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Home My WebLink About0086 MOCKINGBIRD LANE - Health 86 Mockingbird Lane A= 013-038 Marstons Mills it ASSESSOR'S MAP N0. PARCEL B V11" 0 CAT IOJL21_�a SEWAGE PERMIT NO. 9 VILLAGE INSTA LLER'S NAME A ADDRESS k F' BUILDER OR ` WNER , DATE PERMIT MIT A E R ISSUED DATE COMPLIANCE I'SSU.ED r7 r kpco �%,L)4- VO �E _� No..... �m Fs .... �— THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH `-a►�.� !3 nos ....... ......./... ...................oF.............,9 ..�............77�.............................................. Appliratiun for Dispaii al Workii Toustrur#iun Famit Application is hereby made for a Permit to Construct (L-� or Repair ( ) an Individual Sewage Disposal ystem at �'1oc1Co.,rGBir� L/�iiE /'��s'7�"V:5....17! .. a• - ....g................... ... r Location-Addr ss or Lot No. ••--..-- r✓.A�96's �u"7L ................... --• Owner Address --------------------------------------------------- ' 7,.- Installer Address dType of Building Size Lot... .300........Sq. feet ' Dwelling—No. of Bedrooms..........................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) Q' Other fixtures ................................... Design Flow..............- -3 ......•...........••..gallons per person per day. Total daily flow...........J 30' _._ ......•..gal W gallons. WSeptic Tank—Liquid capacity.!�Pd.gallons Length..4. �.__.. Width.4.4'�-_- Diameter................ Depth..S"g'/_. x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No.........1......... Diameter......zl�....... Depth below inlet.....L;: Total leaching area.3oZ,:.8_-sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by......6-� c......................................................... Date_.Z5§� _..:..7 /�8(/ Test Pit No. I................minutes per inch Depth of Test Pit----..________...... Depth to ground water.... .............. LT4 Test Pit No. 2.,.4L7-....minutes per inch Depth of Test Pit....e' ... Depth to ground water.... .............. Q'+ --••-•--=•••----------------•••••-•-••••--••-•-•••...........•-•-•..._....--•••.......7.----.v.--•3••-........................................................ O Description of Soil--••-....0_'-./0.' tVC'0J��/'"J..._______.�Z>"� � . s- - L 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 LITIE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in Pcat mpl' nce has been issued by the board of health. agned :. �Approved BY................................................•....... --•••- .---•-- --•----•-•� Die Application Disapproved for the following reasons:............................................................................................................_ -•------------------------------------------••--•-•-•----------......------•--•-----------------•--•--•-•-•---•-••----•-•---•••••-•-•---••-••--•-•••-•----•••••--••••--••••••--•--•---•••--..._....----- Date PermitNo......................................................... Issued....................................................... Date No................-....... Fss............._..... ....._ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .................. ... ....... .................................................... Apfiration for Uwvasal Workii Tonotrur#fun Permit Application is hereby made for a Permit to Construct (L-1 or Repair ( ) an Individual Sewage Disposal System at: ................_.......�....---• .............::..... ..............................-•-•-• ------.........----•---------......-----.............._...--••--•---........................ .. •Location-Address � M( 7 � G,y4 1Tci% .. - —L�-7�r'%' �_" ................ ..........•... - ---------------------------•------------ --••--•-------.......•...._._....... -- .......................................... Owner Address W Installer Address ZU 3�� UType of Building ( ) Size Lot....-.. ..................S (feet Dwelling—No. of Bedrooms.................... Expansion Attic Garbage Grinder 04 Other—Type of Building ............................ No. of persons........_------------------- Showers ( ) Cafeteria ( ) dOther fixtures .. Design Flow..............f�''............_._._......_.gallons per person per day. Total daily,flow............................ _._.......... W .� WSeptic Tank—Liquid capacity............gallons Length--- Width_`�.�G.-.-_.. Diameter................ Depth........ x Disposal Trench—No. .................... Width.................... Total Length.........- Total leaching area.................... ft. Seepage Pit No.......... ........ Diameter.._...��__..... Depth below inlet......�_'..._. Total leaching area... `?.-----sq. ft. �BG Z Other Distribution box ( ) Dosing tank ) Percolation Test Results Performed by-_._. .....:.........................e. . Date.. `..'Ve..................... Test Pit No. 1...----•--_.•...