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Home My WebLink About0187 FLINT ROCK ROAD - Health /47 FLiri .Kcr..k 3+��/wo LOCATION SEWAGE PERMIT NO. � �OT f) 1k)o zock ZJ 8G, - mm -4,9 VILLAGE 3 l �, �$aG /6 5'3y I N S T A LLER'S NA ?AE & ADDRESS B U I L D E R OR OWN ER A � e,kaln-S 1-�oa-t�� P DATE PERMIT ISSUED 4 DATE COMPLIANCE ISSUED yq,�� -n �� .. leap � � �. No....... 9 48_9 THE COMMONWEALTH OF MASSACH'USETTS BOARD OF HEALTH �1�`.7............... OF...... ....... ................... . ............ Apphratiou for DiipAtittl Works Tonotrur#ion- amid Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual,Sewage Disposals System at: r k ... ...........�T..!� .. . ....... --- ..0 - 'Z (-........... ........ .. ..--.......----_. : . Location-A dress _-�� or I�oy No. ` �(G .... ....... ... _ , ...._.. F...._.. ...... caner ..Ad r s W ....... ..._ ......... . ...... . ................. .... .__... 4 Installer Address . U Type of Building Size Lot......... Sq feet ,., Dwelling—No. of Bedrooms............ .............................Expansion Attic ( ) Garb ge Grinder ( ) Other—Type of Building No. ofper-sons............................ Showers — Cafeteria Other fixtures .. d ------ -----•----•---•••----- ..........-....................._........ Design Flow................................:...........gallons per person per day. Total daily flow............:.._.... ........gallons . WSeptic Tank—Liquid capacity.). ..gallons Length................ Width................ Diameter................ Depth..... ;_. ------ Width.................... Total Length Total leaching area_._.._..____...__....s` ft. x Disposal Trench—No............... g g q. Seepage Pit No-----_------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft. Other Distribution box ( ) Dosing tank Percolation Test Results Performed by.-•----------------------•-----.... .•-!!!..._C ...., Date........... .. aTest Pit No. 1}_ .:. .. minutes per inch Depth of Test Pit.................... Depth to ground wate ...._................:.. 44 Test Pit No. Wminutes per inch . Depth of Test Pit.................... Depth to ground water___..................... Description of Soil -- - --- ----------------- - 9 U 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 TITLL 5 of the State Sanitary Code The undersigned further re s not to place the system'in operatio until a Certificate of Compliance has been ' sued by the of 1 h! igned-------- . .._.. . .. .. ............... ........... a PPlication Approved B .- -----_-- =C/ ......... ------------ .. .... ?' ------ ate ` _ it {, i p Application Disapproved for the following reasons:....---------------------------••-----•------------------ ............. ....................................... t1 ................•---••---••-•---••---•---..........................---........--------.............-•-•--......--•------------------•---------------•-•-------.......---.------------................... Date Permit No..... ._.__ Issued..:........... ' ................................... Dale Y a= b No.. ...T � FiE THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH / . t OF............. � �a�? ,s12 cs &_�......... ............................... Appliration for Di_qpo,sttl Works Tontitrur#inn rumit Application is hereby made for a Permit to Construct ( � or Repair ( ) an Individual Sewage Disposal System at: ........... - �.... ...........................�� ...................� -----`.... ''`..........----.....---•---- -•---•------...... .....- . Location-Address or Lol No Owner a ----.....,..r r:: z a.. `:..... �-----. _�t. .1.°. ....-•.................. .... r3 It *r � y p /installer r_ ........................ ...... f Address c f d Type of Building Size Lot....___ :`..'_ Sq. feet U /•-_-----____ Dwelling—No. of Bedrooms............j.......................... Attic ( ) Garbage Grinder ( ) '4 Other—Type e of Building No. of persons............................ Showers f�.l yP g ----------•----------------- P ( ) — Cafeteria ( ) a' Other fixtures ................................. W. Design 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.................... Depth below inlet.................... Total leaching area.....-......__.._.sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by......................................................................�_ Date----------- = .. Test Pit No. 1�_ 't��._ minutes per inch Depth of Test Pit.................... Depth to ground water......................... fi Test Pit No. 2 ..._.�.minutes per inch Depth of Test Pit.................... Depth to ground water........................ Pj --------- -•----------------------------------------------------------------------------- --•µ___________-__-----__-___-_____--__-----_-____------ Description of Soil.......................................... f �' --•--- --�--------• !'