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HomeMy WebLinkAboutLot 1DWCP No. DISPOSAL WORKS .CONSTRUCTION SUMMARY TOWN OF MANSFIELD BOARD OF HEALTH DWC LOCATION( rz'7 SUBDIVISION LOT NO. . APPLICANT TELEPHONE STREET TOWN STATE ZIP FEES: 150.00 Perc for New Construction Date Received _$150.00 Construction, Upgrade Date Received _$.75.00 Septic System Plan Revision Date Received _$ 25.00 Septic System Repair Date Received _$ 25.00 Disposal System Reinspect Date Received _$ 25.00 2nd Reinspection Date Received SDS Certification Inspection Date Received INSPECTIONS:_ 1stInspection Date Approved Disapproved Comments: 2nd Inspection Date Approved Disapproved Reinspection Date Approved Disapproved Comments: word.dwd . Cam onwealth of Massachusetts Town of Mansfield Soil Suitability Assessment for On -Site Sewage Disposal Fee $150.00 V New ❑ Upgrade Site Number - Location address: EUKA S i REI� 7 Applicant: THcMA7> tom. .(tic s F E Subdivision/Lot: L-6 I Rr��1 NCt F �El -t) S )P<— D"E A5'TUFBOR-a , "A, o2.77Q3 Owner: Telephone: Sob , <,a9 , 291 � Performed by: 'RIM Et-k6k,AEEFkt4(:l c_o, tNC,Witness: Scott Leite, Health Agent (Site Evaluator) Address: 150 NoCCi E \�_LNI t� (Zl✓El —� Address: Six Park Row, Mansfield Telephone: (5o6 1 339 —3-731 Telephone: (508) 261-7366 Office Review `> Soil Survey published 1978 Publication scale 1:20,000 Soil Map Unit `- lP F_ Drainage Class Soil limitations t� Surlicial Geologic Report not available. Geologic Material GC—�1 Q� CU 11,J F�� « Landform PUN Flood Insurance Rate Map: MAbove 500 year ❑ Within 500 year ❑ Within 100 year flood boundary Wetland Area: National Wetland Inventory Map (unit) Wetlands Conservancy Program Map (unit) Current Water Resource Conditions (USGS) MonN 2— Range: El Above Normal 0d"Normal ❑ Below Normal _ Summary TH I TH 3 Locus Soil class Percolation Rate 2— Adjusted ground water Certification I certify that on April 30, 1993, I have passed the examination approved by the Department of Environmental Protection and that the above analysis was performed by me consistent with the required training, expertise and experience described in 310 CMR 15.017. Scott Leite Date Oil (j CL_ G C) 13 JQ�r- 2D 4) O L O 4- d fA Q y H co O .41 m�Co 3 6 r C E _T J 6 IL �mO�g E4 v 2 1N c 402 c cn 5 a N ■ N I N M It Mu r e- ■ c is F 10 W 0 0 9 IN / > t � ■ \ b ; (A c \ % k / \ A / § j O « ) � � § § / w ■ m � $ ■ § \ \ « a � ¥ )ƒ / \ W �cr) ©t W - (\— 0 kƒ\ 3 2 00LL. d ■ � � j ca 9. ! 2 � / ; 17 Om \ m lw � ƒ c ( � j 9 a t O u d o rn .o 0 U _ 2 0u 02 �a N � W aC w 0m @° LL OI ° U U I 0 N w m u 5 0. LL � u � O 0 0 E 0 --T 9 L N O `o c U� M Yl v C A g0 o 2 o� o � v N z w 0 7-7 � § CL ■ i5 ■ � k m m $ U) 6 O k � 4) E $ e ■ ■ « - , � § ±: CO - 0 k�— cc� { j6 / 0 ; z ) z 2 f j ■ \ k § k / : \ — ) \ jca 19 � / \ � / § / k } « m k E7% ® ± ® ! /7 ! $ £ co � � 2 k § \ / k 0 E O , 7 ) % ) O » \ ` \ ) 2 0 / \ § u § El 7 2 \ k ) § ) ca \ cc� \ E Lu 7-1 j 9 d 0 u Spa ° V _ o u N � N Vr � L w d uN E a LL � T vui a O d M� F = J N w C u 5 `w aN u y t� of ° E- 0 w � L w U'^ q � fo g O N _ J 1 v N' IV O Em \tl 0 a CD W v/ ^1 L O L. W AL, W N g� fn w Oa '® r CO �O � r O E T V V LL 0 Q FE0 c O I I N a c J y O v r s u _ m 0 U (ll N J �e a E c o LL � va m � se U 12 N 'a % � V tiV � a w LL u sz ofE ° " ° 0 � L a 0 o w c� cz Ng O O q 2 J N LO N r N a J n ca 0 a c a- m O 0 L u x c .c 0 m Ecc 0 O n 2 a � 0 CL 2 Q ■ 0 $ @ m R � 6 O k t ■ E § ■ ■ 2 j/� 46 §/U0 o 0 k/LLt § k / � LL § 6 \ e \ � { & Z �- 0 .J 71