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LOCATION SEWAGE PERM) T NO.. ,
Lot L 13- 4.88 1ularstons Ln. 86- ,26 J
VILLAGE
Cummaquid, NIa
INSTALLER'S NAME i ADDRESS
Chas. F. Stanley & Sons 205 Oakmont Dr. Cummaquid
s
d.UILDE R OR OWNER
John S. Stanley t.0. 4.03 Cummaquid, 02637
DATE PERMIT ISSUED 7-23_86
DATE COMPLIANCE ISSUED 9- -86
1
- l5�
_L
91
1500
00
ASSESSORS MAP N
e
PARCEL �0.:
No......g. ...� (o Fss............... �®
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
j 7Z1 .eV......_..OF.....497?W r�9._. =.._.....
Appliration for Biipnaal Iforkfi Towitrnr#iun ramit
Application is hereby made for a Permit to Construct (,,,) or Repair ( ) an Individual Sewage -Disposal
System at:
N�-5,v.A �- f341 1-2N � LP 7— 3
......`
Location Address or Lot No.
t�GlV.. ,P .._.._..
Installer Address
Type of Building Size Lot..... ...Sq. feet J.
U Dwelling—No. of Bedrooms............3.............................Expansion Attic ( ) Garbage Grinder
4 Other—Type T e of Building ............... No. of ersons.....__._._.............._._ Showers — Cafeteria
a yP g P ( ) ( )
Q' Other fixtures ......................................................- ---------------..............................................................
Q -15 _________________ allons er erson er da Total daily flow____._.......33c
W Design Flow......................... . g P P P y ,� .-. gallons.
WSeptic Tank Liquid capacity_!P.gallons Length_B.4........ Width..`......_.. Diameter________________ Depth.:5_.8.'-/.
x Disposal Trench—No-------------------•- Width.................... Total Length.................... Total leaching area.........._.........sq. ft.
3 Seepage Pit No........../........ Diameter.....f Depth below inlet...3_ +.._. Total leaching area.... sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
"" Percolation Test Results 'Performed by... !'✓ o..................... __ ............... Date........ .........v..................
Test Pit No. 1....�__ ._minutes per inch Depth of Test Pit----Z....._ Depth to ground water------ ..........
._
- i
f= Test Pit No. 2....�.e0fkminutesper inch Depth of Test Pit....5 ..... Depth to ground water.......`.............
O Description of Soil-----c3.`............................................w Ic/oo4 ..sue =SoeC .�= '! .............................................
"� �5;�'rvD..._.w! ....�''iv � "—i44-". M�`� fi!Y.' --s'�...�-------------------
v ....
W •-••------------------------•-------------------.._..--------------------------------------------•---------•--••--------------------------------------------•------------------•---•-••---------•----...
UNature of Repairs or Alterations—Answer when applicable--------------------------------------------------------------_____________________•__------._.
---------------------------------------------------•-----------------------------...........--•---------------------------------------------------------....------------------ ....................
Agreement:The unde_
rsigned agrees to install the aforedescribed dividual wage Disposal System in accordance with
the provisions of iI: '.;v. of the State Sanitary Code— e u er • ned rt er agrees not to place the system in
operation until a Cert liance has bee by t of i
Le thvl(\ Signed ------ ---- ------ - - ----- • . . . ...... ....................... ...
/0
/ /W D
Application Approved By.......................... ----.-- ...... ........... .....•• ............ ----- .....=-.........�
Date
Application Disapproved for the following reasons:.------ •-•----------------------•----.....----------••......---•-------•••....................................
•-----•---•---•-----•------------------------•-.....--------------------------------------------•-•........
Date
PermitNo......................................................__. Issued'.......................................................
Date
. r
No................_------- Fps.............................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
............ 3A/ j<...........OF.....4�i!�N37-1-404-6........................................
Appliration for Uiiipos al Workii Toutitrnrtinn rantit
Application is hereby made for a Permit to Construct or Repair ( ) an Individual Sewage Disposal
System at:
•..............._._..._.......•--•• ........................._....... - - --•-••-----------.-.--•-•-•---------.--------.--------"-".-------......•.... -------•--.....
