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Home My WebLink About0189 DROMOLAND LANE - Health l£S9 �-unolo�d RA . TOWN OF BARI`ISTABLE '® LOCATION Aor 1;6 AVC SEWAGE # 75- 31 *7 VILLAGE `p �g� A� _ ASSESSOR'S MAP & LOT INSTALLER'S NAME PHONE NO. 9-Z4/5 &2v5. QWAr 36A G Z3� SEPTIC TANK CAPACITY l S®o CA LEACHING FACILITY:(type) P lr5 (size)_ 660 NO. OF BEDROOMS_ _PRIVATE WELL OR PUBLIC WATER./ BUILDER O OWNER 6wv N a DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED_ I ;L — 7 T'2 V VARIANCE GRANTED: Yes _ No Lie 1 to -�` w w CO P� V/7 No---J-------------------- THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............7__ l....... .................................. Appliration for Dispoiial, Works Tow3trurtion rumit Application is hereby made for a Permit to Construct 4-T or Repair an Individual Sewage Disposal System at: o .................... --- .... Location-Address----------------------------------- .../Z ........................ .or-Lot-No.p....................................... 0 Lp .......................... ............................................... ........... ---17A_....0.............ZOf.......... Owner Address ----------------------------------------------- -------------------------------------------------------------------------------------------------- Installer Address Type of Building Size Lot..... ;7----------------- Sq. feet U Dwelling—No. of Bedrooms.................. ........................Expansion Attic Garbage Grinder ( ) 04 Other—Type of Building ............................ No. of persons......................_._... Showers Cafeteria ( ) 04 Other fixtures .............................................................................................................. .............................. Design Flow................_53- ............................gallons per person per day. Total daily flow_............ ..................gallons. 4/ 9 Septic Tank—Liquid capacity.Z417?!?_gallons Length Width-__............. Diameter-_-_--__-__--:-- Depth---6.......... Disposal Trench—No. .................... Width.................... Total Length-_.................. Total leaching area....................9q. ft. Seepage Pit No...... ......... Diameter—___—___ 1_ Depth below inlet--- ...... Total leaching area..A ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed ..................................... Date-4V �C-1.2 /2-0 2 4 _ 7----------------- ,4 Test Pit No. 1_-4...Z....minutes per inch Depth of Test Pit_._.A.2---... Depth to ground water_---_.-........... 0-4 P�4 Test Pit No. 2..�.?-.-.-minutes per inch Depth of Test Pit-_._- Depth to ground water..-__.............. 9 ....................... ..................................................................................................................................... 0 Description of Soil.......... 4�_.gv.tf/..... ...4r_-Zol� / S41t—� 01' .......... ------- _;7 .7.................. ......... ................................... .................. U .............................................................................................................................................................................. --------------------------------------------------------------------------------------------------- .................................................................................................. U Nature of Repairs or Alterations—Answer when applicable.------------------------I....................................................................... ........................................................................................................................................................................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of I I L LE 5 of the State Sanitary C —The undersigned further agrees not to place the system in b edb t operation until a Certificate of Com liance ha�;4i h ar hj`gcA ........ ... :Signed.......................................!X....................................... 7 ....Date.............. Application.Approved By.............................. ..... . ................. ....... . ................................ Z�------Date Application Disapproved for the following reasons:................................................................................................................ .........................................................................................................I............................................................................................... Date Permit No......ff_..2/2--------------------- Issued_--------7 ............ Date • No........................ Fim$.............................. THE COMMONWEALTH OF MASSACHUSETTS HEALTH �- BOARD Off` ...............f..®.k./- � .....OF...... .../�>......��,�G........................................ AVV iratilaat for DhipmFai Works Tomitratrtinat ramit Application is hereby made for a Permit to Construct ( 4--y'or Repair ( ) an Individual Sewage Disposal System at: / la.......titer Cfl�/�` �/7s�9/3�Yc�/ !� `Q7 .}�C� Location-Address N or Lot No.�0 iz r�4-� G7� �...... i��z ........................ . ...' .y......1A................... oz ------- Owner --------------------------------Address Installer Address d Type of Building Size Lot___- ...6.1_---_-_Sq. feet a Dwelling—No. of Bedrooms.................. ..........................Expansion Attic ( ) Garbage Grinder ( ) p, Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( } al Other fixtures ................................. W Design Flow................. �..................gallons per person per day. Total daily flow.............. ................. WSeptic Tank—Liquid capacity__!Soagallons Length_.. Width..