELL try , p i A�ol.cgte 6 fo. �� i +i(12x afione j c, /26 7 a. 91. 00% t Id yd�rc,�ct 13.4 � >`. q • 10 1500 !'Vooddide 1?oad 40 Note i 7A4 Ad.0 unu ritub Ce i ! be, e loued 10 astound:piti and' teptaced j it ' Sketch. 1) an o .tand in �7a�ris t orvs r;.r„t l.�, r!c• 96-t Pa.ut inai.podti_ �3euu� lot 7- as .ahown on. d .ptan jot 1fottq..f eatty. 94adt IIind. by C.N. �aue2y Pnc, and tew&de i- in b/e. 239 .Ps• 137• F�"afi i ena shown nt ae t on an a4,w&ed da wx. Slh ; . ----------- ------- ate -- -- -- - -- - -----ent. � � %Soa2a o� JJeaztF. i e ` oundat on ahocvK on tAUI ptan -ice. -located on to Fwand as ahown h and xte-P.t-s. ,the _ �atbach tegz&iAeAten& of ,the `Down of &4,z . ble. !)ate -8 8-86 n 7F Mir\`�. WILLIAM y� 4lvHN �,qF.A.Rg4 • H. '"0. 8995 MILNE y NO.32480 c... , �s7E �ONAI