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Home My WebLink About0193 MOCKINGBIRD LANE - Health 193 /' ocLl P�t(s lbi o� YYI tir6l"s i 73 �^ L ® CATION SEWAGE PERMIT NO. 1� 1,A, -� VILLAGE INSTA LLER'S NAIVE & AODRESS ® UILDE R OR OWNER L1ATE DER IT ISSVEO OAT COIN ►LIANCE ISSUED �� P;r III , ?� 331 00, �� ti� OK llr 0 Al Aar/rc Vt o C445 15r20 GOWC LO ATI fit, -� WA E PERMIT NO.� - � - 00 VILLAGE \ INST A LLER'S NAME A ADDRESS Yoe 60/0,6 9 A6 8 U I L D E R s_ " DATE PERMIT 15SzU'ED -7 { DATE COMPLIANCE ISSUrD �/ ./ �, �� %�� .. a � � mu � ��,� �'� ��` �� \ � J c W,4 - Jiz FEB THE COMMONWEALTH OF MASSACHUSETTS dl�10 BOAR® OF HEALTH -------....T.7 i"o 4..........OF......./�-�..ARW5.f.7. B. ........... pp lira#ion for Disposal Works Tonotrnrtion ramitP�, i- f .�. G,�, Application is hereby made for a Permit to Construct or Repair ( ) an Individual a e psspos.1 ;;. stem at � 1 JJ ... Location Address / or Lot No. �` r> .....---•------.. f !?Z ....................... �42!�4/l..C?tlfZ_.......--.. :` ••`•�•. a Owner Address W .............•-------•-f' �Z O S: .. �1�1.1�V�r-. z 1 .L� :................................... ..................... .......... .......... Y.;s 4 Installer Address Type of Building Size Lot...;?/...!�Yg....Sq. feet Dwelling—No. of Bedrooms............. ......__. ..................Expansion Atti ( ) Garbage Grinder ( ) Other—Type e of Building g✓p,, yp g .;�. .....:... ........'No. of persons....__._.__.......... Showers ( ) — Cafeteria ( ) PaOther fixtures -------------------------------•----.........-•------------------•---.._.. d --------------------- Design Flow........................... ----gallons per person per Ala . Total daily, flow........ _.- _._._.. �- . � gallons. W g P P �,a, Y n.Y ------------•-----�� WSeptic Tank—Liquid capacity/&� gallons Length___--_�....... Width..✓`'........... Diameter.....--..—_... Depth..._.V....... x Disposal Trench—No..................... Width ....... Total Length.._...........y.....Total leaching area....................sq. ft. Seepage Pit No..................... Diameter....J.Z........ Depth below inlet.............. Total leaching area.. ....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by% AIL Z1Sc /�iG!`Nc � _ ...._ Date._. .- _8 --............. a 1V,0iVq Test Pit No. 1..' ._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........................ -•-- .....-•-------•............... -- O Description of Soil--®- z._...�d1 �? _. .. ?'. s ��. �----- Y..._....- .. r�� , �[aa v ........................... 1:•'k N,'_�...............-----•--•-•-•-•--•---•--------.....------ E 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 TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in op ion until a rtificat Compliance has been ' sued by the board of lth. �_ = - t7 'Signed.... .. ::.... .. ate Application Approved BY '...'.... �� Z �►r� *r Date Application Disapproved for the following reasons:--.............................................................................................................. .................•-•--•-----....------•---------.....---••-•----•----•--------•--..............-----•---------------------------------------------•------------------------------------------------•--- Date PermitNo......................................................... Issued....................................................... Date No... .............. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........._..�..........................O F ............................. ...-.........---•--........__...----..._............._..... Appliratiun fur'Dispasal Works Tonstrur#'tun amit , ��$ �l°R4l. �a Application is hereby made for a Permit to Construct ( ") or Repair ( ) an Individual S�. sposal� ' r System at: dye't d1 tvROT E z�t p� Location Address or Lot No - �."4p a..�¢ q� r_, ». c.r S r /u .�J' Aid f'�! F r � 17 n ............... —- .----............1._.. _... .................................................................... �.. i Owner Address y wA (� dada F ; Y i w 0 ,.a -------------- ------•--• `'.•--'—`------•--.....-----........_...------......---•.......• •-•........ ` = ...._.... •............------•---.. rbv�� Installer Address d Type of Building Size Lot..- :/... Dwelling—No. of Bedrooms.............R....�--------_....Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building �"�' No. of persons.... .....'/..... Showers — Cafeteria dOther fixtures ;�--------------------------------•----•-------•------.--•----- WDesign Flow..........................- -�'..:..:-_.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....................sq. ft. Seepage Pit No......... Diameter....L.?.......... Depth below inlet.... .......... Total leaching area.A':.Z.....sq. ft. Z Other Distribution box ( ) • Dosing tank ( ) Percolation Test Results Performed by ......._...:..: °4.. rpm..................................... Date. ...................................`r Test Pit No. 1_ ...3._.......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........................ ------fit:-- ----------- --------- y -----•....... y { - ODescription of Soil_-� -•---- --•-------•....................... ...........•---•---• ........�--------•--•- `--:�---. _.�.-•- -----. ........................... 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 TITIE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in op on until a grtificat Compliance has been ' ued by the board health. µ Signed... �rg - - - -----_---------- Application Approved BY y f .... ••-- ............. ..... ----- ......--•-------- Date Application Disapproved for the following reasons________________________________________________________________________________________________________________ --•----------------------•---•----....._..-------•---------------•------..........------....--------•---.--...-------------•--------------•-----------------------------------------------•------•_...._ Date PermitNo......................................................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..........................................OF..................................................................................... (Irrtifiratr of Toutphaurr THIS IS TjpQ CE�That the Individual Sewage Disposal System constructed ( ) or Repaired ( ) b -----••................... ......... i Install at............... 4 .................... ...`-----...... ....... ..........------------------------------.........•........ has been installed in accordance with the provisions of TITLE r of The State Sanitary Code as described in the application for Disposal Works Construction Permit No..> .z_..._...'_..... ..._.. dated-............................................... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST AS A GUARANTEE THAT THE SYSTEM WI UNCTION SATISFACTORY. DATE..! - Z.._:._......... -. Inspector THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.. 2 LZ ...........................................OF......................_... ...........•-------....................... -7� ................ FEE.....-.----•............ R.51111,011 uV75unirn livit rrutit PermissiorLs,;.hereby granted.......................` . .......--------•-•---•---------------•--------••-•---........--...................................... to Construct r �Indiilu�A geDr osal Syst .1 at No � •--- •- ..........-•----------.................... Street as shown on the application for Disposal Works Construction Permit No..................... Dated.......................................... .......' ........................................................................._ Board of Health DATE.................................. ..........�.".. FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS I 9�xy j lt30.�0 KK ^• ..— �,�cif.i{•a 4 .� L 00,c a tu , SOIL LOG NOTES p-1 7 /7 a I. SEWAGE FLOW = ?Vic' v�r: /Y,.rr. •� fr t -� . ug it• - . 2. LEACHING AREA Zc 166 3. SEPTIC TANK = 1,mo ./s is o f•- ;, 4. ALL WORK MUST COMPLY WITH MASS.ENVIRONMENTAL CODE-TITLE 5 AND TOWN BOARD OF HEALTH REGULATIONS. � p r 0 5. BRICK TANK, DIST: BOX a PIT COVERS TO WITHIN 12" f OF GRADE - ' 6. THERE ARE NO WELLS WITHIN 100' OF THIS PIT. PA/Zpvv WEtt. Rrvt Jf$ 7tA aa ✓ ,�x1'"�+� •' PERC RATE = < 2 IV)IN/lug y' C. r a .� . tC s *'; , • DATE ' s p JI + +. FINISH G•0 GRADE a SGli'4ya _ .t II a' PIPE 2, 31 y .�'rG PIPE 2�� , ' ,I,, t*rr� _ 2"_I/elL1/2t,WASHED .o PITCH I/4/F'T.MIN. f = PIPE PEASTONE {`PITCH I/8/FT MI 'PITCH 1/8'%FT.MIN 91 3/4"-1 1/2"'MASHED '.` :15'� � ,,z - lz�' - `- eq'ao ' STONE FREE OF �k Zsr Cl TEE {� F DIST BOX ,� FINES,DUST,IROM r . r N 0 OUTLETS= -3 r 6 DIAM. PRECAS4 FOUNDATION SEPTIC TANK ��<� OR BLOCK PIT, LENGTH = 6 ,< WIDTH = LEACHING PIT SEWERAGE SYSTEM PROFILE r� �� (NOT TO SCALE) WATER TABLE .HARRISON" sCALE r mod ' SEWERAGE PLOT PLAN WITH AT ENGINEERING DATE r - SYSTEM ' ' -f� FLINT,LOCKE DRIVE PLYMOUTH MASS. 02360 < r, I. PRO- 2 r� FOR I S ' 9'�Xy 1vr,,cv xrA.,v roe+IV a ,-- ai � c. IV 431 sc-Hrx� V-' 7'14six. ~ Nou:� a 3G` a f. SOIL LOG DOTES I. SEWAGE FLOW = 3 t.n �,A c j Lz,y� �s Al I� Y ve�o,C ubso.c v 2. LEACHING AREA = zc -/ sic = y83 hoc 3. SEPTIC TANK = /a'A0 4 o o, it Stir! 4 ALL WORK MUST COMPLY WITH MASS.ENVIRONMENTAL CODE-TITLE 5 AND TOWN BOARD OF HEALTH REGULATIONS. j M 5. BRICK TANK, DIST. BOX & PIT COVERS TO WITH IN 12" OF GRADE 6. THERE ARE NO WELLS WITHIN 100' OF THIS PIT. 'I ?. ' Wit. r 0-CUJ4A,a.5- IN Im PERC RATE z z /y'!n! C � 4,�•,r- '� DATE: -5--. 8 z. FINISH 9 G. GRADE firc- '--- i s PIPE 2 3-1 y' arc. PIPE 2�+ �, ' y.. �U� 2 _I/91LI/2"WASHED 'PI7H1147/—IFT,MIN. �22t PIPE PEASTONE PITCH 18/FT MIN # I / - r 'PITCH 1/8'%FT.MIN ,l c ; ; i� '� 3/4+�_1 1/2"WASHED rXR 2 ~ yI, 3 egron , STONE FREE OF Cl TEE �''`/ ° DIST- BOX ,� FINES,DUST,IRON * NO.OUTLETS= 6'DIAM. PRECAST FOUNDATION 'SEPTIC TAMP{ y ,a OR BLOCK PIT? LENGTH WIDTH = LEACHING PIT i d SEWERAGE SYSTEM PROFILE � �""''`r `� t�'e (NOT TO SCALE) WATER TABLE HARRISON /� Yd , SEWERAGE �.� �- 9'8 i ENGINEERING DATE 7. PL0c I LAN WITH SYSTEMAT FLINT LOCKE DRIVE PLYR'IOUTH,LIASS. 02360 PROJ. .. - FOR f4