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Home My WebLink About0052 WREN LANE - Health F Wren Lane rstons Mills 029-024 C LOCATION SEWAGE PERMIT NO. 0 7- VrLLAG E 11 I N S T A LLER'S NAME L ADDRESS S U I L D E R OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED I ��c i� �,� ,, �i ' �7 i a ' If � - � o� , . No.............�..�J(. '� Fmc.............................. ci 1 -1 THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 2, Y f?'� ,4A_ ........---OF.....1. C'....................................... Appliratiun for Biupusttl lVorkii Tunutrnrtiun ramit t/ Application is hereby made for a Permit to Construct ( l,<`or Repair ( ) an Individual Sewage Disposal System at: R. . s.....�.��.. o.c..t..i....._... ( ... l� .... o?-r L--o-t---N--o-------•-•-•-•......--•.................... Add, s . ........................... . O erg Wa . Addres ...... -- ..... -...._...............^.^......._.r ................................... ...............•----•-------...0.Installer Address Type of Building Size Lot._2D_2.lA........Sq. feet Dwelling—No. of Bedrooms_._..._..._. _ Expansion Attic (JJl1� Garbage Grinder 00) aOther—Type of Building No. of persons.........I---------------- Showers QZ) — Cafeteria U) dOther fixtures ------------------------------------•---•--------------=•-••-----•--••.....-•-----•--•----•••-•--•---------•-•-•-----....--•--•......._.............. W Design Flow........... ........................gallons per person per day. Total daily flow---------3•;......................gallons. WSeptic Tank—Liquid capacity...lft allons Length....U)...... Width......(a...... Diameter.....Ce...... Depth................ x Disposal Trench—No. V-AVE.... Width.................... Total Length.................... Total leaching area.....Ak .,#...sq. ft. Seepage Pit No-----------_------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box (&4 Dosing tank ''~ Percolation Test Results Performed by...��V/1-G� . .... 1 /.d L--'�r L!L_` .. Date........��1..�� a Test Pit No. 1_A...z=..minutes per inch Depth o Test Pit........]. ....... Dep4fi to ground water___ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ R+ --------------------------------- .................................... -- .. .................. = ................ .------ .-------•------ O Description of Soil--- �� _�2.5 ) ......!ia—61 r�� ........ r -... sf^l_.3.. Wl e_._..s--s . . sees .............i-----6--. �- ------ W ---.......... --------------••------•••••--••••-••-----•--•-------••---•-••-•-•••••-••••-••--••-••----•-••-•----••-•••--•••-••••----•-••-•••-•-•-...--•--•---•----•-----••-••--•-•..................... VNature of Repairs or Alterations—Answer when applicable............................................................................................... Agreetnent:. 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 e board of health. /'��D/. Signed....A.. ..----•-------------------------•-Application Approved By---•-•-•-----•--••--•--•. -a ....... -------_-------- ---- ...... Date Application Disapproved for the following reasons:............................................................................................................... Date -------------------e__r_ ---•----•-•------ -----.....__..... ...._.....-----••------...---------.-....--.----•---------------•---------------------------------- ------------ ------------- Permit No. � S�...............•---•---•--- Issued_....q_ f No......................... FEs............................. THE COMMONWEALTH OF MASSACHUSETTS Lam" BOARD OF HEALTH �..................OF..... Appliration for Uiipniittl Workr, Tnnitrnrtinn rrmft Application is hereby made for a Permit to Construct ( tv)"or Repair ( ) an Individual Sewage Disposal System at: ................ 1 ti : +71 . .4. . • ,� , 11� ICJ ", Location.Address _ or Lot No. r .................. ............................r ............... ........' ......... . ............... .t; ,l. \ ' Owner Address W ' l Installer Address Q Type of Building Size Lot._�KL:... !..........Sq. feet U Dwelling—No. of Bedrooms............`t ............................Expansion Attic (INS) Garbage Grinder '4 Other—Type of Building �l No. of ersons........t]................ Showers a YP g -'-----�--=-------•--------- P , (a�) — Cafeteria.(,..J). dOther fixtures - ------------- ---------------------••••......• ------•----------------••--------•-..........-------- W Design Flow..........:S.s....:.....................gallons per person per day. Total daily flow..........$_�.:�.....:...............gallons. WSeptic Tank—Liquid capacity../-`a gallons Length._..j.n...... Width......r__.._... Diameter__-_f. ....._. 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 (L4 Dosing tank ( ) Percolation Test Results Performed by---K.! .r......l...._....:f ... Date........ I../!..:. _ ../ .. ..... Test Pit No. 1... ... ?:_..minutes per inch Depth offTest Pit... ..1.�:.. .__.-. Depth to ground water cr_�.:'...._.. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ •--•----•--•------•---------•-•••-••-----•-••-•..............•------•••-•-••---•-----•-----••-----.......................................................... 0 Description of Soil.... ....... l °'/ . •' Cry W UNature 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 f v ...----- , l r --..........•-•..... .......................::._.... Application Approved BY ....' `Y ====••-•--•-•-•------ /{ Z= Date Application Disapproved for the following reasons:............................................................................................................... ........._.•••-•--••••-•-•..............••••-•----•-•-•--•---•••....••-••-••-•--•••••---•--.....---•--.............----•----•--•--...------•-----••••••-••--••------••••-•---•••-----•••••-•••-••........ Date PermitNo......................................................... Issued.-----•---•---••------------------------------ ...Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .... ......<...:Z.................OF........Z....:r.....:..!..::.... ..L..... ...................................... (9rdif irate of Tuntplittnrr THIS IS TO CERTIFY, That/the Individual Sewage Disposal System constructed (!/)or Repairedby ( ) ...... ..........................................................--:.....---•••-••---•................••-•••.......-••••--••-----•-........--•....-------•-••-----•----•- Installer has been installed in accordance with the provisions of TITt G�of YTe State Sanitary Code as described in the application for Disposal Works Construction Permit No..__. ... .. ... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. ..// �.........................•-----..._.......--.. Inspector---...... DATE.......t..- ...- b ................ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH rrr.r-`.:..`.....................0 F......-.C: I t� l ......I.......... .......... No....J........ FEE..................: Disposal Works Tunotrnrtinn rrnti# Permission is hereby granted......:1....J.__.-_• r to Construct ( v)'or Repair ( ) an Individual Sewage Disposal System / Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... A • G= ----••-•--------•-------•-----•-•-•-------------------------------------•-•••-•---•-•-•---•.-- /d �� U (? Board of Health DATE. ------...... ---•• ••• . FORM 1255 A. M. SULKIN. INC.. BOSTON . r i (' N x , { \ N a �A ` r a a �LF, , S' D • I) � ems" O s D . Z��Z(v O ac�1 'Do. N 1q2' D D 1 8 o r Z^\ . rs 0 \t � lr ` w w r � 1 / 4 2o�✓E T.' F' r F OF r/i, rF W 7 A C o ORSE N N 10 51 Ot nxcM.•. A csf P20`t� q Grs7E :5�� :s /t2T �r Strr. T1,c 6, E 70L r..r .< o�FSSlONA1.�a6\ ROBERT �Aa:,'° 13V4_AuJS F x BRUCE ` "o v LEGEND . r ELDRE""- :EX:b9TIMa�9R.OT ELEVATION O"o f CERTIFIED PLOT PLAN LXF y .STE/.1,Q/ . -XIN'J.$ iEDV' 9,POT ELEVAT}0N Nv su � Lo 7 /�3 v��, :•�- G,�.�/t i'4E0'TCON,TOUIR -.— "0 --- '—' MA ri� c�) Al-.S7' /'?�C � I $ �� fhe.=location'.of ariy existing underground sewerage, '.: , IN ; ,wellsl ,or pther'utlites shown.on this plan is approx- " }�matea'onl ;=as determined from. records and/or verbal w ,4anfor }ataon Theµcontractox is responsible for the ' ver f�oax pn;of-sthe"e,xisting, locations in 'the field. gCALEs / "=30 DATE 97 1 S`7 � . RE�?CE E'I�IG _ /-�c �4, h INEERlNG Ca!.IN C1.IEM ._.�..._._ n I CERTIFY THAT THE PROPOSED 41�TEiiE � REOISTERED Z/73 BUILDING SHOWN ON THIS PLAN J00 NO. . Al -711 5 �„ CONFORMS TO THE ZONIN LAWS E ER RV DR BY -- -- OF BARNSTABLE , MA -) 7Z 13,E, =?12. MAIN"-$TREET CH. By C' l� g V, a,< MASS HYMN I S .. SHEET OF D RE(3. LAND SURVEYOR r, /Y07F /F E/7M3&K THE-SEPTIC TANK QR 20 FT. MIN B1��DJN LEACH/iVG .P/T AR46 tjoRe TNAN /2~ GSA DE 24'O/AM ETER CONCA XF7AF COi�ER ------------- SWALL e.E 90006N'r TO 41TAOF-.CAN . X7MA CAN�fi!'TE 41,0~ PIP- h►EAVY CAST/RO/V COl/ER S/VA4L. BE 41S.-3D toy OR/VEJ�VA r �! /173,0 co6�ERS �'PFiQ FT t MiN. CO/1/CRF•TE 4oE CO YER CLEAN ..SANG ScmEv � 60:46v:P/rcN `! GAL. • . • • • • • o „� WASHED 570,YC ' D/ST, � SleQT/C TA/YK BOX • • • • . e • • .•° i . • i (w� %� ,3�/ �+ / • •EFFECT/VL' ° • •+ 314�- �2~ gr-ux' CLAY , D • � • • DpPrt1 ' � • � • v� WA5NFD STONE 40 7 �, . Qo • • • • e • • • • p .•i PRECAST""AMMAaE 7MY�RT ZIAEVA7"IA&S'. j'/T LA-PAC/T•� GiFL/�J�y O .o, • • . •. e e • • � a•aa o EL P/T30R E4u/V. //VVERT AT- &U/L°DIMG 9�� `ar. ; IA!LEF % 'PT'/C Ts�A/K q 9-J - /o O/flJ�9. C� E TABI/L.�4TJON> /JVgLETD13iT3 /�017I0/1/ SOX q8,.74C1' GRO",VA JUTE E. S�C7r/4Jd 4/�' R T/tSL i tp. msMN&::� T 9 FT. S�ANAG ,. 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