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........................ a •-•••-•--- : ...... ------------- O Description of Soil _ /a" ►�,!v�,l�!s� /-�'= �6�,� _........ ------------------ ........--:......... V ....................... ...------••-•----•----•..........•---------•••--•------....._.............----•-......•.... - �s lC' �o��tr'IfE'f.. ----•--------•-----•-----••----------•.......................•--•-......_ 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 pication sate- l' nce has been issued by the board of health. � �� Approved By.....................................-----.--•• s � ��. -•. -••------------- ----- -•...-----•... Da e Application Disapproved for the following reasons:.... ....................................................•--••---•--------•--•-----._.._....._....._...------ --------------------•-••••---...•----......-•-----••-••---•••--------•-•••-----••-•---••----------•---••.I----...-•-•--••---------....--••-------.........-•-•---••--------••---••••-----......-----•---- Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH (Inrtifirair of (Sompliatta THIS IS TO CERTIFY, That the ivilual Sew, Dis osal Sy tem constructed ( �r Repaired by----------------------------------------------------------------- = :.}...----••-•---. -_�Q I ..._.... Installe at._........s ---. ...•---- —L`�. r...- 1r� 1 C)C 2:t v,C4'01 Y C-N) M.M# .---- .......been installed in accordance with the provisions of TITLE 5 of Thq State Sanitary Co . a escribed in the application for Disposal Works Construction Permit No._-`��,E�_.. .-__ --------• ---- dated...... � .��..�---------------•------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL UNCTI N SATISFACTORY. DATE.....-_•---- _ -.................................... Inspector......t..I:...................................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH _ ��............�.U.!` ^�........OF....... F/94 �:-'.77-1 46-- P© ' .......................... J No.... .............. FEE........................ �iu�routtl rku To trnrtion Permit RtI� �. , e Permission is hereby granted....................:. �. to Construct or Repair ( ) an Individp z wage Di Tsf stem M AA at No.......................... ...............La.T...... -..-.�?...-....- `UU� .r!� b1 � N.!......_ ` Street d as shown on the application for Disposal Works Construction Permit No . ated...._.._.S_ �..... ............. --••---••-•-----••---------------------- w� ............................"'� 5 DATE. Boa of Health FORM 1255 'A. M. SULKIN, INC.. BOSTON- n ;3 � SH62"T / of Z sf/E�'Ts j-10 3a' EZtv.7aP of poleroll Z. 0 — 7z �tol ZoT 6/0 7 0 HeL£ O 0 7ArI / Q LoT*/p? L oT /o 8 DrST, Bn x 2�s�v� [r-x1GH P�r i Lo7-d/0Z - - ram'- eZ V 4 rtv.vs 0,4Z&-7.> o�v LOCATION GG..s. .. . ... SCALE . ..� �i'. a ... DATE PLAN REFERENCE 4A .S w•v a,v Pe 81e. Z 8¢ OF /off EDVJI� D 'yG . . . . . . . . . . . . . . .. . . .. . . . . . . . .. . . . . . . . . .LEY . .. .. . . . . .. .. . . . . . . . .. . . . . . . . . . . . . . A40. 26100 �� (CERTIFY THAT THE .. SHOWN ON THIS PLAN IS LOCATED ON THE GROUND ':$s sia�Q LA9+ps� AS SHOWN HEREON; DATE . .. . ..... . . . .. REGISTERED LAND SURVEYOR 7 TOP OF FOUNDATION ' CONCRETE COVER CONCRETE COVERS IRON 2"MAX IIr OR SCHEDULE 40 . 4 12"MAX. P.V.C. PIPE SCHEDULE 40 PV.C:(ONLY) PITCH 1/4"PER. PIPE- MIN. LEACH PITCH 1/4"PER.FT. PIT PRECAST •'� NVERT -� �'- LEACHING `•• EL..7.8: Z., SEPTIC TANK INVERT INVERT PIT OR DI St . � INVERT EL.. ?7:8¢. EL„7.7..4e� �_ EQUIV. /000 BOX �_ � '•; EL.,78.a/. .... GAL. INVERT �, �..S�a o: .►� �. EL.Z743. INVERT 4Jw o• :�, 3/4 TOIV2' . EL. Z..�0 �o v: WASHED ' w •= STONE DIA 7q PROR LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG WITNESSED BY : DATE87.1984 TIME./v:oa,A?;9 T / , ! . • • , . BOARD OF HEALTH TEST HOLE I TEST HOLE 2 S�y�s-: INrGs /3SC.ELEV...8/ �o. . . ELEV..'8Z;/o • . ENGINEER . .�. . . . . . . . WOOD(,or,y,� . . . . . . . . . . . . . . . 80'77 e'G' DESIGN DATA : suB-soi e- SvS-Solt. 48 ,ag NUMBER OF BEDROOMS .. . .3. . . . . . . . . , . TOTAL ESTIMATED FLOW . . ;3 30... , GALLONS/DAY vent. Sn?sni BOTTOM LEACH NG AREA �'�3•.Jam, ,• Gi�v Srru�F,� . . . . S0.FT./PIT/C,/?D, Ham• SIDE LEACHING AREA . . . . SO.FT./PIT�3B4.8 C•RD. S�c ss�•-� GARBAGE DISPOSAL . ^/°'/e" .(50% AREA INCREASE) ,ciNt" Fin/F 307 8c? TOTAL LEACHING AREA . . . . .•. SQ.FT ' GLG?Ca � 4Z.7o./a PERCOLATION RATE 77 e9. MIN/INCH N .WATER ENCOUNTERED �c LEACHING AREA PER PERCOLATION RATE 538,•7. SQ.FT. ,P•A.n. NUMBER OF LEACHING PITS APPROVED ,. . . . . . . . . . . BOARD OF HEALTH �'�• • G:�:S�'ve.IN i9LG•S'lz>,-5• DATE. . . . . . . . .". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . AGENT OR INSPECTOR OF nLtN G P,),• ? EDWAR �M o ST i`1oClLin/Gf3//2!> � o. 26100 0 • o",� 9fCl$T4R��Q ' STEM �1i�TISToNs • �`1/GGS. JyQ��L LAG�D�� SANRAR�a� . . rn . PETITIONER ; �1E'G�y� •S' �ST�'7Z • .