.. , - x ----•---•------------------------------•--•-..--------------------- ------•-----• -----•--...------------........:------•----•--...----------.......--------- 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 TITL% 5 of the State Sanitary Code—.The undersigned further agrees not to place the system in operatio until a Certificate of Compliance has been issued by the hon of h lth.l I' l ��.-- igned. . ..t - -, -'-` f — ••. --•--� .. •- �..,f� C/ at PPlication Approved B}� ...._.. r................................."•/ G .. ........: .......•-------....---•-- ..... ate Application Disapproved for the following reasons-------------•-----------------------------------------------------------------------------------•-...........-- ..............•----.......--•-----•-•-------•--------------..........--•--•--•-----...---- -'"i Date PermitNo.......Z�___________________________________ Issued-....................................................... Date r THE COMMONWEALTH OF MASSACHUSETTS ..- µ BOARD OF HEALTH L, a Trdif utt#r of Tomplittar THIS IS TO CERJ`FY, That the Individual Sewage Disposal System constructed (A) or Repaired ( ) by.................................. � .�.. _. 1 .K��!Ste. ------------------------------------------------------------- ir' �^ Installet�` P ' has been install._d in accordance with the provisions of TI. 5 oe tate SanitaryCode as escri ed in the application for Disposal Works Construction Permit No...... --- ---. .... dated ..... - ------•--- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUAR NTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE _-----•--- -----.... Inspector.. .................................................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH FEE......................... Disposat Works Tono#rnrvotn f rrmi Permission is hereby granted-------•-----•----;.,"-Y � . • `' 2-fir=-= "-' , G..�tI�.....-•---•-•--- ,... to Construct ( ) or Repair ( ) an Individual Sew '16isposal System 01 ,�,.� L� -zQ . ----.......-•-- • - Street as shown on•the application for Disposal Works Construction Permit Dat- _.__ ......... ...... ---..--- 1�.6•� ----.. ..... Board of Health DATE C...................... FORM 1255 A. M. SU KIN, INC., BOSTON -;-, S .•pr :Sli A C 3 � Y 77 T f , 77, t f- lz i V �r}j2.4; icy :77, v. 10 �.. or Of",; ��,; A t• S. PHILIr a ;.. , IZ.<. WEINBERG 5? ► G c ` No.366 O. LEGEND . fr ¢ EXISTING.. SPOT ELEVATION. o OAO CERTIFIED PLOT PLAN EXISTING . CONTOUR --- 0 FINISHED SPOT ELEVATION. }` rROPEOT- � �ae: LoT' "/G► C-<�•�r� ' ocx' boa Y F.INISHED CONTOUR APPROVED1 BOARD. OF ;HEALTH'',. _. tea• y�saz, -F a .\ j s AS., -DATE AGENT :. •... SCALE /'' o ' DATE , 3 s/8G LDREDGE ENGINEERING CO. IN 3, a CLIENT I CERTIFY THAT THE PROPOSED EGISTERE REGISTERED = JOB NO. s090 BUILDING .'SHOWN ON THIS PLAN CIVIL LAND _ , CONFORMS'. TO THE ZONING ,LAWS ' F, ENGINEER URVEYOR DR ,9Y= _OF' BARNSTAB;L' E S `t+Y'"r ' 1 •. M A.$S. . i 712 MAIN ST . HYA_ I.�S MASS NN _ ATE � •. !y REG. :LAND SURVEYOR T 4 R ORE T%a"/9 rV /2. BEL D-W 24 "U1-4.ME7ER `0,1!G'. T'E "COVER - XAL 4 BF QRDUGHT TO GFjA l�E ,�r;�✓.EXT�E'A 4"PVC P/PE k . C:ONCR�TE k .1�'EAYY. CA ST /?ON CO�/ER SfI.-4 L G !3E USE17" � ( iN. P/TGN r COVERS �8• PE.Q FT /F/N UR/✓E1V�? y fi ram ' Qf CrRAOE /. CUVE.4 CLEAN .SAND 1 q� D„A; Q E S"CHEaMs. .0 y VC 2�LAYER :. v." • • • • • I I I,Gi p 04 M1N. PlTGfJ r ^_ A WA.Sh'FD ST2�NE PER PT '•`� r SEF'Tt{. Ti`yN� , . 0,., 2 • I I .•" • • • • ! Y O. u Q _ .. Bay o P. D 1 sEF"FECT/✓E , * ♦ y 3/4~ •! "/?.,, - r ` pI rI p j1 • • • � I w e r J�,4SXE0 STONE �.�Co ADo o • . • . I I l p e. n PRECAS T SEEPAGE //3.• O ;� I p•p v • o �• • .e s •" II_e d.. o P/T OR EQLIJV. r a NYPRT-EL EYATt ON s . /NYEAT 4T`1�U/LD/NG / p ,F _C,11 / FT. O/AM: : C. SEE TABULATJON> g i= ,SEPTJC Ti4NK 08 v T, CUTLET. SEP7 JC TANK- lr� FT. w «..., ¢ OONO�'Hrfa TER TA&LE, tNLET D/STRJ�31/J'/ON BOX'`{ =7 SECT/4 OF'.t GR T R �(!T'/ON•BOX ! _F7' , tNLET L EA CN/NG R!T FT. F S, J� GE L�/aSI� SA`.d. :.�. >.•.. �/per /lo) ®7 4 I" •��V/ Ti 6 tO .. ',- , . :SCREE / M 3,./ —p,r, D!i►fENSL:ON`.� FT DE5/ /Y; h r f. 8 !i CRtTEttlf4 D/M•EJ4(StaN �f NUA98ER OF.QE�ROO1yS �. _ - ,' r •., . :- o iSRO:saJ uNir -.07. ESTitr A7,0'°E1 otti 3 fa G 4L DA.Y SO/L ,TEST, / SO%L TESTg 2 S®l�C. TEST y NUM dER,OF EAGNI:YG A� T.S FGEd! �� ELEY, ,DATE Of' S®/L.-TEST r a S/Z�F LURCHING GEK P/T SG7, PT RESULTS J/17-,VESSED BY oiy�O�/ t 8vrroM GEr4CtitNG.'�ER 'r. f'�`RCOL.4TJDN' RRTE i. . f f . • O''Z a� q�1M - / - M/ND/tNC/f ZOTAL LEACH./NG.ARE.9. )cw-vca' ON RA7E MlN-/!/VCN &ASFRf�E LCf�C'NJNG Ai?EA SQ. FT. --'' TEsT - CF 40. 'aP «� /3rN c Tied ca i �R.E�3�rLr.�Nlrl NE�JPJfNG CO !.NC. etiA�15af�, L� .;�fg 2 MA1IV 57.E ,t/yANiVlS;.MA ^S. r'YP•° NO GROUND:LV/ATER. ENCOUNT sO Ci/ENr'/{/%C�CtI l7ATE Av ' ELE✓. Lit "� JOB /VO "�. ei SHE.ET OF. 2.