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HomeMy WebLinkAbout0495 ELLIOTT ROAD - Health (2) `95" r0io* P200-d l AlOol Y6 r c,NG vnii QPt 4NIZFD No, 10334 MADE 1N us" CET CRGAh.'IZEQ AT WEAD.COM Y '.November 8 ' 197s7s p'.y" ,. . f 't r ,f• f ` Af .., ^ 'Y-'' t{. ,«s .e:' .`' l.,.. .b James Nardoiie r air 20 Hrooks Road: ` arcvic'` Massachusetts,,. t Re. Lot 1S, Elliott Road,: Centi-41 ivil2e ear 'Mr. Naidon®: The .construction ofs,the sewage, system 'at 'Lot 15 ,Elliott Roadr - r Centerville; �must' be supervised, by the designing, engineer,• rid ' to issuance o;f a •certificate of, complAaance,' we emust rem eive aletter=from this `designing-engineer. certifying that his esign has been.'complied`with '. a Fill must extend 25 feet:'in all directions' from the`;leaching its'. zn` addition,. you`'must, have approval of, the, Conservation Dommission prior to any'_ excavation or construction, r -Very truly yours, John- M. Kelly irector of`Rublic Health t K%mm { s. 41 x cc: Mr: , Dan Speakman; ti5 A$sociates-" _ < ; • . <_ (;. .. y �#, ' ` � ejv !M� r . /r'S v.. S r ,. ti a.i '. r u•• y. (ts. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH Appfiration -fur Biiipuiitt1 Work,6 Cnom4rurtion Vrrmit Application is hereby'made for a Permit to Construct (for Repair ( ) an Individual Sewage Disposal System at: _ Loe tion-Add ess or Lot No. Owner �r �y / �/ Ste) ,�/j C� E-F•✓----- ( �o ` :................... Installer Address Q Type of Building Size Lot4-3/kP ----Sq. feet U Dwelling—No. of Bedrooms.......6 ------------------------------Expansion Attic ( ) Garbage Grinder ((� Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( ) Other fixtures .. �/ --------------------- W Design Flow------- -_. __-------gallons per person per da�� Total daily flow.......... -� gallon W Septic Tank—Liquid capacit�' _. gallons Length�""�- WtdtlL:1 ®7 ._ Diameter_. -------- Disposal Deptl _. x Disposal Trench—No- ____________________ Width-____--____.--_--__ Total Length..........---------- Total leaching area--------------------sq. ft. J Seepage Pit No---- .......... Diameter._/;?--------- Depth below inlet..... ............. Total leaching area_.7-`5----sq. it. Z Other Distribution box (,� Dosing tank ( ) W Percolation Test Results Performed by..1e:55_,/_ .4:5�_ '�" C,r..................... Date 7-._ ,�-_--__----. minutes er inch Depth of Test Pit-.� _ ` Depth to round water.... Test Pit No. 1�----=---- P P ,�---�-------• P g �---�---------.. f� Test Pit No. 2,Z. :....minutes per inch Depth of Test Pit---&.._.__..... Depth to ground water.-.6-------------- 04 a---•--•---------- --•----------------------•-------- -:--------------------------.................................................. O Description of Soil----.l�- y----�� ---------� -cam- - ��� �`�e / _ -/.sJ�-�'------ (xj ---------------------------------------------------------------- W U Nature of Repairs or Alterations—Answer when applicable.-.-- -_--.. - ..-. ,,"//_ 1JS•1� ....._J.OA4!'�_W,re Cd----------------------P!oB� 0/0 fF �/ S Y&V-r �jLcv/ /�Gw/S!� GCP�« l"� ds�,f►,trti Agreement: f��.dv �fi� The undersigned agrees to install the aforedesc�t'�efATndividuGal�Sewat/geL' tsposalli'Sy!Tstem4?in accordance with the provisions of Article XI of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b=enisd by t e board of ealth. Signed---- -------�-- ._7- 72 ., - --- Date ApplicationApproved By--------- C------------------------------------------------------------------------------- ----a---- Date Application Disapproved for the following reasons----------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------- ----••---•---•----------------------------------------------------------------------------------------------------------------- Date PermitNo.--------- / '-------------------------------- Issued........................................................ Date xtJ✓r ,8o-Wr- .THE COMMONWEALTHoOF MASSACHUSETTS 1� BOARD OF HEALTH G, � .......�. `- r' - 6 Q.,rrtifiratr of 011amphattr.e THIS IS'TO CERTIFY, That the Individual Sewage Disposal System constructed (410<Or Repaired ( ) by--------- 7 ......OV/ ....... OR-----.....----------------------------------------------------•---------.......------------------------------. Installer _ e------- has been installed in accordance with the provisions of Article XI of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......... �/_____________________ dated......://..._.7"--7-.7-------___.__- THE ISSUANCE OF THIS CERTIFICATE SHALL. NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE.........................................................---------------------- Inspector------------------------------------------------------------------------------------ l.: No......................... .............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .:- O F... raj:.! r" ..... ... Applirtt#intt -fur Biiplaiittl Worko Tutt,s#rur#ion Vrrttti# Application is hereby'made for a Permit to Construct (M or Repair ( ) an Individual Sewage Disposal System at: ........ .. ....r�'�..I -•- ' , " ------- .............. 