Location-Address or Lot No.
�ir.�r/ ! < i
...................... ....................................................... ..................................................... ....._.........
Owner Address
F3�r� s ,t-9��uvr,�/f�a/ 7'
` .........................................
Installer Address
dType of Building Size Lot_.`/- _�r_7_.__---Sq. feet 2-
U Dwelling—No. of Bedrooms............3.............................Expansion Attic ( ) Garbage Grinder ( )
Other—T e of Building No. of persons............................ Showers — Cafeteria
a' Other fixtures -------------------------------- . -- .-- .
21
W Design Flow_________________-�-__T..................__gallons per person per day. Total daily flow.............-' ?_____.__.__._______.gallons.
WSeptic Tank—Liquid capacity-Zc�ocy--gallons Length.s._K....__ Width..":.4..�'-- Diameter---------------- Depth. _.-'.
x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No---------- ._...... Diameter.....!" ........ Depth below inlet.._ : .`..... Total leaching area..'?07--9..sq. ft. _+
Other Distribution box ( ) Dosing tank ( )
'-' Percolation Test Results Performed by.-- ?? ✓. ...... ::___ ......._ A? ...........................!``8
---•------- Date----------
,`ja Test Pit No. 1....G..q ....minutes per inch Depth of Test Pit... ...__.. Depth to ground water------_°'..............
f= Test Pit No. 2----�..!�.9(..minutes per inch Depth of Test Pit.... ``: .... Depth to ground water------�`.............
-----------------------------------------•-•-----------------------------------------------------------•-------------••---•----------------•--------•---
O Description of Soil__.._•�?_,�_�, ' „ �`T�U�/oF?}-2 f!'' S��U' -�asLr 48 `•-7Z Css.�E
.--•-•-------------------------------------------•---•-........----------------------------------
�'+ �d17c!1� L,'/,,7V /in/-r ?Z"I f�1¢" �96'�j�F///I.-- '�r*� r/�
U ......_.---- ------------------------•---------------•------- ------------------------........ -----------....------........---•-----.._..........--------•--•-----_..
W ................:.......................................................................................................................................................................................
UNature of Repairs or Alterations—Answer when applicable.......................................................................
Agreement:
The undersigned agrees to install the aforedescribed ndividual Sewage Disposal System in accordance with
the provisions of iiTl of the State Sanitary Code— he ufider 'r d �er agrees not to place the system in
operation until a Cer '' pliance has bee s by theboard of iea h.
1 Signed....... ..... .. ! f f y
Application Approved B .... ,,. 2-3.....
Date
Application Disapproved for the following reasons:.....V-----•-------------------------------------------------------------------------------------------------
--••....................................•---•----------------------------------------------•----------•••-----------------------
Date
PermitNo........................................................ Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.......... ......OF....... /.`../. 4L................................
(9rdifirair of Tuntph anrr
THIS IS TO CERTIFY, That the Individual Sewage ,.,'Disposal System constructed (c or Repaired ( )
by................................L A�l� ------------ :±.l�----------------�..I'L# ----------------------------------------.....---------..........---.................
Installer
has been installed in accordance with the provisions of TITLE j of The State Sanitary Code as de�cribed in the
application for Disposal Works Construction Permit No..._T..6......7_Z.�m-........ da.ted-.-----.-�_��_ .. _p-Q..............
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNC N S TISFACTORY. .
DATE................................................................................ Inspector....----_..... ----•---------------------------•--••-•--••••-•....--
Q A 5 THE COMMONWEALTH OF. MASSACHUSETTS
'! .BOARD OF HEALTH
0...... .. .......7;k 1CJ FEE........_.........--
Owpi maal Norkii Tnwitrnrtinn tirrmit
Permission is hereby granted................. --- -- .......
to Construct (v j or Repair ( ) an Individual Sewage Disposal System
rw �,� s ....... "' ....... ta'V
as shown on the application for Disposal Works Construction Permit Street N09&-.1.Z,1_- Dated..... .I...'.�)..K(z.............