� ./ '. Diameter________________ Depth_..s�8 x Disposal Trench—No..................... Width......... .......... Total Length..............._.... Total leaching area....................sq. ft. Seepage Pit No.......:4 ......... Diameter........./ .'. Depth below inlet.... •.S_....... Total leaching area... !-:._sq. ft. z Other Distribution box ( ) Dosing tank ( ) '~ Percolation Test Results Performed by--- -_N__.Ml ^i ................................... Date_ Test Pit No. 1...e...Z.....minutes per inch Depth of Test Pit.....& Z...... Depth to ground water---------------------- Test Pit No. 2... .. ...minutes per inch Depth of Test Pit...... "'_. Depth to ground water____- """"___--_____- ------------------------------------•--.............---•--------------------•-•----•---...---.--_........................................................... 0 Description of Soil---------- ��¢ r �� f+ �7'¢ 9G-�: S/ _t�.----;-" Uvni..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 T f•1'--� the provisions of .R't: .IE 5 of the State Sanitary Co The undersigned further agrees not to place the system in operation until a Certificate of Compliance has b , i ed b he ,oarrL.G,��1tI� Signed....... �.A...3..... ) 1 - �.fl"u.,..._ ... . . ) J q ........ Date ApplicationApproved By-••--------•--------------------•-•---••----••--•-............................................ ........................................ Date Application Disapproved for the following reasons:-----•---------------------•---------------------------------------------------•-----------------•-•-•-••------ ............�•-••-•-----•..._..--••-----•---••--•-------•...................•----------.......--------•---_...•----------------------------...•---•-................................. -----•----•--- Date itPermit No..................................................... 2 Issued....................................................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................. .....OF......... � . � ....................... Tntifirtttr ,af Taut liFattrr THIS IS T CERTIFY, That the Individual Sewage Disposal System constructed (�or Repaired- by....................... ..........t.....---•----•-•--•----••--•-•••---•-•----------•----........._....---•--•-------.......................-•-------.........-------•-•---•---•----- .{.p- /� Installer at--•----•----........ G°t --�f�•-------� ��'S� ��,I nst 1.1 e-•------!..�_�y!G?��!A��ll�1.--------•----•-•----------•-------------------- has been installed in accordance with the provisions of TIT i E 5 of The State Sanitary Code as described in the application for Disposal Works Construction Permit No......................................... dated-.---------------------------------------------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE------.Z� ..^...--a----=. ...�' _.... Inspector. -,.........; ................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..............%."4/A,i..........OF.......... - T '� G E' No......................... .............................. FEE........................ Ropaoal Workii To`_notrt iatt rrmi# Permissionis hereby granted............ .....Y +.............................................................................................. to Construct (&4'or Repair ( ) an Individual Sewage Disposal System atNo................•-----------•---•----•-•-•---------•--•------•-------...............--•-•----•------------- Street as shown on the application for Disposal Works Construction Permit No........._----------- Dated.......................................... 4 a Board of Health DATE ` g FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS '�� `- `A� LR�� o kA 7a� of . / '6LY. oo Bcm 1,14 / D / L-,7-top s9D I / /44—/1 I CERTIFIED PLOT PLAN LOCATION SCALE . go�. . . DATE PLAN PE EdC= cad.. 3S� . . . 6�.5 OF s EDAOZ - � ' ��., ,100 1 CERTIFY THAT THE .n 0.49P ��?�DfNC €• �� .'' j SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SH0WN HEREON AND THAT IT CONFORMS TO THE I SETBACK REQUIREMENTS OF THE TOWN OF f. WHEN CONSTRUCTED. #. DATE �U�✓E Sl� � �77 REOISTERED L,1ND SURVE` R I . L. ,��OCR. . . ... . TOP OF FOUNDATION CONCRETE COVER CONCRETE COVERS 4"CAST IRON 12"MAX. • 12"MAX. SCHEDULE 40 P, 4"SCHEDULE 40 PV.C.(ONLY) ` ° P.V.C. PIPE PIPE- MIN. PITCH 1/4"PER.FT. LEACH PITCH 1/4�PER.FT PITr3/4" o'r INVERT • Q �Q INVER INVERT ? . S✓'rU 0EL..... . 3 SEPTIC TANK � 3 DIST. �'INVERTBOX ` "�49.. .. GAL. INVER 3.5 o a ,EL...••Zo INVERT ww p w Sa 6D IA. PROFILE OF GROUND WATER —TABLE- SEWAGE DISPOSAL SYSTEM / NO SCALE SOIL LOG WITNESSED BY : DATE !`� C.3?WTI ME. .!�� -' � `T�` y• �v�n0�� BOARD OF HEALTH TEST HOLE I TEST HOLE 2 ENGINEER ELEV. . 6/.Z3 . . . ELEV. ..Ga, II rnp DESIGN DATA : CGgy NUMBER OF BEDROOMS TOTAL ESTIMATED FLOW GALLONS/DAY " S*wo B4�r BOTTOM LEACHING AREA SQ.FT. /PIT IC, D, EZ.S�Z3 b2. s 3•y 3 _ SIDE LEACHING AREA . . �'5-�: . . . SQ.FT./ PIT/ �88 GARBAGE DISPOSAL /�/o.�� (50 % AREA INCREASE) N� SroN�Y TOTAL LEACHING AREA ✓ SQ.FT 47 73 i74'' �?.4Gr43 PERCOLATION RATE �'�l.�O. MIN/INCH LEACHING AREA PER PERCOLATION RATE� 774-SQ.FT .!1Yo WATER ENCOUNTERED - NUMBER OF LEACHING PITS APPROVED . . . . . . . . . . . . . BOARD OF HEALTH � an!• . . •.5. . . DATE . . . :. . . . . . AGENT OR INSPECTOR tN OF Ul EDs'ItitAF1C"- `� f:ELt. Y i �tg SANRO-0 PETITIONER