0=7-•--1 ----------------- ......................... Lo)tion_Add ss or Lot No Owner .• ' t'",+c_'................... ...... ( ,darer a Installer Address d Type g 3/ _ Sq. feet T e of Building � Size Lot. ,______ ______ ____ __ _ _ U Dwelling—No. of Bedrooms________s _2_-----------------------------Expansion Attic ( ) Garbage Grinder Other—Type of Building _-___--_---,_______________ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures __ d - -- ---------- W Design Flow------ gallons per person per day. Total d1�ly flow............ ._..... .... all S. P4 Septic Tank—Liquid capacit/u allons Length .'�.. Widtl .. ._. Diameter....'.�......._.. Depth xDisposal Trench—No_ ____________________ Width-----r------------- Total'Length...................- Total leaching area-_-_-:_.--__..___-_sq. ft. Seepage Pit No....a" ----------- Diameter.-/ ......... Depth below inlet---- Total leaching are .- V_-_-sq. ft. Z Other Distribution box ( Dosing tank ( ) Percolation Test Results Performed ____________:._ ____ Date_r?V.�/�9/_!7-. a Test Pit No. 1.e!051-1. _.__minutes per inch Depth of Test Pit.... ............. Depth to ground water.... --............. minutes-per inch Depth of "Pest Pit.__ _:_________ Depth to ground water_____ _____________ �, Test Pit No. 2,��.._�_--- '' t�'� ----+ -------------------------------------i---•-••--•--••-•---•- ._..-.-----•-•---•------...--•-•---- .•--•-- --__O -;; �G . _. Description of Soil. ._-f-'P----- 4, A------.-.....1� ✓tee c " t �1 "_.,�►�"01 -.........Z90.. ....-A U ��l.. .----/' "'.. "". c.� ' , _G .....`�.,!-10 2--------- ..............---------------------------------------------- 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 Article XI of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b IF is ed by the board o ealth. Signed _.:: f�M 7 v 7 ------------------- --................ • Date Application Approved By__--- Signed_ . •- ••••-•--- •- Date Application Disapproved for the following reasons:----------•----___._--•=...................................---------------------------------•................... ...__._..--•.......................•---•--•--•---•---------------._..._-------•-•-------------------•---•....--•---•-•-----•_--.._._.....--•••----•-----•••----------------•-_•....--•------------_----•- 7 f Date PermitNo._____---•--------- .................................... Issued........................................................ Date THE C�OMM,,NWEALTH OF MASSACHUSETTS BOARD OF HEALTH ,S, ,t•,�:. Tntifira#r of QUID plianrr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (41)/or Repaired by-•••••--_- " ' ......0�cb -------s��-�-" ------ ------------------------------•------------------- _ Installer _ at-----t4-� ,� f* '?� �+ f: d r ' —'`�''! � `�: ° l �T has"been installed in accordance with the provisions of Arti9eI of The State Sanitary Code ,�as described in the application for Disposal Works Construction Permit No______________/_ dated...__.f _._ `'` ._......__._____ ` ----•---•------------- '� ' THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE - SYSTEM WILL FUNCTION SATISFACTORY. DATE-------------------............................................................ Inspector--------------------------------- ---------------------•--------•-----•----•-------- THE COMMONWEALTH OF MASSACHUSETTS BOARD 091 HEALTH ,� ja ,�q ......:� G'rGi� ... OF....�C , ' ?/�1` S`!_.L�> .......... -- No........-(-1�=j----- FEE----fs~�U Di-sVotitt1 irk �u� #rttr#i at rruti# Permission is hereby granted____/ ._. +✓ ......__ 01.._......._ to Construct ( )o Repair ( ) an Individual Sewage Disposal System at No._--_0 0- -------Z``6- ----._�` r��.�t'�_b< _ °? ?: --- e'—_4 -' »•�• Street �f'7 !1 - • 7-7 . . .. as shown on the application for Disposal Works Construction Permit No__ _ ______ Dated-•.__ -- _----� .......... ------------------------------------------------------------------------------------------------------- w•r} q.. Board of Health DATE.................................. --------------------------------------------- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ol 7-G r+ ; Olt N. VW oz .5A 46 � \14 \ -\ `► /.SOU Gam, 1 A-//.7'oG 1�9.S 4 AES 7 B4� BUILT 'o ° • 71-40.0 ,CNoN -c-�� p F /.�/!S h�Eo C-�•eAa E ti � p c.P.ovC SCNyo Al 41> /.V!-x°.e •, /�' � EaAGGO�/5 /N�'62T /NvE+� D/S T /�✓d6�'-T _ ,''.(� i�' • - • ±. �. 9 Cl 0 /A/ G+e O�� — —G:.. LEY �'3oT7'G+z4 ,O ©szzd a ,B eo.e 17-1 S SEP77C Sy.S7'EIYI C'��C/STT'.E�UCT/�N oc�S/G� �/ ,�'Ga�J �aAG/17j9y i Lam.ACt� .P�4 7-'�' -�� Sry.9 G L S COti.�'a+E.'/v! 7'0 /�?/9s. q 7'ITL� �w �.CoPosEo L�.+4Ct+/ A:2&�9 I A�ro ?'�t.Ui•./ o f BA�NS'T��,�� iC/'�'7''/�/C G Ur.�!}-��'� c.>C��tit s f��/ N��9GT�Y •eGlJGi9T/On/s yT- t jpLT/dr/ fi • �S [ T 'E PLAN SHOWING PROPOSED CONSTRUCTION F O R • ....� `. �.!!r; A P P R O V 1 9 7 7 Ci • C/ fy� t� . E D ' SCALE DATE: / �' B-ORD OF -HE. ALTH- 'R E F E R E N C E � %��/�v� �o�"" ,�,�' ' ,q,5 .3/�c�.u�.•.,� DATE A G E N T iK OF it OF qw A yGA t�'�� JOSEPH M. p y C S ASSOCIAT-ES, IICIC . 132 ;sue •o p � O REGISTERED. ENGINEERS LAND SURVEYORS Fss�p`NA1E�y�� MID-CAPE OFFICE BUILDING - I265 ROUTE 28 gu;�v"t" ` Grp // OUTH YARM OUTH, MASS._ 02664 k 4)