............................................
..................
ff VVV�oard of ealth .
DATE------ ----------- _ .. ... 4� ....................
FORM 1255 HOBBS . ARREN. INC., PUBLISHERS F,.
S/f�° T / of Z SHEETS
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- LOCATIONf3 r��v-sj P 4 ss.
SCALE . ../ `� .... DATE f y.
PLAN REFERENCE
. .. . . . . . . . . . . . . . . .. ... .. . .. ... ...... . . . . .
OFMq �� . . . . . . .•. . .•. . . . .. . .... . . . . ... . . . . . . . . . ...
ED4,R
f,4(ELLEY in I CERTIFY THAT THE cTisn.vG w�..vo�7o:✓
No. 26100
d ' SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
AS SHOWN HEREON;
L I.A4�o S
DATE J`. . .
Tofhv -5'T9i✓L " - �E-77T/Da/E7Z ���-� f
cY REGISTERED LAND SURVEZ
S1 dr ? of Z s
TOP OF FOUNDATION
e CONCRETE COVER
CONCRETE COVERS
e o 4 CAST IRON 12 MAX.
OR SCHEDULE 40 12"MAX.
P.V.C. PIPE 4"SCHEDULE 40 PVC.(ONLY)
PITCH 1/4"PER. PIPE- MIN. LEACH
PITCH 1/4"PER.FT POT PRECAST
NVERT aJ LEACHING
` o EL...`/9,1. .. INVER INVERT e . e•;' PIT OR
o'. SEPTIC TANK EL �c�,53 DIST. ELy9!S j= EQUIV.
e INVERT BOX
o; EL.. r/y<70 . .. ... . .. .. ..oov GAL. INVERT %, 3.5��
9 3L INVERT ww o: :�: 3/4"TOII/2
EL9do Ji
WASHED
STONE
i
• . . �--- /�L D I A�&wcj �rEvzev
PROFI LE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
NO SCALE
�— S7 Z v
SOIL LOG WITNESSED BY :
DATE 'ierq-.4/f4 TIME hd%?a.A?:I 7NaM s /�cfLC-'.��/ BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 ��/.✓ G ��`ZGEy ENGINEER
. . . . . . . . . . .
ELEV. . .!a/. . .6. . . ELEV. .!G3,/. . .
W�aLo
ME
V/1, wor.o��' - DESIGN DATA .
,� SvLl-soil „ s✓a Soic.
Z g�so 3
ez' 95•i0 NUMBER OF BEDROOMS
77, TOTAL ESTIMATED FLOW . . .3-0. . . GALLONS/DAY
Ft,�/�
�53,7 r
BOTTOM LEACHING AREA SQ.FT. /PIT /ZS 6•P D•
SIDE LEACHING AREA . . .�?�•.9 .
HAD. SR�p SO.FT. PIT/3o3 G'.P.T?
S Z:) IrlI7w GARBAGE DISPOSAL No^t�. (50% AREA INCREASE)
TOTAL LEACHING AREA . . 307 SQ.FT
t44v Syr�o /�l4" eZ. 9/,to PERCOLATION RATE l-C'S59?+/• �1� MIN/INCH
tyo LEACHING AREA PER PERCOLATION RATE .Z136 .. SQ.FT.�G,P.A
.... . .WAT:ER ENCOUNTERED
NUMBER OF LEACHING PITS P17-.`✓.17;V. .
APPROVED . .. . . . . . . . . BOARD OF HEALTH
DATE. . . . . . . . . .
AGENT OR INSPECTOR
N OF
OF
c N
Gv7" -V 3 E W yes CIO
o
1}C LLEY -"
�}/Gf
A o. 26100 �-
9FGlSTER�� saxrtan�a�'
PETITIONER ; � �.�. t�Aq� Ld�42pS0
A�✓447 . ' .